UWorld_6.22 Flashcards
1
Q
Anticholinergic toxicity presentation
A
- hyperthermia
- mydriasis
- delirium (pupillary dilation)
- urinary retention
- dry mouth
- decreased bowel sounds
2
Q
TCA toxicity presentation
A
- CNS depression
- cardiac arrhythmias
- hypotension
- anticholinergic signs (flushing, hypertherm, mydr, urine retention)
3
Q
Caustic poisoning presentation
A
- no alteration in consciousness
- dysphagia, severe pain
- heavy salivation, mouth burns
- can lead to perforation of esophagus/stomach
4
Q
Fat embolism ==>
A
- dyspnea
- confusion
- petechiae @ upper body
5
Q
Management of TCA overdose
A
- O2/intubaion
- IV fluids
- activated charcoal @
6
Q
Most common causes of bacterial rhinosinusitis
A
- s. pneumo
- h. influenzae
7
Q
Characteristics of physiologic jaundice of newborn
A
- unconjugated hyperbilirubinemia 2/2:
1. RBC turnover
2. slow enzymes (hepatic UGT); esp. @ asian newborns
3. enterohepatic recycling
8
Q
Pediatric murmur: holosystolic murmur @ lower left sternal border?
A
VSD
9
Q
COPD exacerbation manageent
A
- O2 +/- NPPV +/- intubation
- inhaled bronchodilators
- systemic glucocorticoids
- abx if >= 2 cardinal sx (azithromycin)
- oseltamivir if evidence of influenza
10
Q
Noncaseating vs. caseating granulomas
A
- caseating ==> TB
- noncaseating ==> sarcoid
11
Q
Dx of sarcoid
A
- hx: multisystem dz
- CXR w/hilar adenopathy w/ or w/out reticulonodular infiltrates
- noncaseating granulomas
- elevated ACE
12
Q
Tx of sarcoid
A
steriods
13
Q
Characteristics of Eaton-Lambert syndrome
A
- assoc. w/SCC
- autoantibodies @ voltage-gated calcium channels of presynaptic motor n. terminal ==> weakness
14
Q
Normal GFR
A
- 90 - 120 ml/min
- renal dz @
15
Q
Anticoagulation of choice in renal insufficiency
A
-unfractionated heparin > LMWH/rivaroxaban/fondaparinux
