PREP Flashcards

(22 cards)

1
Q

Hair-grooming syncope may be related to

A

Vasovagal syncope, so treat by increasing fluids and salt intake

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2
Q

What kind of diagnostic evaluation is needed for situational syncope?

A

None typically

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3
Q

What is cataplexy?

A

Sudden emotions such as fright or laughter cause a collapse of the body. Consciousness preserved!

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4
Q

Patients with measles are contagious from ___ days before and __ days after onset of the RASH

A

4 days before and 4 days after the rash

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5
Q

For infants <6mo old who are exposed to measles, what do you do?

A

Give post exposure prophylaxis of immune globulin within 6 days of exposure

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6
Q

When can MMR safely be given?

A

6mo and older

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7
Q

When is MMR protective in PEP of measles exposure?

A

If given within 72 hours of exposure

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8
Q

Large volume of stool explodes out with finger insertion in neonate =

A

Hirschsprung Disease

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9
Q

Very tight sphincter with stool in rectal vault and no explosive burst with removal of finger is likely due to

A

anal stenosis

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10
Q

Bioequivalence =

A

Medications that have a similar rate and extent of absorption

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11
Q

Number of CGG trinucleotide repeats to diagnose Fragiel X =

A

> 200
Also abnormal methylation
Dx with FMR1 molecular analysis

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12
Q

What are some genetic disorders that are characterized by the phenomenon of anticipation?

A

Fragile X, Huntingtons, and Myotonic Dystrophy

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13
Q

The first line test for intellectual disability, GDD, or multiple congenital anomalies without a cause is

A

Chromosomal microarray!

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14
Q

Puncture wound through a tennis shoe? What bug?

A

Pseudomonas, treat with flouroquinolone

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15
Q

<3 tetanus toxoid doses in the past and a clean minor wound? What does patient need?

A

DTap, Tdap, or Td

NO TIG NEEDED if clean wound

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16
Q

If wound is clean, is Tetanus immunoglobulin needed?

A

No! Only give TIG if patient has had <3 tetanus toxoid doses AND it’s a dirty wound

17
Q

For a clean wound and patient has received >3 doses of tetanus toxoid, do they need more immunization?

A

Only if it’s been >10 years since last dose of tetanus-containing vaccine (if clean wound only!)

18
Q

For a dirty wound and patient has received >3 doses of tetanus toxoid, do they need more immunization?

A

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
Q

What effects do beta blockers have on potassium and glucose?

A

HYPERkalemia and HYPOglycemia

20
Q

If a rapid flu test if negative but clinical suspicion is still high, what do you do?

A

Molecular assay

Don’t wait on results to start treatment

21
Q

Acute HBV infection is characterized by the presence of

A

Hepatitis B surface antigen WITHOUT antibodies to HBAg AND the presence of IgM to hepatitis B core antigen

with or without HBeAg

22
Q

Individuals with resolved HBV infection will show

A

antibody to HBsAg