4/12 Flashcards

(85 cards)

1
Q

lithium and hypernatremia

A

nephrogenic diabetes insipidus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

postpartum blues should resolve in…

A

2 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

paradoxical agitation

A

can be seen in elderly taking benzos, should be discontinued

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

extremity edema with blood in urine

A

likely nephritic syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

treatment for eclampsia

A

magnesium sulfate followed by delivery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

best method for evaluating pelvic mass

A

ultrasound

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

how does hypomagnesemia cause hypocalcemia

A

causes resistance to PTH and decreased secretion of PTH

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

degree of hypocalcemia need to be corrected based on what other lab value

A

albumin level

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

complications of bronchiolitis

A

apnea and respiratory failure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

test for mono

A

heterophile antibody test detects EBV

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

most readily available oral emergency contraceptive

A

oral levonorgestrel - delays ovulation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

most common cause of isolated aortic regurg in young patients in developed countries

A

bicuspid aortic valve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

delayed return to consciousness after LOC

A

likely seizure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

next step after decreased lung sounds following intubation

A

reposition endotracheal tube

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

common symptoms of brain tumor

A

dull worsening headache, focal neuro defects, symptoms worse at night

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

double bubble sign

A

duodenal atresia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

basic hypertension labs

A

u/a, chemistry, lipid panel, EKG

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

stuck on appearance

A

seborrheic keratosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

antibody association with PBC

A

anti-mitochondrial antibodies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

nodules with surrounding ground glass opacities on CT in immunocomprimised

A

invasive aspergillosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

smoking history, weight loss and insidious back pain

A

concern for pancreatic cancer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

most common cause of metabolic acidosis after seizure

A

lactic acidosis, dont need to treat unless it is below 7.1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

test for lactose intolerance

A

hydrogen breath test or older lactose tolerance test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

requirement for determining learning disorder

A

standardized achievement testing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
murmur in viral myocarditis in kids
mitral regurg - holosystolic
26
most common cause of primary adrenal insufficiency
autoimmune up to 90%
27
envelope calcium oxalate crystals in poisoning
ethylene glycol
28
criteria for aortic valve replacement
- symptomatic - EF less than 50% - undergoing other surgery
29
important work up in new onset psychosis
urine tox screen
30
CURB-65
``` Confusion Urea above 20 Respirations above 30 BP below 90/60 over 65 ```
31
treatment options for inpatient CAP
fluoroquinolone` or beta lactam + macrolide
32
constitutional growth curve
normal at birth, fall off at 3-6 months, tracks along 5-10%, returns at puberty
33
neonate in mom with graves disease
thyrotoxicosis due to antibody transfer - treat with methimazole and beta blocker
34
risk of UTI in pregnancy
pyelo due to dilated ureter
35
treatment of uterine atony
oxytocin
36
required treatment in beta thalassemia
RBC transfusion and chelation therapy to decrease iron overload
37
timing of CVS and amnio
``` CVS = 10-13 weeks amino = 15-20 weeks ```
38
chronic stridor in infants worse in supine position
laryngomalacia, loudest ages 4-8 months
39
imaging modality for laryngomalacia
fiberoptic larygoscopy
40
no risk facts for TB level of induration
greater than 15mm
41
new onset psychosis with arthralgias, hematuria, thrombocytopenia, and proteinuria
SLE - can cause CNS issues
42
most common causes of acute bacterial sinusitis
non typeable H flu, s pneumoniae, moraxella
43
evaluation for spinal epidural abcess
MRI
44
treatment of immunocompromised meningitis
cefepime, vancomycin (MRSA) and ampicillin (Listeria)
45
hip pain in child after viral illness with normal labs
transient synovitis
46
important monitoring after EPO therapy
hypertension, can be severe
47
bilateral breast pain 3-5 days after delivery
breast engorgment
48
mechanism for PTH causing hypertension
unclear, but it does
49
mechanism for meniere's disease
increased volume and pressure of endolymph
50
food borne illness in rice
bacillus cereus enterotoxin
51
postprandial epigastric pain, food aversion and weight loss in vasculopath
mesenteric ischemia
52
consent in psychiatric patient
still able to give consent all long as they can still understand risks and benefits
53
evaluation of hip dysplasia in newbord
ultrasound, dont need x-ray
54
most common causes of cough in non-smokers
allergies, GERD or asthma
55
saline responsive metabolic acidosis
due to loss of GI fluids - shows low urine chloride
56
bites on palms and soles
usually due to scabies, not bed bugs
57
medications that can increase lithium levels
ACEi, thiazides, NSAIDs, tetracyclines, metronidazole
58
cause of acidosis in iron overdose
hydrogen ion production causing lactic acidosis
59
treatment for iron overdose
deferoxamine
60
antidepressant causing rash or SJS
lamotrigine - discontinue immediately
61
higher risk for severe babesiosis infection
splenectomy or immunocomprimised
62
maltese cross
babesia
63
aspirin exacerbated respiratory disease
diversion of pathway to leukotrienes cause pseudo allergy
64
high risk in previous c section or uterine surgeries
uterine rupture - deliver immediately if suspected
65
when to culture UTI
if complicated or refractory to treatment
66
estrogen producing tumor
granulosa cell tumor
67
delayed cord separation
leukocyte adhesion deficiency
68
subcutaneous emphysema after significant coughing, be concerned about...
pneumothorax
69
evaluation for suspected renal abscess
renal and bladder ultrasound
70
main cause of head and neck squamous cell carcinoma
HPV
71
painless thyroiditis
like hashimoto's, but it causes hyperthyroidism from preformed thyroid hormone
72
eosinophiluria with livedo reticularis
cholesterol emboli
73
location and neurotransmitter involved in Huntingtons
caudate and putamen | GABA
74
most common cause of cor pulmonale
COPD
75
treatment of stable torsades
magnesium sulfate
76
hypercyanotic tet spells
tetralogy of fallot
77
calcium, phosphate and PTH in celiac
low, low, high
78
patient with duodenal and jejunal ulcers
ZE syndrome due to increase acid secretion
79
cause of malabsorption in ZE syndrome
enzyme deactivation due to high acid enviornment
80
treatment of essential tremor
beta blockers
81
cause of warfarin induced skin necrosis
protein C deficiency
82
most common cause of constrictive pericarditis worldwide
TB
83
calcifications in synovium in joint pain
pseudogout
84
digoxin toxicity and potatissum
can cause hyperkalemia due to blocking na/k pump
85
cholesterol and thyroid
hypothyroid can cause elevated cholesterol