random crap Flashcards by Arya Stark

tx WPW?

procainamide

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causes of Wenckebach?

meds: dig, BBs, CCBs
increased vagal tone
R coronary ischemia

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meds that improve mortality in CHF?

BBs and ACe
if class III-IV, low dose spironolactone

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best predictor of survival in STEMI?

LVEF

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complication 1 day after MI?

heart failure

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complication 2-4d after MI?

arrhythmia

pericarditis

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complication 10d after MI?

LV rupture, papillary m rupture

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complication many d after MI?

Dressler

ventricular aneurysm

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cutoff for surg of AAA?

5 cm

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fungus in seb derm?

pityrosporum ovale

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erythema nodosum - false + lab test?

VDRL

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tx of dermatitis herpetiformis?

dapsone

no gluten

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pathogen in pilonidal cysts?

Bacteroides

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what dz r/o if have pityriasis?

syphilis

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SCC in palmoplantar distribution?

arsenic exposure

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tx of mycosis fungoides?

phototherapy

radiation if advanced

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short acting insulins?

lispro, aspart, glu

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tx thyroid storm?

IV propranolol and steroids

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tx myxedema coma?

IV levothyroxine and hydrocortisone

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orphan annie, psammoma bodies?

papillary thyroid cancer

MOST COMMON thyroid ca

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what tests with dx of medullary thy ca?

calcitonin

MEN2A/B

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mosaic lamellar bone?

Paget’s

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tx pagets?

bisphosphonates, calcitonin

NSAIDs for pain

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pancreas, pituitary, parathyroid?

MEN1

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parathyroid, pheo, medullary thyroid?

MEN2A

pheo, medullary thyroid, marfan, neuromas?

MEN2B

increase in prevalence affects PPV?

increased PPV

decrease in prevalence affects NPV?

increased NPV

MC cancers in men?

prost > lung > CRC

MC cancers in women?

breast > lung > CRC

anemia, glossitis, esophageal webs?

Plummer Vinson - iron deficiency

type A gastritis?

fundus pernicious anemia adenocarcinoma, carcinoid

type B gastritis?

antrum NSAID/H pylori ulcers gastric cancer risk

tx of campylobacter?

erythromycin

flask shaped ulcers?

entamoeba

tx entamoeba?

NO STEROIDS --> risk of perf | give metronidazole

tx salmonella?

quinolone or bactrim

tx shigella

bactrim - prevents transmission

vitamin deficiency from carcinoid?

niacin (serotonin made from tryptophan)

cutoff for SAAG?

> 1.1 indicates pulmonary HTN

what's in cryoprecipitate?

FVIII and fibrinogen

DDAVP does?

increases FVIII

deficient F VIII, platelet dysfunction?

vWD

antibody in ITP?

IgG

high MMA and homocysteine?

B12 deficiency

nl MMA and high homocysteine?

folate

cafe au lait spots, short, thumb/radius hypoplasia?

Fanconi anemia

tx aplastic anemia?

blood transfusion stem cell transplant cyclosporin A and antithymocyte globulin

tx polycythemia vera?

hydroxyurea | IFN + ASA

tx porphyria attack?

lots of glucose

Dutcher bodies?

Waldenstrom

CD5 and CD20/21 on flow cytometry?

CLL

decreased LAP, high LDH uric acid and B12?

CML

alcohol induced pain?

Hodgkin lymphoma

Centor criteria?

``` 3/4 of: fever tonsillar exudate tender anterior cervical LAN no cough ```

HIV/pregnant/filipino, from the south west?

coccidio! | give azole or ampho

first CN affected in increased ICP?

III and VI

HIV ppx cutoffs?

lung infection + palatal ulcers?

histo!

tx histo?

mild/chronic: itra | severe/disseminated: ampho

foamy macrophages, high alk phos and LDH?

MAC

tx MAC?

clarythromycin | or ethambutol + rifabutin

causes of VDRL false +?

``` viruses drugs RF/RA lupus leprosy ```

penis with beefy red ulcer with rolled edge?

Klebsiella granulomatis | tx: doxy/azithro

what tx for hyponozoite elimination in malaria?

primaquine

tx of tertiary Lyme?

ceftriaxone

eschar, hemorrhagic mediastinitis, bloody diarrhea?

anthrax

ant shoulder disloc and what nerve?

axillary

anterior hip disloc and what nerve?

obturator

posterior hip disloc and what nerve?

sciatic

humeral fx and what nerve?

radial

supracondylar humeral fx and what vessel?

brachial artery

onion skinning bone tumor?

Ewings - 11:22 - increased ESR - midshaft lesions

soap bubble bone tumor?

giant cell

sunburst bone tumor?

osteosarcoma - increased alk phos - metaphysis lesions

benign bone tumor?

osteochondroma

asymmetric SI pain assoc with IBD?

enteropathic spondylitis

tx ankylosing spond?

TNF inhib or sulfasalazine

RA, splenomegaly, neutropenia?

Felty syndrome

tx of skin/jt SLE?

hydroxychloroquine

tx of renal SLE?

cyclophosphamide

risk of iridocyclitis in JIA?

pauciarticular --> increased risk polyarticular --> less risk Still's --> no risk

risk factors for lacunar infarcts?

chronic HTN hyperchol DM

mental status change, small pupils, Cheyne Stokes breathing?

downward herniation

down and out pupil, ipsilateral hemiparesis?

uncal herniation

tonsillar herniation?

respiratory arrest, death

tx partial sz?

phenytoin, phenobarb (kids)

tx tonic/clonic sz?

phenytoin, VPA

tx absence sz?

ethosux, VPA

tx status?

thiamine --> glucose and naloxone | benzo --> phenytoin --> phenobarb

tx infantile spasm

ACTH pred clonazepam, VPA

stroke that mimics labyrinthitis?

AICA - has auditory sx

stroke that mimics vestibular neuritis?

PICA - no auditory sx

drugs to avoid in myasthenia?

aminoglycosides | BBs

MC adult brain tumors?

glioblastoma | meningioma

MC kid brain tumors?

astrocytoma | medulloblastoma

what eval in tuberous sclerosis?

cardiac rhabdomyosarcoma, infantile spasms

tx of atrophic macular degeneration?

vit C vit E beta carotene zinc

tx of exudative macular degeneration?

VEGF inhibitor | verteporfin

MC cyanotic heart dz?

TGA

risk factors for ToF?

maternal PKU | DiGeorge

tx tet spells?

``` O2 propranolol phenylephrie fluids morphine ```

stranger anxiety?

6 mos

separation anxiety?

12 mos

risk factors for pulmonic stenosis?

TEF mom with pyloric stenosis erythromycin

what ppx in SCID?

PCP

nitroblue tetrazolium test is for what?

CGD

green soft tissue tumor?

chloroma --> AML

rosettes on biopsy, increased VMA/HVA?

neuroblastoma

causes pulsus paradoxus?

tamponade | COPD/asthma

CNS stimulation, GI disturbances, arrhythmias?

theophylline toxicity

follicular conjunctivitis, neovascularization of cornea, nasal discharge?

trachoma (C trachomatis)

severe hypertension + recurrent flash pulmonary edema?

renovascular hypertension

efficacy of lifestyle mods in HTN?

``` best = wt loss then DAHS then exercise then sodium then alcohol ```

sheep farmer + liver shiz?

echinococcosis | ingestion of eggs --> hydatid cysts in liver (and lungs)

when do you give tetanus IG?

only if wound is dirty AND pt is unimmunized/not completely immunized (boosters don't count!)

risk factors for RDS?

``` ** prematurity male perinatal asphyxia maternal DM cesarean w/o labor ```

mesothelioma vs bronchogenic carcinoma?

both have asbestosis as risk factor both have pleural plaques *bronchogenic more common *mesothel usually unilateral

paget's dz what type of ca?

adenocarcinoma

cutoff for doing external cephalic version in breech?

from 37 wks to delivery

adolescent with nasal obstruction, nasal mass, epistaxis?

juvenile angiofibroma

dx of lactose intolerance?

hydrogen breath test | prior - lactose tolerance test

hypocalcemia in nephrotic syndrome?

from decreased albumin

tx cocaine intox?

benzos if HTN or anxious aspirin and nitros for pain NO BBs

RA and macrocytic anemia - what mx?

methotrexate (inhibits DHF reductase)

when does OR approximate RR?

when disease incidence is low

bone lesion with small round lucency, sclerotic margins?

osteoid osteoma (benign) usually prox femur NSAIDs and monitoring

what tests in breath holding spell?

CBC and ferritin (assoc with Fe defic anemia)

HSV vs CMV retinitis?

HSV: keratitis and visual loss, pale lesions, central necrosis CMV: painless, fluffy, hemorrhages

thyroid chg in preg?

increase in total T4 (from HCG stim) and smaller increase in TBG mild increase in free T4 TSH decrease

when to vaccinate asplenic pts?

>14 days before splenectomy or >14 days after

SEs of tac vs cyclosporine?

tac: nephrotox, hyperK, neurotox, diarrhea cyclosporine: npehrotox and kyperK, GUM hypertrophy and hirsutism

carcinoid and heart?

R sided valvular lesions

meningococcemia + vasomotor collapse?

waterhouse friderichsen = adrenal hemorrhage

tx of PBC?

ursodeoxycholic = 1st line

metabolic abnormalities in hypothyroid?

hyponatremia hyperlipidemia elevations in CK and transminases (asx)

renal vein thrombosis usually seen with what dz?

nephrotic syndrome, esp membranous

HIV+ with large purple exophytic papules (hemorrhage prone)?

bartonella - bacillary angiomatosis

increased urinary hydroxyproline?

PAgets

tx Legionella?

macrolides or fluoroquinolones (levoflox)

loss of pain/t in ipsilateral face, contralateral body?

Wallenberg = lateral medullary

AKI in systemic sclerosis?

scleroderma renal crisis | MAHA or DIC, malignant HTN

wheezing after taking NSAID, post nasal drip, rhinitis?

AERD (aspirin exacerbated resp dz) | nasal polyposis, bronchospasm

palpable purpura, proteinuria, hematuria, HCV?

mixed cryoglobulinemia

CHARGE syndrome?

``` colobomas heart defects atresia of choanae renal anomalies growth impairment ear abnormalities ```