41-44 Flashcards Preview

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Flashcards in 41-44 Deck (30):
1

Anal fissure and abdominal pain

Chrons

2

Medicare part A is

Hospital care

3

Medicare part B covers

outpatient physician care

4

doxylamine is for

nausea and vomiting of pregnancy

5

What area do you always biopsy if a lymph node is enlarged

Supraclavicular

6

Greatest risk factor for development of diabetes in women

hx of gestational diabetes

7

What do you add if serum creatinine is >1.5 mg/dL in patients with resistant hypertension

Loop diuretic

8

changes in the palmar fascia, with progressive thickening and nodule formation

Dupuytren’s contracture

9

Thyriod nodule workup

If TSH is suppressed, do iodide uptake scan
If TSH normal, biopsy
*hot nodules almost never malignant*

10

When do suicide attempts peak? completed suicide?

peaks in 20s
completed in 30s

11

What is donepezil? AE?

Cholinesterase inhibitor
Associated with bradycardia needing pacemaker

12

Arthritis with palpable purpura

HSP

13

According to JNC 7, CV risk begins to increase with a bp of

115/75

14

Head manifestations of DM

Parotid enlargement, gum bleeding, candidiasis

15

Odd AE of prochlorperazine or metoclopramide? Tx?

Acute dystonia (dopa blockers)
Tx with diphenhydramine

16

Tx for moderate ingrown toe nail

partial avulsion of the medial nail plate and phenolization of the matrix

17

tx for mild ingrown toe nail

Elevation of nail edge with a whisp of cotton

18

If you can't administer a drug IV during an acute MI, next best route?

Intraosseously

19

Plan of action if placenta previa is seen at 20 weeks gestation in a patient with no bleeding

repeat US at 28 weeks, as most resolve on their own
*steroids to promote lung maturity at 24-34 weeks if bleeding*

20

Most likely dx if arm pain precedes weakness and pain is difficult to localize

Brachial neuritis
Dx with nerve conduction study

21

Elevated LH and FSH indicate what usually

Ovarian failure (HPA axis trying to make up for it)

22

Best agent to add if Albuterol inhaler not working for asthma

Inhaled corticosteroids

23

What is raloxifine

SERM that reduces risk of breast cancer
*estrogenic activity on bone*
*anti estrogenic on breast and ovary*

24

What is Teriparatide (Forteo)

PTH analoge with potent bone anabolic activity
*intermittent PTH increases bone formation*

25

Rapid onset of flashes of light and visual field deficit

retinal detachment

26

Vitrous hemorrhage would cause

blurring of vision over most of the visual field

27

Drug that leads to falsely depressed levels of PSA

Finasteride (Proscar)

28

Test to dx thalassemia

Hgb electrophoresis

29

Somatization disorder must include

2 GI complaints
1 sexual complaint
1 neuro complaint
4 pain complaints

30

What can't you do in ARDS

Get out CO2
*will see high CO2 and appropriate rise of pH*