4/25/13 Flashcards Preview

STEP II > 4/25/13 > Flashcards

Flashcards in 4/25/13 Deck (21):
1

How should you Tx a pt w/ a minor wound who is unimmunized or hasn't received a tetanus booster in over 10 years?

tetanus toxoid

2

How should you Tx a pt w/ a deep or dirty laceration who is unimmunized or hasn't received a tetanus booster in ten yrs or more?

tetanus toxoid and tetanus Ig

3

How should you treat a pt w/ a deep/dirty wound who has received up to date tetanus immunization?

Toxoid booster if none received in the last 5 yrs

4

What are 2 major adverse effects of isoniazid treatment?

peripheral neuropathy and hepatitis

5

After a first episode of major depresssion, a pt. iss feeling much better after 6 wks of SSRI Tx. What is the best course of action at this point?

Continue the SSRI for another 6 mos.

6

What 2 classes of drugs are used to tx acute dystonia?

antihistamines (diphenhydramine) and anticholinergics (benztropine)

7

What is akithisia, a potential complication of the use of antipsychotics?

feeling of restlessness

8

What drugs are used to combat akithisia?

beta-blockers

9

What do you call the condition that may occur in pts taking antipsychotics that consists of high fever, muscle rigidity, and rhabdomyolysis?

neuroleptic malignant syndrome

10

What can be used to treat croup?

corticosteroids or nebulized epi

11

Abd pain and red currant jelly stools in a 2 yr old child.

Intussusception

12

In mechanical ventilation, FiO2 should be kept below ___% when possible to prevent lung toxicity.

60

13

What is the effect of oral contraceptive use on endometrial cancer?

decreased risk

14

What is the correlate of antisocial personality disorder in pts under 18?

conduct disorder

15

How long must the Sx of conduct disorder have been present to make a Dx?

1 yr

16

What is the most common malignant brain tumor in children?

medulloblastoma

17

What is the overall most common brain tumor in children?

cerebellar astrocytoma

18

Most cases of syringomyelia are associated with _______ malformation.

Arnold-Chiari

19

What is the Atnold-Chiari malformation?

displacement of cerebellar tonsils through foramen magnum

20

The tighter the confidence interval, the more _______ the result.

precise

21

When suspicion is high for subarachnoid hemorrhage, but head CT is negative, what is the next diagnostic step?

lumbar puncture