4/20 Flashcards
(131 cards)
1
Q
mixed venous oxygen in septic shock
A
can be elevated due to inability for oxygen delivery in peripheral tissues
2
Q
highest risk psych drugs for weight gain and hyperglycemia
A
olanzapine and clozapine
3
Q
ovarian hyperstimulation syndrome
A
caused by VEGF leading to ovarian cysts and increase in doppler flow
4
Q
meds for HOCM
A
beta blockers, CCBs
5
Q
signs of appendicitis in pregnancy
A
rebound tenderness and guarding, may have contractions and fetal tachy
6
Q
first step to reduce cord compression
A
maternal repositioning followed by amnioinfusion
7
Q
when does acute fatty liver occur in pregnancy
A
third trimester
8
Q
hyponatremia in respiratory infection
A
legionnaires, treat with fluoro or macrolide
9
Q
area of brain in huntingtons
A
caudate and putamen - GABA
10
Q
choanal atresia
A
cyanosis aggravated by feeding and relieved by crying - obstruction in nose
11
Q
immediate med for stroke
A
IV alteplase, within 4.5 hours
12
Q
port wine stain, seizures, capillairy-venous malformations
A
Sturge-Weber syndrome
13
Q
nevus flammeus
A
port wine stain
14
Q
testosterone secreting tumor
A
sertoli-leydig cell tumor, rapid onset virilization
15
Q
frequent common cause of urinary stasis and UTI in toddler
A
chronic constipation
16
Q
patient with hypoalbuminemia may be deficiency
A
calcium
17
Q
causes of splenic infarction
A
thromboembolus, sickle cell, hypercoag state
18
Q
consideration in recurrent lobe pneumonia
A
foreign body or malignancy
19
Q
treatment of ethylene glycol poisoning
A
fomezezil prevents further breakdown into toxic products
20
Q
sodium thiosulfate treats…
A
cyanide poisoning
21
Q
megestrol acetate
A
prostaglandin analog for appetite in cancer
22
Q
measure in case control studies
A
odds ratio
23
Q
when does odds ratio approximate relative risk
A
when the incidence of disease is rare
24
Q
lewy body vs parkinsons
A
in lewy body, symptoms occur at the same time
25
how long should SSRIs be continued in depression
6 months if helpful, longer if refractory
26
symmetric vs asymmetric IUGR
first tri = symmetric (infections)
| 2/3 = asymmetric (placental insufficiency)
27
high AFP in baby
neural tube/abdominal wall defects or multiple gestations
28
fetal hydantoin syndrome
cleft lip, wide fontanelle, phalangeal hypoplasia, cardiac - antiepileptics in neonates
29
treatment of EHEC
supportive only, antibiotics increase risk of HUS
30
breastfeeding jaundice
increase in indirect bilirubin due to poor feeding and delayed stooling
31
breast milk jaundice
persistence of jaundice past the first week due to breast milk content, no feeding difficulties
32
PPROM in 34-37 weeks
antibiotics, maybe steroids and delivery
33
herpangina vs herpes
herpangina is in oropharynx, herpes in lips
34
treatment for food bourne botulinum
horse-derived antitoxin
35
EBV DNA in CSF
HIV lymphoma
36
side effect of trastuzumab
cardiac toxicity - get an echo before
37
advanced bone age in early puberty, next step
LH measurement
- high = central
- low = peripheral
38
fanconi anemia
congenital cause of aplastic anemia due to DNA repair defect
39
epigastric burning with heaving lifting
atypical angina
40
infectious causes of bloody diarrhea
campylobacter, EHEC, shiga
41
causes of constrictive pericaditis
cardiac surgery, TB, viral pericarditis
42
risk of PPI
c diff due to decrease in acid
43
treatment for borderline
dialectal therapy
44
ice pack tests
improves myasthenia gravis
45
spondylolisthesis
slipping of vertebral body forward
46
partial vs absent dystrophin
duchenne's vs becker, varies with age of onset
47
liver disease in pregnancy with normal platelets
cholestasis
48
treatment of warfarin bleeds
PT concentrate or vitamin K (takes longer)
49
most common cause of viral myocarditis
coxsackie
50
danger in TCA overdose
QT prolongation
51
hexagonal urine crystals
cysteinuria
52
cardiac conduction system degneration
sick sinus syndrome
53
bloody diarrhea in HIV
CMV
54
risk in drowning
respiratory insufficiency and ARDS
55
telogen effluvium
major hair loss due to stress
56
sialendosis
most common in liver disease/malnutrition
57
steroid induced myopathy
painless proximal muscle weakness, labs are normal
58
med to avoid in acute glaucoma
atropine, dilated pupil and makes things worse
59
instability after TEE
esophageal perforation
60
somatic symptoms of GAD
muscle tension
61
chancroid
painful - h ducreyi
62
vaginal pH in menopause
above 5
63
chronic shingles treatment
gabapentin
64
retinal hemorrhages in child
think abuse - subdural bleeding
65
d-xylose test
normal with enzyme deficiencies, abnormally high in malabsorption because of gut (celiac)
66
false positive d-xylose test
SIBO
67
no red reflex
retinoblastoma
68
heart failure at day 3 of life
coarctation after ductus closes
69
RBCs in thalassemia
target cells
70
labs in HUS
thrombocytopenia, decreased haptoglobin, increase bilirubin
71
eventual outcome of Graves treatment
hypothyroidism
72
pH in cyanide poisoning
metabolic acidemia from lactic acidosis
73
pain in PFPS
tonic contraction of the quads
74
persistent diarrhea with international travel
giardia
75
treatment for acute organ rejection
IV steroids
76
resistant hypertension and hypokalemia
suspect aldo producing tumor
77
vasculitis with BP extremity discrepancies
Takayasu arteritis
78
lewy body vs parkinsons
in lewy body, symptoms occur at the same time
79
how long should SSRIs be continued in depression
6 months if helpful, longer if refractory
80
symmetric vs asymmetric IUGR
first tri = symmetric (infections)
| 2/3 = asymmetric (placental insufficiency)
81
high AFP in baby
neural tube/abdominal wall defects or multiple gestations
82
fetal hydantoin syndrome
cleft lip, wide fontanelle, phalangeal hypoplasia, cardiac - antiepileptics in neonates
83
treatment of EHEC
supportive only, antibiotics increase risk of HUS
84
breastfeeding jaundice
increase in indirect bilirubin due to poor feeding and delayed stooling
85
breast milk jaundice
persistence of jaundice past the first week due to breast milk content, no feeding difficulties
86
PPROM in 34-37 weeks
antibiotics, maybe steroids and delivery
87
herpangina vs herpes
herpangina is in oropharynx, herpes in lips
88
treatment for food bourne botulinum
horse-derived antitoxin
89
EBV DNA in CSF
HIV lymphoma
90
side effect of trastuzumab
cardiac toxicity - get an echo before
91
advanced bone age in early puberty, next step
LH measurement
- high = central
- low = peripheral
92
fanconi anemia
congenital cause of aplastic anemia due to DNA repair defect
93
epigastric burning with heaving lifting
atypical angina
94
infectious causes of bloody diarrhea
campylobacter, EHEC, shiga
95
causes of constrictive pericaditis
cardiac surgery, TB, viral pericarditis
96
risk of PPI
c diff due to decrease in acid
97
treatment for borderline
dialectal therapy
98
ice pack tests
improves myasthenia gravis
99
spondylolisthesis
slipping of vertebral body forward
100
partial vs absent dystrophin
duchenne's vs becker, varies with age of onset
101
liver disease in pregnancy with normal platelets
cholestasis
102
treatment of warfarin bleeds
PT concentrate or vitamin K (takes longer)
103
most common cause of viral myocarditis
coxsackie
104
danger in TCA overdose
QT prolongation
105
hexagonal urine crystals
cysteinuria
106
cardiac conduction system degneration
sick sinus syndrome
107
bloody diarrhea in HIV
CMV
108
risk in drowning
respiratory insufficiency and ARDS
109
telogen effluvium
major hair loss due to stress
110
sialendosis
most common in liver disease/malnutrition
111
steroid induced myopathy
painless proximal muscle weakness, labs are normal
112
med to avoid in acute glaucoma
atropine, dilated pupil and makes things worse
113
instability after TEE
esophageal perforation
114
somatic symptoms of GAD
muscle tension
115
chancroid
painful - h ducreyi
116
vaginal pH in menopause
above 5
117
chronic shingles treatment
gabapentin
118
retinal hemorrhages in child
think abuse - subdural bleeding
119
d-xylose test
normal with enzyme deficiencies, abnormally high in malabsorption because of gut (celiac)
120
false positive d-xylose test
SIBO
121
no red reflex
retinoblastoma
122
heart failure at day 3 of life
coarctation after ductus closes
123
RBCs in thalassemia
target cells
124
labs in HUS
thrombocytopenia, decreased haptoglobin, increase bilirubin
125
eventual outcome of Graves treatment
hypothyroidism
126
pH in cyanide poisoning
metabolic acidemia from lactic acidosis
127
pain in PFPS
tonic contraction of the quads
128
persistent diarrhea with international travel
giardia
129
treatment for acute organ rejection
IV steroids
130
resistant hypertension and hypokalemia
suspect aldo producing tumor
131
vasculitis with BP extremity discrepancies
Takayasu arteritis
