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Flashcards in Misc COMLEX Deck (87)
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1

Treatment for Toxoplasma gondii?

pyrimethamine and sulfadiazine

2

Tx of achilles tendon rupture?

Long-leg cast with plantar flexion x 6 weeks

3

ECG changes with hypomagnesemia?

U wave, prolonged QT --> torsades

4

Most common ECG finding in PE?

Sinus Tach (S1Q3T3 is specific but ONLY seen in massive PEs)

5

What is Scheuermann disease?

rigid thoracic kyphosis, vertebral wedging and degenerative endplates.
-tx: bracing in pre-mature skeletal bones
-OMT and PE in mature

6

What are the salter harris classifications?

S: slipped (type I) (through the cartilage of the physis)
A: above physis (type II)
L: lower physis (type III)
T: through or transverse or together (above and below) (type IV)
R: ruined or rammed (type V)

7

Tx of tinea versicolor?

Ketaconazole 2% cream or selenium sulfide 2.5% shampoo

8

First line tx of cocaine induced CP?

Benzo (Do NOT give beta blockers!)

9

LUQ pain and referred left shoulder pain? Cause?

-Kehr sign
-Splenic rupture

10

What is considered a positive TB test in patients who have AIDS, abnormal chest x-ray findings, have been in close contact with someone with active TB or immunosuppressed?

induration >5mm

11

What is considered a positive TB test in a patient that is a IVDA, nursing home resident, prisoner, homeless, health care provider?

>10mm

12

When does primary CNS lymphoma occur in AIDS patients?

CD4

13

Vitamin D deficiency that leads to defective bone mineralization and calcification of osteoid? (Pseudo fractures on x-rays)

Osteomalacia

14

What is the target INR in a patient on warfarin for PE prophylaxis after a total hip replacement?

2-3

15

Treatment for conjunctivitis in a neonate 5-14 days old?

Oral erythromycin (likely chlamydia)

16

Neonate 2-5 days old with mucopurulent discharge and eyelid swelling? Tx?

Gonococcal.
IV or IM ceftriaxone or cefotaxime

17

Difference between TEN and SJS?

SJS is 30% of the body

18

Common cause of constrictive pericarditis outside of the US?

TB!

19

What is the female athlete triad?

disordered eating, amenorrhea and low bone density (osteopenia/osteoporosis)
-problem: misperception of body image

20

Transient, monocular loss of vision lasting a few minutes followed by a complete recovery? Next test?

-amaurosis fugax
-duplex US of carotids (normally results from a retinal emboli dislodged from the carotid A)

21

Best test to confirm ascending cholangitis?

ERCP

22

Gene mutation associated with Rett Syndrome?

MeCP2

23

What diagnosis is commonly found with hypospadias?

Chordee (a ventral curvature of the penis).
-Also commonly seen with cryptorchidism and inguinal hernias

24

What is commonly found with epispadias?

bladder exstrophy

25

Attachments of the dura mater?

cranium, foramen magnum, C2, C3, S2

26

Smooth, polylobulated breast mass that rapidly expands? Tx?

phyllodes tumor
-Wide local excision (whether it is benign or malignant)

27

What should be suspected in a patient that presents with liver failure without an obvious cause?

Budd-chiari syndrome

28

When the cranial bones move into external rotation and flexion, which way does the sacrum move?

counternutation

29

What do these radiographic findings indicate: pneumobilia, radio-opaque mass in the bowel and dilated bowel loops proximal to the bowel?

gallstone ileus

30

What is the most concerning lab result in an asthma exacerbation patient?

Normal or elevated pCO2 on ABG in the setting of increased work of breathing = cannot maintain adequate ventilation