8/3/21 Flashcards

1
Q

Administration of betamethasone to hasten fetal lung maturity may be indicated for women with preterm labor prior to ______ weeks gestation.

A

37 weeks

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2
Q

The _________ nerve innervates the muscles of the anterior thigh and allows hip flexion and knee extension.

A

femoral nerve

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3
Q

The ______ nerve innervates the medial thigh and allows adduction of the thigh

A

obturator nerve

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4
Q

Administration of ____________ to hasten fetal lung maturity may be indicated for women with preterm labor prior to 37 weeks gestation.

A

betamethasone

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5
Q

An impaired Achilles tendon reflex is associated with damage to which spinal root?

A

S1

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6
Q

What is the classic clinical presentation of placental abruption?

A

Painful third-trimester vaginal bleeding

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7
Q

Penetrating Neck Trauma hard signs

A
expanding hematoma
diminished pulse
paralysis
hemorrhage
stroke
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8
Q

What is the most common cause of neonatal hemorrhage?

A

Failure to administer vitamin K in the immediate postpartum period (associated with home births).

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9
Q

What energy should be used for cardioversion for atrial fibrillation in the adult?

A

120 to 200 joules for biphasic devices and 200 joules for monophasic devices

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10
Q

What is the most common cause of central vertigo?

A

Posterior fossa stroke

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11
Q

_____________ disease is an idiopathic avascular necrosis of the proximal femoral epiphysis.

A

Legg-Calvé-Perthes disease

Patient will be a boy 4–10 years old
Complaining of a unilateral, intermittent limp
Most commonly caused by osteonecrosis of the proximal femoral head

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12
Q

Within what time period do most patients with Kawasaki disease develop coronary artery aneurysms?

A

Within three to four weeks of illness.

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13
Q

What is the treatment of choice for patients with hypertrophic cardiomyopathy with risk factors for sudden cardiac death?

A

Automatic implantable cardioverter defibrillator placement.

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14
Q

What age can you give ceftriaxone?

A

ceftriaxone and intravenous calcium-containing products is contraindicated in neonates 28 days of age or younger

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15
Q

Transfusion Complications

Febrile reaction

A

Febrile reaction: most common complication, fever/chills

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16
Q

Transfusion Complications

Hemolytic reaction

A

ABO incompatibility, immediate fever/chills, HA

Rx: stop transfusion, IVF, diuretics

17
Q

Transfusion Complications

Allergic reaction

A

Allergic reaction: urticaria or hives

18
Q

Transfusion Complications

TRALI

A

TRALI:
like ARDS
Rx: stop transfusion
Delayed reaction: 3-4 weeks after transfusion, decreased Hb

19
Q

Transfusion Complications

GVHD

A

GVHD: immunocompromise, rash, pancytopenia, increased LFTs
Prevention: irradiated blood products in immunocompromised