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Flashcards in 5/7-5/8 Deck (86)
1

HUS triad

Hemolytic anemia
Thrombocytopenia
Acute renal failure

2

HSP purpura

On legs and booty in setting of a normal platelet count

3

Embolic stroke presentation timing

Sudden onset with maximal symptoms at the beginning

4

Tx for appendix abscess

IV hydration, antibiotics and bowel rest w/ appendectomy later when abscess shrinks

5

MCC of isolated aortic stenosis in elderly patients

Age-dependent idiopathic sclerocalcific changes

6

Suspect atrophic vaginitis in what patients

Post-menopausal females with symptoms of vaginal dryness and dysuria

7

Atrophic vaginitis exam

Pale, dry vaginal mucosa
Diminished labial fat pad
Scarce pubic hair

8

US features of appendicitis

Non compression and dilation of the appendix

9

Part of the pee with blood specifics

1. Beginning - urethral
2. End - Bladder
3. All- w/in ureters or kidneys

10

Tx for lyme in pregnant and lactating patients

Amoxicillin

11

Acid-Base status effect on Calcium

Alkalosis - Inc. binding of Ca to albumin due to dissociation of H+ ions from albumin

12

Low risk pt's with solitary small lung mass criteria

13

Kawasaki tx

Aspirin and IVIG

14

What maternal cancers does breast feeding reduce the risk of

Breast and ovarian cancer

15

Vaginal discharge after delivery

1-3 days - lochia rub
3-4 days- pale loch serosa
Then white and called loci alba

16

Suspect what with any foul smelling d/c postpartum

Endometritis

17

DKA acid base

Metabolic acidosis w/ respiratory compensation

18

What is winters formula

PaCO2 = 1.5 (HCO3) + 8
Used to calculate expected PCO2 during respiratory compensation for metabolic acidosis

19

What is Kussmaul breathing

Deep and rapid breathing
Seen in DKA

20

Tx for small, non-bleeding varices

Propranolol, Nadolol (non-selective B blockers)

21

Abdominal pain, constipation, and polydipsia, and polyuria think OD of what

Vit D leasing to hypercalcemia

22

Acute bleeding due to liver failure best treated with

FFP

23

Pain of hip osteoarthritis

Felt in groin, buttock, or pelvis and can radiate to lower thigh or knee

24

Negative predictive value varies with

Pre-test probability of a disease --> high probability leads to lower NPV

25

Does does a vitreous hemorrhage present? MCC?

Sudden loss of vision and onset of floaters
MCC is diabetic retinopathy

26

MPPx for meniere's attack

Avoiding triggers than increase endolymphatic retention
void alcohol, caffeine, nicotine, and foods high in salt and fat

27

ABI higher than 1.3 suggestive of

Calcified and incompressible vessels

28

When are seizures seen in EtOH withdrawal

12-48 hours

29

What does high progesterone in pregnancy help with

To inhibit uterine contractions

30

Most common thyroid cancer

Papillary

31

Head CT of rupture saccular or berry aneursyms

Acute bleeding in cisterns along the major proximal cerebral blood vessels arising from the circle of willis

32

Drugs that potentiate warfarin

Acetaminophen
NSAIDs
Amioderone
Antibiotics

33

What is rationalization

Offering a rational, logical reason for an upsetting event or behavior rather than admitting the true reason in order to avoid anxiety or protect self esteem
*Can't make appointment cause had to pick up kids*

34

What is internal tibial torsion

Physiologic finding in newborns, will usually self resolve

35

Central retinal artery occlusion tx

Ocular message and high-flow oxygen administration

36

Thalassemia what kind of disease

Hemoglobinopathy

37

What is the Thessaly,McMurray test

For MCL -=> palpable locking or catching when joint is extended while under load

38

Pt's with acute onset of back pain and profound hypotension should be evaluated for

Presumptive diagnosis of rupture abdominal aortic aneurysm

39

Congenital long QT tx

Beta blockers with pacemaker

40

Indinavir MOA and AE

Protease inhibitor
Crystal induced nephropathy

41

Didanosine AE

Pancreatitis

42

current gold standard for Spherocytosis

Eosin-5-maleimide binding test (flow cytometry) + acidified glycerol lysis test

43

What confirms the diagnosis of premature ovarian failure

FSH elevation in the setting of >3 months of amenorrhea in a woman under the age of 40

44

Consider glactosemia in who

Newborn with FTT, bilateral cataracts, jaundice, and hypoglycemia

45

Patients with galactokinase def present with

Cataracts only

46

RDS factors decide prematurity

Male sex, prenatal asphyxia, maternal diabetes, C-section without labor

47

Why is constipation a common problem in trainers

Transition to solid food and cow's milk
Toilet training
School entry

48

What comes before SJS/TEN

Acute influenza like prodrome

49

What is a cofounder

Extraneous factor which has properties linking it with exposure and the outcome of interest

50

Peritoneal part of the bladder

Bladder dome

51

Broad and waxy casts from

Chronic renal failure

52

Mobitz type 1

Progressive prolongation of the PR interval leading to a non-conducted P wave and a "dropped" QRS couples
Bening

53

What causes a mobitz type II

Block in the his-purkinje system below the AV node
Episodic and unpredictable absence of conduction b/w atria and ventricles

54

Pill esophagtitis scope

Discrete ulcers w/ relatively normal-appearing surrounding mucosa

55

Oral estrogen effect on thyroid meds

Increase levels of Thyroxine-binding globulin, which may lead to pt's w/ hypothyroidism needing higher levothyroxin doses

56

TCA overdose tx

Sodium bicarb to treat cardiac toxicity (prolonged QRS)
Benzos to treat TCA

57

Drug to add to metformin if A1c high and weight loss desired

Eventide, liraglutide (GLP-1 agonists)

58

Sulfonylureas AE

Weight gain and hypoglycemia

59

DM drug that can be used in renal insufficiency

Sitagliptin (DPP-IV inhibitor)

60

Warfarin inhibits what factors

II, VII, IX, X, C and S

61

Sinusitis tx

Amox/clavulonic acid

62

Think what with necrolytic migratory erythema, diarrhea, and weight loss

Glucagonoma

63

Hypertensive intracranial hemorrhage timing

Presents initially w/ focal symptoms, but can rapidly progress to signs of elevated ICP (vomitng, HA, decreased alertness)

64

What is lone a-fib

Pt's with paroxysmal, persistent, or permanent A-fib w/ no evidence of cardiopulmonary or structural heart disease

65

Next step is NST is non-reactive in pregnant patients with decreased fetal movement

Contraction stress test or biophysical profile

66

Normal contraction stress test indicates

Low likelihood of stillbirth within one week of the txt

67

Tx for NSAID induced dyspepsia

PPI
* h pylori testing for possible exposure pt's*

68

Triad of refeeding syndrome

Electorate depletion
Arrhtymias
Heart failure
*result from fluid and electrolyte shifts*

69

What is hemophilic arthorpathy

Caused by iron/hemosiderin deposition leading to synovitis and fibrosis within the joint

70

Hemophilic arthropathy ppx

Factor concentrates

71

Common cause of iron def anemia in elderly

NSAIDs (causing GI blood loss)

72

What causes the primary ovarian failure in turners

Gonadal dysgenesis

73

Zinc def features

Alopecia
Skin infections
Abnormal tase
Impaired wound healing

74

What is prolonged in Lupus AP

PTT
*will not correct if mixed 1:1 in normal plasma*

75

Survivors of sexual assault at high risk for

PTSD
Depression
Suicidality

76

Guillain-Barre tx

IV IG or plasmapharesis

77

workup of pt w/ first unprovoked VTE

Age appropriate screening and CXR

78

3 main complications with a high PEEP

1. Alveolar damage
2. Tension pneumothorax
3. Hypotension

79

Fundoscope of CMV retinitis

Fluffy, or granular retinal lesions near vessels
*usually painless*

80

HSV/VSV retitinitis in HIV pt's

Acute very painful retinal necrosis
Fundoscope: peripheral pale lesions and central retinal necrosis

81

AAA screening age

65-75 in all smokers/former smokers

82

Mediastinitis features

Fever, CP, leukocytosis, and mediastinal widening on CXR
*can also see sternal wound drainage*

83

Mediatsinitis tx

Drainage, surgical debridement, and prolonged antibiotic therapy

84

Why moderate Prolactin elevation in non-functioning pituitary adenoma

Disruption of dopaminergic neural pathways that normally suppress prolactin levels

85

What suspected appendicitis pt's should get imaging

1. Non-classic symptoms
2. Equivocal findings on initial assessment
3. Delayed presentation

86

What should be suspected in any BPH pt with AKI

Bladder outlet obstruction