this is it! Flashcards
number of points of apgar score?`
10 (HR, RR, Muscle tone, response to stim, color of extremities
pt is acutely dealing with a kidney stone, help them out by
giving them pain meds
Cardiogenic shock markers
increase in systemic resistance, increase in BUN
septic shock markers
decreased preload, decreased systemic resistance , ALP will be high
horrible HA, LOC and shows up in ER, you must think
subarchnoid hemorrhage
SAH, regained consciousness, what symptom will he still have?
confusion and irritable
autoimmune dz, pain in shoulder and pelvis griddle, but NO WEAKNESS
polymyalgia rheumatic (MYALGIA) think joint aches
autoimmune dz, causes proximal muscle weakness
POLYMYOSITIS
harsh holosystolic murmur heard best at the LSB with a fixed S2
VSD
schizo with depression what med
Carbamazeprine (tegretol)
sickle cells are usually asymptomatic, but during extreme conditions they may experience
painless hematuria and are at a risk of rhado
how does pericardial pain differ from MI pain
pericarditis is much more stabbing and sharp
palpable parasternal lift, harsh systolic murmur that radiate to the left shoulder, ECG show right axis deviation
pulmonic stenosis
can aspirin and NSAID cause an asthma attack
hell yes!!
best imagining for stress fx
bone scan
condylomata acuminata highest risk for what lady cancer
cervical
Rh negative is most common in what population
whites
scattered discrete macules with an orange-red greasy scale
facial seborrhea
tx facial seborrhea with?
hydocortisone cream
what is the most common electrolyte SE of ACE inhibitor?
hyperkalemia
anytime urinary obstruction may be a factor, get a post void residual volume. good for neurogenic bladder dx too
and that is a fact
punched out lytic lesion
MM
MM lesions are best seen on what imagine
plain x-ray
child had URI 2-3 weeks ago, now has sore knee +
transient synovitis, treatment is symptomatic
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
- 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
