Rosh Boost Exam Questions With Solutions 2024

ARDS - criteria for diagnosis {Ans: -Respiratory sxs onset <1 week of known clinical insult OR new or worsening Sxs in past 1 week -CXR or CT shows BL opacities consistent with pulmonary edema -Respiratory failure not explained by HF/fluid overload}Which bacteria requires double coverage in empiric ABX for Cystic Fibrosis pulm infections {Ans: Pseudomonas aeruginosa (most common bacteria in recurring pulm infections in CF)}Pulmonary hypertension and massive PE history presents with SOB/near syncope. pulse ox 85%. CT is negative for PE. Next step in Tx? {Ans: peripheral vasopressors (not 30 ml/kg fluid bolus due to risk of fluid overload)}Erythema multiforme rash cause {Ans: HSV Mycoplasma Sulfonamides Penicillins Barbituates Phenytoin Lupus Hepatitis Lymphoma common drug causes: SOAPS}pleuritis treatment {Ans: indomethacin (for pain)}LP: Opening pressure {Ans: Patient in lateral recumbent: 10-18 mm H2O What do I send the CSF for? 1. CBC with differential 2. Glucose 3. Protein 4. Gram stain and culture 5. PCR for viruses (enterovirus/HSV/VZV) 6. Consider culture for mycobacteria and fungi ***REMEMBER to send serum glucose and protein}