Internal Medicine EOR Exam |309 questions| with correct answers

From the hospital: What is a single antibiotic that can be used for colitis that covers all bacteria? It is NOT levofloxacin and metronidazole. What is a bad side effect of levo? CORRECT ANSWER zosyn ie. piperacillin/tazobactam QT prolongation CARDIOLOGY: EKG should be obtained if CP appears cardiac in nature. CXR is initial step to rule out pneumothorax, pulmonary infiltrates, and rib fractures. ____should be done for patient’s w worrisome histories for aortic dissection regardless of CXR or EKG results. CORRECT ANSWER CT _____is minimally invasive and rapid for detecting aortic dissection at the bedside. CORRECT ANSWER TEE - trans esophageal echocardiogram A ____ is used for pleuritic pain w normal CXR when a PE is suspected. CORRECT ANSWER V/Q scan - but not good for a small PE A _____is sensitive for small PE and may detect other chest abnormalities leading to pain. CORRECT ANSWER helical chest CT ____is used when CP is esophageal in origin. CORRECT ANSWER Esophageal pH monitoring EKG: A ______suggests underlying heart disease (ischemic, hypertensive). CORRECT ANSWER left bundle branch block A _____may be indicative of right heart strain (as in pulmonary embolus). CORRECT ANSWER right bundle branch block