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Family med > deck 37 > Flashcards

deck 37 Flashcards

(50 cards)

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1
Q

acute liver failure definition

A

acute onset of severe liver injury with encephalopathy + impaired synthetic function (defined as INR greater than 1.5) in a patient without cirrhosis or underlying liver disease

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2
Q

management of bone pain in prostate cancer patients

A

radiation therapy

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3
Q

USPSTF mammogram recommendation

A

biennial after age 50 to age 75

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4
Q

antibiotic regimen of choice for immunosuppressed patients with bacterial meningitis

A

cefepime + vancomycin + ampicillin

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5
Q

abx for meningitis age 2-50

A

vancomycin + 3rd generation cephalosporin

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6
Q

abx for meningitis age over 50

A

vancomycin + ampicillin + 3rd generation cephalosporin

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7
Q

splenic abscess presentation

A

fever + leukocytosis + LUQ pain

- can also develop left-sided pleuritic chest pain, left pleural effusion, and splenomegaly

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8
Q

most common cause of splenic abscess

A

infective endocarditis

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9
Q

preferred treatment for hep b

A

tenofovir (most potent drug with limited drug resistance)

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10
Q

when to treat hep B patients

A

1) acute liver failure
2) clinical cirrhosis
3) high serum hep B virus DNA

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11
Q

when use dependence is seen

A

Class I (especially IC) and Class IV (CCBs) antiarrhythmics

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12
Q

when use dependence is seen

A

Class I (especially IC) and Class IV (CCBs) antiarrhythmics

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13
Q

other common causes of pancreatitis

A

hypertriglyceridemia
drugs (thiazides, azathioprine, valproic acid)
infections (CMV, aspergillus, legionella)

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14
Q

autoimmune hemolytic anemia presentation

A

normocytic anemia + splenomegaly + reticulocytosis + jaundice

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15
Q

autoimmune hemolytic anemia presentation

A

normocytic anemia + splenomegaly + reticulocytosis + jaundice

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16
Q

treatment for AIHA

A

high-dose glucocorticoids

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17
Q

treatment for AIHA

A

high-dose glucocorticoids

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18
Q

other exam findings with OA

A
  • crepitus and pain with motion
  • small joint effusion without erythema or warmth
  • popliteal (baker) cyst behind the joint
  • varus or valgus angulation of the tibia
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19
Q

classic pes anserinus pain pt

A

obese female

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20
Q

pes anserinus presentation

A

insidious + pain worse overnight or in the morning

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21
Q

pes anserinus pain syndrome strongly associated with

22
Q

lumbar spinal stenosis pain etiology

Study These Flashcards
A

NOT cord compression

  • neurogenic claudication
  • considered subtype of OA
  • narrowing of the spinal canal leads to compression of lumbar nerve ROOTS
23
Q

lumbar spinal stenosis pain etiology

Study These Flashcards
A

NOT cord compression

  • neurogenic claudication
  • considered subtype of OA
  • narrowing of the spinal canal leads to compression of lumbar nerve ROOTS
24
Q

workup for patients with suspected secondary raynaud’s phenomenon

Study These Flashcards
A

UA
ANA and RF
ESR and C3/C4

25
common joint complication of sickle cell disease
osteonecrosis of the femoral head (end arteries supplying femoral head become occluded, leading to necrosis and collapse of periarticular bone and cartilage)
26
common joint complication of sickle cell disease
osteonecrosis of the femoral head
27
workup of patients with first unprovoked VTE
- need to be screened for cancer (colonoscopy) | - Scan if pt has symptoms of malignancy
28
when to work up VTE patient for coagulopathy
- age under 45, recurrent DVT, multiple or unusual sites of thrombosis, family history of VTE
29
most common cause of an isolated, asymptomatic elevation of alk phos in elderly patient
Paget disease of bone
30
paget's presentation
* **most patients are asymptomatic | - bone pain + HA + hearing loss + spinal stenosis + radiculopathy + long bone bowing/fracture + arthritis
31
paget's labs
- elevated alk phos + normal calcium and phosphorus
32
behcet's presentation
recurrent, painful oral ulcers + genital ulcers + eye lesions (uveitis) + skin lesions (erythema nodosum, acneiform lesions) + thrombosis
33
goal INR
2-3
34
acute treatment of DVT and PE
- Xa inhibitors are preferred (rivaroxaban, apixaban) (rapid onset and don't need lab monitoring). - also LMWH
35
when to use thrombolytics for patients with DVT/PE
Used for PE patients that are hemodynamically unstable
36
vertebral compression fracture presentation
acute back pain + point tenderness after strenuous activity + pain at night - decreased spinal mobility after bending, coughing, or lifting
37
trigger points in fibromyalgia
mid trapezius, lateral epicondyle, costochondral junction, greater trochanter
38
other way to differentiate upper vs. lower GI bleeding on labs
upper GI bleeds often lead to elevated BUN/creatinine ratio (increased urea production from intestinal breakdown of hemoglobin AND increased urea reabsorption in proximal tubule due to hypovolemia)
39
CD4 count at which CMV is common
very low, below 50
40
CMV colitis presentation
frequent small volume bloody stools + abdominal pain
41
management of CMV diarrhea
1) colonoscopy w/ biopsy | 2) need ocular exam to rule out concurrent retinitis
42
patellofemoral syndrome patient
chronic anterior knee pain in young women that is worse when climbing stairs with extension at knee
43
patellofemoral syndrome test
patellofemoral compression test (pain elicited by extending knee while compressing the patella) + reproduced while squatting
44
presentation of bacillary angiomatosis in HIV patient
bright red, firm, friable, exophytic nodules in HIV patient
45
bacillary angiomatosis treatment
erythromycin
46
where does eikenella corrodes live
anaerobe, common constituent of normal human oral flora
47
CLL presentation
- almost exclusively elderly patients | - marked leukocytosis + mature lymphocytes + smudge cells
48
associations of mallory-weiss tear
alcohol abuse + hiatal hernia
49
management of GI bleeder with depressed LOC and ongoing hematemesis
intubate (need to protect airway. hematemesis is a major risk for aspiration)
50
cardiac index
cardiac output divided by body surface area | - reduced in HF

Family med (48 decks)

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