ROSH ER UPDATED ACTUAL Questions and CORRECT Answers
1. Tx for pulmonary ede- Nitroglycerin + BPAP
ma HTN emergency?
vitals: RR (40), BP (220/130), O2 (75%)
2. indications of when to Hydronephrosis
refer a kidney stone to stone >10mm
urology?
3. Parkland fromula? 4 mL x TBSA of burn % x body weight (kg)
first half over 8 hours. Final half over the next 16 hours.
LR preferred
4. first line tx for bulimia Fluoxetine
nervosa?
5. US of RUQ shows thick- cholecystitis
ened wall >3mm, peric-
holecystic fluid and pos-
itive sonographic mur-
phy's sign. dx?
6. ecg shows regular nar- atrial flutter
row QRS complexes,
SVT, and a sawtooth often due to underlying structural disease - like CHF, COPD, or OSA.
pattern. atrial rate is
tx: stable (CCB or BB)
250-300 BPM. dx?
Unstable: synchronized cardioversion
7. first step in treatment Nebulized Albuterol
for asthma exacerba-
tion?
,8. treatment for aplastic packed RBC transfusion
crisis?
LOW reticulocytes and Hemoglobin
9. treatment for hepatic lactulose and rifaximin
encephalopathy?
RF - infection GI bleed, constipation. high protein intake, and electrolyte
abnormalities
10. Tx for epididymitis in FQs or Bactrim
men >35?
11. When should RhoGAM within 72 hrs of delivery
be given?
at 28 weeks gestation
12. causes of small bowel adhesions - MCC
obstructions? cancer - 2nd MC
hernias
13. treatment for PTSD? CBT (trauma focused therapy) and EMDR
SSRIs are first line medication class
14. treatment for my- Doxycycline/macolide
coplasma pneumo-
nia/atypical pneumo-
nia's?
15. S1 Q3 T3 pulmonary embolism
,16. treatment for von Wille- Desmopressin
brand disease?
17. Tx for Guillain Barre Plasmapheresis
syndrome IVIG
Supportive
18. central vertigo causes causes: meningitis, encephalitis, tumors, brain bleed, or lesion of brain-
and symptoms? stem/cerebellum
features: recurrent falls, constant dizziness, gradual onset, usually no
hearing loss or tinnitus
19. pathophysiology of increased capillary pressure
edema?
20. Right sided pleurit- PE
ic chest pain. Normal
chest x-ray and ecg. dx?
21. What is multifocal atrial >= 3 different p wave morphologies with a
tachycardia? ventricular rate of <100
RF - COPD, hypoxia, and pulmonary HTN
tx - supportive, CCB
22. Tx for central diabetes Desmopressin
insipidus
large amounts of dilute urine
increased serum osmolarity
, 23. what tests are used for Hawkins
shoulder impingement? Neer
24. what are the compo- History
nents of a HEART score? EKG
Age
Risk factors
Troponin
25. risk factors for papillary 3-5 days after MI
muscle ruptures? Inferior MI
present with sudden onset of Mitral Regurgitation, HF, cardiogenic
shock, dyspnea. Chest x-ray - PULMONARY EDEMA
26. patient has a history Mitral Stenosis
of Rheumatic Fever. On
exam you hear a mid-di-
astolic rumbling mur-
mur. dx?
27. potassium replacement
1. Tx for pulmonary ede- Nitroglycerin + BPAP
ma HTN emergency?
vitals: RR (40), BP (220/130), O2 (75%)
2. indications of when to Hydronephrosis
refer a kidney stone to stone >10mm
urology?
3. Parkland fromula? 4 mL x TBSA of burn % x body weight (kg)
first half over 8 hours. Final half over the next 16 hours.
LR preferred
4. first line tx for bulimia Fluoxetine
nervosa?
5. US of RUQ shows thick- cholecystitis
ened wall >3mm, peric-
holecystic fluid and pos-
itive sonographic mur-
phy's sign. dx?
6. ecg shows regular nar- atrial flutter
row QRS complexes,
SVT, and a sawtooth often due to underlying structural disease - like CHF, COPD, or OSA.
pattern. atrial rate is
tx: stable (CCB or BB)
250-300 BPM. dx?
Unstable: synchronized cardioversion
7. first step in treatment Nebulized Albuterol
for asthma exacerba-
tion?
,8. treatment for aplastic packed RBC transfusion
crisis?
LOW reticulocytes and Hemoglobin
9. treatment for hepatic lactulose and rifaximin
encephalopathy?
RF - infection GI bleed, constipation. high protein intake, and electrolyte
abnormalities
10. Tx for epididymitis in FQs or Bactrim
men >35?
11. When should RhoGAM within 72 hrs of delivery
be given?
at 28 weeks gestation
12. causes of small bowel adhesions - MCC
obstructions? cancer - 2nd MC
hernias
13. treatment for PTSD? CBT (trauma focused therapy) and EMDR
SSRIs are first line medication class
14. treatment for my- Doxycycline/macolide
coplasma pneumo-
nia/atypical pneumo-
nia's?
15. S1 Q3 T3 pulmonary embolism
,16. treatment for von Wille- Desmopressin
brand disease?
17. Tx for Guillain Barre Plasmapheresis
syndrome IVIG
Supportive
18. central vertigo causes causes: meningitis, encephalitis, tumors, brain bleed, or lesion of brain-
and symptoms? stem/cerebellum
features: recurrent falls, constant dizziness, gradual onset, usually no
hearing loss or tinnitus
19. pathophysiology of increased capillary pressure
edema?
20. Right sided pleurit- PE
ic chest pain. Normal
chest x-ray and ecg. dx?
21. What is multifocal atrial >= 3 different p wave morphologies with a
tachycardia? ventricular rate of <100
RF - COPD, hypoxia, and pulmonary HTN
tx - supportive, CCB
22. Tx for central diabetes Desmopressin
insipidus
large amounts of dilute urine
increased serum osmolarity
, 23. what tests are used for Hawkins
shoulder impingement? Neer
24. what are the compo- History
nents of a HEART score? EKG
Age
Risk factors
Troponin
25. risk factors for papillary 3-5 days after MI
muscle ruptures? Inferior MI
present with sudden onset of Mitral Regurgitation, HF, cardiogenic
shock, dyspnea. Chest x-ray - PULMONARY EDEMA
26. patient has a history Mitral Stenosis
of Rheumatic Fever. On
exam you hear a mid-di-
astolic rumbling mur-
mur. dx?
27. potassium replacement
