8/6

Question 1

how does phenytoin cause anemia

Answer 1

⬇️ folic acid absorption

Question 2

what heart thing can carcinoid cause

Answer 2

tricuspid regurg

Question 3

carcinoid clinical features

Answer 3

skin flushing, telangiectasis, cyanosis
Diarrhea, cramping
valvular lesions
bronchospasm
niacin deficiency- dermatitis, dementia, diarrhea

Question 4

what is elevated in carcinoid syndrome

Answer 4

5-hydroxyindoleacetic acid

Question 5

tx for vasovagal

Answer 5

counter pressure techniques

Question 6

hyper homocysteine tx

Answer 6

B6

Question 7

patient’s in labor under 32 weeks need what 4 things

Answer 7

indomethacin:stops labor
bethamethasone: matures fetal lungs
Mg2+ decreases cp risk
Penicillin to ⬇️ GBS

Question 8

SE of indomethacin on mom and baby

Answer 8

premature closure od ductus arteriousus and oligohydramnios

Question 9

during stage 1b of labor how much change should be going on

Answer 9

1cm every 2 hours

Question 10

next best step with active phase arrest?

Answer 10

C-section

Question 11

contraindications to exercise in pregnancy

Answer 11

amniotic fluidmleak
cervical insufficiency
multiple gestations
placenta abrption or previa
premature labor
pre e or gestational hypertension
sever heart of lung disease

Question 12

for normal physiologic leukorrhea what is scene on micro

Answer 12

rare PMN’s and squamous cells

Question 13

can you continue breast feeding with mastitis and abx

Answer 13

sure

Question 14

complement levels mixed cryoglobunemia

Answer 14

⬇️

Question 15

tx fot legionella

Answer 15

respiratory fluoroquinolone or new macrolide

Question 16

small wound or swelling that rapidly progresses in someone with autoimmune disorder

Answer 16

pyoderma gangrenous, treat with steroids

Question 17

what’s the e one from human bite injury

Answer 17

Eikenella

Question 18

lv dysfunction post mi CI and Wedge pressure

Answer 18

CI ⬇️

Wedge pressure ⬆️

Question 19

if there is a mass and symptoms with rectal prolapse what’s the tx

Answer 19

surgery

Question 20

first line thing for knee arthritis

Answer 20

strengthen quads

Question 21

where is acute pain in popliteal cyst rupture

Answer 21

calf

Question 22

chronic lateral hip pain worse with hip flexion or laying on affected side dx

Answer 22

grater trochanter pain syndrome (trochateric bursitis)

Question 23

what groups get behcet’s

Answer 23

young adults

Turkish/middle eastern/asian

Question 24

behcet’s clinical findings

Answer 24

Recurrent oral aphthous ulcers
genital ulcers
eye lesions-uvitits 
skin lesions
thrombosis

Question 25

soap bubble in bone X-ray dx

Answer 25

giant cell tumor

Question 26

what is dupuytren's contracture

Answer 26

fibrosis of the palmar fascia, limits extension

Question 27

what is a sclera renal crisis and how do you treat it

Answer 27

acute onset of AKI and hypertension in patient with scleroderma, give ACEi

Question 28

Itchy in pregnancy with increased bile acids dx and tx

Answer 28

intrahepatic cholestasis of pregnancy, tx ursodeoxycholic acid

Question 29

contraindications to breast feeding

Answer 29

``` active untreated TB HIV Herpes boobs active varicella chemotherapy or radiation active substance abuse disorder ```

Question 30

endometrial cancer risk factors

Answer 30

``` obesity chronic an ovulation/PCOS nulpariety early menarche or late menopause tamoxifen ```

Question 31

tamoxifen class and SE

Answer 31

Selective estrogen receptor modulator. hot flashes venous thromboembolism endometrial hyperplasia and carcinoma

Question 32

what size hemothorax needs immediate thoracotomy

Answer 32

>1500ml

Question 33

barotrauma injury with TM rupture tx

Answer 33

leave it, it will get better probably

Question 34

list ALL the malignant hyperthermia things

Answer 34

sudden onset tachypnea, tachycardia, myoglobinuria, and muscle rigidity -NOT ALWAYS FEBRILE usually tachycardia sometimes hyperK