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Flashcards in 5/26/13 Deck (22)
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1
Q

_______ occurs most frequently in the upper eyelids of females over age 50 as a nodule that originally resembles a chalazion and then causes loss of lashes and yellowinh of the eyelid.

A

Sebaceous cell carcinoma

2
Q

What is the proper Tx of a chalazion or stye?

A

Incision, drainage, and topical Abx

3
Q

What two phenomena may be the cause of morning hypoglycemia in insulin-dependent diabetics?

A

Dawn phenomenon or Somogyi phenomenon

4
Q

What is the next step in evaluation of an insulin-dependent diabetic pt w/ early morning hypoglycemia?

A

Measure 3 am blood glucose

5
Q

What would be the 3 am blood glucose in the case of Dawn syndrome?

A

Euglycemic

6
Q

What would the 3 am blood glucose be in the case of Somogyi syndrome?

A

Hypoglycemic

7
Q

What 2 hormones mediate the Dawn effect?

A

GH and Cortisol

8
Q

What would be the appropriate Tx for Dawn phenomenon?

A

Increase nighttime NPH insulin

9
Q

What would be the proper Tx for Somogyi phenomenon?

A

Decease nighttime NPH insulin

10
Q

What is the median survival time after Dx w/ ALS?

A

3-5 yrs

11
Q

What is the usual cause of death in ALS?

A

Respiratory muscle failure

12
Q

What is the most specific test to confirm CSF leakage?

A

β-2 transferrin test

13
Q

How long should pts w/ APLA be anti-coagulated?

A

for life

14
Q

How should pts w/ APLA be anti-coagulated?

A

Warfarin to a target INR of 2-3 (enoxaparin if pregnant)

15
Q

When a premature infant develops obstructive hydrocephalus, think _______.

A

germinal matrix hemorrhage

16
Q

Whta is the first-line Tx for rosacea?

A

avoidance of precipitating factors (e.g. sun exposure, hot drinks)

17
Q

What is the 2nd-line tx for rosacea?

A

topical Abx, esp. metronidazole

18
Q

What is the 3rd-line Tx for rosacea?

A

oral Abx, esp. tetracyclines

19
Q

What drugs can be used as monotherapy for inpatient treatment of comminuty-acquired pneumonia?

A

fluoroquinolones (not cipro) or doxycycline

20
Q

What combination therapy is frequently used for inpatient treatment of community-acquired pneumonia?

A

cephalosporin (2nd or 3rd gen) + macrolide

21
Q

Name a macrolide commonly given (w/ a cephalosporin) for inpatient treatment of community-acquired pneumonia.

A

azithromycin

22
Q

Name 3 macrolides.

A

Azithromycin, Clarithromycin, erythromycin