WeekI8IBoardIVitalsIQuiz
1. A I35-year-old Iman Iis Ifor Ia Iphysical Iexamination. ILabs Ireveal Ian IHIV Itest Ithat
... [Show More] Iis
Ipositive.IHeIundergoesIcounselingIregardingIhisIdiagnosis.IHisICD4IcountIisI125,Iand
Iviral Iload Iis I36,000; Ihe Iis IToxoplasma Igondii IIgG Ipositive. IHis Ihepatitis Ipanel Ishows
Ihepatitis IB Isurface Iantibody Ipositive Iand Ihepatitis IC Iantibody Inegative. IHe Ihad Ia
Ituberculin Iskin Itest I(TST) Ireaction Imeasuring I4 Imm. IWhich Iof Ithe Ifollowing
Iprophylaxis Itreatments IforIopportunistic Iinfections IshouldIyouIoffer?
Correct Ianswer: I(A)ITMP-SMXIforIPneumocystisIjiroveci Iprophylaxis.
2. Which Iof Ithe Ifollowing Iis Ia Irisk Ifactor Ifor Iurinary Itract Iinfection Iin Isexually Iactive
Iwomen?
Correct Ianswer: I(A)IRecent IspermicideIuse.
3. A I39-year-old Ifemale Ipresents Iwith Ianxiety Iand Ifrequent I“panic Iattacks.” IShe Iwas
Iseen I2 Iweeks Iago, Iand IherIexamination Iwas Iunremarkable. IThe Ipatient Iis Ireferred Ito
Ia Itherapist Ifor Ia Ipsychological Ievaluation. IShe Ireturns Itoday Iwhile Iexperiencing Ia
IpanicIattack.ISheIisIdiaphoreticIwithIaIheartIrateIofI101,IbloodIpressureIofI150/90,Iand
Ipapilledema. IThe Ipatient Idenies Ichest Ipain Ior Idyspnea. IShe Istates Ithis Iis Ia Itypical
Iepisode.IWhichIofItheIfollowingItests IisItheInextIbestIstepIinIestablishingIaIdiagnosis?
Correct Ianswer: I(B)I24-hourIurinaryIfractionatedImetanephrines.
4. WhichIofItheIfollowingIisItrueIofImanagementIgoals IinIsepsis?
Correct Ianswer: I(D) IUrine Ioutput Iof I0.5 ImL/kg/hour Ior Imore Ishould Ibe Itargeted Iin Ifluid
IresuscitationIinIearlyIsepsis. I
5. AIpatientIpresentsIwithItheIlesionIshownIbelow.IWhichIofItheIfollowingIdrugsIshouldIbe
IgivenIasIpost-exposureIprophylaxis I(PEP)IforIthis Idisease?I
Correct IAnswer: IB. IDoxycycline
6. AI45-year-oldIwhiteIwomanIwithIclinical Ifindings IsuggestiveIofICushing IsyndromeIhas
I2IelevatedIlateInightIsalivaryIcortisol IlevelsIandI2IelevatedIurinaryIfree-cortisol ItestsIof
I220IandI300I(normal I2-50mg/24Ihour);IherIACTHIlevel IisI55I(normal I5-50pg/mL),Iand
Iher Ipituitary IMRI Ishows Ia I3mm Iadenoma. IWhich Iof Ithe Ifollowings Iis Ithe Ibest Inext
IcourseIofIaction?
Correct Ianswer: I(D) IHigh-dose Idexamethasone Isuppression Itest I(HDDST) Iand/or
Icorticotropin-releasingIhormoneI(CRH)IstimulationItest.
7. A Ifemale Ipatient Iwith Iprimary Ihypothyroidism Ihas Ibeen Istable I(normal ITSH) Ion
Ireplacement ILT4 I(dose I1.6μg/kg IofIbody Iweight)IforIseveral Iyears. IOn Iannual Ifollow-up,
Ithe IfollowingIlaboratoryItestsIare Iobtained: IT4I=I14.1μg/dLI(normal I5.0-10.5)IandITSHI=
I23.4μU/mLI(normal I0.4-5.5). IWhichIisItheImost IlikelyIdiagnosis?
Correct Ianswer: I(D) IPoor Icompliance Ithis Ipast Iyear, Iwith Irecent Iattempt Ito I“catch Iup” Iwith
IexcessiveILT4Iintake.
8. Which Iof Ithe Ifollowing Iis Ithe Iorganism Imost Ifrequently Iimplicated Iin Itoxic Ishock
IsyndromeIinIwomenIwhoIareIusingItampons?
Correct Ianswer: I(B)IStaphylococcusIaureus. I
9. RockyIMountainIspottedIfeverIisIcausedIbyIwhichIofItheIfollowing [Show Less]