Firecracker Review 12/7 Flashcards Preview

Internal Med > Firecracker Review 12/7 > Flashcards

Flashcards in Firecracker Review 12/7 Deck (18):
1

Legionella risk factors

Recent hotel or ship cruise
Organ transplant recipient
Renal failure
Chronic lung disease
Smoking
Diabetes

2

drugs that can cause normal anion gap metabolic acidosis with HYPERKALEMIA and renal insufficiency

ACEI/ARB
Potassium-sparing diuretics (amiloride, triamterene, spironolactone)
Trimethoprim
NSAIDs
Cyclosporine

3

Hepatotoxic drugs

Acetominophen, Statins, Antibiotics - amoxicillin-clavulanate, isoniazid, Amiodarone, Antifungals, Valproic acid

4

normal anion gap metabolic acidosis with HYPOKALEMIC renal acidosis?

RTA1
RTA2
acetazolamide, topiramate, amphotericin B

5

tetanus management

benzos
human tetanus immune globulin
penicillin G or metronidzaole

6

treat hyperkalemia with

Insulin, Beta agonists

7

neprotoxic ATN causes

aminoglycosides >> Amphotericin B and Cisplatinum
Heavy metals: lead, mercury
Radiographic contrast media
Gram negative sepsis
Myoglobulinuria as a result of trauma / crush injuries or intense exercise (exercise-induced myoglobinuria).

8

ICU treatment for pneumonia

antipneumococcal β-lactam (cefotaxime, ceftriaxone, or ampicillin-sulbactam) PLUS either azithromycin OR respiratory fluoroquinolone (moxifloxacin, gemifloxacin, or levofloxacin).
OR
Aztreonam and a respiratory fluoroquinolone in penicillin-allergic patients.

9

A fib EKG

no p waves
narrow QRS

10

expansion acidosis

from normal saline administration

11

medications that can cause hyperkalemia

Digitalis, succinylcholine, ACEIs and ARBs, potassium-sparing diuretics, and NSAIDs

12

AKI: hypervolemia

decreased GFR, the kidneys secrete more renin, leading to increased angiotensin and aldosterone secretion.

13

myasthenia gravis associated with

Neuromyelitis optica
Autoimmune thyroid disease
Systemic lupus erythematosus
Rheumatoid arthritis.

14

PE later signs

respiratory alkalosis with hypoxia and hypocarbia, a loud P2 heart sound, and right heart failure.

15

cardiac symptoms of hyperkalemia

palpitations, syncope, sudden death

16

pre hepatic port HTN

portal vein thrombosis and schistosomiasis

17

intrahepatic portal HTN

cirrhosis, hepatitis B/C, primary biliary cirrhosis

18

posthepatic portal HTN

right-sided heart failure, Budd-Chiari syndrome, severe tricuspid regurgitation