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Misc Flashcards

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1
Q

How to diagnose chronic pancreatitis

A

MRCP or CT Abdomen

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2
Q

First line for bacterial conjunctivitis? In a contact lens wearer?

A

Erythromycin gtt

Ciprofloxacin gtt

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3
Q

Differentiate between Anticholinergic tox and Stimulant tox

A 
Anticholinergic = Dry Skin
Stimulant = Diaphoretic
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4
Q

Perioperatively - what risk factor predisposes the elderly to adverse drug events?

A

Multiple medications

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5
Q

What side effect should you watch for after thrombectomy?

A

Compartment Sydnrome

  • parasthesias
  • fasciotomy
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6
Q

What is the leading cause of dilated CM in South America?

A

Chagas (protozoa)

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7
Q

What findings do you see in Chagas

A

Cardiac aneurysm
V-Tach
Complete Heart Block

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8
Q

What is the most important factor in determining prognosis in patients with COPD

A

FEV1 % of predicted

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9
Q

Most common cause of nec fasc in healthy young people with preceding trauma?

A

Group A Strep (Zosyn or Carbapenem)

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10
Q

Broad Spec for Nec Fasc

A

Zosyn or Carbapenem
Vanc
Clindamycin

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11
Q

Strep vs Lyme arthritis

A

Strep - ESR > 60k, migratory polyarthritis, + fever

Lyme - Single joint, afebrile, well appearing

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12
Q

Drug-induced extrapyramidal symptoms, dystonia, akathisia, Parkinson’s-like

A

Metoclopramide/Reglan - central and peripheral D2 blocker

- Treat with IV diphenhydramine

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13
Q

Hand Foot and Mouth Disease

A

Coxsackie

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14
Q

Late-life (>65) depression is a risk factor for what?

A

Alzheimers and Vascular Dementia

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15
Q

POI

A 
No menses before 40
Turner
Fragile X
Autoimmune
Chemo/Radiation
Galactosemia
--Rx with estrogen
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16
Q

Risks associated with kidney donation in women

A

Gestational

  • Preeclampsia
  • G DM
  • G HTN
  • Fetal loss
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17
Q

Patients with acute diverticulitis who do not improve after 2-3 days of treatment should get what?

A

Repeat abdominal CT - evaluate for abscess, obstruction, or perforation

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18
Q

Strep Agalactiae

A

GROUP B STREP!!

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19
Q

ds-DNA correlates with disease activity of what?

A

Lupus nephritis

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20
Q

Treatment for Shingles

A

7 days of Valacyclovir if presents within 72 hours

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21
Q

The first step of HHS

A

Fluid resuscitation

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22
Q

Increased Hemoglobin A2 is associated with what

Study These Flashcards
A

Beta-thal minor

23
Q

Treatment of Tourettes

Study These Flashcards
A
  1. CBT (Habit)
  2. 2nd gen antipsychotic
  3. Alpha2 blockers - clonidine
24
Q

Pain with passive stretching is indicative of what?

Study These Flashcards
A

Compartment Syndrome

25
When should you hold Metformin
The day of contrast - resume 2 days later
26
1st line for heat stroke
Evaporative cooling
27
Risk factors for recurrence of acute otitis media
Absence of breastfeeding Day Care attendance 2nd hand smoking Pacifier use
28
Alternate options for SSRI induced sexual dysfunction
Mirtazapine | Bupropion
29
Patients with HIV who start HAART and present with worsening of infection have what?
IRIS
30
Bone care for patients on chronic steroids
- Lowest possible dose - Calcium and Vitamin D - Yearly dexa
31
Acute diarrhea with blood or mucus is likely due to
Bacterial infection
32
Carbamazepine side effects
Marrow suppression Hyponatremia/SIADH Mild Antichol (glaucoma, urinary retention, constipation)
33
Pain and stiffness in shoulders and pelvic girdle
PMR | **check for GCA
34
OM coverage in kids
Staph - Clinda/Vanc (MRSA) Nafcillin/Cefazolin (MSSA) | Salmonella (+SCD) - Ceftriaxone
35
Outpatient Staph (MSSA)
Keflex, augmentin, dicloxacin
36
First line for esophageal spasm
CCB (Diltiazem)
37
FOBT + Eosinophils Diarrhea +Travel/International
Intestinal helminths Treat with Albendazole **NO travel consider eosinophilic gastroenteritis**
38
Age for smoking screening CT
Age 55-80 | Current smoker or quit within last 15 years
39
Painful ulcers = *** | Painless ulcers = ***
Pyoderma gangrenosum (IBD, neutrophilic) Ecthyma gangrenosum (violaceous, raised borders, neutropenic - Pseudomonas bacteremia)
40
Dual Pseudomonal coverage
Zosyn and Gent (aminoglycoside)
41
Children at age 2 with < 50 words
Audiology evaluation
42
The most common inherited pro-coagulable condition
FVL
43
abdominal pain followed by bloody diarrhea
Acute colonic ischemia - hypovolemia
44
Severe abdominal pain, nml/mild abdominal exam
Mesenteric ischemia - usually emoblic | Dx: on CTA
45
Hyperthyroid post large contrast load
Iodine induced hyperthyroidism Rx Methimazole if severe or w/ heart disease BB if mild
46
orthostatic proteinuria
Elevated protein in those under 30 | Nml at night, high during the day - NTD
47
Tight glycemic control in T2DM helps prevent what
Microvascular complications | **No clear evidence for decreased macrovascular
48
What is excessive milk intake
> 24 oz/day of cows milk - if > 1 yo
49
Best antihypertensive in a patient with gout
Losartan
50
Lymphocyte predominant pleural effusions and adenosine deaminase elevation are indicative of what
TB - Need Pleural biopsy (Pleural granulomas)
51
Treatable risk factors for stroke
HTN*** DM Smoking Dyslipidemia
52
Most common cause of cellulitis? With abscess?
``` Strep Pyogenes ( Staph aureus (Keflex) ```
53
Cocaine-induced MI
No BB Benzos! + Nitroglycerin + ASA (cocaine is prothrombotic) Persistent - PCI
54
When starting amio what should you do to the warfarin dose
Decrease by 25-50%

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