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Flashcards in Treatments And Tests Deck (184)
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0

What is the treatment of exertional heat stroke?

Rapid cooling with ice water immersion
Fluid resuscitation
Electrolyte correction

1

What is the treatment for nonexertional heat stroke?

Evaporative cooling

2

What is the treatment for cocaine abuse resulting in chest pain?

IV BZDs + oxygen
Aspirin ( to retard thrombus formation because cocaine promotes platelet aggregation and activation)
Nitroglycerin & CCBs for pain
May do cardiac cath if have ST elevation with maximal medical therapy

3

What is the tx for SVC syndrome?

Radiation therapy

4

What is the tx for poly arteritis nodosa?

Corticosteroids
Cyclophosphamide

5

What is the tx for Kawasaki disease?

IVIG and ASA

6

What is the tx for urge incontinence?

Frequent voluntary voiding

7

How do you diagnose HSP?

Skin biopsy

8

What is the best next step when you suspect an aortic rupture in stable patient ?

TEE or CT chest

9

How do you diagnose cataracts?

Ophthalmic exam

10

How do you diagnose duodenal hematoma?

Ab CT with oral contrast

11

How do you treat a duodenal hematoma?

NG tube decompression
Parenteral nutrition

12

How do you diagnose pelvic fracture?

Pelvic XR
Pelvic CT

13

What is the tx of a pelvic fracture?

External binder and surgical eval
Emergent external fixation.
Angiography with embolization of bleeding vessels
Retrograde urethrogram

Internal fixation for stable patients

14

What is the tx for warm autoimmune hemolytic anemia?

Prednisone

15

What is the tx for autoimmune hemolytic anemia that is not responsive to prednisone?

Splenectomy

16

What is the diagnostic test for retained products of conception?

Pelvic US: shows increased vascularity, increased echogenicity, thick endometrial stripe

17

What is the tx for retained products of conception/septic abortion?

Blood and endometrial cultures
IV antibiotics
Surgical evacuation of the uterus (suction curettage)
Close obs

18

What is the management for caustic ingestion?

1. ABC
2. Decontamination: remove clothing, irrigate exposed skin
3. CXR for respiratory sx
4. Endoscopy within 24 hours

19

What should you do if there are esophageal burns on endoscopy?

Order barium swallow 2-3 weeks after to look for strictures

20

What is the tx for septic arthritis with greater than 100K WBC, >90% neutrophils and purulent drainage?

Emergent surgical drainage to prevent joint destruction. And lifelong consequences

21

What is the best next step for someone with predominantly elevated alk phos and slightly elevated LFTs?

Ab US or CT

22

What is the first step in the evaluation of primary amenorrhea?

Pelvic exam and US

23

What is the best next step after a pelvic US reveals an absent uterus in the eval or primary amenorrhea?

Karytotyping and serum testosterone

24

What is the best next step after pelvic US revealing the presence of a uterus in the eval of primary amenorrhea?

Serum FSH

25

If serum FSH is decreased, what is the next step?

Cranial MRI

26

If serum FSH is increased, what do you do next?

Karytotyping

27

What should be done before starting Clozapine?

A CBC

28

What is the tx of akithisia?

Bb

29

What is the tx of drug induced Parkinsonism?

Benztropine (anticholinergic)