5/25/13 d Flashcards Preview

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Flashcards in 5/25/13 d Deck (20):
1

How long must Sx have been present to Dx PTSD?

1 month

2

What is the recommended first-line tx for PTSD?

SSRIs

3

What should be suspected in a woman w/ adnexal tenderness and RUQ tenderness?

Fitz-Hugh-Curtis syndrome

4

What is Fitz-Hugh-Curtis Syndrome?

perihepatic adhesions secondary to PID

5

What is the first step after history and general physical in suspected PID?

pelvic exam

6

What 2 things must be done during pelvic exam for PID?

samples for culture/Gram stain and assess for cervical motion tenderness

7

How should you differentiate TTP from HUS on the exam?

altered mental status predominant-->TTP
renal failure predominant-->HUS

8

What kind of renal failure do HUS pts have?

anuric

9

How can TTP and DIC be differentiated based on lab tests?

coagulation studies

10

What is the immediate treatment of a sucking chest wound?

cover w/ Vaseline gauze taped on 3 sides

11

What is the first step when a pt is suspected of having (non-tension) pneumothorax but is totally stable?

X-ray

12

How many weeks gestation should we be at before attempting external cephalic version for breech pressentation?

>36 wks

13

What is the treatment of choice for keloids and hypertrophic scars?

intralesional steroid injection

14

How are keloids different from hypertrophic scars?

they grow beyond the boundaries of the scar

15

Immunodeficiency disease characterized by thrombocytopenia, eczema, and recurrent infections (esp. respi).

Wiskott-Aldrich syndrome

16

What is the inheritance pattern of Wiskott-Aldrich syndrome?

X-linked

17

What sort of disease are children w/ Wiskott-Aldrich syndrome prone to develop, if they live long enough?

malignancies, esp. lymphomas and ALL

18

On colonoscopy, any polyp larger than ___ should be removed.

1 cm

19

What is the tx of choice in hypertrophic cardiomyopathy?

β-blockers

20

How do β-blockers help in hypertrophic cardiomyopathy?

they slow ventricular rate, increasing filling time, and reducing outlet obstruction