Questions des tests / stuff to know Flashcards by E Papazova

rx mal d’altitude

acetazolamide

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severité pneumonie score

CURB 65

Confusion
BUN > 19
Resp rate >30
BP sys <90 ou diast ‘60
age > 65ans

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éléments qui appuient une ins cardiaque

dyspnée
orthopnée ou dyspnée paroxystique nocturne
toux en décubitus
nycturie - non specific
dustension jugulair e
reflux hépatojug

prise de poids
OMI thnx
fatigue

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test pour prouver Insuff cardiaque

écho coeur
BNP

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quadruple thérapie IC <40% et sx

IECA/ARA: Entresto, ramipril
- BB: Lopressor
- MRA: Spironolactone
- iSGLT2: Jardiance

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facteur prédisposant IC

HTA
INfarctus
HTP
valvulaire - sténose Ao

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tx non pharmaco insuf cardi

limitation en sel 2g
exercice
diète DASH
cesser ROH et cig
traiter maladies comorbide

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si all aux PNC antibio

clarithromycine
doxycycline
septra

cepahalosporine avec prudence (cefixime)

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tx non pharmaco rhinosinusite

limiter exposition aux allergèenes
laver les mains
sinus rince
éviter tabac

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stérilet E2

règles irreg
No
ballonement
mastalgie

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emergency contraception

ELLA ulipristal
Plan B
YUZPE method
Copper IUD

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investigations meningite

analyse du liquide céphalorachidien

hemoc

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tx meningite

< 1 mois : Ampi + Cefotaxime
1 mois-50ans : Vanco + Ceftri
> 50 ans: Vanco + Ceftri + Ampi

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4 classic sx of meningitis

Headache, fever, neck stiffness, and altered mental status

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other sx of meningitis

Nausea, vomiting
Photophobia
Seizure and focal neurologic deficits (especially in Listeria)

Rhombencephalitis (manifested as ataxia, cranial nerve palsies, and/or nystagmus)

Petechiae and palpable purpura (especially in N meningitidis)

Arthritis (especially in N meningitidis)

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Statin indicated conditions (5) general conditions

1) LDL >5
HDL >5.8
ApoB >1.45

2) DB
age >40
or >30 + DM x 15 ans or Microvasc disease

3) CKD
Age >50 + GFR <60 OU ACR >3mg/mmol

4) Atherosclérose
MI /ACS ou
ANgine stable documenté avec angio ou
AVC, TIA, carotid dz OU
MVAS ou

5) AAA >3cm

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tx croup / laryngite

dexamethasone 0.6 per kg

epinephrine en nébulisation

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ddx croup / laryngite (4)

anaphylaxis,
foreign body (airway or esophagus),
retropharyngeal abcess,
epiglottitis

antidote tylenol intox

n-acetylcysteine

antidote opioides

naloxone

antidote benzo

flumazenile

antidote methanol

fomépizole

antidote bbbloqueur

glucagon

antidote anticholinérgique

physostigmine

antidote CHOLINERGIQUE

atropine

antidote syndrome seotoninergique

cyproheptadine

3 signs of DLP on exam

xanthome xanthelasma corneal arcus

ddx dlr à la gorge

pharyngite virale pharyngite bactérienne abcès reétropharyngé MONONUCLÉOSE (a l'air d'une pharyngite bact + fatiiiiigue + lymph nodes)

Allergie à la PNC quoi donner

clarithromycine ou azithromycine (macrolides) SEPTRA sulfonamide doxyxycline = tetracycline

tx soulager sinusite autres qu'antibio

sinus rince intranasal corticos analgésie humidificateur (?)

epistaxis tx

ant ou post packing (tamponnage) cautérization

intox kid quoi demander

POIDS de l'enfant

maladie coeliaque complications

Anémie ferriprive B12 def oséoporose plus à risque de hypoT4 et lymphome

GDM GDM: HGPO 50g 1h post ≥ XYZ et N XYZ Glycémie à jeûne ≥ HGPO 75g 1h post ≥ HGPO 75g 2h post ≥

HGPO 50g 1h post ≥ 11.1 (N < 7.8) Glycémie à jeûne ≥ 5.3 HGPO 75g 1h post ≥ 10.6 HGPO 75g 2h =post ≥ 9

meninigite et pneumococcous type of germs

meniningite = diplococcus gram nég pnue = diplococcus gram +

gemr croup vs epiglottite

parainfluenza virus vs Haemophilius influenza

what does ADENOSINE do to the heart and when to give

aDenosine slows DOWN the heart inDuces braDy tachy cardia with narrow complex

what do vagal maneurvres do

increase PARASYMPATHETIQUE TONE vagal... vague... relax... slow down

examples of vagal menunvres

1) valsalva = souffler dans paille/ syringe pousser as if pooping 2) carotid sinus massage 3) chilling and wetting the nostrils and face while breath-holding - DIVING relfex

ASA indications

en prevention SECONDAIRE individus atteintes de maladie cardiovasculaire, vasculaire cérébrale artérielle périphérique symptomatique (niveau de preuve A).

syndorme neuroleptique malin

Pt ss antipsychotiques FARM fever autonomic changes - hyperthermie, hyper TA (ou labile), FC et FR élévées rigidité mental status changes

3 dx 2nd à des Rx caractérisés d'hyperthermie et qui peuvent mortels

Hyperthermie maligne (anesth) Syndrome malin des neuroleptiques (antipsychotique) Syndrome sérotoninergique (antidepresseurs)

pt agé avec Vo ou Do ne pas oublier de (au niveau pharmaco)

d/c Sulfo iACE DIURETICS METF AINS

prophylaxie migraine rx

TCA: Amitriptyline