01-04 Flashcards Preview

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Flashcards in 01-04 Deck (42):
1

Reduced efficacy to ECT seen in?

Prolonged episode
Lack of response to meds
Co-existing psych disorder

2

Absolute ECT contraindications

None

3

Hard to control hypertension and hypokalemia workup

Plasma renin/aldosterone ratio to look for primary hyperaldosteronism

4

What should be suspected in any child with fever, cyanosis, and respiratory findings

Pneumonia

5

Reasons to admit a child with pneumonia

1. toxic appearance
2. hypoxemia
3. signs of respiratory distress
4. dehydration

6

When do you introduce solid foods to children

4-6 months
(extrusion reflex present until 4 months)

7

Ultrasonic pulse therapy doesn't help what kind of fractures

Stress fractures

8

Best test for late onset hypogonadism

Total T (free T is too expensive)
*FSH and LH levels will help determine primary vs secondary*

9

Low TSH in a patient receiving levothyroxin indicates

Overreplacement

10

Typical plantar fasciitis features

point tenderness to palpation on the plantar surface of the heel at the medial calcaneal tuberosity where the calcaneal aponeurosis inserts

11

When is an X-ray necessary for suspected plantar fasciitis

When there is a hx of trauma or the diagnosis is unclear

12

Best physical exam test for ACL tear

Lachman test

13

What is McMurrey's test used for

to detect meniscal tears

14

MGUS to myeloma detected when

When there is an increase in organ damage

15

Numbness and weakness over the anterior thigh

Femoral neuropathy

16

What is Meralgia paresthetica

numbness and paresthesia over the anterolateral thigh with no motor dysfunction

17

Iliofemoral atherosclerosis produces

Intermittent claudication involving one or both calf muscles but would not produce the motor weakness noted in this patient

18

Low dose estrogen contraceptives reduce risk of what cancers

Ovary, endometrial, and colorectal

19

Two main painful places with PMR

pain and stiffness in the shoulder and pelvic girdle
*dramatic response to corticosteroids*

20

What is refeeding syndrome

Shifts in fluids and electrolytes that follow, hallmark is hypophosphatemia

21

Signs of hypophosphatemia

nausea, vomiting, hypotension and delirium

22

Two things that decrease risk of oral candidiasis when using inhaled steroids

Using a valved holding chamber and rinsing mouth after use

23

What do you do in an older person or teacher with hoarseness that does not improve for 3 months

Laryngoscopy --> Then voice therapy if all other issues ruled out

24

Metabolite of oxazepam

Diazepam

25

Is morphine a product of methadone?

No

26

Big 4 of mono

sore throat, fatigue, myalgias, and lymphadenopathy

27

When should steroids be used in mono

Only when there is airway compromise

28

Initial therapy of hypercalcemia of malignancy

Fluid replacement with normal saline (enhances renal excretion of calcium)
*Pamidronate only when patient is back to euvolemia*

29

In symptomatic uterine fibroid patients, when is myomectomy recommended over fibroid embolization

When the patient wishes to become pregnant in the future
*Fibroid embolization shorter time off work and less recovery*

30

What causes melanosis coli

abuse of anthraquinone laxatives such as cascara, senna, or aloe

31

Valsava increases the intensity of what murmer

HOCM

32

Most common hip disorder in the young

Slipped capital femoral epiphysis (more common in boys and overweight children)
*limping, leg pain, and limited internal rotation*

33

PEG tubes in elderly don't do anything but

Increase use of restraints
*no increase in quality of nutrition*

34

Best test for COPD diagnosis

spirometry

35

Pain with eye movement suggests? Next step

An orbital problem
Imaging studies if you suspect an orbital problem

36

When should a high risk patient get a colonoscopy

At 40 or 10 years before the earliest age a family member was affected, then every 5 years if normal

37

Drugs that cause drug induced lupus pleurisy

hydralazine, procainamide, and quinidine

38

When is doxy contraindicated in pregnancy

2nd and 3rd trimesters due to risk of tooth staining

39

Effect of an extra 100 calories a day

weight gain of approximately 5 kg, which will then be maintained (fat must be fed, so newly created tissue will need increased calories to be fed)

40

What controls asthma the best as a single agent

Inhaled corticosteroids

41

What is infliximab

TNF-a inhibitor

42

What should be stopped before getting a CT contrast

Metformin