Mksap 2 Flashcards by Leslie Blackshear

subacute cutaneous lupus

fewer than 25% get systemic symptoms

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ABI interpretation

<.9 = PAD, >1.40 = calcified, need toe brachial index. TBI<.7 is diagnostic - exercise testing useful if intermediate and high clinical suspicion

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CVID

age 15-25, recurrent encapsulated infections + giardia

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pencil in cup joint

psoriatic arthritis

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AAA screening

men 65-75 who have ever smoked: >5.5 surgery, 6 mo f/u 4-5.4, otherwise 2-3 years

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UTI in pregnancy

augmenting, nitrofurantoin, cefpodoxime

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burn degrees

second degree partial thickness = blisters because epidermis only; second degree full thickness = not painful bc through dermis. third = black

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RA rx

first MTX, then biologics like etanercept, infliximab, etcs

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portopulmonary syndrome

worsening hypoxia when sitting upright

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PFO closure ideal at what age?

<60, also give asa

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stool osmotic gap

> 100 = there’s another solute like sorbitol; calculate as 290-(2X stool Na+K)

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lung cancer screening

50-80 yo, 20 py hx, quit <15 years ago

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most appropriate OUD rx in primary care clinic?

Suboxone

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perioperative respiratory therapy

> incentive spiro

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situational syncope vs. vasovagal

situational = micturition, defecation, cough

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when TDAP in pregnancy?

27-36 weeks

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left posterior fascicular block

R axis

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measure what before starting statin?

ALT

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rx exercise induced asthma

diagnosed by 10% or more worsening of FEV1 with starting exercise; rx with albuterol or budesonide/formoterol before starting exercise

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rx hypothyroidism

25 mcg if older (>60) or CAD; for myxedema coma give steroids too

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abnormal pulsus

> 10

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hospitalize in pericaditis

Fever, subacute onset, A/C, lack of response to rx. Otherwise Rx is ibuprofen and colchicine

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valsalva impact on AS and HOCM

diminishes AS murmur, worsens HOCM murmur

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brugada on ekg

downsloping ST in V1-V3

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Hyperviscocity syndrome rx

plasmapheresis

goal of CABG

symptomatic improvement, not survival unless >70% 2 major vessels

increased risk of urothelial cancer as a young person

from herbal supplements/aristolochic acid nephropathy "Balkan Nephropathy" - also causes chronic interstitial tubular nephritis/CKD

GE Adeno mutation of interest?

HER2

BRAF

melanoma

EGFR

non small cell lung cancer

APML

violet granules, auer rods

ABPA lab finding

increased IgE both total and aspergillus specific

allopurinol hypersensitivity?

HLA B 58 - men of Chinese descent, can cause SJS

statins not enough?

ezetimibe to get <70, PCSK9 if that fails; icosapent ethyl is for TG

scleritis vs episcleritis

epi is ok, just blood vessels red, non-tender, scleritis is emergent - violaceous discoloration,

Thin glomerular basement membrane disease

(benign familial hematuria), collage deposition disorder, have hematuria, low risk of prog to CKD

steroids in alc help

Maddrey>32 or hepatic encephalopathy, cont 28 days. If not improving in 7, d/c

wegners rx

steroids + RTX or cyclophosphamide

Lyme CN palsy

doxy ok, for meningitis do CTX

urinary urgency rx

1) alpha blocke 2) anticholintergic

hypoparathyroidism and phos?

makes it high as it changes excretion in the intestine

rx DI

amiloride

2 AM testosterones

only if the first is low normal or low - and it's total T

CK in PMR?

normal

d dimer if high pre-test probablity

rx spherocytosis

folate! if severe splenectomy

ICD in HFrEF after MI

yes if still reduced EF at 90 days after revasc

diabetic retinopathy

hard exudate, microaneurysms, minor hemorrhages

screening EGD frequency

q3 years if none on imaging, q2 years if ongoing liver injury but none on imaging, q1 year if any varices

rx impending herniatin

head of the bed, mannitol, hypertonic, decompression

rx cold agglutinin hemolytic anemia

rtx

CVID

test for immunity to tetanus and pneumococcus

mitochondrial myopathy

fluctuating weakness, ophthalmoplegia, mulitorgan systems maternal inheritance vs. McArdle: exercise induced weakness and myoglobinuria

width of QRS for CRT

>150

cardiac vs liver ascites

protein>2.5 or <2.5

low grade neuroendocrine tumor

Well-differentiated, metastatic gastrointestinal neuroendocrine tumors are often indolent and asymptomatic and do not require immediate treatment.

low grade neuroendocrine tumor

Well-differentiated, metastatic gastrointestinal neuroendocrine tumors are often indolent and asymptomatic and do not require immediate treatment.

rx HAPE

(high altitude pulmonary edema) - descend to lower altitude; acetazolamide can prevent but not rx

how long dapt after stent

ideally 6 mo, ok for 3 if high risk of bleeding. drop the plavix

colon cancer mutation

mitchmatch repair (vs EGFR non small cell lung cancer, BRAF and KRAS also in colon cancer but not in stage I-III: only for metastatic

statin myopathy

CK can be normal. can cause weakness. Is #1 myopathy

seizure ppx in brain mass

only if it's caused a seizure, sometimes after resection

rx duration dvt

unprovoked "extended" provoked 3-6 mo

rx severe hyper TG

fibrate, goal is <500

gastroparesis rx

1) metoclopramide 2) erythromycin

rx hyperaldo?

spiro or eplerenone

screening in BRCA

annual mammo+MRI (mammogram is better for calcifications)

seizure rx in older adults

lamotrigine/keppra>valproic acid

#1 cause of postpartum MI

SCAD

ppx after bite

3-5 days augmentin if immunocomp

erythrodermic psoriasis

preceded by steroid withdrawal

empyema vs lung abscess

empyema is adjacent to the pleura, not parenchymal like a lung abscess

false positive HIV

get differentiation assay and then NAAT, if both negative then you are negative

antibody to the leucine-rich glioma inactivated 1 subunit of the voltage-gated potassium channel is positive

AI/paraneoplastic syndrome

Mksap 2 Flashcards

(74 cards)