What lab value requires immediate intervention in a patient on digoxin?

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Question 1 of 5

What lab value requires immediate intervention in a patient on digoxin?

Correct Answer: A

Rationale: Hypokalemia increases the risk of digoxin toxicity, requiring prompt correction.

Question 2 of 5

Regarding type 1 diabetes mellitus:

Correct Answer: D

Rationale: MDI therapy is essential for optimal glycemic control in type 1 diabetes.

Question 3 of 5

Patient presents with CAD and EF 40%. Which treatment improves survival with class I indication for revascularization?

Correct Answer: B

Rationale: For CAD with EF 40%, CABG is a class II indication, as it may improve survival but lacks the stronger class I evidence seen in lower EF ranges (35-50%) or specific anatomic criteria.

Question 4 of 5

19 y/o college student presents with 8 days of N/V/D and fatigue. She recently returned from a 2 week mission trip to Haiti. PE: low grade fever, tender hepatomegaly, mild scleral icterus. Labs: T.Bili 4.9, AST 1200, ALT 980, Alk Phos 99, INR 0.9. Which of the following labs is most likely to reveal the diagnosis?

Correct Answer: A

Rationale: HAV IgM is specific for acute hepatitis A, common in travelers to endemic areas like Haiti, matching her symptoms and lab findings.

Question 5 of 5

Which of the following would be the most appropriate treatment for a 32 year-old, otherwise healthy, male with a newly diagnosed AJCC Stage IIB non-seminomatous germ cell tumor?

Correct Answer: C

Rationale: Radical orchiectomy followed by either retroperitoneal lymph node dissection or chemotherapy is standard care for stage IIB non-seminomatous germ cell tumors.

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