24 APR 2017 1137 MIX Flashcards
what is the initial diagnostic approach for upper airway cough syndrome (postnasal drip)?
- oral first gen antihistamine (chlorpheniramine)
- combined antihistamine-dcongestant (brompheniramine and pseudoephedrine)
what is the preferred method for evaluating pancreatic cancers in the head of the pancreas? what about in the body / tail?
- head: US
- body / tail: abdominal CT
can cervical biopsy be performed during pregnancy?
yes (if lesion has high grade features)
the presence of EBV DNA in the CSF is specific for:
primary CNS lymphoma
- HIV patient
- altered mental status
- weakly ring-enhancing mass usually solitary and periventricular
- EBV DNA in CSF
primary CNS lymphoma
septic emboli (eg from IVDU tricuspid valve disease) usually present in what part of the lungs?
periphery
pneumocystic jirovecii usually presents in HIV patients with CD4 counts under ________
200
how long does it take for ixodes ticks to feed before transmitting Lyme disease?
48-72 hours
what is the classic triad for congenital rubella syndrome?
- patent ductus arteriosus
- sensorineural hearing loss
- leukocoria (from cataracts)
congenital syndrome:
- hepatomegaly
- nasal discharge (snuffles)
- osteoarticular destruction
- maculopapular rash
congenital syphilis
what are the medication options for neuroleptic malignant syndrome?
- dantrolene
- bromocriptine
- amantadine
these are dopaminergic agents which reverse the dopamine blockade
what is cyproheptadine used for?
treats serotonin syndrome
what is the treatment for biliary atresia?
- kasai procedure (hepatoportoenterostomy, temporary)
- liver transplant (definitive)
when does breast milk jaundice appear? is it indirect or direct?
- second week
- indirect
what is the DLCO level in chronic bronchitis? emphysema?
- chronic bronchitis: normal DLCO
- emphysema: low DLCO
