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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

Tx chronic stable angina

1st BB then +/- CCB
Nitrates used acutely