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qs Flashcards

1
Q

complication of parvo b19 in sickle cell

A

aplastic crisis

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2
Q

tx flail chest assn significant injury or unstable vitals

A

intubation early

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3
Q

complications with subx and parasternal approach paracentesis

A

RA injury vs intermal mamary A and ptx

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4
Q

NNT

A

1/ARR

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5
Q

what med reduces renal failure and mortality in patients with SBP

A

albumin

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6
Q

which hernias are prone to strangulation

A

femoral and spengelian- MCC is indirect inguinak in men and women (mc women)

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7
Q

most pathognmonic finding for sarcoid

A

lupus pernio- violaceas raised plaques and nodeuls on cheeks nos and eyes

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8
Q

risk fators pre E

A

<18 >40, nulliparious, twin, obestiy, htn, dm

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9
Q

mechanism of nitrazine paper

A

vaginal fluid acidic, amniotic alklaine, nitrazine turns to blue pH >6.5, fluid also will FERN on a slide

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10
Q

endpoint of eye irrigation

A

ph 7.0-7.2

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11
Q

ppx for pertussis

A

Z pack

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12
Q

halflife of carboxyhb when on HF via NRB

A

90 minutes

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13
Q

tick RMSF

A

dermacentor

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14
Q

first line HTN AA

A

HCTZ

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15
Q

first line htn non AA and/or CKD

A

ACE/ARB

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16
Q

mc presenting sx bladder injury? what study

A

gross hematuria, retrograde cysto or CT cysto

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17
Q

tx breastfeeding jaundice

A

conintue BF

18
Q

tx erysipelas

A

can be malar rash, tx IV cef

19
Q

hallmakr of organic confusion

A

visual hallucination

20
Q

nerve injured in kids with supracondylar fx

A

median N

21
Q

what lab has high PPV for Biliary cause of pancreatiits

A

ALT

22
Q

when to Tx ITP? what meds

A

< 50k and active bleeding, IVIG steroids, < 20 k add platelets

23
Q

diseases that require N95`

A

measles, varicella, TB

24
Q

ehrliciosis - tick, locaiton, sxs, labs, tx

A

deer an dlone star, midwest/SE, leukopenia, TCP, elevated transaminase, fever RUQ pain, tx doxy/rifampin

25
Q

tx travellers diarrhea in pregnant women and children

A

azithro

26
Q

sxs ttp

A

CNS abn, renal patholgy, fever, anemia, TCP - tx plasmapheresis

27
Q

treatment of pulmnary HTN

A

hypotensive- early vasopresosrs- norepi- also supplementa O2, maintain coronary perfusion, dec RV afterload

28
Q

tx recurrent reynauds

A

nifedipine or amplodipine

29
Q

causes of TR

A

mcc pulm HTN causing RV and atrial dilatation, or structural like ebstein anomaly or endocarditis

30
Q

complication of acute hepatitis occuring 6-12 weeks later

A

aplastic anemia

31
Q

treatment of HTN Crisis in pheo and MAOI

A

phentolamine, use phenoxybenazmine for management and pre op

32
Q

tx in TLS to prevent renal failure

A

needs to tx Uric acid build up with allopurinol or rasburicase

33
Q

mcc rectal bleeding adults

A

hemorrhoids

34
Q

tx with tylnol OD presenting 8-24 hours after ingetstion

A

start NAC while awaiting level b/c NAC most effective in first 8 hours

35
Q

HIV and chronic watery diarrhea? white lesions on tongue tha cannot be scraped? intracranial lesions? neuro deficits and non-enhancing white matter lesions, dark puruple skin/mouth nodules

A

cryoptsporidium, hairy leukoplakie EBV, toxo (mc cNS not on ppx)/cns lymphoma, PML JC virus, kaposi,

36
Q

reversible causes of dementia

A

depresison, hypothyroid, b12 def, HIV, neurosypylis, OSA

37
Q

effect of HBO on CO poinsoning

A

dec neurologic seqwuelaue

38
Q

dementia plus visual hallucinations

A

lewy body

39
Q

n injury fibular head fx

A

peroneal n- deep peroneal sensation between first and second toe- extneson of toe, dorsifelxion of foot

40
Q

trousseau sign

A

tender migratory thrombophelbiits that acconpanbies cancer like pancreatic ca

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