Flashcards in Set 4 Deck (50)
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1
OCPs decrease the risk of what? Increase?
Decrease = Endometrial, ovarian
Increase = VTE, HTN
2
Arrhythmia caused by digoxin toxicity
Atrial tachycardia w/ AV block (increased ectopy and increased vagal tone)
3
Autism vs. Child Disintegrative Disorder
Autism ALWAYS manifests before 3yo
CDD displays normal development until ~2yo followed by LOSS of PREVIOUSLY acquired skills in 2+ areas (language, social, bowel/bladder, motor) with ENSUING autistic features
4
Young healthy person suddenly dies, ddx?
HCM --> tx BB or CCB
QT prolongation snydrome --> tx BB +/- pacemaker if sx
5
Jervell-Lange Nielson
torsades + hearing impairment + fhx
6
Ca2+, Phos, vit D and PTH levels in secondary hyperPTH
Increased = Phos and PTH
decreased = vit d and Ca2+
7
Tx DKA
IV NS or** 1/2NS+K (if hypokalemic BEFORE insulin, must use 1/2NS with K+ to make isotonic)
then insulin
8
Trigeminal nerve palsy and limb ataxia, wheres the lesion?
lateral pons
9
Dx, Tx hypertensive encephalopathy
BP > 180/120
Tx nitroprusside and labetolol
10
Jugular venous tracing letters / meaning
a,c,x,v,y
a- atrial contraction
c- ventricular contraction
x down- RA relaxation
v- valve closed and RA filling
y down- blood flows from RA to RV
11
2mo vaccinations (6)
Hep B(2), rotavirus, TDaP, Hib, Pneumococcal, Inactivated polio
12
pure motor stroke
Lacunar infarct (posterior limb of IC)
13
Tx CML
imatinib
14
7 tocalytics
B-agonist --> terbutaline or ritodrine
MgS
nifedipine
indomethacin
nitroglycerin
oxytocin ANTagonist
progesterone
15
Tx aortic regurg
decrease afterload = nifedipine or ACEI
16
Tx EPS
diphenhydramine, bezontropine or triheyphenidyl (anticholinergics)
17
Bullae and ulcers w/ central necrosis in an immunocompromised patient
pseudomonas - erythema gangrenosum
18
Tx depression with insomnia AND decreased appetite
mirtazapine (TCA) good in old folks
19
contralateral paralysis and loss of touch/vibration/proprio and tongue deviating to the IPSilateral side, wheres the lesion?
Medial medullary syndrome
20
Systolic murmur that disappears with squatting
MVP (squatting increases venous return)
21
severe / refractory HTN and muscle weakness, dx? Tx?
Conn's Syndrome aka Primary hyperaldosteronism (hypoK causes weakness)
Tx = spironolactone
22
MCC death in MI patients
Vfib --> defibrillate
23
ispilateral limb ataxia, contralateral eye deviation and paralysis, wheres the lesion?
Medial Pons
24
Drugs for Tx of parkinson's
DA agonists = levodopa/carbidopa, bromocryptine, amantadine
anticholinesterase = benztropine
MAO-B inhibitor = selegeline
25
Loss of contralateral pain/temp, ipsilateral loss of face pain/temp, difficulty swalling, cerebellar ataxia and horner's syndrome
Lateral medullary syndrome aka Wallenberg, 2/2 PICA stroke
26
SE terbutaline
B1 = tachycardia / increased SV
B2 = vasodilation and bronchodilation
27
Narrow QRS with P waves buried in beggining of QRS (ie not discernable)? Tx?
AVNRT aka paroxysmal SVT (rentry causes simultaneous atrial and ventricular contraction)
stable = carotid massage/valsalva, adenosine
unstable = cardiovert
28
TB pleural effusion vs. epyema
TB = VERY high protein (>4), LYMPHOCYTIC leukocytosis, glucose midly low
empyeme = VERY low glucose, frank prurulence and PMN dominant leukocytosis
29
3 MCC foot drop
peripheral neuropathy
L5 radiculopathy
common peroneal nerve damage (fibula neck fx)
30
