2/11/15 Flashcards Preview

Intern Year > 2/11/15 > Flashcards

Flashcards in 2/11/15 Deck (18):
1

What is the current preferred HIV screening test combo?

ELISA for p24 Ag + other Abs

2

3 situations in which hypokalemia must be corrected immediately.

hepatic encephalopathy. ventilatory failure, and cardiac arrhythmias

3

In a nulliparous woman, arrest of the second stage of labor can be called after how long if no epidural anesthesia is used? If it is used?

3 hrs; 4 hrs

4

In a multiparous woman, arrest of the second stage of labor can be called after how long if no epidural anesthesia is used? If it is used?

2 hrs; 3 hrs (subtract 1 hr from nulliparous)

5

What is the Tx of choice for arrest of labor?

C-section

6

Which are the most commonly involved muscle groups in myasthenia gravis?

ocular and bulbar

7

What is the mgmt if mother has Hep B during pregnancy?

HBV vaccine and immunoglobulin w/in 12 hrs after birth

8

What is the appropriate mgmt of lobular carcinoma in situ Dxed by FNA?

excision and follow-up surveillance

9

What's the difference between palliative care and hospice?

you can still pursue disease-modifying treatments in palliative care

10

Vesicles and ulcers on POSTERIOR oropharynx + fever in a child.

Herpangina

11

Vesicles and ulcers on ANTERIOR mouth and perioral skin + fever in a child.

Herpes gingivostomatitis

12

What is the pathologic agent of herpangina?

Coxsackie A virus

13

What happens to the FENa in prerenal AKI?

decreases (to <1%)

14

What cause of AKI should be suspected in pts w/ oliguria following a hypotensive episode (i.e. non-responsive to fluid challange)?

ATN

15

3 findings that differentiate ATN from prerenal azotemia.

non-response to fluid challenge, muddy brown casts, and normal FENa (>2%)

16

Which heart failure drug commonly causes drug-induced lupus?

Hydraaaalazine! (also procainamide)

17

Is ANA positive in drug-induced lupus?

Yes!

18

Other than ANA, what Ab should be tested for in drug-induced lupus?

anti-histone