Misc 2 Flashcards

1
Q

preferred airway and CIs

A

orotracheal intubation

CI if severe facial trauma

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2
Q

CI to nasotracheal intubation

A

apneic / hypopneic

basilar skull fracture

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3
Q

contender enlargement of submandibular glands

  • dx
  • predisposing factor
A
sialadenosis
liver disease (etoh), malnutrition (DM, bulimia)
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4
Q

sxs of acute angle closure glaucoma

A

severe eye pain
nausea, vomiting
dilated pupil, nonreactive to light

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5
Q

sxs amarosis fugax

A

transient vision loss

papilledema

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6
Q

sxs central artery vein occlusion

A
cotton wool spots
swelling of optic disc
retinal hemorrhages
dilated and tortuous veins
painless vision loss
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7
Q

indications to look for secondary causes of hypertension

A

malignant HTN
resistant HTN
sudden increase
less than age 30 w/o fam hx

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8
Q

if patient has HTN, basic tests

A

EKG
lipids
BMP
UA

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9
Q

features of neurofibromatosis 1

A
cafe au lait
macrocephaly
feeding problems
short
learning disab
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10
Q

disorder that greatly resembles marfan’s, and some differences, and tx

A
homocystinuria
is autosomal recessive (not dom)
intellectual disability
thrombosis
downward lens dislocation (not up)
fair complexion
megaloblastic anemia
B6, B12, folate
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11
Q

systolic-diastolic bruits in abdomen

A

renal artery stenosis

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12
Q

MCCs of digital clubbing

A

lung ca
cystic fibrosis
right to left cardiac shunts

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13
Q

cyanide poisoning risk factors and tx

A

setting fires
mining
pesticides

sodium thiosulfate

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14
Q

patient greater than 40 and has diabetes.. start on what med

A

statin

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15
Q

when is transrectal ultrasound of prostate and prostate biopsy warranted

A

PSA persistently greater than 4

prostate nodules

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16
Q

serum sickness like reaction

  • causes
  • sxs
A

PCNs, ceph, TMP-SMX

fever, urticaria, arthralgias

17
Q

tx reactive arthritis

18
Q

tx diabetic retinopathy

A

argon laser photocoagulation

19
Q

tx of cancer related anorexia / cachexia

A

progesterone (megestrol acetate)

corticosteroids

20
Q

anesthetic agents that cause malignant hyperthermi

A

halothane

succinylcholine

21
Q

use of FFP

A

reverse warfarin anticoagulation

22
Q

features of myotonic dystrophy

A
facial weakness
hand grip myotonia
dysphagia
arrhythmias
balding
cataracts
testicular atrophy
23
Q

features of secondary amyloidosis

and tx

A
proteinuria or nephrotic syndrome
heart failure
neuropathy
organomegaly
bleeding
waxy skin

colchicine

24
Q

hepatorenal syndrome

A

liver dz
rising Cr
low proteinuria

25
hypertensive nephrosclerosis associated with
retinopathy LVH renal failure
26
causes of lactic acidosis
sepsis shock liver failure
27
tx of vaginismus
kegel exercises and gradual dilation
28
patient hypernatremic. ONLY time you give NS
if volume depleted and hemodynamically unstable
29
characteristics of angiofibroma
nasal obstruction visible nasal mass frequent nosebleeds can erode surrounding structures
30
when do you do acute med therapy for hyperkalemia
when greater than 7
31
first step when hyperkalemic
get EKG, then review current meds
32
most common causes of hyperkalemia
renal dz | meds