Smartdeck, 6.8 start Flashcards Preview

Step 2 question review > Smartdeck, 6.8 start > Flashcards

Flashcards in Smartdeck, 6.8 start Deck (259)
Loading flashcards...
1

most affective antipsychotic for treatment-resistant schizophrenia and schizoaffective disorder?

clozapine

2

most severe AEs of clozapine

agranulocytosis, seizures, myocarditis

3

compared to other antipsychotics, which one has the greatest risk of seizures?

clozapine

4

what actions are associated with risk reduction for long term rx opioid misuse?

state rx drug monitoring, random UDS, regular follow up

5

gold standard for evaluating risk in pt with hx of cervical surgery

transvaginal US

6

dysarthria, loss of DTRs, progressive gait and limb ataxia in adolescence

loss of position and vibratory senses

hypertrophic cardiomyopathy

friedreich ataxia

7

acute onset of ataxia, nystagmus, and dysarthria following an infection

acute cerebellar ataxia

8

musty odor urine

phenylketonuria

9

if PKU goes untreated...

intellectual disability and seizures

10

how to detect PKU

newborn screening

tandem mass spectrometry of dried blood spots

later in life - quantitative amino acid analysis

11

tx of PKU

dietary restriction of phenylalanine

12

how to differentiate hirschsprungs v meconium ileus

level of obstruction

Hirsh- rectosigmoid, normal consistency, positive squirt sign

mec ileus - ileum, inspissated consistency, negative squirt sign

13

bone pain and pancytopenia in a child

also fever, pallor, bruising, and hepatosplenomegaly

acute lymphoblastic leukemia

14

acute, unilateral cervical lymphadenitis in child is MCC by

S. aureus or S. pyogenes

15

pt has pna and developed signs of septic shock

airway is secure, what next?

IV normal saline

16

what is the MCC of community acquired bacterial meningitis

S. pneumo

can occur with or without concurrent pneumococcal pna

17

Vagal maneuvers will affect  with node in the heart, AV or SA?

AV

18

High dose IV acyclovir can cause  

crystalluria with renal tubular obstruction

19

diaphragmatic flattening in COPD caused by hyperinflation result in 

increased work of breathing

20

intrinsic renal failure is commonly due to 

acute tubular necrosis

high urine sodium

21

glomerulonephritis is characterized by 

hematuria with RBCs

22

precocious puberty, normal bone age, really just increasing body hair

premature adrenarche

caused by early activation of adrenal androgens, more common in obsese children

23

profound hypoglycemia in pregnancy

acute fatty liver of pregnancy

24

management of acute fatty liver of pregnancy

immediate delivery

25

mucopurulent drainage with a friable cervix

acute cervicitis

26

management of hydatiform mole

DnC

serial bhCG post evacuation

contraception for 6 months

27

in adolescents, abnormal uterine bleeding is caused by

immature hypothalamic-pituitary-ovarian axis

causing irregular, heavy bleeding

28

in hemodynamically stable pt, acute uterine bleeding can be managed with

IV estrogen or high dose oral estrogen/progestin contraceptive pills

29

how long do you need pharmacotherapy for bipolar pt with multiple episodes?

likely life long

30

palpable lymph node, small/<2cm, soft, mobile nodes, localized to one area in a child or young adult

next step?

observation