6/22/13 a Flashcards Preview

STEP II > 6/22/13 a > Flashcards

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

Cirrhosis + platypnea and orthodeoxia =

hepatopulmonary syndrome

2

What is thought to cause hepatopulmonary syndrome?

inability of the liver to clear pulm vasodilators from circulation

3

EKG: Tall, broad R waves in V1, V2; ST dep in V-V3; and tall upright T-waves in V1-V3 indicate a _______ wall infarct.

posterior

4

Which vessel is infarcted in a true posterior wall infarct?

PDA

5

ST elevation in leads I, aVL, V4-V6 indicate a _______ wall infarct.

lateral

6

Which vessel is infarcted in a lateral wall infarct?

CFX

7

How much RhoGAM is administered to Rh (-) mothers at 28 wks and again at delivery (if uncomplicated)?

300 μg

8

If fetomaternal hemorrhage is suspected, but not confirmed, in an Rh(-) mother, what is the best next step?

rosette test on maternal hemorrhage to confirm or disprove

9

If there has, in fact, been fetomaternal hemorrhage w/ Rh(-) mother, what is the best next step?

Kleihauer-Betke stain using flow cytometry on maternal blood (to assess extent of hemorrhage)

10

After diarrhea and vomiting d/t viral gastroenteritis, what will the state of Na+ and osmalility be in the serum?

both low

11

What is the first-line tx of htn in pts w/ scleroderma w/ renal involvement?

ACE-Is

12

After ACE-Is, what type of antihypertensive drug should be given to scleroderma pts w/ renal involvement?

Ca++ ch. blockers

13

What drug is used for the PULMONARY htn of scleroderma?

Bosentan

14

Is laboratory confirmation necessary to make the Dx of early Lyme disease?

No! The Dx is clinical!

15

Is laboratory confirmation necessary to mae the Dx of late Lyme disease?

Yes!

16

What is the Tx of a neonate for gonococcal conjunctivitis? (include route of admin.)

systemic ceftriaxone

17

What is the treatment of choice for chlamydial conjunctivitis in the neonate? (Include roure of admin.)

systemic erythromycin

18

What 3 drugs may be used to treat UTI or asymptomatic bacteriuria in a pregg0rz woman?

fosfomycin, nitrofurantoin, or cephalexin

19

What kind of hypersensitivity rxn is contact dermatitis, as with nickel allergy?

delayed-type

20

Aside from hemorrhage, what are 2 complications associated w/ infantile hemangiomas?

cardiac failure and plt sequestration

21

What is the first line tx of infantile hemangiomas?

corticosteroids

22

Which artery supplies Broca's area?

MCA, left