Internal Medicine EOR Exam (A+ GRADED with complete 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 answers 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 patients w worrisome histories for aortic dissection regardless of CXR or EKG results. correct answers CT _____is minimally invasive and rapid for detecting aortic dissection at the bedside. correct answers TEE - transesophageal echocardiogram A ____ is used for pleuritic pain w normal CXR when a PE is suspected. correct answers 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 answers helical chest CT ____is used when CP is esophageal in origin. correct answers Esophageal pH monitoring EKG: A ______suggests underlying heart disease (ischemic, hypertensive). correct answers left bundle branch block A _____may be indicative of right heart strain (as in pulmonary embolus). correct answers right bundle branch block ____is a term used to describe decreased perfusion and oxygen delivery to the body. This is best defined by BP = CO x SVR. What are the three main types? correct answers Shock; hypovolemic, cardiogenic, distributive ______shock can be from pump failure from infarction, cardiomyopathy, or tamponade, arrhythmia, valve failure, obstructed outflow from tension pneumothorax or massive PE. correct answers Cardiogenic ______shock can be from hemorrhage, diarrhea, heat stroke, or third spacing. correct answers Hypovolemic ______shock can be from sepsis, anaphylaxis, adrenal crisis, or myxedema coma. correct answers Distributive The formation of _______occurs via: