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Flashcards in Missed questions 3 Deck (52)
1

CHADS2 score >2 tx

warfarin or dabigitran

1 or 2 = asa or warfarin

2

Next step in pt w/ hemoptysis >600ml

Intubate & Bronch

3

Rubella vaccine right b4 pregnancy

Reassurance

Infection w/ rubella = abortion or IVIG

4

Pleural effusion w/ glucose <30

Empyema - WBC/bacteria

RA

5

Severe cough --> subcutaneous emphysema 1st step?

CXR to r/o tension pneumo

6

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

Necrotizing fasciitis

7

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

Erythema induratum = TB

8

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

AR

9

Arrest of labor timeframe
1. w/ adequate contractions (>200 montevideo)
2. poor contractions

1. 4+ hrs

2. 6+ hrs

10

Back and thigh pain hrs b4 menses

Primary dysmenorrhea = inc PGs

11

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

Circumstantiality

12

1st step in claudication work-up?

ABI - <0.9 = abnormal

13

Vulvar pruritis, thin white skin "cigarette paper"

Lichen SCLEROSIS --> punch bx for SCC

Tx = high steroid cream

14

Sinusitis, bronchiectiasis, situs inversus

Kartagener's

15

Work-up for minimal BRBPR <50 y/o

Anoscopy

16

CI to breastfeeding

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

17

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

Mild = albuterol + steroid

18

Daily asthma, weekly nighttime

Moderate = albuterol + steroid + long b2

19

Expansile and eccentric lytic are in distal femur

"soap bubble" = Giant cell tumor of bone --> surgery

20

Low complement GN

PSGN
Lupus
MPGN
Mixed cryoglobulinemia

21

Dense intramembranous deposits that stain for C3

MPGN = activation of alternative compliment pathway

22

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

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

23

Type of bilirubinemia if urine dipstick is +

Conjugated

24

Dullness on percussion w/ INC breath sounds

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