Rapid Review Preview #14 (Day 13) Flashcards Preview

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Flashcards in Rapid Review Preview #14 (Day 13) Deck (20):
1

Fall in systolic bp of more than 20 mmHg on inspiration indicates

Pulsus paradoxus; Cardiac tamponade or hyperinflation disorders (e.g., COPD, asthma)

2

Laproscopic finding(s) seen w/ endometriosis

Chocolate cysts or powder burn lesions in peritoneum or on ovarian

3

HTN w/ hypokalemia, hypernatremia, & metabolic alkalosis

Primary hyperaldosteronism (Conn syndrome or b/l adrenal hyperplasia)

4

LDL goal in pt w/ DM

LDL

5

8 yo child MVA, now requires emergency transfusion, parents not present, child states he's a Jehovah's witness - next step

In case of emergencies, no parental consent needed (implied or denial overruled and followed up w/ court order) for life-saving intervention

6

25 yo M p/w pain & watery diarrhea after meals, exam shows fistulas between bowel and skin & nodular lesions on tibias - Dx

Crohn's disease

7

40 yo F p/w discrete area of hair loss on scalp, worsened over weeks - Dx & Tx

Alopecia areata; Observation; Intralesional steroid

8

CSF analysis shows low glucose, elevated neutrophils, and gram positive diplococci

Bacterial meningitis - Streptococcus pneumoniae

9

Classic findings of tertiary syphilis

Tabes dorsalies, positive Romberg, loss of proprioception; Gumma formation (granulomatous disease); Argyll-Robertson pupil; Aortitis (tree-barking of aorta or aneurysms of aortic root, aortic regurgitation)

10

Young child p/w thigh muscle weakness, waddling gait, pronounced calf muscles

Duchenne's muscular dystrophy

11

Baby girl born breech, found to have asymmetric inguinal skin folds - Dx & Tx

Congenital developmental hip dysplasia; Pavlik harness (maintain hips in abduction so they can heal properly)

12

Head injury, AMS, resolution of AMS for a few hrs, now w/ re-emerging AMS - Dx & Tx

Epidural hematoma (lucid interval) - rupture of middle meningeal artery; Neurosurgical evacuation of hematoma

13

Med given for seizure ppx in severe pre-eclampsia

IV Magnesium sulfate

14

Cause of erythroblastosis fetalis

Maternal antibodies against infant's Rh+ red blood cells (second pregnancy, Rh- mother)

15

Tx HTN in pheochromocytoma

Alpha blocker first (phenoxybenzamine, phentolamine); Then Beta blocker; NEVER give unopposed beta blocker (can raise bp as get rid of beta2 vasodilation)

16

7 yo M p/w hemarthrosis, lab work shows increased PTT, normal PT & bleeding time

Hemophilia A (VIII) or B (IX); If Hemophilia A, desmopressin can be helpful; Otherwise, in both cases, supplement deficient factor

17

Young child loss of red light reflex

Retinoblastoma

18

22 yo M 4 mo social withdrawal, worsening grades, decreased emotional expression & concrete thinking

Schizophreniform disorder (need 6 mo. to be Schizophrenia)

19

Honeycomb pattern on CT scan of chest - Dx & Tx

Diffuse interstitial pulmonary fibrosis; 3-drug Cocktail - Steroids, Azathioprine (or Cyclophosphamide), N-Acetylcysteine

20

Tall white mall p/w acute short of breath

Spontaneous pneumothorax; If % of pnemothorax not given, allow spontaneous regression, observation w/ serial CXR, give O2 as needed; If >15%, then chest tube placement

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