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Flashcards in this is it! Deck (102):
1

number of points of apgar score?`

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

2

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

giving them pain meds

3

Cardiogenic shock markers

increase in systemic resistance, increase in BUN

4

septic shock markers

decreased preload, decreased systemic resistance , ALP will be high

5

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

subarchnoid hemorrhage

6

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

confusion and irritable

7

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

polymyalgia rheumatic (MYALGIA) think joint aches

8

autoimmune dz, causes proximal muscle weakness

POLYMYOSITIS

9

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

VSD

10

schizo with depression what med

Carbamazeprine (tegretol)

11

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

painless hematuria and are at a risk of rhado

12

how does pericardial pain differ from MI pain

pericarditis is much more stabbing and sharp

13

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

pulmonic stenosis

14

can aspirin and NSAID cause an asthma attack

hell yes!!

15

best imagining for stress fx

bone scan

16

condylomata acuminata highest risk for what lady cancer

cervical

17

Rh negative is most common in what population

whites

18

scattered discrete macules with an orange-red greasy scale

facial seborrhea

19

tx facial seborrhea with?

hydocortisone cream

20

what is the most common electrolyte SE of ACE inhibitor?

hyperkalemia

21

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

and that is a fact

22

punched out lytic lesion

MM

23

MM lesions are best seen on what imagine

plain x-ray

24

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

transient synovitis, treatment is symptomatic

25

foul smell sputum and lots of it, chronic productive cough

bronchiectasis

26

epigastric pain that is relieved by sitting up and forward?

pancreatic cancer pain

27

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

1-2 years

28

T score -1.5 should be scanned every

5 years

29

t score -1.5 to -2.0 should be scanned every

3 years

30

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

31

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

TTP

32

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

think chronic dz-aplastic anemia

33

intermittent chest pain + midsyslic click

mitral valve prolapse

34

most common bug in osteomyeltitis in sickle cell pt?

Stap. aureus

35

tx of s. aureus osteomyelitis

fluoroquinolone for 4 wks- 6wks (CIPRO)

36

most common site of Crohns?

Terminal Ileum

37

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

outpatient tx with bed rest

38

complication of tracheal intubation

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

39

allergy eye dz tx

cold compresses, topical histamine

40

risk factors for cataracts

STEROIDS, DM, uvetitis and sun

41

tx for sialadenitis?

IV antibiotics, hydration, warm compresses, gland massage

42

bluish lacy rash on lower extremities when cold

vasomotor instability Livedo reticularis

43

will spontaneous pneumos recur?

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

44

most reliable EKG finding for ischemia

ST depression

45

most reliable EKG finding for infarction

ST elevation

46

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

47

American DM association say to do a fasting BG if:

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

48

is bell's palsy associated with pre auricular ear pain

yes

49

what is the tilt test

helps to evaluate syncope due to vasovagal event

50

when do acute hemolytic reactions occur?

within minutes to hours of the transfusion

51

tx fever and chills 5 days after blood transfusion

watchful waiting

52

testing for lactose intolerance

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

53

acute dislocation of TMJ

use benzo (10mg diazepam)

54

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

epididymitis

55

what GU infection in men will have systemic symptoms

Prostatitis

56

initial tx for mild to moderation OA

acetaminophen

57

Olanzapine with fluoxetine can be used to treat

bipolar depression

58

lesion found on the bucca mucosa

aphthous ulcer

59

elevated TSH and elevated T3 & T4?

pituitary adenoma

60

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

61

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

Rubella

62

radial nerve supplies the _____

dorsal hand

63

median nerve supplies the

palmar aspect of the hand

64

ulnar nerve supplies the

4th and 5th finger

65

is opening pressure high in bacteria or viral meningitis?

bacteria

66

what type of meningitis is more acute

bacteria

67

define braxton hicks contractions

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

68

posterior artery stroke

contralateral sensory loss

69

middle artery stroke

contralateral sensory loss and weakness

70

ransom criteria for poor outcome of pancreatitis

wbc >16000
bg >200
LDH>350

71

myerson

parkinson dz-blinking

72

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

73

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

can be normal

74

symptoms of thyroid storm

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

75

best test to differentiate sinus infection from a tumor

MRI

76

tx for hepatorenal syndrome due to alcoholic liver disease

pentoxifylline

77

medication for acute hep

immuneglobin

78

medication for chonic hep

pegylated interferon

79

cotton wool spots

retinal hemorrhage

80

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

humidified air and ribavirin

81

rule about placenta previa

no speculum exams

82

perioral dermatitis is treated with

metronidazole

83

treatment for recurrent aplastic anemia and spherocytosis

splenectomy

84

normal optic pressure

10-21

85

increased retic count in what anemia

hemolytic

86

sequela of meningitis

hearing loss

87

med for postherpatic neuralgia besides gabapentin

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

88

treatment for erectile dysfunction

Phosphodiesterase-5 inhibitors, antidepressants, and tramadol

89

de querivan what tendon

abductor pollis

90

se of sulfasalazine

headache

91

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

renal

92

give acetylcysteine before contrast to...prevent

acute tubular necrosis

93

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

rhabdo

94

treatment for metabolic alkanosis

acetazolamide

95

most common leukemia with smudge cells

CLL

96

SE of zidovudine (AIDS tx)

pancreatitis

97

methylmalonate and homocysteine level test for

B12and folate

98

neuropathy is a B12 or folate issue

B12

99

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

100

treat shigella (which is blood and mucus) with

cipro

101

polymyositis serologic marker

anti JO

102

posterior pituitary hormones

vasopressin (ADH) & oxytonin