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Flashcards in NBME 7 Deck (55)
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1

what is mupirocin

topical treatment for impetigo

2

what is triamcinilone

glucocorticoid topical treatment

3

how does a pt with diabetes insipidus present

hypernatremia with dilute urine and polyuria

4

what do you give to someone in an acute gout flare

you start with NSAIDs and try Celecoxib and then Indomethacin
if those dont work then move on glucocorticoids

5

pts with Crohns disease comes in with abdominal pain, n/v, and tender abdomen

likely due to stricture from crohns
-creating a small bowel obstruction

6

patient who looks like it might be pyelo but they have pain thats reponsive to morphine, what do you think of

kidney stone

7

what should you look at if an inpatient person suddenly has a decrease in renal function

check to see if they had any angiography or anything with contrast done cause this can mess up the kidney
-prevent kidney damage by these with extra hydration

8

what is becks triad and how do you treat it

becks triad: hypotension, JVD, muffled heart sounds (also electrical alternans)
-this is for cardiac tamponade
-treat it surgically by creating a pericardial window to drain the fluid

9

whatre the PAIR diseases (spondyloarthopathies)

Psoriatic arthritis: arthritis and nail pitting
Ankylosing spondylitis: back pain with morning stiffness relieved by exercise (bamboo spine)
IBD-related: enteroarthropathies, bilateral arthritis
Reactive arthritis: cant pee, climb a tree, see

10

what part of the aorta is most likely to get ruptured in a accel-decel MVA

thoracic aorta

11

baby to be born from someone who has herpes (no active lesions)

-give acyclovir at 36 weeks
-if they have active lesions then do c-section
-if no active lesions then do vaginal birth

12

drug intoxication in a person with nystagmus... what drug do you think of

PCP

13

when a pt has an infection what happens to glucose

increases in the blood stream so you have a higher need for insulin (if diabetic)

14

any sort of dental work mentioned in a person with an artificial valve, what do you think of

strep viridans

15

what electrolyte abnormality can cause PVCs

hypokalemia
-especially in someone taking digoxin cause there is more digoxin binding to Na/K pump leading to cardiac dysfunction

16

just b/c a pt had a cholecystectomy doesnt mean they wont have a residual stone, what do you do if this person develops RUQ pain, fever, and jaundice?

this is charcots triad for acute cholangitis
-get ERCP

-if they also had altered mental status and hypotension that would be reynolds pentad

17

thoracostomy vs cricothyrotomy

thoracostomy = chest tube
cricothyrotomy = throat tube to establish airway

18

how long does staph aureus food poisoning last

resolves within 24 hours

19

cramping abdominal pain and watery stool for 4 days with no pmns in the poop

ETEC
(also possibly vibrio, cereus, or giardia depending on the story)

20

patient with lyme disease and you want to protect the heart, what do you give

amoxicillin to treat the lyme disease
(give doxy as first line unless its not an option or its a pregnant lady or child under 8)

21

compare and contrast ABO vs Rh incompatibility in newborns with jaundice and high bilirubin levels

ABO incompatibility is not as severe as Rh cause ABO antibodies are IgM and dont cross the placenta but Rh is IgG and does cross the placenta
-if they say anything about an edematous baby then think Rh incompatibility cause it could be hydrops (caused by Rh)

22

sensation of bugs crawling on you (delusional paratosis) with skin picking or scratching is from what drug

methamphetamines
-treat w/ benzos

23

what do you think about in a boy pt who keeps getting sick with encapsulated organisms

x-linked brutons agammaglobulinemia
-problem with b-lymphocytes and plasma cells, you have none that can actually make the immunglobulins

SHiN for encapsulated organisms (strep pneumo, haemophilis influenza, neisseria)

24

pt has a history of abscesses with catalase + organisms

chronic granulomatous disease
-NADPH deficiency
-problem with neutrophils

25

what are the only 2 systolic murmurs

mitral regurg
aortic stenosis

26

patients with multiple myeloma have increased risk of what types of infections

anything encapsulated
-strep pneumo
-H. influenza
-neisseria

27

acute stress disorder vs PTSD

same thing but acute stress disorder is 3 days to 1 month and PTSD is longer than 1 month

28

pt presents with fever, RUQ pain, mild scleral icterus, and positive murphys sign with a normal sized common bile duct

acute cholecystitis


-cholangitis would have negative murphys and a dilated common bile duct with a high alk phos

29

patient at a summer camp or dorm or some closed off space with people then gets sick and has altered mental status

think meningococcemia

30

what could the following things cause:
-sepsis
-aminoglycosides
-ischemia/hypotension
-heavy metals, radiocontrast
-ethylene glycol
-rhabdomyolysis

acute tubular necrosis