5/26/13 Flashcards Preview

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

_______ 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.

Sebaceous cell carcinoma

2

What is the proper Tx of a chalazion or stye?

Incision, drainage, and topical Abx

3

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

Dawn phenomenon or Somogyi phenomenon

4

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

Measure 3 am blood glucose

5

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

Euglycemic

6

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

Hypoglycemic

7

What 2 hormones mediate the Dawn effect?

GH and Cortisol

8

What would be the appropriate Tx for Dawn phenomenon?

Increase nighttime NPH insulin

9

What would be the proper Tx for Somogyi phenomenon?

Decease nighttime NPH insulin

10

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

3-5 yrs

11

What is the usual cause of death in ALS?

Respiratory muscle failure

12

What is the most specific test to confirm CSF leakage?

β-2 transferrin test

13

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

for life

14

How should pts w/ APLA be anti-coagulated?

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

15

When a premature infant develops obstructive hydrocephalus, think _______.

germinal matrix hemorrhage

16

Whta is the first-line Tx for rosacea?

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

17

What is the 2nd-line tx for rosacea?

topical Abx, esp. metronidazole

18

What is the 3rd-line Tx for rosacea?

oral Abx, esp. tetracyclines

19

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

fluoroquinolones (not cipro) or doxycycline

20

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

cephalosporin (2nd or 3rd gen) + macrolide

21

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

azithromycin

22

Name 3 macrolides.

Azithromycin, Clarithromycin, erythromycin