NBME FORM 11 COMPLETE SOLUTIONS

NBME FORM 11 COMPLETE SOLUTIONS Heat exhaustion exercise intolerance, increased core body temperatu res, and the absence of neurologic disturbances Heat stroke is characterized by hyperthermia, AMS or neurologic deficits, and variable physical signs and symptoms depending on severity Stimulus induced or spontaneous myoclonus is specific for? Creutzfeldt -Jakob disease What is the first line treatment for narrow complex SVT? AV nodal blockage with adenosine Bradford Hill Criteria for Causality temporal relationship, strength of association, dose -response relationship, Consistency, biological plossibility, Consideration of alternate explanations, experiment, Specificity, coherence BCG and PPD test BCG effects wanes 5 years after vaccination Diagnosis of empyema Thoracentesis: frank pus or cloudy fluid in pleural space. Pleural fluid: leuko cytosis, pH <7.20, glucose <60 mg/dL, high LDH, elevated protein, maybe infectious organisms. Recommendation of treatment is with chest tube placement What is the initial management of mild carpal tunnel syndrome? ergonomic changes to relieve the pressu re ( Ex. Wrist pad for keyboard) or splinting What are the risk factors for in -hospital mortality in a patient with a PE? Advanced age and obstructive shock Pediatric Hypertension measurement of serum renin and aldosterone, serum and urine metanephrinphrines, and renal US with doppler to assess the patency of the renal arteries What is a distinguishing feature of opioid intoxication? Miosis CLABSI central line associated blood s tream infection workup includes drawing blood from the CVC and another place while starting IV antibiotics Qualitative study used to study social phenomena or how individuals perceive their disease, barriers to pursuing treatment and social stigma surrounding their disease When to start screening with serum lipid levels? MEN age 35 WOMEN age 45 You can start earlier if there i s increased risk factors for CVD including HTN, Type 2 DM and a family history Midgut volvulus presentation in an infant bilious vomiting, abdominal distention, and pain Diagnosis is confirmed via an upper GI series Treatment of OA of the knee NSAIDS Physical therapy Corticosteroids if conservative management fails What is the next step in management to help prevent morbitity and mortality in a patient with VUR? Daily antibiotic prophylatic to help prevent infections and complications Serum sickness systemic injury initiated by antigen -antibody complexes that circulate in the blood CM: Fever, Rash, arthralgias and arthritis Following non -human medications like Inflixamab or equine botulism toxin antibody Inhalant abuse 1. glue, tuol ene, nitrous oxide 2. signs of acute intoxication - transient, brief euphoria + loss of consciousness 3. immediate effects lasting 15 -45 minutes 4. CNS depressants - may cause death 5. dermatitis around mouth or nostrils is apparent 6. liver function tests - may be elevated with repeated use 7. Able to cause nystagmus, AMS, Headache Suspect in young children and adolescents Malaria fever, fatigue, chills and anemia in a patient with recent endenmic exposure