Cases Flashcards

(80 cards)

1
Q

if the case is tension pneumothorax, what physical exam to do?
What to do to treat?
What to do after management?
How to correctly spell dianosis?

A

heart and lung exam
chest tube
Chest Xray
Tension Pneumothorax

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

what fluids to give for DKA?
what level of potassium to give replacement?
What potassium to give for DKA?
What insulin to give for DKA?

A

IV isotonic or normal saline
if potassium levels are less than 5.3, give
PO potassium chloride
Regular Insulin

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

What two exams to check in a lady presenting with Pre Eclampsia?
What 8 diagnostic tests?
What is the best med to treat hypertension?
what is the best med to give the baby?
What is the best med to give to prevent seuizures?
What is the cure for the condition?

A

pelvic exam and extremity exam
CBC, BMP, OB US, UA, Urine protein, LFT, Pulse Ox, Cardiac moniotor
IV Labetalol
IV Dexamethasone
IV Magnesium Sulfate
C section

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

what two exams to do for CHF?
Order of meds for hart failure to think of?

A

lung exam and heart exam
sodium restriction
Lasix
Ace
Coreg
Spironolactone

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

what two antibiotics I am going to choose for cholecystitis?
what is the surgical term I will use?

A

IV metronidazole and IV Rocephin
remove gallbladder

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

What two abx for bacterial meningitis?
What other med to give?

A

IV Vancomycin and Rocephin
IV Dexamethasone

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

if I have ACS on the test, what are the 6 meds to give?
What am I saying for procedure?

A

IV Morphine
PO Aspirin
Sublingual Nitroglycerin
PO Metoprolol
IV Heparin
PO Lipitor
angiogram

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

who to consult for subdural hematoma?

A

neurosurgery consult for hematoma

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

What two meds to give for Myasthenia Gravis?
What antibody?
What test to confirm diagnosis?
What tumor is associated with MG?

A

PO Prednisone and PO Pyridositgmine
Acetylcholine receptor
repetitive nerve stimulation
thymoma

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

what two conditions to think of with NSAID use?

A

gastritis and PUD

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

What test confirms sickle cell crisis?
what is the antibiotic of choice?
What 3 treatments in addition to abx for managemen?
what med to prevent this?
what type of hemoglobin does hydroxyurea stimulate?

A

Hemoglobin electrophoresis
IV Ceftriaxone
Oxygen, IV Morphine, IV normal saline
PO Hydroxyurea
Fetal

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

How to spell DT?
What to give to treat auditory hallucinations?
What med to give for alcohol abuse patients by blocking reward pathways?

A

Delirium Tremens
IV Haldol
Naltrexone

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

what 6 tests/labs to always order for TIA?
What % blocked do we intervene with carotid stenosis and what is the procedure?

A

CT Head without contrast
Echocardiogram
US Carotid
Lipid
A1C
EKG
over 70%
Endarterectomy

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

what does EGD show for Celiac?
what are the two serological antibody tests for celiac?

A

villous atrophy of small bowel
transglutaminase and endomysial

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

what lab test to confirm diagnosis of CF?
In patient’s 3-36 months with CF, what test to perform and why?
What to give for patient’s weight and oily stools?

A

sweat test
LP for meningitis
pancreatic enzymes

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

for PID, what type of ultrasound?

A

pelvic ultrasound

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

what to always think of with pancreatitis?

A

gallstones, alcohol, and triglycerides

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

first and second line treatment for edema and BP with PSGN?
How to spell PSGN?

A

IV lasix
IV Nicardipine
Poststreptococcal glomerulonephritis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What two abx to give for COPD exac?
What other 3 meds to give?
Counseling to patient?

A

IV Solumedrol
Inhaled Atrovent
Inhaled Albuterol
smoking

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

If i see viral meningitis, what two viruses am I thinking?
If it is west nile, what is the diagnosis?

A

Herpes Simplex virus
West Nile Virus
West nile encephalitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

what 3 meds to give for pericarditis?
If patient is unstable, what procedure to fix?

A

colchicine, ibuprofen, and Protonix
pericardiocentesis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

How to say abdominal CT for exam?

A

CT of abdomen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What are the 4 meds to give for TB?
What supplement to give?

A

rifampin
PZA
Ethambutol
INH
Pyridoxine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What dual therapy to give for MI?
What procedure?

A

dual anti platelet with aspirin and plavix
cardiac catheterization

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
first line diagnostic test for PVD?
ankle brachial index
26
what two meds to think of with hypertensive emergency? In pregnancy? What two meds to give for aortic dissection?
labetalol and Nicardipine Labetalol Labetalol and Esmolol
27
what does GBS stand for? are steroids given in GBS? What procedure to confirm the diagnosis?
gullian barre syndrome no EMG
28
what two meds to pick for CAP on test?
Augmentin or Rocephin
29
symptomatic new a fib, what to do right away to manage? what two meds to treat? long term treatment?
cardioversion cardizem and eliquis ablation
30
what two exams to do if I have male with sti symptoms?
genital exam rectal exam
31
what two meds outpatient to give for chlamydia? Gonorrhea?
azithromycin or doxy Ceftriaxone
32
what is the image name for trauma US? What is the treatment for tamponade? What is the surgery for tamponade for long term treatment?
FAST US pericardiocentesis pericardiectomy
33
What type of xray to remember for epiglottitis? two abx?
neck xray IV Rocephin and Vancomycin
34
if I have weakness, fatigue and concerning for cancer, what exam to do?
lymph
35
after getting backa tsh when checking for hypothyroidism, what to do next?
get a free t4
36
what is the non invasive test called to check for H pylori?
urease breath test
37
What are the sexually transmitted infections?
gonorrhea chlamydia hep b hep c HIV syphilis
38
what labs to order for Croup? What two meds to give for croup and their admin route? How many doses of one of them to remember?
none nebulized epinephrine PO Dexamethasone for only 1 dose
39
what two meds and routes of admin for lead poisoning? what to give for the seizures associated with lead poisoning?
IV EDTA IM Dimercaprol ID Lorazepam
40
what two meds to think of when treating graves and routes of admin?
PO metoprolol PO PTU
41
what term to use for ischemic bowel? What two abx>
ischemic colitis IV Zosyn and IV Flagyl
42
What med to try to pass baby during spontaneous abortion? What procedure if that doesn't work? What abx to give prophylactical after D and C? What med to give to reduce bleeding and shrink uterine size?
PO Misoprostol D and C PO Doxycycline PO Methergine
43
what is the cutoff pulse for CPR in pediatric patient? what to give for bradycardia in peds?
60 epi
44
what image to order to find the source of subarachnoid hemorrhage or ruptured aneurysm in brain?
MRA Brain
45
What is the most common cause of SJS? What bacterial infection can cause it and should always be tested for? 4 steps to managamanet? What med can be given in the early stages to stop progression?
Drug, Bactrim Mycoplasma pneumoniae stop drug, ICU, IV Fluids, Pain meds Cyclosporine
46
what meds to give to to push potassium into cells?
IV Insulin IV Dextrose Nebulized Albuterol PO Lasix
47
what is the term for esrd?
end stage renal failure
48
how to definitively treat normal pressure hydrocephalus?
VP Shunt
49
What is the referral for MDD with reason?
psychiatry for therapy CBT
50
What medicine will I type for MDD on exam?
sertraline
51
what is long term treatment for panic disorder?
SSRI and CBT
52
when answering arthrocentesis, what to include? What is the order of treatment for gout flare?
include the joint NSAIDS, colchicine, corticosteroids
53
what confirms diagnosis of giant cell arteritis?
temporal artery biopsy
54
what is first line treatment for a cluster headache? What is the med to prevent cluster headaches?
100% oxygen and then if that does not work use PO sumatriptan PO Verapamil
55
what lab value points to hemolytic anemia?
low haptoglobin
56
what is both diagnostic and therapeutic for intussusception? what can be done also for treatment?
barium enema air enema
57
what two head tests to order for seizure?
CT or MRI Brain EEG
58
what antibiotic to choose on the exam for pyelo?
IV Levaquin
59
what is first line treatment for crohns flare?
Prednisone or Budesonide
60
what to give for acute bacterial gastroenteritis or e coli diarrhea?
azithromycin
61
what is rotterdam criteria for PCOS? first line treatment for PCOS?
no ovulation, clinical signs of high androgen, polycystic ovaries by US, 2/3 combined oral estrogen progestin pill
62
what is treatment of choice for polycystic kidney disease? two specialists for the disease? what abnormality is associated with pckd? what to avoid with pckd?
captopril, ace urology and nephrology berry aneurysm contact sports
63
what med to give when finding out prostate cancer?
PO Leuprolide
64
what two antibiotics for toxic shock syndrome?
IV clindamycin and IV Vancomycin
65
what to give for vaginal atrophy? what to give for hot flashes?
vaginal estrogen Venlafaxine
66
how to spell out GBS?
guillain barre syndrome
67
what is the diagnosis of L5 in relation to the sacrum?
side bending is always the same as the axis rotation is opposite the sacral rotation
68
What is the most common sacral dysfunction in post partum patients?
bilateral sacral flexion
69
what is the treatment for intracranial hypertension?
PO Diamox
70
what two meds to treat RA?
PO Ibuprofen and PO Methotrexate
71
what image for AS? What two meds for AS?
pelvic xray NSAIDS and then infliximab
72
what are the lab values for insulinomas and what is gold standard diagnosis?
low glucose, high insulin, proinsulin and c peptide
73
low platelet, petechia, and had infection, what to always think of and what is first line treatment?
ITP PO Prednisone or IV Dexamethasone
74
what am I going to choose for DVT or PE
PO Eliquis
75
what to give and what route for acute agitation? What do antipsychotics do to EKG?
IM Haldol prolong QTC
76
which hepatitis can cause travel diarrhea? treatment for giardia?
hepatitis a po flagyl
77
what not to do for tension headache? treatments?
don't do imaging Tylenol or NSAIDS
78
What is immediate and what is long term treatment of BPH?
Flomax Finasteride
79
what to give with fluids for rhabdomyolysis
sodium bicarbonate
80