6/21/13 b Flashcards Preview

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Flashcards in 6/21/13 b Deck (20)
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1
Q

What is the #1 killer of pts on dialysis?

A

CV disease

2
Q

MEN 2a and 2b are d/t mutations in the _______-protooncogene.

A

RET

3
Q

If a mechanically ventillated pt has a low PaO2, but also a low PaCO2, what 2 parameters could be increased to increase oxygenation?

A

FiO2 and PEEP

4
Q

High FiO2 can cause pulmonary oxygen toxicity. Therefore, the goal should be to keep the FiO2 below ___% at all times.

A

40

5
Q

If a mechanically ventillated pt’s PaCO2 were too high, what two parameters could you increase?

A

respiratory rate or tidal volume

6
Q

What is the mech of hypocalcemia following massive blood transfusion?

A

citrate chelates Ca++ out

7
Q

What are 3 Sx of hypocalcemia?

A

decreased DTRs, muscle cramps, and seizures (rare)

8
Q

Wha is the best step in Dx of cysticercosis?

A

ELISA for Abs

9
Q

An infant w/ lethargy, dehydration, NO diarrhea, and an enlarged ant. fontanelle points to a process located _______.

A

intracranially

10
Q

What are the drugs of choice in premenstrual dysphoric disorder or severe PMS?

A

SSRIs

11
Q

What is the first-line therapy for dysmenorrhea?

A

NSAIDs

12
Q

The history in a newborn of cyanosis on feeding which disappears upon crying is indicative of _______.

A

bilateral choanal atresia

13
Q

What are the abnormalities of thje CHARGE association?

A
Colobomas
Heart defects
Atresia, Choanal
Retardation (growth/mental)
GU abnormalities
Ear abnormalities
14
Q

What is the VACTERL assoc’n?

A
Vertebral defects
Anal atresia
Cardiac anomolies
Tracheo-
Esophageal fistula
Renal abnormalities
Limb defects
15
Q

Pt has pulm edema d/t LV failure and doesn’t improve w/ furosemide, nitrates, and morphine. What drug should be given now?

A

dobutamine

16
Q

Why is dobutamine used rather than dopamine in LV failure?

A

both are positive inotropes, but dobutamine dilates peripheral vasculature, while dopamine has a pressor effect

17
Q

What is the big risk adverse effect of Bleomycin or Busulfan?

A

pulmonary or retroperitoneal fibrosis

18
Q

What is the danger of CYsplatin?

A

hemorrhagic cystitis

19
Q

What is the danger of cytarabine?

A

eye problems (SIGHT-arabine will make you lose your sight!)

20
Q

How do you prevent the eye problems associated with cytarabine?

A

topical steroids