6/13/13 b Flashcards Preview

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Flashcards in 6/13/13 b Deck (22):
1

What is the tx of choice for somatization disorder?

brief monthly visits w/ primary care physician

2

What personality disorder is common in male relatives of pts w/ somatization disorder?

antisocial p.d.

3

What personality disorder is common in female relatives of pts w/ somatization disorder?

histrionic p.d.

4

What kind of sx would usu. be found in conversion disorder?

pseudoneurological (e.g. mutism, blindness, paralysis)

5

What does "la belle indifference" refer to?

pts. w/ conversion disorder don't mind their (fake) disability

6

What is the primary gain of a conversion disorder?

keeps real problem out of pt's conscious awareness

7

Retinal hemorrhages in an infant are indicative of what?

shaken baby syndrome

8

What is found on bronchoalveolar lavage in amiodarone-induced restrictive lung disease?

foamy macrophages

9

What malabsorptive disease is associated w/ hyperpigmentation, lymphadenopathy, cardiac disease, and rheumatologic disturbances?

Whipple's disease

10

What is the etiology of pseudohypoparathyroidism?

mutant PTH receptor is non-functional

11

What is a normal jugular venous pressure range?

6-8 cm H20

12

What 2 classes of drugs are usef to treat akathisia resulting from the use of psychotropic medications?

β-blockers and anti-cholinergics

13

Cataplexy is characteristically associated w/ what disorder?

narcolepsy

14

What is the standard "triple therapy" protocol for H. pylori?

Amoxicillin, Clarithromycin, and a PPI

15

What can be used in place of amoxicillin in the triple therapy protocol?

metronidazole

16

What is naltrexone?

blocks μ-receptor in brain; reverses effects of opioids

17

What should you warn pts about before prescribing metronidazole?

disulfiram-like fx

18

What are the characteristic CXR findings of silicosis?

bilateral upper lobe involvement and "egg-shell" calcification of hilar lymph nodes

19

Pts w/ silicosis have 30 times the risk of contracting _______ and must be screened for it yearly.

TB

20

Pts w/ intracerebral hemorrhage usu. lose consciousness immediately. At what point do pts. w/ cerebellar hemorrhages lose consciousness?

when cerebellar tonsils herniate through foramen magnum

21

What should be done to treat intra-cerebellar hemorrhage?

immediate surgical evacuation

22

What are some (3) special clinical features of intra-cerebellar hemorrhage?

gait imbalance, gaze palsy, facial weakness