Flashcards in Set 8 Deck (58)
Tx diphenhydramine OD
Physostigmine to counter-act anti-cholinergic effects of diphenhydramine
dermatitis herpetiformis, a/w? Tx?
a/w celiac disease, tx = dapsone and diet
4 indications for endometrial bx in DUB?
>35yo, DM, HTN, obesity
Complication of amniocentesis, tx?
amniotic fluid embolism --> possible DIC
Tx = facemask ventilate +/- intubate, IVF +/- vasopressors
Indications for clopidogrel. MoA?
UA / NSTEMI = 12mo
post-PCI = 1mo if bare-metal stent, 12mo if drug-eluting stent
MoA = ADP antagonist
Pruritic, purple,.polygonal, planar papules and plaques
sawtooth infiltrate of lymphocytes at dermal-epidermal jxn (BM)? a/w?
Lichen Planus, a/w hepatitis C
Recent MI and crackles on lung exam/ dyspnea? Tx? what NOT to give?
Flash pulmonary edema 2/2 acute heart failure
Tx = furosemide (diurese and venodilate --> decrease preload)
do NOT give BB
Dx test vasovagal syncope
tilt-table test +/- isoproterenol
Tx cocaine-induced angina? what NOT to give?
benzodiazepine, ASA, nitroglycerin and CCB
do NOT give BB
Quad screen findings in Downs (AFP, estriol, BhCG, inhibin A)
increased: BhCG, inhibin A
decreased: AFP, estriol
Quad screen findings in Edwards syndrome (AFP, estriol, BhCG, inhibin A)
decreased: AFP, estriol and BhCG
Normal inhibin A
Overdose characterized by wheezing, hypotension and bradycardia? Tx?
Tx = IVF, atropine, if fails then glucagon
18 yo with amenorrhea, normal internal female anatomy, clitoromegaly, high testosterone, FSH, LH, but low estrogen, multiple ovarian cysts?
Wedge on thoracic CT?
PE!! +/- pleural effusion
Gestational diabetes timing and algorithm
at 1st visit if high risk, at 24-28wks otherwise
1 hr 50g OGTT --> do 3 hr 100g
abnormal if 2 or more : fasting >95, 1hr >180, 2hr >155, 3hr >140
Kid with recent/active eczema develops umbilicated vesicles, LAD and fever? Tx?
Eczema herpeticum --> primary HSV infection superimposed on healing atopic dermatitis lesions.
Tx = acyclovir
18 yo girl with amenorrhea, full breasts, no axillary/pubic hair, blind vaginal pouch, no uterus, normal external genitalia, high testosterone and 46 XY?
Androgen insensitivity syndrome (testicular feminization)
MIF by testes inhibits uterus/ovarian formation
breasts via peripheral E2 converison, no hair b/c no androgen receptors
Why is nifedipine (Dihydroppyridine CCBs) CI in STEMI?
causes peripheral dilation and reflex tachycardia --> worsens ischemia
immunocompetent pt with CXR that shows dense consolidation/ cavity and CT shows pulm nodule with 'halo sign' or lesion with air crescent.
string of pearls appearance on adnexal US
DELIVER THE BABY
BhCG levels needed for visualization of fetus with transabd vs. transvag US
transabdominal = 6500
transvaginal = 1500
If inadequate, repeat BhCG in 48hrs
What is serum inhibin B measured for?
determination of ovulatory reserve
Causes of symmetric IUGR
body/head proportionately small due to FETAL factors: chr abn, congen anom, TORCH
Causes of asymmetric IUGR
weight due to MATERNAL factors:
HTN, pre-e, uterine abnormalities, smoking*, APLA
best method to estimate fetal weight in suspected IUGR
blood at the urethral meatus, inability to void, high-riding prostate on DRE? possible other findings? POA?
posterior urethral injury
Dx = retrograde urethrogram, NOT a foley