Flashcards in Misc COMLEX Deck (87)
Treatment for Toxoplasma gondii?
pyrimethamine and sulfadiazine
Tx of achilles tendon rupture?
Long-leg cast with plantar flexion x 6 weeks
ECG changes with hypomagnesemia?
U wave, prolonged QT --> torsades
Most common ECG finding in PE?
Sinus Tach (S1Q3T3 is specific but ONLY seen in massive PEs)
What is Scheuermann disease?
rigid thoracic kyphosis, vertebral wedging and degenerative endplates.
-tx: bracing in pre-mature skeletal bones
-OMT and PE in mature
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)
Tx of tinea versicolor?
Ketaconazole 2% cream or selenium sulfide 2.5% shampoo
First line tx of cocaine induced CP?
Benzo (Do NOT give beta blockers!)
LUQ pain and referred left shoulder pain? Cause?
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?
What is considered a positive TB test in a patient that is a IVDA, nursing home resident, prisoner, homeless, health care provider?
When does primary CNS lymphoma occur in AIDS patients?
Vitamin D deficiency that leads to defective bone mineralization and calcification of osteoid? (Pseudo fractures on x-rays)
What is the target INR in a patient on warfarin for PE prophylaxis after a total hip replacement?
Treatment for conjunctivitis in a neonate 5-14 days old?
Oral erythromycin (likely chlamydia)
Neonate 2-5 days old with mucopurulent discharge and eyelid swelling? Tx?
IV or IM ceftriaxone or cefotaxime
Difference between TEN and SJS?
SJS is 30% of the body
Common cause of constrictive pericarditis outside of the US?
What is the female athlete triad?
disordered eating, amenorrhea and low bone density (osteopenia/osteoporosis)
-problem: misperception of body image
Transient, monocular loss of vision lasting a few minutes followed by a complete recovery? Next test?
-duplex US of carotids (normally results from a retinal emboli dislodged from the carotid A)
Best test to confirm ascending cholangitis?
Gene mutation associated with Rett Syndrome?
What diagnosis is commonly found with hypospadias?
Chordee (a ventral curvature of the penis).
-Also commonly seen with cryptorchidism and inguinal hernias
What is commonly found with epispadias?
Attachments of the dura mater?
cranium, foramen magnum, C2, C3, S2
Smooth, polylobulated breast mass that rapidly expands? Tx?
-Wide local excision (whether it is benign or malignant)
What should be suspected in a patient that presents with liver failure without an obvious cause?
When the cranial bones move into external rotation and flexion, which way does the sacrum move?
What do these radiographic findings indicate: pneumobilia, radio-opaque mass in the bowel and dilated bowel loops proximal to the bowel?