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Flashcards in med 2 Deck (99):
1

differentiating between crigler-najar type 1 and type 2 (besides ++bili in type 1)

type 2 is reduced in response to phenobarbital

2

treatment of TTP-HUS

plasmaphoresis

3

lung compliance in COPD

increased

4

test for lactase deficiency

hydrogen breath test

5

calcium, phos levels in Paget dz

normal!
alk phos, urine hydroxyproline are high

6

dx of SBP

>250 neutrophils in pericentesis

7

THE ONLY 2 murmurs that get LOUDER with decreased venous return

MVP and HCM

8

appearance of CMV esophogitis

deep linear ulcers in distal esophogus

9

NNT=

1/ARR

10

small red spots on adults

cherry angiomas

11

pH of pleural exudate (empyema)

acid (

12

dry and rough skin w/horny plates (lizard skin) slowly progressive into adulthood - worse when dry

ichtyosis vulgaris

13

glomerulonephritis after an infection
1st week, 10+ days

1st = IgA nephropathy
10 days and up = Postinfectious GN

14

ulcerative colitis w/signs of infection, sepsis

toxic megacolon (seen on AXR)

15

dz associated with mixed essential cryoglobulinemia

hep C

16

nephrotic syndrome associated with:
1) carcinoma
2)lymphoma

1)membranous
2)minimal change dz

17

drug to implement in AIDS with CD4 count below 50

azithromycin for MAC prophylaxis

18

tx for SIADH

demeclocycline

19

tx for central cs nephrogenic Diabetes insipidus

central = desmopressin
nephrogenic = HTZ

20

management of nephrotic syndrome with kid under 10

steroids (likely minimal change dz)
do biopsy if older or unresponsive

21

overdose
CNS depression, hyperthermia, ileus, dry MM, dilated pupils, QRS prolongation

TCA overdose

22

differentiating left vs right murmurs

All right are increased on inspiration (increased RA return)

23

tx of cat scratch fever

macrolides

24

pt ate fish
wheezing, flushing, rash
dx and tx?

scombroid
antihistamines

25

tx of chancroid

azithromycin

26

tx of lymphogranuloma venereum

doxy

27

recurrent genital and oral ulcers
uveitis
skin lesions

Behcet syndrome

28

schedule for vaccinations pre AND post splenectomy

14 days before
14 days after

29

size concerning for solitary pulmonary nodule (PET or excision)

greater than .8 cm

30

cafe au lait spots
bone lesions
precocious puberty
MEN neoplasms

McCune-Albright Syndrome

PPP
precocious puberty
pigmentation
polyostotic fibrous dysplasia

31

Von Recklinghausen dz

NF1 (cafe au lait and dermatic neurofibromas)

32

raised skin nodule w/buttonhole sign (umbilication when squeezed)

dermatofibroma

33

prolactin stimulated by (2)

serotonin and TRH

34

elevated DHEA-S

adrenal androgen tumors only

35

risk of AIDS at
200
100
50

PCP
toxo
MAC

36

tx for AIDS prophlaxis of MAC

azithromycin

37

1sr, 2nd, 3rd line prophylaxis for PCP w/AIDS

TMP-SMX
dapsone
atovoquone

38

criteria for sputum culture (2)

less than 12 squams
more than 25 polies

39

HAP (2) vs CAP

HAP
no hosp w/in 90 days
hosp less than 48 hours

40

path of TTP (beside -ADAMST17)

hyalin clots

41

tx of TTP

exchange transfusion

42

tx of ITP (4 lines of tx)

steroids
IVIG
splenectomy
rituximab

43

tx for early PBC

ursodeoxycholic acid

44

tx for dermatitis herpetiformis (besides gluten-free diet)

dapsone

45

blood complication of mono

AIHA

46

most common thyroid cancer

papillary

47

L/S ratio cutoff for lung maturity?

over 2 = mature

48

tx of beta blocker overdose

glucagon

49

age range for screening mammographies (USPSTF)

50-74

50

anasarca

generalized edema

51

artery for STEMI of II,III,aVF

RCA

52

tx for actinomyces

penicillin

53

the only condition that increases fremitus

consolidation

54

mobitz type I vs II heart blocks

wenckebach is 1
2 has randomly dropped beats

55

mutation in Marfan's

fibrillin-1

56

test to distinguish leukemoid rxn from CML

LAP is REDUCED in CML

57

tx for paget's dz

bisphosphonates

58

treatment for variceal bleeding:
prophylaxis
active bleeding

Beta Blockers for prophylaxis
octeotride for active bleeding

59

calculate an anion gap

na - (Cl+HCO3)

60

diarrhea
flushing
R. heart murmur

carcinoid syndrome (5-HT)

61

effect of +pH (alkalosis) on Ca

more binds to albumin
(ionized (the active form) is reduced

62

hepatolenticular degeneration aka

Wilson's dz

63

damage of methanol vs ethylene glycol

methanol damages eyes
ethylene glycol damages kidneys

64

nephrotic syndrome in a fat black man who uses heroin, has HIV

FSGS

65

nephrotic syndrome in woman with SLE, breast cancer

membranous

66

MEN1 (3)

pituitary
parathyroid
pancreas

67

MEN2a (3)

medulary thyroid Ca
parathyroid
pheochromocytoma

68

MEN2b (3)

medullary thyroid Ca
mucosal (oral)
pheo

marfan's

69

medical (rx) tx of acromegaly

octreotide

70

concerning size for incidentiloma of adrenal

4 cm

71

confirmation of primary aldosterone tumor with aldo:renin ratio above 20)
Test then after visual confirmation (1 each)

salt suppression test
adrenal vain sampling

72

inferior MI

2 drugs to NOT give

nitrates, diuretics

(use IVF - don't reduce preload)

73

tx for mucormycosis (rhizopus)

amphotericin

74

kussmaul's sign

paradoxical JVP rise on inspiration
RVF

75

acute tx of symptomatic hypercalcemia (2)

IVF first
calcitonin (if SUPER high) or bisphosphonates (preferred)

76

long term tx of hypercalcemia

bisphosphonates

77

patient w/hypercalcemia, hyperphos. and a granulomatous dz. what test?

1,25 Vit D

78

FiO2 range to maintain during intubation

below 40%

79

sequence (2) of salicylate toxicity

respiratory alkalosis
metabolic acidosis

near normal pH!

80

approach to suspected renal cell carcinoma

nephrectomy
NOT bx

81

Sx of retinal detachment vs central arterial occlusion

Curtain falling down. Permanent is retinal detachment. Coming and going is amarosis faugaux (artery occlusion)

82

osteitis deformans

Paget's dz of bone

83

low T3
someone who is very sick

sick euthyroid syndrome

84

AIDS drug that induces liver failure

neviripine

85

NRTIs general side effect

lactic acidosis

86

3 tx for thyroid storm (besides cooling)

1. beta blockers
2. PTU/methimazole
3. IV steroids

Iodine ablation or surgical removal is for long term therapy

87

risk of iodine ablation in graves
and what to do about it

worsening opthalmology
pre-treat w/steroids

88

D-xylose test is for
(ingestion then measuring in urine)

proximal small intestine dz
(like celiac)

89

2 further tests after dxing ITP

HIV, Hep C

90

Association of porphyria cutanea tarda

Hep c

91

diastolic murmur w/opening snap

mitral stenosis

92

initial tx of mitral stensosis

balloon valvuloplasty

93

leg lift during auscultation effect

increase preload (like squatting)

94

increased MCHC - 2 disorders

hereditary spherocytosis
sickle cell dz

95

IBD person in rough shape
test and condition to consider

AXR
toxic megacolon

96

hepatorenal syndrome

renal failure secondary to liver dz

97

tx for hepatorenal syndrome (3)

pressors w/albumin (acute) OR
midodrine, octreotide, albumin

98

a marble-like breast mass in a young woman that DOES NOT change with the menstrual cycle

fibroadenoma

99

vaginal pH dx cutoff for premenopausal woman

4.5
greater = infection (BV or trich)
less= candidiasis or healthy