Flashcards 4

Question 1

Lbs indication for cesarean delivery

Answer 1

> 9.9lbs

Question 2

Difference between myositis and Hypothyroid myopathy

Answer 2

Hypothyroid usually doesn’t have tenderness on exam and pain worse with exercise; both have high CK

Question 3

Charact of lichen planus

Answer 3

4Ps: pruritic, planar, polygonal and purple

Question 4

Charact of PSC

Answer 4

Cholestatic pattern usually in someone with UC

Question 5

Diagnosis in neonate with cyanosis and progressive respiratory distress after closure of ductus arteriosus

Answer 5

Hypoplastic left heart syndrome

Question 6

Tx of hypoplastic L heart syndrome

Answer 6

Immediate prostaglandin E1 to keep PDA

Question 7

Standard first pre-natal visit test

Answer 7

Rh type and Ab, Hgb, Rubella and varicella titer, UA, UCx, Syphilis, HIV, HepB, Chlamydia, Pap

Question 8

Dx of PCOS

Answer 8

2/3: Oligomenorrhea, hyperandrogenism, polycistic ovaries on US

Question 9

When to start tx for zoster

Answer 9

Within 72hrs

Question 10

Where are femoral hernias anatomically

Answer 10

below inguinal ligament, meidal to femoral nerve, artery and vein

Question 11

Reflexes in Guillan Bare

Answer 11

Diminished or abscent

Question 12

When to place pacemaker in SSS

Answer 12

If symtpomatic to episodes of bradychardia

Question 13

Symmetry in Parkinsons

Answer 13

Usually asymmetric features

Question 14

Urine casts in thromboembolism

Answer 14

eosinophils

Question 15

Treatment of postpartum thyroiditis

Answer 15

BB, antithyroid meds not helpful becuase the problem is the release, not the synthesis

Question 16

When to suspect vibrio

Answer 16

fish, oysters, fast septicemia and cellulitis

Question 17

Causes of hyponatremia with Urine osm>100 and low Urine Na

Answer 17

SIADH, Adrenal insuff, hypothyroidism

Question 18

When to give tetanus vaccine

Answer 18

If unknown satus, <3 doses and dirty wound given vaccine + TIG, if clean wound only vaccine. If >5years and dirty but all doses only vaccine. If >10 and clean then also

Question 19

When to use cipro for UTI

Answer 19

If acute uncomplycated PUELO (not for cystitis because of side effects).

Question 20

Osteomyelitis in patients with sickle cell

Answer 20

Staph and salmonella

Question 21

What is chronic pelvic pain syndrome/postatitis

Answer 21

Prostatitis w/ culture revealing >20 leukocytes but no microorganisms

Question 22

Most common congenital heart lesion in Down syndrome?

Answer 22

Endocardial cushion

Question 23

Charact of trastuzumab toxicity

Answer 23

Cardiac tox can end in heart failure but reversible after discontinuation (no associated with dose)

Question 24

NF1 vs NF2

Answer 24

1. Hyperpigmented spots, unilateral acoustic neuroma. 2. Hypopigmented, bilateral deafness

Question 25

What causes increase AFP

Answer 25

Open neural tube defects, ventral wall defects, multiple gestations

Question 26

What causes low AFP

Answer 26

Aneuploidy

Question 27

What is the Hawthrone effect

Answer 27

Changes in characteristic when someone know he/she its been observed

Question 28

When is rotavirus likely?

Answer 28

<2 years old

Question 29

Foul-smelling diarrhea

Answer 29

Giardia

Question 30

Charact of subgaleal hemorrhage

Answer 30

Rapidly explanding swelling that leads to hypovolemic shock from blood loss

Question 31

cephalohematoma vs caput secundum

Answer 31

cephalohematoma does not crosses suture lines

Question 32

Oppositinal defiant vs onduct disorder

Answer 32

Conduct involves cuelty, destruction of property and theft

Question 33

How to diagnose antisocial personality disorder

Answer 33

Conduct disorder before 15 and now >18 years old

Question 34

When to give antibiotics for rhinosinusitis

Answer 34

If not improving by 7-10 days

Question 35

What is interstitial cystitis?

Answer 35

Idiopathic bladder pain for >6 weeks and relieved with urination

Question 36

What medications can treat heart failure in pregnancy?

Answer 36

Loop diuretics, BB, hydralazine, nitrates and cardiac glycosides (digoxin)

Question 37

What gives the risk of heart block to fetus in moms with SLE

Answer 37

Passage of anti-SSSA or anti-SSB

Question 38

Side effect of stimulants in adults

Answer 38

increase in blood pressure and pulse

Question 39

Treshold for diagnsosi of PKD

Answer 39

Most patients if >60 require >4 cysts per kidney for diagnosis

Question 40

What are pragmatic trials

Answer 40

Those to test effectiveness and make sure an intervention works in real life

Question 41

What is pyomyositis

Answer 41

Purulent bacterial infection of the muscle

Question 42

Primary dysmenorrhea vs endometriosis

Answer 42

Pain in PD usually during and endometriosis usually before

Question 43

Who gets AAA screening

Answer 43

Men 65-75 with any smoking history

Question 44

Allergen most frequently associated with asthma

Answer 44

house dust mites

Question 45

Culture in reactive arthritis patients

Answer 45

Usually negative

Question 46

When to give GBS ppx

Answer 46

Unknown AND: <37 weeks, +18hours of ROM, intrapartum fever; otherwise if another GBS + pregnancy, or + culture

Question 47

Serotonin syndroe vs NMS

Answer 47

NMS does not involve neuromuscular hyperactivity

Question 48

Cold water irrigation in auditory canal

Answer 48

To the side of the stimulus

Question 49

Cord related to plantar flexion

Answer 49

L5-S2

Question 50

Cremasteric reflex level

Answer 50

L1-L2

Question 51

IF you have breasts menarche can wait until

Answer 51

15

Question 52

phase 1 trial

Answer 52

small number of healthy subjects to eval toxicity, max dose, adverse effects

Question 53

phase 2 trial

Answer 53

small number (hundred) of affected subjects to explore efficacy and optimal dose (safety)

Question 54

phase 3 trial

Answer 54

large number to compare treatments

Question 55

headache and unilateral horners

Answer 55

carotid artery dissection