Flashcards in PREP Deck (22):
Hair-grooming syncope may be related to
Vasovagal syncope, so treat by increasing fluids and salt intake
What kind of diagnostic evaluation is needed for situational syncope?
What is cataplexy?
Sudden emotions such as fright or laughter cause a collapse of the body. Consciousness preserved!
Patients with measles are contagious from ___ days before and __ days after onset of the RASH
4 days before and 4 days after the rash
For infants <6mo old who are exposed to measles, what do you do?
Give post exposure prophylaxis of immune globulin within 6 days of exposure
When can MMR safely be given?
6mo and older
When is MMR protective in PEP of measles exposure?
If given within 72 hours of exposure
Large volume of stool explodes out with finger insertion in neonate =
Very tight sphincter with stool in rectal vault and no explosive burst with removal of finger is likely due to
Medications that have a similar rate and extent of absorption
Number of CGG trinucleotide repeats to diagnose Fragiel X =
Also abnormal methylation
Dx with FMR1 molecular analysis
What are some genetic disorders that are characterized by the phenomenon of anticipation?
Fragile X, Huntingtons, and Myotonic Dystrophy
The first line test for intellectual disability, GDD, or multiple congenital anomalies without a cause is
Puncture wound through a tennis shoe? What bug?
Pseudomonas, treat with flouroquinolone
<3 tetanus toxoid doses in the past and a clean minor wound? What does patient need?
DTap, Tdap, or Td
NO TIG NEEDED if clean wound
If wound is clean, is Tetanus immunoglobulin needed?
No! Only give TIG if patient has had <3 tetanus toxoid doses AND it's a dirty wound
For a clean wound and patient has received >3 doses of tetanus toxoid, do they need more immunization?
Only if it's been >10 years since last dose of tetanus-containing vaccine (if clean wound only!)
For a dirty wound and patient has received >3 doses of tetanus toxoid, do they need more immunization?
Yes if it's been >5 years since last dose of tetanus containing vaccine!
Basically if the wound is dirty they need the vaccine 5 years more recently
What effects do beta blockers have on potassium and glucose?
HYPERkalemia and HYPOglycemia
If a rapid flu test if negative but clinical suspicion is still high, what do you do?
Don't wait on results to start treatment
Acute HBV infection is characterized by the presence of
Hepatitis B surface antigen WITHOUT antibodies to HBAg AND the presence of IgM to hepatitis B core antigen
with or without HBeAg