4/5 Flashcards

1
Q

concealment allocation

A

prevents investigators from knowing the intervention assignment of an individual
reduces bias

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

contraindication of azetazolamide

A

sulfa allergy

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

when to refer for TURP

A

12 - 24 mo failed medical tx

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

PPV equation

A

true pos / true pos + false pos

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

lab correlating to severity in placental abruption

A

low fibrinogen

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

extraintestinal UC

A

arthritis, uveitis, erythma nodosum, primary sclerosis cholangitis

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

big diff in initial sx in UC vs Crohns

A

crohns with perianal sx; fissures, strictures

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

RF spontaneous pneumothorax

A

smoking

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

what size pneumothorax do you just observe

A

< 20 %

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

PE finding pneuomothorax

A

decreased tactile fremitus

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

lung cancer a/w SIADH

A

small cell

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

acne tx that also decreases hyperpigmentation

A

azaleic acid

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

tx esophageal candidiasis

A
  1. fluconazole

if not working try caspofungin

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

ICU pt w/ eos…

A

adrenal insufficiency?

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

TOA tx

A

cefoxitin and doxy

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

anal fissure tissue and tx

A

squamous cell, topical nifedipine or nitroglycerin

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

shoulder dystocia steps

A
mcroberts, suprapubic
deliver posterior arm
then woodscrew
break clavicle
put em back and section
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

how long after tx to test for h pylori

A

4 wks

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

prophylaxis cluster headache

A

verapamil

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

new name dishydrotic eczema

A

acute palmoplantar eczema

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

MAOB inhib example

A

selegiline

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

benztropine MOA

A

anticholinergic

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

1st line UTI

A

apparently not keflex

TMP, nitrofurantoin

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

bleeding issue, normal pt, ptt, inr, platelets

A

VWB dz

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

COPD FEV1/FVC

A

< 0.7

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

merit based incentive pay system adjustment categories

A

quality
cost
promoting interoperability
improvement activities

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

best ADHD test

A

Conners

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

dx pyloric stenosis

A

U/S

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

meds a/w pyloric stenosis

A

azithromycin, erythromycin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

sweat chloride CF

A

> 60

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

abortive cluster HA

A

O2 and sumatriptan

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

prophylaxis for mild varices

A

nadalol (or propranalol?)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

tx for hTN w/ complete heart block

A

IV dopamine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

which is worse ascending, descending aortic dissection

A

ascending

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

murmur w/ aortic disection

A

aortic regurg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

surgery vs glasses for estropia in kids

A

< 6 mo = surgery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

CSF leak lab

A

beta-2-transferrin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

timeframe subchorionic hematoma

A

< 20 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

when to switch repeat thoracentesis to pleurodesis

A

think if doing it more than 1/mo or returning in a few days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

fatigue meds in fibromyalgia

A

TCA, SNRIs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

pansystolic murmur, louder w/ inspiration

A

TR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

juvenile RA labs

A

usually RF and ANA neg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

knee pain w/ tibial tuberocity enlargemtn

A

osgood schlatter

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

RSV prophylaxis

A

pavilizumab (for premature infants, children with bronchopulmonary dysplasia, and infants with congenital heart disease.)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

test after screen positive for autism

A

Autism diagnostic obs schedule

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
46
Q

which SSRI to avoid in pregnancy

A

paroxetine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
47
Q

egg on a string on cxr

A

transposition of great arteries

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
48
Q

genetic abnormality a/w ToF

A

downs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
49
Q

chronic heel pain in an adolescent athlete

A

think Sever dz (apophysitis)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
50
Q

timeframe for c.diff after abx

A

1-2 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
51
Q

weakness fatigue and bruising in an old guy

A

AML

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
52
Q

ogilvies tx

A

start with NG tube, if need neostigmine or really bad decompression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
53
Q

cauda equina syndrome tx

A

high dose steroids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
54
Q

Anti-dsDNA

A

SLE (maybe RA)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
55
Q

Anti-Jo

A

myositis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
56
Q

anti-SSA

A

Sjogren, SLE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
57
Q

Anti-SCL

A

scleroderma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
58
Q

anti-CCP

A

RA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
59
Q

spatula test

A

touch posterior throat and pt bites down instead of gagging

tetanus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
60
Q

HOCM Tx

A

BB or CCB if not tolerated

avoid inotropes or NG

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
61
Q

VTE with CKD tx

A

unfractionated heparin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
62
Q

tx hydrofluoric acid

A

Ca gluconate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
63
Q

antisocial personality in kids

A

conduct d/o

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
64
Q

tx dilated cardiomyopathy

A

ICD to prevent sudden cardiac death

ACE if HF stuff

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
65
Q

BP diff in diff arms

A

think dissection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
66
Q

better movements w/ spinal stenosis

A

flexion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
67
Q

CIN2-3 tx

A

LEEP = cold knife

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
68
Q

yellow vision

A

cataracts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
69
Q

gout in ESRD tx

A

glucocorticoids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
70
Q

hill-sachs lesion

A

posterolateral humeral head compression frx

71
Q

bankart lesion

A

anterior inferior aspect of glenoid

72
Q

things that falsely raise A1c

A

anemia, renal failure, asplenia

73
Q

falsely lowers A1c

A

hemolysis, acute blood loss, pregnancy

74
Q

what type of emphysema w/ A1anti-trypsin

A

panacinar

75
Q

when do you not need backup BC for mirena insertion

A

7 days from first day of period

76
Q

metabolic problem w/ carbamazepine

A

hyponatremia (especially old)

77
Q

next step for psoriasis after topical steroids

A

add topical calcipotriene or tazotene

78
Q

distorted grid lines on amsler grid test

A

macular degeneration

79
Q

severe pancreatitis nutrition

A

NG continuous

80
Q

top chigger spots

A

neckline, waistline, socks

81
Q

1st line tx symptomatic sarcoid

A

steroids (then azathioprine, methotrexate)

82
Q

hashimoto vs PP thyroiditis

A

PP is usually mild or asymptomatic, painless with maybe mild goiter and then transitions to hypothyroid, anti-thyroid meds don’t work

83
Q

things that raise BNP besides heart pathology

A

female, black, renal failure

84
Q

benign murmur in kids

A

left sternal systolic (Still)

+ cyanosis worry about tricuspid atresia

85
Q

osteoporosis and CKD (GFR < 30)

A
  1. make sure supplementing Ca and vit D
  2. avoid bisphophonates (fosomax, reclast)
  3. think denosumab (prolia)
86
Q

UTI abx to avoid in CKD

A

nitrofurantoin

87
Q

2nd line seizures

A

keppra, phenytoin

88
Q

upper and motor neuron path

A

think ALS

89
Q

anterior dislocation reduction

A

use intra-articular pain control (or nothing if immediately after in the gym/field)

90
Q

when to start PT after a reduced dislocation

A

2 weeks

91
Q

chlamydia tx

A

doxy 100 x 7 days or azithro 1000 x 1 in preg

92
Q

DM2 criteria

A

w/ sx: random > 200

w/o sx: fasting > 126 x 2, A1c > 6.5 (x2 if only sign), 2 hr GTT > 200

93
Q

jellyfish tx

A

remove tentacles and hot water

94
Q

microcytic anemia, skeletal changes, iron overload/hepatosplenomegaly

A

thalassemia

95
Q

diagnostic test for diabetes insipitus

A

water restriction test

96
Q

carcinoid dx

A

urine 5-HIAA

97
Q

management mastoiditis

A

CT, IV abx

98
Q

hemorrhoid grade for rubber band

A

I-III after failed medical management

99
Q

delirium tool

A

CAM confusion assessment method

100
Q

lipid screen in kids age

A

9-11

101
Q

NNT equation

A

1/ARR

102
Q

specificity equation

A

specific tests want to find the true negatives

true negs found / all actual negs (true neg/true neg + false pos)

103
Q

sensitivity equation

A

sensitive tests are used for screening and want to find the true positives
true pos found / all actual positives (true pos/ture pos + false neg)

104
Q

otic descriptors of cholesteatoma

A

retracted pars falccida, white mass posterior to TM

105
Q

seb derm vs tinea capitis

A

no alopecia w/ seb derm

tinea has black dots

106
Q

1st line tinea capitis tx

A

griseofluvin

107
Q

metabolic disturbance after subarachnoid hemorrhage

A

hyponatremia (inappropriate ADH secretion from hypothalamus injury)

108
Q

velvety, well defined red plaque on penis

A

SCC: erythroplasia of Queyrat

109
Q

imaging for pulm nodule

A

CT w/o contrast

110
Q

who gets HAV vaccine

A

drug users, MSM

111
Q

PPV in words

A

the chance that someone who tests positive is actually positive

112
Q

PPV equation

A

TP/TP+FP

113
Q

who gets an U/S for AAA

A

65 - 75 man who smoked/smokes

114
Q

MCC secondary HTN in kids

A

renal dz, coarctation of the aorta

115
Q

tx inferior MI

A

no nitrates

give IVF

116
Q

how long are trops up after MI

A

1-2 wks

117
Q

other complication with endometriosis

A

increased risk of CAD

118
Q

flushing worse with EtOH, spicy food and hot drinks

A

rosacea

119
Q

rosacea tx

A

metronidazole gel
azelaic acid
ivermectin

120
Q

rosacea vs acne

A

no comedones in rosacea

121
Q

dance sign

A

retracted RLQ, a/w intussusception

122
Q

carnett sign

A

abdominal pain with tensing abs; pathology in abdominal wall vs cavity

123
Q

markle sign

A

pain with dropping down from tiptoe; peritoneal sign

124
Q

neuro sx intussusception

A

lethargy

125
Q

giant platelets

A

think ITP

126
Q

pain at distal forearm w/ crepitus w/ wrist motion

A

intersection syndrome

127
Q

non steroid reasons for stress ulcer ppx

A
on the vent > 48 hrs
coagulopathy (plt < 50, INR > 1.5)
TBI/spinal cord
burns
ICU x 7 days + sepsis
128
Q

shit a/w vitiligo (and what you screen for)

A
thyroid issues (get a TSH)
DM 1
RA
IBD
psoriasis
alopecia areata
pernicious anemia
129
Q

systemic (fever, weight loss), derm (nodules/purpura) and elevated BUN

A

polyarteritis nodosa

130
Q

small vessel vasculitis

A

HSP
Goodpastures
granulomatosis with polyangiitis

131
Q

med vessel vasculitides

A

polyarteritis nodosa
becets
microscopic polyangiitis

132
Q

large vessel vasculitides

A

giant cell arteritis

takayasu arteritis

133
Q

the polyangiitis-es

A

granulomatosis w/ poly (cANCA - bx lung)
microscopic poly (pANCA - bx kidney)
both with pulm infiltrates and nephritis

134
Q

when to test after chlamydia tx

A

3 mo normally

if pregnant, symptomatic or used 2nd line TOC in 3 weeks

135
Q

oral ulcers w/ grey pseudo-membrane and punched out appearance

A

acute necrotizing ulcerative gingivitis (ANUG) aka trench mouth

136
Q

ludwig angina

A

cellulitis of submandibular/sublingual spaces –> raised tongue

137
Q

extra lab for alopecia areata

A

TSH

138
Q

anemia, LAD, hepatosplenomegaly +/- bone pain

A

Waldenstrom’s macroglobulenimia

139
Q

fibromuscular dysplasia tx

A

ACE/Arb

140
Q

adenoma vs macroadenoma

A

macro is > 10 mm

141
Q

1st line cushings dx

A

24 hr urine cortisol
low dose dexamethasone
late night salivary cortisol

142
Q

coffee bean on neonatal u/s

A

volvulus

143
Q

whirlpool sign neo u/s

A

volvulus

144
Q

double bubble sign

A

duodenal atresia

145
Q

anticoagulants on the beers criteria

A

rivoroxaban

dabigatran

146
Q

ocular changes and subcutaneous nodules

A

think onchocerciasis (river blindness nematode)

147
Q

COPD with cushing sx

A

think ACTH secreting small cell lung cancer

148
Q

animal bite in PCN allergic preggos

A

azithro

149
Q

diff in treating SIADH 2/2 subarachnoid hemorrhage

A

no fluid restriction, just start with hypertonic saline

150
Q

abnormal Schirmir’s test

A

dry eye –> sjogrens

151
Q

rx torsades

A

stable: Mg
unstable: cardioversion

152
Q

ADHD

A

< 6: behavioral

> 6: behavioral + meds

153
Q

appetite stims

A

megestrol (c/i w/ risk of VTE)
mirtazapine
steroids (terminal/cancer)

154
Q

what to use if daytime sleepiness doesn’t improve with CPAP for OSA

A

modafinil

155
Q

time frame criteria cluster HA

A

15 - 180 min

156
Q

when do you not need labs to dx a thyroid d/o

A

trauma thyroiditis

157
Q

when to screen for GDM

A

24 - 28 wks

158
Q

cutoffs for GDM

A
first 1 hr: 
>  130 
if positive then 3 hr:
fasting > 100
> 180 @ 1
> 155 @ 2
> 140 @ 3
159
Q

levo how long before meals

A

30-60 min

160
Q

pheo triad

A

HA
sweating
tachycardia w/ HTN

161
Q

BMI cutoff for obesity meds

A

> 30 and failed lifestyle mods

162
Q

CA a/w agent orange

A

non-hodgkin lymphoma

163
Q

lab levels PP thyroiditis

A

low/normal TSH

high free T4

164
Q

alpha-1-antitrypsin derm

A

necrotizing panniculitis

165
Q

tx serotonin syndrome

A

benzos

166
Q

pheo: urine vs plasma metanephrines

A

urine is w/ sx, plasma is to screen high risk

167
Q

heart things in FAS

A

VSD
ASD
ToF
aberrant great vessels

168
Q

how long to keep concussion people from sports

A

till asx w/o meds

169
Q

pulsus paradoxis

A

BP drops with inspiration

think tamponade

170
Q

MC SLE eye thing

A

keratoconjunctivitis sicca

171
Q

parts of lungs affected in alpha-1-anti

A

bases

172
Q

VSD murmur

A

harsh
holosystolic
loudest at L lower sternal border

173
Q

acute pericardial effusion w/ coagulopathy

A

apparently open window is less risk of bleeding than percutaneous pericardiocentesis

174
Q

nagayama spots

A

ulcers in the mouth a/w roseola