8/3 Flashcards

1
Q

acute fatty liver of pregnancy signs

A

RUQ/epigastric pain, fulminant liver failure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

acute fatty liver of pregnancy labs

A
profound hypoglycemia
aminotrasferases X2-3
increased bill
thrombocytopenia
DIC
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

acute fatty liver of pregnancy management

A

immediate delivery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Sheehan’s clinical features

A

lactation failure(⬇️ prolactin)
amenorrhea, hot flashes, vaginal atrophy( ⬇️ FSH and LH)
anorexia and rapid weight loss with hypotension(⬇️ACTH)
decreased lean body mass(⬇️ GH)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

HELPP syndrome pathophys

A

systemic inflammation and platelet consumption

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

cancers that abirth control is preventative for

A

endometrial and ovarian

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

cancers birth control increases risk factors for

A

hepatic adenoma

cervical

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what margin to remove basal cell on neck

A

narrow

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

A-a gradient in interstitial lung disease

A

increased

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Paget’s disease labs

A

All phos: high
urine hydroxyproline: high
serum phos: normal
serum calcium: normal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

best marker for DKA resolution

A

serum anion gap

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

hard signs of vascular bleeding

A

bruits or thrills over the injury
expanding hematoma
absent pulses
cool extremities

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

hard signs of vascular injury + penetrating wound next step

A

Urgent surgical repair

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

symptoms of RA cervical Myelopathy

A

neck pain radiating to occipital region
slowly progressive spastic quadriparxsis.
painless sensory deficits in the hands and feet
respiratory dysfunctiom from vertebral artery dysfunction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Signs of RA cervical Myelopathy

A

protruding anterior arch of atlas
scoliosis with loss of cervical lordosis
UMN
Hoffmans sign-flicking the nail thing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what test might be false pos with antiphospholipid and what is the tx in pregnancy

A
  • VDRL

- antivoagulate with low molecular weight heparin

17
Q

rare oxytocin side effect

A

seizure 2/2 hypoNa

18
Q

lafy under 30 when do you follow up after draining simple cyst breast

19
Q

what complication can occur in FOOSH in older patients

A

rotator cuff tears- will have abduction and external rotation weakness, dx with MRi

20
Q

acid base change with pregnancy

A

Respiratory alkalosis-stimulated by progesterone

21
Q

RF for stress fracture

A

repetitive activities
abrupt increase in physical activity
inadequate calories or vit dfemale athlete triad

22
Q

morton neuroma stuff

A

pain between 3-4 toes on plantar surface with clicking sensation

23
Q

why is there bleeding in radiation proctitis

A

deceased rectal compliance

24
Q

utter-tonic agent c antra indicated with htn

A

methylergovine

25
utter-tonic agent c antra indicated with asthma
carboprost
26
mediastinal shift toward effected side
atelectasis
27
3 phases of treatment for cryptococcal meningitis
1. amphotericin B plus flucytosine for >= 2 weeks 2. high dose fluconazole >+8 weeks 3. maintenan fluconazole for ever or until CD4 greater than 100 for 3 months
28
PBC pathophys and sx
intrahepatic cholestasis due to autoimmune destruction of small bile ducts. Presents in middle aged women with fatigue pruritus, hepatomegaly and elevated all phos
29
long terms side effects of Hodgkins lymphoma tx
secondary malignancy and CV disease
30
TB Cerebrospinal fluid findings
⬆️ WBC(Lymphocytes ⬆️protein ⬇️ glucose
31
tuberous sclerosis inheritance pattern
AD
32
uncomplicated pyelonephritis abx
oral fluoroquinolone, Bactrim
33
acid base probs with salicylate toxicity
mixed responses all and met acid with oH often in the normal range
34
tx for stroke in sickle cell
exchange transfusion
35
worried about penile fracture what test
retrograde urethrography bc probably has urethral injury too. But after that go get some urgent surgery
36
what is elevated with leading cell tumor
estradiol- will have gynecomastia