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Flashcards in 5/11 Deck (86)
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1

When are symptoms during somatic symptom disorder usually worse? tx?

During periods of stress
Focus on discussing the role of psychosocial stressors and promote stress reduction/healthy behaviors

2

Meds to withhold before stress testing? how long?
exception?

B-blockers, CCBs and nitrates for 48 hours
Exception: in pt's with known CAD to asses efficacy of anti-anginal drugs

3

Why low intubation threshold in burns

Progressive airway edema may preclude incubator later in clinical course

4

Pre-patellar bursitis features

Anterior knee pain, tenderness, and localized swelling
By S. aureus

5

Who gets patellar tendonitis

Athletes in jumping sports or occupations with repetitive forceful knee extension

6

What test can be considered in a woman w/ very strong hx of ovarian Ca

BRCA1 and 2

7

Think of what in a patient w/ erythema gangrenosum

IBD, RA, or AML (underlying systemic disease)

8

Most useful test for re-occlusion following recent MI

CK-MB (typically returns to normal w/in 1-2 days)

9

3 things that dec HOCM murmur

Sustained hand grip
Squatting
Passive leg raise

10

What does valsalva do to pre-load

Decreases it

11

Best step for undiagnosed pleural effusion on CXR

Thoracentesis, except inpatients w/ clear-cut evidence of CFH

12

Acid/Base status of Conn's

Metabolic alkalosis

13

MC site of ulnar nerve entrapment

Elbow where the ulnar nerve lies at the medial epicondylar groove

14

Why UA for bedwetting after age 5

Screen for UTI, DM, and DI

15

4 tests for all pt's w/ new HTN diagnosis

1. UA (occult hematuria and protein/cr ratio)
2. Chemistry panel
3. Lipid profile
4. Baseline EKG

16

Erlichiosis labs

Leukopenia
Thrombocytopenia
Elevated LFTs and LDH

17

What should be considered when a pt suspected of sarcoidosis decompensated following steroids

Histoplasmosis (closely mimics - normally caseating granulomas but can have non)

18

Type 2 RTA causes

Defective tubular HCO3 reabsorption

19

What differentiates acute Hypercarbia from chronic CO2 retention in COPD

Acute has associated acidosis and low bicarb level

20

What can happen with changes in head position in papilledema

transient vision loss lasting a few seconds

21

4 big pancreatitis complications

1. Pleural effusion
2. ARDS
3. Ileus
4. Renal failure

22

What causes morton's neuroma

Mechanically induced neuropathic degeneration of the interdigital nerves

23

Pleural fluid indicators of empyema? what do you do

pH

24

Always do what in croup before intubation

Give a trial of race-epi

25

What is eliminated in a case control study when neighbors of pt's are chosen

Confounders

26

Euthyroid sick syndrome characterized by

Fall in total and free T3 levels w/ normal T4 and TSH

27

Chikungunya fever presentation

Caribbean trip and back with Polyarthralgias, rash, lymphopenia, and thrombocytopenia

28

What classifies saline response vs unresponsive metabolic alkalosis

Saline responsive will have low urinary chloride (

29

3 PE findings of aortic stenosis

1. Pulsus parvus et trades (delayed and diminished)
2. Mid to late peaking systolic murmur
3. Soft and single second heart sound

30

Why single soft S2 in aortic stenosis

Aortic valve closure is delayed and occurs simultaneously w/ pulmonic valve closure