AQUIFER IM EXAM WITH CORRECT
ACTUAL QUESTIONS AND CORRECTLY
WELL DEFINED ANSWERS LATEST
ALREADY GRADED A+
What tests to order for alcoholic with abdominal pain? (6) -
ANSWERS-BMP, CBC, fecal occult blood, lipase, liver tests,
serum lactate
What is the best initial imaging for acute pancreatitis? -
ANSWERS-RUQ ultrasound
Which abdominal diagnoses prompt of sx consultation? (2) -
ANSWERS-cholecystitis, small bowel obstruction
What are most likely diagnoses for melena? (3) - ANSWERS-
gastritis, peptic ulcer disease due to h. pylori, peptic ulcer
disease due to NSAID use
,What studies are indicated for acute management of GI
bleed? (5) - ANSWERS-type and cross, CBC, liver tests,
albumin, chemistry panel to include BUN and creatinine
What is the most common type of transfusion reaction? -
ANSWERS-Febrile non-hemolytic transfusion reaction
What is the first step in management of a transfusion
reaction? - ANSWERS-Stop the transfusion!
What therapy is used to eradicate H pylori? - ANSWERS-
amoxicillin 1 gm BID, clarithromycin 500mg BID, omeprazole
20 mg BID for 14 days, followed by omeprazole 40 mg daily
for 4 weeks
What ROS should you ask a patient with abnormal liver
chemistries? (5) - ANSWERS-fever, pruritus, rectal bleeding,
weight loss, jaundice
What increases the risk of liver disease? (7) - ANSWERS-
alcohol abuse, family hx of liver disease, hx of blood
transfusions, hx of undercooked beef, hx of diabetes, hx of
HIV, hx of IV drug use
,What are top 3 diagnoses for abnormal liver chemistries in a
pt with IV drug and alc use? - ANSWERS-Alcoholic liver
disease, Hep B, Hep C
What meds commonly cause elevated aminotransferases?
(4) - ANSWERS-carbamazepine, phenytoin, isoniazid, statins
What are risk factors for NASH? (4) - ANSWERS-DM,
hyperlipidemia, male, obesity
What tests are helpful for evaluating autoimmune hepatitis?
(5) - ANSWERS-anti-liver and kidney microsome antibodies,
ANA, anti-smooth muscle antibodies, liver biopsy, serum
immunoglobulins
What is the most specific physical exam finding for
diagnosing peritonitis? - ANSWERS-rigidity
What are the top 2 diagnoses for acute lower cramping
abdominal pain with fever? - ANSWERS-diverticulitis, c. diff
What are 3 risk factors for development of DVT? -
ANSWERS-acute infectious illness; age; obesity
, What are 2 appropriate choices for DVT prophylaxis? -
ANSWERS-enoxaparin 40mg subq daily, heparin 5,000 units
subq q8h
What are follow-up plans for diverticulitis? (3) - ANSWERS-
five day course of antibiotics, colonoscopy in 1 month, high-
fiber diet
What are adequate screening strategies for colorectal
cancer? (3) - ANSWERS-annual hemoccult card testing;
colonoscopy q10 years; FOBT or FIT test q3 years plus flex
sig q5 years
Who should be screen for osteoporosis? - ANSWERS-people
on prednisone; women age 65; people with low body
weight
What is the definition of a T-score in osteoporosis
screening? - ANSWERS-Bone mineral density compared to
the reference mean of normal, young individuals
ACTUAL QUESTIONS AND CORRECTLY
WELL DEFINED ANSWERS LATEST
ALREADY GRADED A+
What tests to order for alcoholic with abdominal pain? (6) -
ANSWERS-BMP, CBC, fecal occult blood, lipase, liver tests,
serum lactate
What is the best initial imaging for acute pancreatitis? -
ANSWERS-RUQ ultrasound
Which abdominal diagnoses prompt of sx consultation? (2) -
ANSWERS-cholecystitis, small bowel obstruction
What are most likely diagnoses for melena? (3) - ANSWERS-
gastritis, peptic ulcer disease due to h. pylori, peptic ulcer
disease due to NSAID use
,What studies are indicated for acute management of GI
bleed? (5) - ANSWERS-type and cross, CBC, liver tests,
albumin, chemistry panel to include BUN and creatinine
What is the most common type of transfusion reaction? -
ANSWERS-Febrile non-hemolytic transfusion reaction
What is the first step in management of a transfusion
reaction? - ANSWERS-Stop the transfusion!
What therapy is used to eradicate H pylori? - ANSWERS-
amoxicillin 1 gm BID, clarithromycin 500mg BID, omeprazole
20 mg BID for 14 days, followed by omeprazole 40 mg daily
for 4 weeks
What ROS should you ask a patient with abnormal liver
chemistries? (5) - ANSWERS-fever, pruritus, rectal bleeding,
weight loss, jaundice
What increases the risk of liver disease? (7) - ANSWERS-
alcohol abuse, family hx of liver disease, hx of blood
transfusions, hx of undercooked beef, hx of diabetes, hx of
HIV, hx of IV drug use
,What are top 3 diagnoses for abnormal liver chemistries in a
pt with IV drug and alc use? - ANSWERS-Alcoholic liver
disease, Hep B, Hep C
What meds commonly cause elevated aminotransferases?
(4) - ANSWERS-carbamazepine, phenytoin, isoniazid, statins
What are risk factors for NASH? (4) - ANSWERS-DM,
hyperlipidemia, male, obesity
What tests are helpful for evaluating autoimmune hepatitis?
(5) - ANSWERS-anti-liver and kidney microsome antibodies,
ANA, anti-smooth muscle antibodies, liver biopsy, serum
immunoglobulins
What is the most specific physical exam finding for
diagnosing peritonitis? - ANSWERS-rigidity
What are the top 2 diagnoses for acute lower cramping
abdominal pain with fever? - ANSWERS-diverticulitis, c. diff
What are 3 risk factors for development of DVT? -
ANSWERS-acute infectious illness; age; obesity
, What are 2 appropriate choices for DVT prophylaxis? -
ANSWERS-enoxaparin 40mg subq daily, heparin 5,000 units
subq q8h
What are follow-up plans for diverticulitis? (3) - ANSWERS-
five day course of antibiotics, colonoscopy in 1 month, high-
fiber diet
What are adequate screening strategies for colorectal
cancer? (3) - ANSWERS-annual hemoccult card testing;
colonoscopy q10 years; FOBT or FIT test q3 years plus flex
sig q5 years
Who should be screen for osteoporosis? - ANSWERS-people
on prednisone; women age 65; people with low body
weight
What is the definition of a T-score in osteoporosis
screening? - ANSWERS-Bone mineral density compared to
the reference mean of normal, young individuals
