4/31-5/1 Flashcards Preview

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Flashcards in 4/31-5/1 Deck (62)
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1

Important AE of buproprion

Decreases seizure threshold
*esp Anorexia pt's with electrolyte abnormalities*

2

Acute glaucoma drugs

Mannitol, acetazolamide, pilocarpine, or timolol

3

MCC of aortic dissection

Hypertension

4

Marfan's mutation

Fibrillin

5

How high can the diaphragm go during expiration

As high as 4th thoracic dermatome on right and 5th on the left (nipples)

6

Lithium tx timeline guidlines

1 year after first episode of Bipolar
If more than two consider years, if not lifetime

7

How is a complete mole formed

When 2 sperm fertilize an ovum lacking genetic material --> no fetal tissue

8

How can a molar pregnancy use bilateral ovarian enlargement

2/2 hyperstimulation and ovarian cyst formation (theca lutein cysts)

9

Type 2 DM dx criteria

-FPG > 126 x2
-A1C > 6.5%
-2 hr OGTT > 200
-Random plasma glucose > 200

10

Acid-Base status of hypertrophic pyloric stneosis

Hypochloremic, hypokalemic metabolic acidosis

11

Vitamin that helps with measles

Vitamin A

12

Why make sure you give iron with Epo

Epo-induced surge in RBC production can precipitate an iron-deficient state

13

Posterior vermis syndrome main feature

Truncal dystaxia

14

OA features on hand

Prominent osteophytes at DIP (heberden nodes) and PIP (bouchard nodes)

15

Why no furosemide for kidney stones

Can promote calciuria

16

When does tamsulosin act

On the distal ureter, lowering muscle tone and reducing reflex ureteral spasm

17

Most distinguishing feature of bath salt use

Prolonged duration of the effect

18

What is interstitial cystitis

"Painful bladder syndrome" --> worse by bladder filling and relieved by voiding
*will also see urinary urgency, frequency, and chronic pelvic pain*

19

MCC of cor pulomale (besides left heart failure)

COPD

20

CXR of cor pulmonale

Enlarged central pulmonary arteries and loss of retrosternal air space due to RVH

21

What is pulsus paradoxus

> 10 mm Hg decrease in systemic blood pressure with inspiration

22

2 major products of fires in closed spaces

Hydrogen cyanide and carbon monoxide

23

Cyanide tox tx

Hydroxocobalmin or sodium thiosulfate

24

What causes methemoglobinemia

Exposure to oxidizing agents (dapsone, nitrates, topical/local anesthetics)

25

Biopsy of UC shows

Mucosal inflammation and crypt abscesses

26

Also suspect tropical sprue in what patients

Living in tropical areas and having diarrhea for more than one month

27

Biopsy of tropical sprue

Blunting of villi with chronic inflammatory cells (lymphocytes, plasma cells, and eosinophils)

28

What is Rotor's syndrome

Chronic hyperbilirubinemia due to a defect in hepatic secretion of conjugated bill into biliary system

29

Tx for premature atrial contractions (symptomatic)

Beta blockers

30

Positive bronchodilator response criteria

> 12% increase in FEV1