6/14/13 (RTA) Flashcards Preview

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Flashcards in 6/14/13 (RTA) Deck (20):
1

Grief is only considered pathologic if it lasts longer than how long?

1 yr

2

chronic htn --> _______ --> LV diastolic dysfunction

concentric hypertrophy of LV

3

Wha tis the first-line tx of LV diastolic dysfunction d/t htn?

β-blockers

4

What types of sensations are lost in anterior cord syndrome?

pain and temp

5

What is the next step in a 46 y.o. pt presenting w/ classic signs of GERD?

endoscopy (anyone over 45 or w/ alarm Sx)

6

What is the next step in a pt 44 y.o. presenting w/ classic signs/sx of GERD?

trial of PPI

7

How is mood disorder w/ psychotic features different from schizoaffective disorder?

psychosis only occurs at the same time as mood disorder and mood disorder may occur in the absence of psychotic Sx

8

What classes of drugs may be used to tx akathisia from neuroleptics?

benzos or β-blockers

9

Name two drugs commonly used to tx neuroleptic malignant syndrome.

dantrolene and bromocriptine

10

What is the main tx for panic disorder?

SSRI and CBT

11

What may be added to SSRI and CBT for acute control of panic attacks?

alprazolam

12

What cyanotic congenital heart defect may appear with a lg supracardiac shadow along with a lg cardiac shadow (snowman) and increased pulm vascularity?

total anomalous pulmonary venous return (TAPVR)

13

What is the anatomical defect in total anomalous pulmonary venous return?

pulm v. drains into RV

14

What typically causes airway obstruction in mechanically ventillated pts?

mucus plug (d/t decreased mucociliary clearance)

15

_______ should be suspected in any pt w/ a non-anion gap metabolic acidosis and a urine pH >5.5.

Type 1 RTA

16

What is the defect in type 1 RTA?

inability to secrete H+ in distal tubule

17

What are clinical features of RTA type 1?

nephrolithiasis and nephrocalcinosis

18

What is the diagnostic test for type 1 RTA?

give acid

19

What is a positive result for type 1 RTA in the give acid test?

urine remains alkaline

20

What is the Tx for RTA type 1?

give bicarb!