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Flashcards in Set 8 Deck (58)
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1

Tx diphenhydramine OD

Physostigmine to counter-act anti-cholinergic effects of diphenhydramine

2

dermatitis herpetiformis, a/w? Tx?

a/w celiac disease, tx = dapsone and diet

3

4 indications for endometrial bx in DUB?

>35yo, DM, HTN, obesity

4

Complication of amniocentesis, tx?

amniotic fluid embolism --> possible DIC
Tx = facemask ventilate +/- intubate, IVF +/- vasopressors

5

Indications for clopidogrel. MoA?

UA / NSTEMI = 12mo
post-PCI = 1mo if bare-metal stent, 12mo if drug-eluting stent
MoA = ADP antagonist

6

Thigh adduction

obturator nerve

7

Pruritic, purple,.polygonal, planar papules and plaques

Lichen Planus

8

sawtooth infiltrate of lymphocytes at dermal-epidermal jxn (BM)? a/w?

Lichen Planus, a/w hepatitis C

9

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

10

Dx test vasovagal syncope

tilt-table test +/- isoproterenol

11

Tx cocaine-induced angina? what NOT to give?

benzodiazepine, ASA, nitroglycerin and CCB
do NOT give BB

12

Quad screen findings in Downs (AFP, estriol, BhCG, inhibin A)

increased: BhCG, inhibin A
decreased: AFP, estriol

13

Quad screen findings in Edwards syndrome (AFP, estriol, BhCG, inhibin A)

decreased: AFP, estriol and BhCG
Normal inhibin A

14

Overdose characterized by wheezing, hypotension and bradycardia? Tx?

Beta Blocker
Tx = IVF, atropine, if fails then glucagon

15

18 yo with amenorrhea, normal internal female anatomy, clitoromegaly, high testosterone, FSH, LH, but low estrogen, multiple ovarian cysts?

Aromatase deficiency

16

Wedge on thoracic CT?

PE!! +/- pleural effusion

17

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

18

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

19

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

20

Why is nifedipine (Dihydroppyridine CCBs) CI in STEMI?

causes peripheral dilation and reflex tachycardia --> worsens ischemia

21

immunocompetent pt with CXR that shows dense consolidation/ cavity and CT shows pulm nodule with 'halo sign' or lesion with air crescent.

Invasive aspergillosis

22

string of pearls appearance on adnexal US

PCOS

23

Tx HELLP

DELIVER THE BABY

24

BhCG levels needed for visualization of fetus with transabd vs. transvag US

transabdominal = 6500
transvaginal = 1500
If inadequate, repeat BhCG in 48hrs

25

What is serum inhibin B measured for?

determination of ovulatory reserve

26

Causes of symmetric IUGR

body/head proportionately small due to FETAL factors: chr abn, congen anom, TORCH

27

Causes of asymmetric IUGR

weight due to MATERNAL factors:
HTN, pre-e, uterine abnormalities, smoking*, APLA

28

best method to estimate fetal weight in suspected IUGR

abdominal circumference

29

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

30

perineal or scrotal hematoma, think

pelvic fracture