2/5/15 Flashcards Preview

Intern Year > 2/5/15 > Flashcards

Flashcards in 2/5/15 Deck (18):
1

What anti-spasmodics are used for IBS?

hyoscyamine and dicyclomine

2

What's a good regimen for antimicrobial ppx for most GI surgeries?

Cefazolin (or cefoxitin) + Metronidazole

3

Low-pitched diastolic rumble and loud first heart sound

Mitral stenosis

4

Abx regimen of choice for endometritis

Clindamycin and gentamicin

5

Appropriate Abx choices for GBS bacteriuriq in pregnancy (2)

Penicillin G or Keflex

6

Treatment of choice for Bell's palsy.

coricosteroids

7

Don't forget to order this blood lab before any surgical procedure.

PT/PTT!

8

Why should beta-blockers be avoided in cocaine use?

coronary vasospasm 2/2 unopposed alpha agonism

9

What med should be given early to pts w/ cocaine-induced tachycardia, htn, chest pain?

benzos

10

What med should be given after benzos for persistent tachycardia, htn, CP in cocaine use?

phentolamine

11

What kind of a drug is phentolamine?

alpha-antagonist

12

Which htn meds commonly cause lower extremity pitting edema?

dihydropyridine calcium channel blockers (e.g. amlo, nifedipine)

13

What htn drug class can be combined with dihydropyridine CCBs to counteract peripheral edema?

ACE-I's or ARBs

14

Pt on carbamazepine presents w/ fever, mouth ulcers, easy bruising, petechiae. What adverse effect of carbamazepine can cause this?

BM suppression

15

What is the post-exposure ppx for rabes in unvaccinated pts?

vaccine (4 shots) and Ig

16

What is the post -exposure ppx for rabies in vaccinated pts?

booster vaccine (2 shots) only

17

Why are pts w/ DM 2/2 pancreatitis more prone to hypoglycemia?

loss of glucagon-secreting alpha-cells

18

Which classes of oral anti-diabetic drug are contraindicated in NYHA class III and IV CHF?

thiazolidinediones (TZDs, e.g. pioglitazone) and metformin