45-48 Flashcards Preview

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Flashcards in 45-48 Deck (27):
1

Why is BUN/creatinine ration in children not helpful

Serum creatinine changes with age

2

If endoscope is undiagnostic for lower GI bleeding, next step?

A technetium-99m blood pool scan

3

What do you need to test for in patients taking red yeast rice

LFTs (red yeast rice acts like a natural statin)

4

Rhinitis developing in setting of workplace

Occupational asthma

5

Standard treatment for multiple myeloma in patients under 65

Autologous stem cell transplantation
*steroids for those not candidates*

6

Inhaled steroid effects on COPD

Decrease exacerbations and decline in quality of life
Increase risk of pneumonia and hoarseness

7

Why can loperamide be bad for diarrhea

Can't slow down the excretion of the toxins and make it last longer

8

Topical Ab should not be used for longer than what when treating pressure ulcers

no longer than 2 weeks at a time

9

Tx for epididymitis

250 mg IM ceftriaxone
100 mg bid Doxy for 10 days

10

5'-nucleotidase and Alk phos elevation suggest problem is located where

Liver

11

Alk phos elevated in what 4 organs

Bone, liver, small intestine, placenta

12

When should you aggressively lower BP after a stroke

When >220 systolic or MAP > 120

13

Main electrolyte abnormality seen in bulemia

Hypokalemia

14

What is almost universally associated with peritonsular abscesses

trismus

15

Anatomic snuff box is between

extensor pollicis brevis and extensor pollicis longus

16

Most common AE of Verincycline

Nausea

17

Circumflex artery occlusion on EKG

1 and AVL (maybe V5 and V6)

18

Bullous impetigo in infants tx

TMP/SMX (caused by exfolatoxin in S. aureus)

19

Rheum condition with highest risk of malignancy

Dermatomyositis

20

Episodic sharp/cramp like pain in rectum

Proctalgia fugax

21

Telogen effluvium

Non-scarring hair loss that occurs after stressful events (3-6 months after event)

22

Anagen effluvium

Hair loss after chemo

23

Best dx test for osteoporosis

Central DXA scan

24

Slapped cheeks syndrome

Parvo B19

25

Triquet fractures common with?

Hyper-extention of the wrist (sliding into base)

26

Narrow complex tach is

SVT (adenosine to tx)

27

Legg-Calvé-Perthes disease

Avascular necrosis of the femoral head