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Flashcards in Set 7 Deck (50)
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1

IBD, hypotension, tachycardia, leukocytosis, fever? Dx?

MC toxic megacolon (vs. abscess but no cardio sx)
Dx = abd xray

2

8 drugs that cause HYPERkalemia

nonselective BB, ACEI/ARB, Spironolactone, cyclosporine, digoxin, NSAIDs, heparin, succinylcholine

3

painful eye, erythema, visual disturbances, severe HA, b/l periorbital edema and cranial nerve deficits (ocular)

cavernous vein thrombosis (2/2 orbital cellulitis)

4

UTI in indwelling catheter with ALKALINE urine pH

alkaline, think proteus mirabilus (produces urease)

5

Tx TIA

start ASA +/- dipyridamole

6

immediate complication (w/in 3days) of SAH, Tx?

vasospasm --> tx = dihydropyridine CCB

7

palatal ulcers, HSM, pancytopenia in patient from missouri

disseminated histoplasmosis

8

50 yo w/ dysphagia and neck mass when eating? Tx?

zenker's diverticulum (above UES)
tx = excision and cricopharyngeal myotomy

9

D-xylose test used for...(2), how to differentiate

tests for intactness of GI mucosa --> Celiac d/s and bacterial overgrowth. If pt improves after abx, then it was bacterial overgrowth

10

fever + abrupt onset sharply demarcated w/ raised borders, red, edematous tender skin lesions?

erysipelas, MCC GAS > s aureus

11

group a strep =

strep pyogenes

12

Mallory bodies

inclusion bodies in hepatocytes, MCC alcoholic hepatitis >>> PBC, NASH, Wilsons and HCCA

13

SE cyclophosphamide (2)

hemorrhagic cystitis, bladder cancer

14

pleural effusion in cirrhotic ascites patient? Tx?

hepatic hydrothorax 2/2 small diaphragmatic defects
Tx = thorocentesis, salt restriction, diuretics, TIPS last resort

15

Best tx for young parkinson's patient with tremor as main sx

trihexyphenidyl (anticholinergic)

16

drugs precipitating G6PD deficiency hemolytic episode (6)

"hemolysis IS PAIN"
Isoniazid, Sulfonamides, Primaquine, Aspirin, Ibuprofen, Nitrofurantoin

17

Prussian blue detects... used often for...

detects iron, often used to dx hemolysis

18

E- abnormalities in alcoholics

low K, Mg, phos (low mg causes refractory low k)

19

management of cold hand without radial pulse

immediate heparin and sgy consult for embolectomy

20

pain b/w 3rd and 4th toes that is reproduced with palpation and makes a clicking sensation? Tx?

Morton neuroma = mechanically* induced degenerative neuropathy seen in runners
Tx = orthotics +/- steroid injections, last resort sgy

21

3 drugs for tx gastroparesis

metoclopramide (DA antagonist)
bethanechol (anti-muscaranic)
erythromycin (motilin inducer)

22

SE methotrexate (3), routine testing, prophylaxis

SE = mouth ulcers, hepatotoxic, myelosuppressive
CBC q3mo, prophylaxis = folate

23

PAS positive, 2 diseases?

whipple's = foamy macrophages in intestinal LP
alpha-1 AT deficiency = globules in liver

24

Tx heparin and warfarin reversal

heparin = protamine sulfate
warfarin = FFP 1st then vit K

25

no meconium in first 48 hrs, 2 ddx and ass. d/s?

hirschsprungs --> Downs
meconium ileus --> CF

26

5 dx criteria metabolic syndrome?

3+ needed:
abd obesity (>40in or 35in)
fasting BG >100
BP> 13/80
TG>150
HDL (<50 female)

27

AST and ALT in alcoholics

AST: ALT 2:1
<500

28

40 yo with rash on palms, soles and trunk. 2 ddx, differentiate b/w them? Tx?

RMSF = periph-->central. Tx doxy or chloramphenicol in prengancy)

secondary syphilis = central-->periph. Tx IV benzathine PCN weekly x3

29

Causes of pancreatitis "get smashed"

Gallstones, Ethanol, Trauma, Steroids, Mumps, Autoimmune ds, Scorpion sting, Hypercalcemia/triglyceridemia, ERCP, Drugs

30

Tx cryptococcal meningitis in AIDs?

amphotericin B + flucytosine