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Flashcards in Set 2 Deck (50)
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1

Descending paralysis

C. botulinum

2

Transfusion reaction ABO mismatch vs. IgA deficiency

IgA deficiency happens in SECONDS-MINUTES
ABO takes longer to develop but can result in hemolysis, shock, DIC and ARF

3

SIADH diagnostic criteria (2)

plasma osm 150 (100-150)

4

Screening age for DM if no RF, cutoffs (4)?

45yo
A1c >6.5
Fasting BG >125
Random BG >200 + sx
OGTT >200 (75g at 2 hrs)

5

radial-side wrist pain worsened by thumb movement

DeQeurvain's tenosynovitis (common postpartum)

6

partially acid fast gram + branching rods, Tx

Nocardia, Bactrim

7

"SNAP" for atypical gram + bugs (2)

Sulfa for Nocarida, Actinomyces use Penecillin

8

Tx diabetic nephrophathy

Improve BP control! also gabapentin

9

Bilateral hilar and paratracheal adenopathy with reticualr opacities/infiltrates

Sarcoidosis

10

MCC organism associated with Reiter's Syndrome (reactive arthritis)?

Chlamydia

11

muddy brown casts

ATN!! (they are renal epithelial cells)

12

statistics test to compare means? proportions?

2 means --> T-test "T for 2"
3 means --> ANOVA (3 syllables)
Proportions --> Chi-squared

13

Tx TCA overdose?

sodium bicarbonate --> improves SBP, narrows the QRS and decreases ventricular arrhythmias

14

3 causes of post-cholecystectomy pain?

Functional
Spincter of Odi dysfxn
CBD stone
If alk phos elevated / biliary tree dilation --> ERCP to distinguish 2 and 3

15

3 RF for osteosarcoma

Chemo, radiation, Paget's disease

16

Hazard Ratio

Experimental/control relative occurance of outcome
higher in CONTROL group
>1 --> higher in EXPERIMENTAL group

17

4 criteria to dx brain death

absent CNS reflexes
fixed,dilated pupils
no spontaneous respiration
2 physicians MUST agree

18

Painful bullae and necrosis on breasts, butt, thighs abd

Warfarin-induced skin necrosis

19

Pathogenesis warfarin-induced skin necrosis, Tx?

Protein C deficiency --> Tx vitamin K and switch to heparin

20

Ca, Phos, PTH levels in 2ndary hyperPTH

increased Phosphrous and PTH
decreased calcium

21

Sinusitis in a diabetic

Mucormycosis (rhizopus)

22

p-ANCA and HLA-B27 (2)

either ankylosing sponylitis or ulcerative colitis

23

2 MI complications wks-->months later

Ventricular aneurysm (CHF, MR and persistent ST elevations) or Dressler's snydrome (fibrinous pericarditis)

24

Asymptomatic pulmonary nodule, must consider?

histoplasmosis (MS, OH central america)

25

3 test w/u of galactorrhea

Pregnancy test, TSH and PRL

26

2 conditions ass. with cystic hygromas

Turners and Downs

27

Etiology and pathogenesis of osteitis fibrosis cystica

hyperPTH from replacement of normal bone architecture with fibrous tissue (brown tumors)

28

HIV patient with bloody diarrhea, suspect...

CMV colitis, tx ganciclovir

29

Tx rosacea

topical metronidazole

30

NNT equation

NNT = 1/ARR
ARR = incidence in control - incidence in experimental group