MISCELLANEOUS REVIEW 1-10 Flashcards Preview

FAMILY MEDICINE > MISCELLANEOUS REVIEW 1-10 > Flashcards

Flashcards in MISCELLANEOUS REVIEW 1-10 Deck (27):
1

Abdominal pain, diarrhea (non-bloody), weight loss...usually chronic...WITH PAPULOVESICULAR RASH...also presents with bloating, fatigue, and weakness

celiac sprue!
associated with gluten intolerance
dermatitis herpetiformis
can also present from vitamin deficiency secondary to fat malabsorption leading to osteoporosis (form vit d deficiency), easy bleeding (vit k def) and megaloblastic anemia (vit b12 and folate)

2

Types of neuropathies associated with DM

femoral neuropathy
diabetic polyneuropathy
meralgia paresthetic

3

Mononeuropathy commonly associated wth DM; unilateral decerased motor strength of leg and decreased sensation

femoral neuropathy

4

symmetric and distal limb sensory and otor deficitis

diabetic polyneuropathy

5

meralgia paresthetic

paresthesias but no motor defecit

6

Women who use low dose estrogen oral contraceptives have 50% lower risk of cancer of the....

OVARY

7

inflammatory disorder ours in elderly patients (self limiting).
Main feature if hip and shoulder/muscle pain as well as pelvis
also presents with systemic symptoms like malaise, fever, depression, weight loss, fatigue

polymyalgia rheumatica

8

Labs for polymyalgia rheumatica

ESR usually elevated

9

Treatment for polmyalgia rheumatica

Corticosteroids (until disease is over, self limiting; resolved usually in 1-2 years

10

Refeeding syndrome is characterized by potentially fatal shifts in fluids and electrolytes that ay occur in malnourished patients receiing artifical feeding. What electrolyte abnormality is is assocaited with

hypophosphatemia

11

how to reduce risk of oral candidiasis in patients with asthma inhaler

metered dose and spacer

12

When to be proceed with layrngoscopy for hoarseness

if hoarseness persists for 3 months or more

13

most common cause of right heart failure

LEFT HEART FAILURE

also myocarditis, pulmonic stenosis, and VSD

14

Infectious mononucleosis management

-NOT ANTIVIRALS (NO BENEFIT)
- supportive therapy (hydration, NSAIDS, throat sprays)
-

15

How to manage hypercalcemia of malignancy

-FLUID REPLACEMENT FIRST WITH NORMAL SALINE
-once patient is euvolemic, PAMIDRONATE is the mainstay of treatment

16

Myomectomy vs fibroid embolization for symptomatic uterine fibroids

myomectomy - for those who wish to become pregnant in future, but needs general anesthesia and blood transfusion more likely

embolization - shorter hospitalization, less time off work, no general anesthesia required, blood transfusion unlikely to be needed

17

Black leopard spotting on colonic mucosa

melanosis coli - benign condition resulting form abuse of antrhaquinon laxatives such as cascara, senna, or aloe

18

Valsalva usually decreases length and intensity of most murmurs except for

murmur of hypertropic obstructive cardiomyopathy and mitral valve prolapse (NOT INSUFFICIENCY)

19

Overweight 12 year old male presents with left hip pain that gradually starts after playing tennis (no injury recalled). He is now walking with limp (afebrile, limited internal rotation)

slipped capital femoral epiphysis


if fever? - think septic artrhtis

20

If a patient or nursing home resident is losing weight or has suffered acute change in ability to perform ADL, what is an option for nutrition?

PEG tube (percutaneos endoscopic gastrostomy)

this is very uncomfortable and agitating so restraints may need to be used

21

What is a high risk patient for colon cancer and when should they start being screened for colon cancer?

patient with a first degree relative diagnosed before age 60 or at least two relatives with colon cancer (regardless of age)

should start screening at 40 or 10 years before earliest age that relative was diagnosed...then rescreened

22

What drugs can cause pleurisy?

HYDRALAZINE

23

Pharmacologic therapy for WPW

Procainamide

avoid digoxin, adenosine, or CCBs like verapamil or amlodipine since they can bring about vfib

24

Which antibiotic is contraindicated in 2nd and 3rd trimesters of pregnancy for tooth discoloration of fetus

doxycycline

25

Patients should be screened for TB before starting which gout treatment?

anti tumor necrosis factor inhibiting agents like infliximab! which is used if methotrexate doesn't control disease...risk of reactivating TB

26

Cautious gait with visual impairment

wide stance, abducted arms and legs, "walking on ice", trying to avoid falls

27

Presentation of influenza and when to initiate treatment

sudden onset fever, malaise, myalgias, rhinitis, cough, sore throat, headache

if you suspect clinically, START TREATMENT IMMEDIATELY