6/15/13 Flashcards Preview

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Flashcards in 6/15/13 Deck (20):
1

What is the first step in Tx of a large breast tumors that is fixed to the chest wal or has extensive nodal involvement?

preoperative chemo

2

lateral epicondylitis results from small tears in the common extensor tendon of the forearm, esp. the tendon of the _______ muscle.

extensor carpi radialis brevis

3

In a pt. w/ cholecystitis, what does "reflection from the gallbladder wall" on US indicate?

emphysematous cholecystitis

4

What is the Tx for emphysematous cholecystitis?

immediate cholecystectomy and broad spectrum Abx

5

What is the first step in any symptomatic spinal cord injury/lesion?

hi-dose IV steroids

6

What is the first step in a pt. w/ Hx of cancer presenting w/ back pain, even if there are no neuro deficits?

MRI

7

What serum chemistry abnormalities (3), aside from hyperuricemia, are found in tumor lysis syndrome?

hyperphosphatemia, hypocalcemia, and hypperkalemia

8

What is the mech of hypocalcemia in tumor lysis syndrome?

phosphate causes it to precipitate

9

What is the most important initial test in the Dx of meningitis?

CSF WBC count

10

Where do you usually find bacteroides?

oral cavity

11

What kind of Abx are used to Tx nocardiasis?

sulfa drugs (e.g. sulfadiazine or TMP-SMX)

12

How does Actinomycyes differ from Nocardia?

not acid-fast

13

Tx for spontaneous bacterial peritonitis?

cefotaxime + albumin

14

What happens to S1 in early mitral stenosis?

increases in intensity

15

Why isn't hyporeflexia found in cauda equina syndrome?

LMN lesion!

16

Which test gives the earliest definitive evidence of a fetal chromosomal deficiency at 10-12 wks?

CVS

17

What is the main risk of chorionic villus sampling?

transverse digital deficiency

18

It is abnormal if breast development has not begun by the age of ___.

13

19

it is abnormal if menarche has not begun by age ___.

15

20

When should screening for type 2 DM begin? What is the screening test?

45 yo; fasting serum glucose