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WorksheetsIP Quiz
Total questions: 10
Worksheet time: 8mins
Which of the following is FALSE?
FEV1/FVC <0.70 defines the presence of COPD
The severity of COPD is determined by FEV1 % predicted
A BODE score of 10 predicts an 18% 4 year survival
Alpha-1 antitrypsin deficiency is seen only in males because it is X-linked
The majority of COPD is caused by smoking
Pulmonary Rehab is indicated for what types of patients with dyspnea?
GOLD COPD I-IV
GOLD COPD II-IV
GOLD COPD III-IV
GOLD COPD IV only
Which of the following has been shown to decrease hospitalizations?
Azithromycin
PDE4 inhibitor
CPAP in overlap syndrome
All of the above
Which patient will benefit from PDE4 inhibitor (eg. roflumilast)?
55 y/o male with FEV1 of 20% and no serious exacerbation in 5 years
65 y/o female with FEV1 of 60% and a recent hospitalization for AECOPD 4 months ago.
75 y/o male with FEV1 of 45% and a recent hospitalization for AECOPD 9 months ago.
68 y/o female with FEV1 of 40% and a hospitalization for AECOPD 2 years ago.
What is the order to escalate therapy in severe COPD patients (already have rescue inhaler)?
LAMA -> ICS -> LABA
ICS -> LABA -> LAMA
LABA -> ICS -> LAMA
LAMA -> LABA -> ICS
qSOFA score includes the following EXCEPT
Respiratory Rate > 22 per minute
Altered mental status
Tachycardia > 90 beats per minute
Systolic blood pressure < 100 mmHg
The time period over which antibiotics and fluids should be given in septic shock are respectively?
1 and 3 hours
3 and 3 hours
6 and 6 hours
6 and 24 hours
68 y/o man finished oral vancomycin for first episode of C diff 8 days ago. Presented with fever, diarrhea to ED. VSS temp 100.9F, abdomen tender diffusely on exam. C diff PCR POSITIVE.
What would you choose?
Metronidazole po for 10 days
Vancomycin po for 10 days
Vancomycin po taper/pulse
Fecal microbiota therapy (FMT)
No therapy, he is colonized
51 y/o admitted for ischemic stroke s/p TPA, improves to baseline. In additional to high intensity statin, which would be appropriate stroke prophylaxis in this patient?
Aspirin + Plavix for 21 days, then aspirin 81mg afterwards
Aspirin 325mg daily in house, then aspirin 81mg afterwards
Plavix 300mg load in-house, then Plavix 75mg afterwards
Aspirin 325mg daily in-house, then Apixaban 5mg bid
Which of the following is NOT a cause for Euvolemic hyponatremia (gain of free water)?
Opioids
Hypotonic fluid
Diuretic
Cirrhosis
