packrat questions Flashcards
initial tx for acute angle glaucoma
topical pilocarpine
what lab differentiates seizure from pseudo-seizure
serum prolactin
5 month history of schizophrenia symptoms including flattened affect, disorganized speech and poor hygiene. what is this disorder?
Schizophreniform disorder (similar to schizophrenia that cannot be dx until 6 months)
what is the mechanism associated with hornets syndrome: a disorder comprised of: ptosis, mitosis, & anhydrous
cranial sympathetic dysfunction that occurs due to nerve injury below the level of entry into the skull
increased tactile fremitus and egophony =
increased density such as effusion or pneumonia
what lab test should be followed bi-yearly for pts taking atypical antidepressants?
Glucose-blood sugar
trauma to the eye causing enopthalmos and flattened anterior chamber is suggestive of
globe rupture, shield eye and refer
pt has 225/130 bp what med should be used?
nitroprusside. it lower bp in seconds by direct arteriolar and venous dilation
herpangina is associated with what viruses? what are the symptoms?
enteroviruses, present with painful vesicles about the tonsillar fauces
Infliximab (Remicade) is a TNF inhibitor is used in the treatment of RA, what SE does it have
increased risk of developing infection, test for TB before starting medication
___ is the dominant hemoglobin found in sickle cell anemia
SS
what medication is recommending for family members of pts recently dx with Hep A?
Immuneglobin
young otherwise healthy pt with a recent viral syndrome, followed by acute, sharp, focal chest pain =
pleuritis
severe abdominal pain, vomiting for 6 hours, high white count, significant hypertriglyceridemia, and transient hyperglycemia =
acute pancreatitis
what PE finding indicates that delivery of the placenta is imminent?
uterus is higher and more globular in abdomen
right homonymous hemianopsia, where is the lesion located
left optic tract
what is the definitive treatment of OSA
tracheostomy
is a high fat diet is associated with prostate cancer?
yes
tx for otitis externa?
topical cipro it will kill pseudomonas and proteus
Noninflammatory causes of arthritis include
tumors, such as osteochondromas, osteoarthritis, trauma, and bone necrosis
What is the most common cardiac abnormality that develops in patients with undertreated acromegaly?
Cardiomyopathy
Which of the following best represents the initial evaluation of an otherwise healthy adult patient with the chief complaint of painless gross hematuria?
Urinalysis and culture. This is the best initial study for evaluation of hematuria. Centrigution of the urine specimen will help separate the sediment from the supernatant. Red sediment indicates hematuria, while red supernatant with a positive heme dipstick indicates hemoglobinuria vs myoglobinuria.
A 5 year old female is brought to your office by her mother who has noticed a rash on the palms of her hands and soles of her feet. She also reports that her daughter has had a fever of 100.5 F (38.1 C) and significantly decreased appetite for the past 3 days. What physical exam findings would you suspect in this patient?
Painful, small gray lesions on an erythematous base seen on the oral mucosa. This describes the aphthous ulcers commonly seen in Hand, foot, mouth disease caused by Coxsackie virus A16.
what is the usual tx of Polymyalgia Rheumatica.
Low dose corticosteroids for a couple of years and close follow-up with Rheumatology