6/16/13 Flashcards Preview

STEP II > 6/16/13 > Flashcards

Flashcards in 6/16/13 Deck (19):
1

What is the best initial test for suspected renal artery stenosis?

Duplex Doppler US

2

What is the mgmt of (term) PROM?

induction of labor

3

What is the Tx of PPROM complicated by chorioamninitis?

Abx and induction of labor

4

What Abx are appropriate for chorioamnionitis?

genta/clinda

5

What are 3 signs of chorioamnionitis in a pt who has confirmed PROM and no URI/UTI?

uterine tenderness, maternal fever, fetal tachycardia

6

What is the mgmt of uncomplicated PPROM?

depends on gestational age

7

What is the mgmt of PPROM at <24 wks?

induce labor or send home for bed rest

8

What is the mgmt of PPROM at 24-35 wks (4 things)_?

1. admit
2. betamethasone
3. cervical cultures
4. ampicillin+erythro for 1 wk

9

What is the mgmt of PPROM if there is non-reassuring fetal feart monitoring?

deliver

10

What is the Tx of PPROM basically if there are any complications?

delivery

11

Auto accident in which the knees hit the dashboard runs the risk of what hip injury?

posterior dislocation

12

Which 2 ARBs are assoc'ed w/ the highest incidence of angioedema?

losartan and valsartan

13

What 2 Ag's characterize ALL?

CALLA and TdT

14

What is used for the prophylaxis of "meningeal leukemia" in ALL relapse?

intrathecal MTX

15

What is th BEST Dx test for ALL?

BM aspirate

16

Name at least 2 things that make acute fatty liver of pregnancy different from HELLP.

- hypoglycemia
- hyperbilirubinemia
- abnormal coagulation studies

17

What is the Tx for acute fatty liver of preg?

delivery (after maternal stabilization)

18

What is the most specific finding for RV infarction?

ST-elevation in right-sided V4 (V4R)

19

Why should nitrates and diuretics be avoided in RV MI?

they reduce preload!