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Flashcards in 5/3 Deck (112)
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1

Why are cephalohematomas limited to surface of one cranial bone

Subperiosteal hemorrhages

2

What is caput succedaneum

A diffuse, sometimes ecchymotic swelling of the scalp usually involving the portion of the head presenting during vertex delivery
*may cross suture lines*

3

Two big patterns of Crohn's

Fibrostenotic obstructing pattern or penetrating fistulous pattern

4

GI granulomas w/ what diseases besides CD

GI TB
Sarcoidosis
Yersinia infections

5

What is torus palatinus

Fleshy, immobile mass on midline hard palate
*young folks*

6

Who should be tested for GC

All sexuality active women 24 and younger

7

Best GC screening test

Nucleic acid amplification test

8

First Workup for missed abortipn

Fetal heart tones and pelvic US

9

Exam of uterine atony

Soft (boggy) uterus that is enlarged

10

What does a thin endometrial stripe on postpartum US mean

Empty and normal uterine cavity

11

4 big risks for uterine atony

1. Prolonged labor
2. Induction of labor
3. Operative vaginal delivery
4. Fetal weight >4000g (8.8 lbs)

12

Uterine atony tx

Bimanual message, IV fluids/O2, and oxytocin (methylergonovine if oxytocin doesn't work)

13

Contra to carboprost in uterine atony

Asthma (causes bronchial constriction)

14

Hemodynamic monitoring in septic shock

Low PCWP
Low SVR
Increase CO
High mixed venous O2 sat%

15

What should be suspected in any HTN pt with hypokalemia

Primary hyperaldosteronism (these pt's also more prone to diuretic induced hypoK if not baseline)

16

MC nutritional def in kids

Iron def

17

Gold standard for HIV dx in kids form birth to 18 months? why?

PCR --> HIV ab testing unreliable due to passing of maternal antibodies to fetus

18

CT of porcelain gallbladder? inc risk of?

Calcified rim in gallbladder wall with central bile-filled dark area
Inc risk of gallbladder adenocarcinoma

19

What should raise suspicion for MAC in aid's pt

Non spec systemic symptoms (fever, cough, diarrhea) plus splenomegaly and elevated alk phos

20

Lyme arthritis features

Usually knee
Synovial fluid shows leukocytes around 25k

21

Dx of lyme arthritis? tx?

Confirm with ELISA and western blot
Tx is oral doxy or amoxicillin

22

B2 (riboflavin) def

-Angular cheilosis, stomatitis, glossitis
-Normocytic anemia
-Seborrheic dermatitis**

23

B6 (pyridoxine def) features

-Cheilosis, stomatitis, glossitis
-Irritability, confusion, depression

24

Primary solitary brain mets from what cancers

Breast, colon, renal cell

25

Stage 1 hepatic encephalopathy featurs

Sleep pattern disturbances and impaired cognition)

26

Murmur of IVDU endocarditis

Tricuspid regurg (holosytolic increasing with inspiration)

27

Good screening for microalbuminuria

urine microalbumin/creatinine ratio
*24 urine collection better but inconvenient*

28

Pneumo vaccine for HIV patients

PCV 13 1x
PPSV23 8 weeks later, then every 5 years

29

What is elevated in PCP PNA

Serum lactate dehydrogenase

30

Severe PCP features and tx

PaO2 (70 or A-a gradient >35 on room air
TMP-SMX + corticosteroids