Flashcards in PREP Deck (22):
1
Hair-grooming syncope may be related to
Vasovagal syncope, so treat by increasing fluids and salt intake
2
What kind of diagnostic evaluation is needed for situational syncope?
None typically
3
What is cataplexy?
Sudden emotions such as fright or laughter cause a collapse of the body. Consciousness preserved!
4
Patients with measles are contagious from ___ days before and __ days after onset of the RASH
4 days before and 4 days after the rash
5
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
6
When can MMR safely be given?
6mo and older
7
When is MMR protective in PEP of measles exposure?
If given within 72 hours of exposure
8
Large volume of stool explodes out with finger insertion in neonate =
Hirschsprung Disease
9
Very tight sphincter with stool in rectal vault and no explosive burst with removal of finger is likely due to
anal stenosis
10
Bioequivalence =
Medications that have a similar rate and extent of absorption
11
Number of CGG trinucleotide repeats to diagnose Fragiel X =
>200
Also abnormal methylation
Dx with FMR1 molecular analysis
12
What are some genetic disorders that are characterized by the phenomenon of anticipation?
Fragile X, Huntingtons, and Myotonic Dystrophy
13
The first line test for intellectual disability, GDD, or multiple congenital anomalies without a cause is
Chromosomal microarray!
14
Puncture wound through a tennis shoe? What bug?
Pseudomonas, treat with flouroquinolone
15
<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
16
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
17
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!)
18
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
19
What effects do beta blockers have on potassium and glucose?
HYPERkalemia and HYPOglycemia
20
If a rapid flu test if negative but clinical suspicion is still high, what do you do?
Molecular assay
Don't wait on results to start treatment
21
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
22