33-36 Flashcards Preview

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Flashcards in 33-36 Deck (27):
1

What should you suspect in a patient with fever and persistence of flank pain despite appropriate antibiotic tx

Perinephric abscess
(fever >4 days after initiation of Ab therapy)

2

Does cataract surgery need any preoperative testing?

Nah, no low risk procedures in patients with no known disease do

3

Vertigo after scuba diving could be

perilymphatic fistula

4

Dx test for septic arthritis

US

5

Female athlete triad

amenorrhea, osteoporosis, and disordered eating
(eating disorder can now be more energy out than in

6

Withdrawal bleeding after a progesterone challenge in a patient with amenorrhea indicates

Anovulation

7

Most common cause of recurrent otitis media in children

Penicillin resistant S. pneumo

8

Only dietary changed really needed to prevent diverticulitis

Increased fiber

9

What should be given for persistent v-fib in addition to defibrillation and CPR

Vasopressors

10

Gold standard for diagnosis of renal colic

CT

11

Doubling time for malignant nodules

1 month to 1 year

12

What do you do with hypothyroid patients when they get pregnant

Increase their thyroid medication to prevent maternal hypothyroidism
*increase around 4-6 weeks gestation*

13

When should complete rotator cuff tears be fixed? Why

Within 6 weeks to prevent muscle atrophy

14

Drug indicated for all patients with heart failure

ACEi

15

Pioglitazone should not be used in what kind of patients

Those with hepatic disease

16

Tx for lichen sclerosis

steroids

17

Physical activity in the elderly is best for

Preventing falls

18

Prevent anti-coagulant in DVT

LMW heparin
(unfractionated heparin requires more monitoring)

19

Best drug after MI? For high risk? For high risk w/ arrhythmia?

B-blocker
ARBs
Amioderone

20

Most common presenting feature of hodgkins lymphoma?

Painless lymphadenopathy

21

Test for abnormal bleeding after pregnancy, structural and hematologic abnormalities are all ruled out

Progesterone

22

What is pseudoaddication

Behaviors that may occur when the pain is untreated in chronic narcotic use

23

Most case of osteosarcomas over 50 seen with what disease

Pagets

24

Preffered paget's tx

Bisphosphonates

25

OTC cold medicines should not be used in children under

2 years old

26

High protein food that will reduce chances of having another gout attack

milk

27

In transdermal patches, what changes very little with age

Transdermal absorption of the drug