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Missed questions 3 Flashcards

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1
Q

CHADS2 score >2 tx

A

warfarin or dabigitran

1 or 2 = asa or warfarin

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2
Q

Next step in pt w/ hemoptysis >600ml

A

Intubate & Bronch

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3
Q

Rubella vaccine right b4 pregnancy

A

Reassurance

Infection w/ rubella = abortion or IVIG

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4
Q

Pleural effusion w/ glucose <30

A

Empyema - WBC/bacteria

RA

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5
Q

Severe cough –> subcutaneous emphysema 1st step?

A

CXR to r/o tension pneumo

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6
Q

Recent leg trauma –> sudden pain, swelling –> purple, bullae and drainage

A

Necrotizing fasciitis

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7
Q

crops of small, tender, erythematous nodules on shins and calves

A

Erythema induratum = TB

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8
Q

Pounding, racing heart beat worse when supine or laying left side

A

AR

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9
Q

Arrest of labor timeframe

  1. w/ adequate contractions (>200 montevideo)
  2. poor contractions
A
  1. 4+ hrs

2. 6+ hrs

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10
Q

Back and thigh pain hrs b4 menses

A

Primary dysmenorrhea = inc PGs

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11
Q

Unnecessarily detailed answered that deviate from topic —> returns to topic (vs. tangentiality)

A

Circumstantiality

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12
Q

1st step in claudication work-up?

A

ABI - <0.9 = abnormal

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13
Q

Vulvar pruritis, thin white skin “cigarette paper”

A

Lichen SCLEROSIS –> punch bx for SCC

Tx = high steroid cream

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14
Q

Sinusitis, bronchiectiasis, situs inversus

A

Kartagener’s

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15
Q

Work-up for minimal BRBPR <50 y/o

A

Anoscopy

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16
Q

CI to breastfeeding

A 
Substance abuse including etOH
HIV
Breast herpes or VZV
Chemo
Untx TB
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17
Q

Asthma >2/wk, nighttime 3-4/mo

A

Mild = albuterol + steroid

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18
Q

Daily asthma, weekly nighttime

A

Moderate = albuterol + steroid + long b2

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19
Q

Expansile and eccentric lytic are in distal femur

A

“soap bubble” = Giant cell tumor of bone –> surgery

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20
Q

Low complement GN

A

PSGN
Lupus
MPGN
Mixed cryoglobulinemia

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21
Q

Dense intramembranous deposits that stain for C3

Study These Flashcards
A

MPGN = activation of alternative compliment pathway

22
Q

Drug to avoid/1st tep in management of STEMI in II, III, aVF + JVD, hypotension

Study These Flashcards
A

Inferior or RIGHT MI –> stop nitro & give NS bolus

23
Q

Type of bilirubinemia if urine dipstick is +

24
Q

Dullness on percussion w/ INC breath sounds

Study These Flashcards
A

Consolidation

25
1d post SAH complication | 3d post SAH complication
1 = rebleed 3 = vasospasm
26
Fetal macroglossus, umbilical hernia, hemihyperplasia (vs. hypothyroid)
Beckwith-Wiedman syndrome --> US for WILMS or hepatoblastoma
27
#1 nephrotic in adults & its complication
Membranous & renal vein thrombosis
28
Tx prolonged QT
Proper Ca, K, Mag | PROPANOLOL +/- pacemaker
29
Normal lecthin/sphingomyelin ratio
>2 if <2 and b/w 24-34 wks = give steroids
30
Tetrad: hyperCa, renal failure, anemia, bone lesions
MM - "CRAB" >4g gap in total protein and albumin* Inability to produce effective Abs --> recurrent infections
31
Small round hyperchromic RBCs w/o central pallor
Hereditary spherocytosis INC MCHC, RDW Coombs -
32
Absent CD55
PNH = complement destruction
33
#1 complication of PUD
Hemorrhage
34
Tx chronic HBV
Tenofovir or Entecavir
35
TPN complications
Central line infection = #1 Refeeding - HypoK, Mag, Phos Fluid overload
36
IC pt w/ rapidly progressing skin lesion --> nodules or bullae w/ central necrosis/blackness
Ecthymia gangrenosum = PA
37
Loss of radial pulse on inspiration
Pulsus paradoxus = TAMPONADE
38
ACTH cortisol excess vs. Adrenal cortisol excess in Cushing syndrome
ACTH --> hyperpigmentation, no dexa suppresion
39
Cervix 5cm but only 1cm more in 3 hrs next step?
Protraction = Amniotomy
40
Tense bullae
Bullous Pemphigoid
41
Man with staring spells, confusion and dragging leg afterword
Complex partial seizure = temporal lobe epilepsy
42
PAD ABI
0.9-0.4 <0.4 = severe ischemia
43
URI 2wks ago now experiencing CHF sx dx?
Myocarditis --> dilated cardiomyopathy
44
Kid w/ severe abd pain, vomiting blood, dark stool, low BP ingestion?
Iron toxicity
45
#1 sepsis in sickle cell
Strep Pneumo
46
When to give endocarditis ppx?
Prosthetic valves, prior IE, congenital heart disease ONLY - 1 dose amoxicillin NOT w/ bicuspid, or acquired valve disease
47
CCBs for rapid AFIB
Diltiazem | Verapamil
48
Pre-term labor --> pulmonary edema cause?
B-agonist (terbutaline, ritodrine) for tocolysis
49
Slow DM nephropathy
BP control.......<130/80 with ACE
50
Diarrhea (hypoK, Mag) + new AFIB tx w/ sotalol + sudden onset syncope cause?
Sotalol --> QT prolongation + hypoK --> torsades Tx = mag sulfate
51
Hormone responsible to GDM
Human placental lactogen
52
Tx hypersexual behavior, exhibitionism
Medroxyprogesterone acetate

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