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Scott Franklin's Board Tips, 106 document Questions & answers
Scott Franklin's Board Tips, 106 document Questions & answers
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Scott Franklin's Board Tips, 106 documentHemoglobin Normal - ANS-14-17.4 g/dL in men
12-16 g/dL in women
Hematocrit Normal - ANS-42%-52%- Men
36% Females
MCV normal range - ANS-80-100 fL
RDW (red cell distribution width) - ANS-11.5-14.5 %
Platelet Normal - ANS-150,000-400,000
Platelet <140,000 - ANS-Increased bleeding, ITP
Reticulocytes - ANS-0.5%-1.5% of red cells
Elevated in acute bleeds, starting treatment for vitamin deficiencies (iron, B12, folate),
acute hemolytic episodes
WBC count - ANS-4,500- 11,000
elevated in bacterial infections
Band forms (immature neutrophils) - ANS-3 - 5% (above 8% indicates left shift)
Normal neutrophil count - ANS-55-70%
Eosinophils - ANS-1-4%
elevated with allergies, intestinal parasites
TSH normal range - ANS-0.35-5
TSH >5 means what? - ANS-hypothyroidism, also has low serum T4 and low T resin
uptakes <0.1
Hyperthyroidism lab levels - ANS-high serum total/free T4. High T3 resin uptake
PSA >4.0 means what - ANS-BPH, prostate CA
,Ferritin <15 means what? - ANS-Iron deficiency anemia
ESR elevated means what - ANS-RA, lupus, temporal arteritis, inflammation
CRP elevated means what - ANS-inflammation autoimmune disease, a risk factor for
heart disease
Normal ESR range - ANS-0-20 mm/hr
CRP normal range - ANS-<1.0 mg/dL
B-type natriuretic peptide (BNP) elevated when? - ANS-Heart failure
Patient is post MI on a beta blocker and statin. What do they need? - ANS-ACEI
Picture of African American man on a stretcher in the ED with noticeable JVD, ascites,
and they say he has muffled heart sounds. You need to diagnose patient. -
ANS-Tamponade
Picture of African American man on a stretcher in the ED with noticeable JVD, ascites,
and they say he has muffled heart sounds. Pt also has edema You need to diagnose
patient. - ANS-Acute heart failure
Patient has a fever and tachycardia. There is a box with lab values, and the NA is high.
What does it say about their hydration status? - ANS-Extracellular dehydration deficit
What is the purpose of cardiac stress testing? - ANS-Differentiate between infart and
ischemia
How to treat second degree type 1 heart block - ANS-Monitor, pace if symptomatic
How to treat second degree type 2 heart block - ANS-transcutaneous pacing and
atropine cautiously
3rd degree heart block treatment - ANS-transcutaneous pacing venous if cant capture
or very symptomatic atropine cautiously, plan for PPM
Lab values of acute pancreatitis - ANS-
, What causes GI bleed in the elderly - ANS-Thin gastric membranes
What puts elderly at an increased risk for bleeding? - ANS-Peristalsis
What is the cosyntropin test for?
What is considered positive? - ANS-Addisons or hypoadrenalism
<18 in the morning
Patient is hypotensive and has addisons. What is the best treatment? - ANS-IV fluids
Dopamine and other pressors dont work in addisons
What do you treat addisons crisis with? - ANS-Steroids
A patient is post CABG with abdominal distention, labs are provided, and you diagnose
what? - ANS-Mesenteric infarct
cardiac surgery is a risk factor
What is ARF anemia usually due to? - ANS-Decrease in erythropoietin
HIV patient with petechiae on legs and leg weakness is usually associated with what? -
ANS-CMV
Description of a patient with right sided weakness that went away. What meds should
they be on? - ANS-ASA and plavix
TIA treatment - ANS-ASA first then plavix
Trauma patient that is hypotensive pt distractor is blood transfusion - ANS-Answer is
ATN
Patient has advanced dementia, ESRD, and HF. What do you do for him? -
ANS-Transfer from acute to palliative care
Tricyclic Antidepressant overdose expected finding? - ANS-Prolonged QT
What do you give a patient with a 50% ride sided occlusion - ANS-Plavix
Most important medical history to ask about a patient with hemoptysis? - ANS-Amount
of blood, previous episode, dyspnea
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