this is it! Flashcards by Hailey Baldwin

number of points of apgar score?`

10 (HR, RR, Muscle tone, response to stim, color of extremities

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pt is acutely dealing with a kidney stone, help them out by

giving them pain meds

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Cardiogenic shock markers

increase in systemic resistance, increase in BUN

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septic shock markers

decreased preload, decreased systemic resistance , ALP will be high

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horrible HA, LOC and shows up in ER, you must think

subarchnoid hemorrhage

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SAH, regained consciousness, what symptom will he still have?

confusion and irritable

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autoimmune dz, pain in shoulder and pelvis griddle, but NO WEAKNESS

polymyalgia rheumatic (MYALGIA) think joint aches

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autoimmune dz, causes proximal muscle weakness

POLYMYOSITIS

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harsh holosystolic murmur heard best at the LSB with a fixed S2

VSD

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schizo with depression what med

Carbamazeprine (tegretol)

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sickle cells are usually asymptomatic, but during extreme conditions they may experience

painless hematuria and are at a risk of rhado

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how does pericardial pain differ from MI pain

pericarditis is much more stabbing and sharp

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palpable parasternal lift, harsh systolic murmur that radiate to the left shoulder, ECG show right axis deviation

pulmonic stenosis

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can aspirin and NSAID cause an asthma attack

hell yes!!

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best imagining for stress fx

bone scan

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condylomata acuminata highest risk for what lady cancer

cervical

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Rh negative is most common in what population

whites

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scattered discrete macules with an orange-red greasy scale

facial seborrhea

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tx facial seborrhea with?

hydocortisone cream

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what is the most common electrolyte SE of ACE inhibitor?

hyperkalemia

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anytime urinary obstruction may be a factor, get a post void residual volume. good for neurogenic bladder dx too

and that is a fact

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punched out lytic lesion

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MM lesions are best seen on what imagine

plain x-ray

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child had URI 2-3 weeks ago, now has sore knee +

transient synovitis, treatment is symptomatic

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foul smell sputum and lots of it, chronic productive cough

bronchiectasis

epigastric pain that is relieved by sitting up and forward?

pancreatic cancer pain

T score -2 or less, should be scanned how often

1-2 years

T score -1.5 should be scanned every

5 years

t score -1.5 to -2.0 should be scanned every

3 years

hx of Barretts, pain with swallowing, continuation of drinking and smoking and regurgation, most likely has?

Even though he has Barrett's these are serious symptoms that warrant ESOHAGEAL CANCER

hemolytic anemia + elevated LDH with normal Pt and PTT, however pt has fever, petechiae and HA

TTP

purpura, pallor, gingival bleeding, normocytic normochromic anemia---

think chronic dz-aplastic anemia

intermittent chest pain + midsyslic click

mitral valve prolapse

most common bug in osteomyeltitis in sickle cell pt?

Stap. aureus

tx of s. aureus osteomyelitis

fluoroquinolone for 4 wks- 6wks (CIPRO)

most common site of Crohns?

Terminal Ileum

tx of a pneumo if less than 15% and no sign of tension pneumo

outpatient tx with bed rest

complication of tracheal intubation

tracheal stenosis, unable to clear secretions, can occur weeks or months after trauma

allergy eye dz tx

cold compresses, topical histamine

risk factors for cataracts

STEROIDS, DM, uvetitis and sun

tx for sialadenitis?

IV antibiotics, hydration, warm compresses, gland massage

bluish lacy rash on lower extremities when cold

vasomotor instability Livedo reticularis

will spontaneous pneumos recur?

YES 30 % of time, place noxious agent, alter pleura surface to help prevent

most reliable EKG finding for ischemia

ST depression

most reliable EKG finding for infarction

ST elevation

how do optic neuritis and uvetitis differ in the presentation

uvetiits is more painful | optic neuritis: ocular movement causes more pain, loss of color vision, and afferent pupillary defect

American DM association say to do a fasting BG if:

>45yo, BP is >135/80, >BMI of 25 and other obvious risk factors

is bell's palsy associated with pre auricular ear pain

yes

what is the tilt test

helps to evaluate syncope due to vasovagal event

when do acute hemolytic reactions occur?

within minutes to hours of the transfusion

tx fever and chills 5 days after blood transfusion

watchful waiting

testing for lactose intolerance

1. 2 week dairy free trial | 2. hydrogen breath test

acute dislocation of TMJ

use benzo (10mg diazepam)

may have irritative voiding symptoms, pain starts in the scrotum and radiates along the spermatic cord or to the flank

epididymitis

what GU infection in men will have systemic symptoms

Prostatitis

initial tx for mild to moderation OA

acetaminophen

Olanzapine with fluoxetine can be used to treat

bipolar depression

lesion found on the bucca mucosa

aphthous ulcer

elevated TSH and elevated T3 & T4?

pituitary adenoma

starts with prodrome of cough, fever, and kOplick spots ion the bucca mucosa. Then rash starts on face and moves down body, the rash changes color and flakes off

Rubeola -Measles

no prodrome, enlarged lymph and rash the starts on face and spreads inferiorly within 24 hrs

Rubella

radial nerve supplies the _____

dorsal hand

median nerve supplies the

palmar aspect of the hand

ulnar nerve supplies the

4th and 5th finger

is opening pressure high in bacteria or viral meningitis?

bacteria

what type of meningitis is more acute

bacteria

define braxton hicks contractions

last couple of wks of pregnancy, cervix is still fully CLOSED

posterior artery stroke

contralateral sensory loss

middle artery stroke

contralateral sensory loss and weakness

ransom criteria for poor outcome of pancreatitis

wbc >16000 bg >200 LDH>350

myerson

parkinson dz-blinking

women who are aovulatory, have unopposed estrogen, since progesterone is only released once ovulation occurs, does this promote or inhibit proliferation of endometriosisi

increases risk for endometrial hyperplasia

what are TSH and T4/yT3 levels like in a thyroid storm

can be normal

symptoms of thyroid storm

tachycardia, agitation, vomiting, diarrhea. TX with fluids and cooling

best test to differentiate sinus infection from a tumor

MRI

tx for hepatorenal syndrome due to alcoholic liver disease

pentoxifylline

medication for acute hep

immuneglobin

medication for chonic hep

pegylated interferon

cotton wool spots

retinal hemorrhage

child with severe bronchiolitis meets criteria for hospitalization, what other treatment can be provided

humidified air and ribavirin

rule about placenta previa

no speculum exams

perioral dermatitis is treated with

metronidazole

treatment for recurrent aplastic anemia and spherocytosis

splenectomy

normal optic pressure

10-21

increased retic count in what anemia

hemolytic

sequela of meningitis

hearing loss

med for postherpatic neuralgia besides gabapentin

Antidepressants: ortriptyline (Pamelor), amitriptyline, duloxetine (Cymbalta) and venlafaxine (Effexor XR)

treatment for erectile dysfunction

Phosphodiesterase-5 inhibitors, antidepressants, and tramadol

de querivan what tendon

abductor pollis

se of sulfasalazine

headache

what type of renal disorder has high urine sodium and low BUN/creat ratio?

renal

give acetylcysteine before contrast to...prevent

acute tubular necrosis

steep rise in CK to a level of 5x normal, false blood dip stick

rhabdo

treatment for metabolic alkanosis

acetazolamide

most common leukemia with smudge cells

CLL

SE of zidovudine (AIDS tx)

pancreatitis

methylmalonate and homocysteine level test for

B12and folate

neuropathy is a B12 or folate issue

B12

some lovers try position that they cannot handle

start on the lower row thumb side across 4 and then back the 2nd row thumb side, 4 more

treat shigella (which is blood and mucus) with

cipro

polymyositis serologic marker

anti JO

posterior pituitary hormones

vasopressin (ADH) & oxytonin