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medicine > 9/15 > Flashcards

9/15 Flashcards

1
Q

when to use hypertonic saline

A

with patients with severe hyponatremia and symptoms (seizures/coma)

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2
Q

regular narrow complex tachycardia

A

SVT

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3
Q

treatment for hemodynamically unstable SVT

A

synchronized cardioversion

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4
Q

use for antiarrhythmics (amiodarone/procainamide)

A

wide complex tachycardia

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5
Q

medical treatment for SVT

A

adenosine

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6
Q

when to do unsynchronized cardioversion

A

pulseless cardiac arrest with shockable rhythm

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7
Q

treatment of SIADH

A

demeclocycline, blocks AADH

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8
Q

MOA of tolvaptan

A

V2 vasopressin receptor antagonist

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9
Q

test for lactose intolerance

A

hydrogen breath test

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10
Q

MEN1

A
  • parathyroid adenoma
  • pituitary
  • pancreas/gastric (ZE syndrome)
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11
Q

treatment for frostbite

A

warm water rewarming

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12
Q

triad of invasive pulmonary aspergillosis

A

fever, hemoptysis, and pleuritic chest pain

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13
Q

CT in invasive pulmonary aspergillosis

A

nodules with surrounding ground glass opacities

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14
Q

treatment for aspergillosis

A

vorconizole + echinocandin

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15
Q

haptoglobin

A

binds to free hemoglobin in blood, is lower in hemolytic disorders

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16
Q

presentation of dermatomyositis

A

symmetric proximal muscle weakness, erythematous rash on dorsum of finger (Gottron) and upper eyelids

17
Q

meds causing hyperkalemia

A
  • beta blockers - blocks beta2 mediated uptake
  • some diuretics
  • digitalis
  • cyclosporine - blocks aldo
  • heparin - blocks aldo
  • NSAIDs - decreased renal perfusion
  • bactrim - block sodium channel
18
Q

med avoided in acute glaucoma

A

atropine, can dilate and make worse

19
Q

meds used in acute glaucoma

A

mannitol, acetazolamide, timolol, pilocarpine

20
Q

COPD treatment

A 
Oxygen
Steroids
Nebs
Antibiotics
PPV
21
Q

septic pulmonary emboli on imaging

A

round alveolar infiltrates on CT

22
Q

treatment of testicular cancer

A

orchiectomy

23
Q

EKG findings of LVH

A

high voltage QRS, lateral ST depression, lateral T wave inversion

24
Q

presentation of coarc

A

epistaxis, headaches and limb claudication

25
Q

black box in PTU

A

liver injury and failure, but preferred in pregnancy

26
Q

serious side effect of hyperthyroid meds

A

agranulocytosis

27
Q

osmolarity equation

A

2NA + glucose/18 + BUN/2.8

28
Q

first line for fibromyalgia

A

TCAs

29
Q

false RPR

A

anti-phospholipid syndrome

30
Q

treatment of DVT

A

direct Xa inhibitors, fibrinolytics if hemodynamically unstable

31
Q

fat strnding

A

seen in pancreatitis

32
Q

drugs causing pancreatitis

A
  • diuretics
  • drugs for IBD
  • immunosuppressants
  • HIV meds
  • antibiotics
33
Q

most common site of ulnar nerve entrapment

A

medial epicondyle

medicine (24 decks)

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