ABEM Recert Exam pt. 7 Flashcards Preview

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Flashcards in ABEM Recert Exam pt. 7 Deck (20)
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1

What heart murmur is associated with hemoptysis?

Mitral stenosis

2

What is the pathophysiology of HAPE?

Pulmonary vasocontriction --> pulmonary HTN --> pulmonary edema

3

What are the risk factors for developing TRALI (transfusion associated lung injury)?

SIRS/Sepsis
Trauma
Massive transfusion

4

How does the application of ice packs affect myasthenia gravis?

Improves it

5

Most drownings are (dry/wet) drownings

90% are wet
Causes a deficiency of surfactant and atalectasis

6

Pathophysiology of wet drownings

Deficiency of surfactant and atalectasis

7

Biomarker for ovarian CA

CA 125

8

Biomarker for colorectal CA

CEA

9

Biomarker for pancreatic CA

CA 19-9

10

Meniere's disease rx

Salt restriction
Diuretics

11

What is seen with CN III palsy?

Eye is down and out
If pupil is spared, it's usually from ischemia
If pupil is involved, it's usually from herniation

12

What is seen with CN IV palsy?

Vertical diplopia (eyes can't move upward together)

13

What is seen with CN VI palsy?

Can't abduct eye (can't move outward)

14

Causes of SAH

1. Ruptured aneurysm (most common is anterior communicating artery in Circle of Willis)
2. Leaking AVM
3. Peri-mesencephalic bleed

15

What vessel is most often involved in SAH from ruptured aneurysm?

Anterior communicating artery in Circle of Willis

16

Si/sx of Wernicke's encephalopathy

Classic triad is:
1. Confusion
2. Ataxia
3. Ophthalmoplegia

17

Cause of Wernicke's encephalophathy

Thiamine (vit B1) deficiency

18

Where are most ectopic pregnancies located?

In the ampulla of the fallopian tubes (called ampullary ectopics)

19

Two types of urethral injuries and causes of each

Anterior (usually from direct trauma to urethra, like straddle injuries)
Posterior (usually from pelvic fractures)

20

Acute mechanical complications in recent post MI patient

1. Rupture of LV free wall
2. Rupture of intraventricular septum
3. Acute mitral regurgitation