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Flashcards in 5/11 Deck (86)
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31

Duodenal hematoma mgmt

Conservatively w/ nasogastric suction and parenteral nutrition

32

Odansetron MOA

Blocks 5HT3 receptors
*for preventing chemotherapy induced nausea and vomiting*

33

Next step if a CXR identifies a new suspicious pulmonary nodule

CT scan

34

High risk pulmonary nodule features

Size > 2.0cm
> 60 years old
Current or

35

CXR diagnostic indicator of diaphragmatic rupture

Nasogastric tube in the pulmonary cavity

36

why is aldosterone normal in pan-hypopituitarism

Aldosterone secretion from adrenal glands is ACTH independent and primarily regulated by RAAS

37

Vit D def labs

Low Ca and PO4
elevated PTH

38

What mediates Vit D absorption in the intestine

Chylomicrons

39

Why is insulin good for GDM

It does not cross the placenta

40

Gold standard dx for bowl ischemia

Mesenteric angiography

41

Suspect PML in who

HIV infected patient with focal neurological signs and multiple non-enhancing lesions w/ no mass effect on CT scan

42

When does subacute sclerosing panencephalitis occur?
What does CT scan show?

Many years after antecedent measles infection
CT scan shows scarring and atrophy

43

MCC of thyrotoxicosis w/ low RAI uptake? why?

Subacute painless thyroiditis
From leakage of thyroid hormones into the circulation

44

2 drugs that cause serum-sickness like reaction

B-lactams (penicillin, amoxicillin, cefaclor) or TMP-SMX

45

Hx of CAD + severe dyspnea after fluids likely

Pulmonary edema

46

SEM of alports? big 3 features?

Alternating areas of thinned and thickened capillary loops w/ splitting of GBM
Recurring hematuria, sensorineural deafness, and fam hx of renal failure

47

What is chlorpheniramine

1st gen antihistamine

48

Fever and sore throat in patient on anti-thyroid drugs suggestive of

Agranulocytosis --> stop taking and count WBC

49

Volvulus Abdominal xray

"corkscrew"

50

Gold standard for diagnosing malrotation

Upper GI contrast study

51

When does pyloric stenosis manifest

1-2 year olds

52

Most common source of PE

Proximal deep leg veins (Iliac, femoral, popliteal)

53

Cutaneous findings of coccidioidmycosis

Erythema multiform and erythema nodosum

54

2 big screenings all patients with cirrhosis need

1. Endoscopy for varies
2. HCC screening w/ US every 6 months

55

Tx for asymptomatic variceals

Non-selective B-blockers

56

What characterizes normal hyperventilation of pregnancy

1. Increased TV
2. Inc minute ventilation
3. Chronic respiratory alkalosis

57

Presentation and cause of dysarthria-clumsy hand syndrome

Bulbar dysfunction (dysarthria, dysphagia)
Contralateral facial and limb weakness
Due to infarction in paramedic basis points

58

Risk w/ Hashimoto's thyroiditis

Thyroid lymphoma

59

Langerhan's histiocytosis presentation

Solitary, painful lytic long bone lytic lesion w/ overlying swelling and hypercalcemia

60

What are ahminoglycosides used for

Serious gram negative infections