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Flashcards in Core Competencies Deck (39)
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1
Q

What is a contraindication for taking sumatriptan (imitrex)?

A

Intermittent clarification

2
Q

Symptoms of adrenal insufficiency

A
Hyperpigmentation
Hypoglycemia 
Dehydration
Weight loss
Hypotension 
Tachycardia
3
Q

Symptoms of hypercalcemia

A
Bone pain
Muscle weakness
Joint pain
Lethargy 
Constipation
4
Q

What happens when the liver is unable to metabolize dextrose

A

Increased LFTs

5
Q

A decrease diffusing capacity of the lung for DLCO is seen in what?

A

Anemia

6
Q

Decreased FEV1, FVC, and increased FEV1/FVC is present in what?

A

Neuromuscular disease

7
Q

Intermittent segments of erosion in the small bowel is consistent with what disease?

A

Crohn’s

8
Q

Symptoms of SAH

A

Sudden severe HA photophobia vomiting and focal deficits

9
Q

What type of seizure is usually preceded by an aura

A

Complex partial seizure

10
Q

What symptoms are necessary to diagnose migraines

A

Unilateral in location and moderate to severe intensity

11
Q

Simple partial seizure description

A

No loss of consciousness

12
Q

What cranial nerve is activated in the migraine pathway

A

Cranial nerve V Trigeminal

13
Q

Adrenal insufficiency treatment

A

Combo of glucocorticoids and mineralcorticoids

14
Q

How to convert levothyroxine from IV to PO

A

Double the dose

15
Q

Iron deficiency

A

Hypochromic microcytic

16
Q

How to distinguish between iron deficiency anemia from anemia of chronic disease?

A

Ferritin and TIBC

Ferritin in high in ACD

17
Q

Hypochromic

A

Any type of anemia where the RBC are paler than normal

18
Q

Thalassemia

A

Microcytic
Hypochromic
Commonly found In Mediterranean populations

19
Q

Test used to diagnose sickle cell anemia

A

Hemoglobin electrophoresis

20
Q

Sideroblastic anemia diagnosis

A

Microcytic
Low reticulocyte count
CP and SOB

21
Q

How to correct respiratory acidosis in a ventilated patient

A

Increase RR
Tidal volume
Or both

22
Q

ACE I slows progression of renal failure in chronic glomerularnephritis by

A

Protein inhibition

23
Q

What force is known to produce traumatic Adonai injury

A

Shearing

24
Q

Nociceptor Pain

A

Aching sharp stinging throbbing

25
Q

Morphine to Fentanyl Ratio

A

1mg: 20mcg

26
Q

Symptoms of antihistamine toxicity

A
Confusion 
Hyperthermia 
Dilated pupils
Hypertension 
Tachycardia
27
Q

SIADH characterized by

A

NA < 130

Serum osmolality <280

28
Q

Hallmark lab for tumor lysis syndrome

A

Hypocalcemia

29
Q

Obturator Sign

A

Pain when the right hip and knee are flexed and right hip internally rotated

30
Q

What type of calcium is not used in TPN

A

Calcium chloride. Irritating

31
Q

What labs are recommended for TPN use

A

Weekly LFTs

32
Q

What macronutrient significantly increases the osmolarity of the TPN solution

A

Dextrose

33
Q

Complication of mitral stenosis

A

Right sided heart failure

34
Q

With ulcerative colitis you will most likely find what?

A

Positive pANCA and negative ASCA IgG

35
Q

What is the diagnostics study used to rule out diverticulitis

A

Barium enema

36
Q

What is a unique treatment for cluster headaches

A

100% oxygen

37
Q

Cluster headaches are characterized by

A
Nasal drainage 
Restlessness
Excessive tearing 
Lid drooping
Conjunctival retracting
38
Q

A life threatening cause of delirium

A

Hypoxia

39
Q

Adrenal insufficiency labs

A

Elevated BUN
Low sodium
High potassium