TrueLearn COMBANK 2 Flashcards
(55 cards)
What is the general age that children are switched from rear-facing carseats to fowrard-facing?
2 years
Location of the psoas tender point & positioning of counterstrain technique?
- 2/3 the distance of the ASIS to the midline
- patient supine, bilateral hip flexion, side-bending of lumbar spine toward the tender point
Location of the iliacus tender point & positioning of counterstrain technique?
- 1/3 distance ASIS to midline
- bilateral hip flexion and external rotation of hips with knees flexed
Location of the low ilium tender point & positioning of counterstrain technique?
- superior surface of the iliopubic eminence at attachement of psoas minor
Location of the inguinal tender point & positioning of counterstrain technique?
- lateral aspect of pubic tubercle at the attachement of the pectineus muscle or inguinal ligament
- flexion of hips with contralateral thigh crossed over ipsilateral thigh; causes flexion, adduction, internal rotation
What test is used to diagnose a gastrinoma?
secretion stimulation test
What is the term for the small, painful, palmar nodules seen in patients with endocarditis?
Osler nodes
Major and minor duke criteria for endocarditis?
2 major, 1 major + 3 monor, 5 minor
Major
* 2 separate blood cultures showing viridans streptococci, HAECK, or community-acquired enterococci
* persistently positive blood cutures: + cultues obtained >12 hrs apart > 3 positive blood cultures with bateria known to be skin flora
* culture posotive for Coxiella
* echo showing vegetation or abscess
Minor
* osler nodes, roth spots, glomerularnephritis
* fever >38C (100.4F)
* arterial emboli, conjunctival hemorrhage, intracranial hemorrhage, septic pulmonary emboli, janeway lesion
* positive blood culture with other organisms than listed above
* history of IV drug use or prosthetic valve
Treatment for severe hyponatremia?
100mL bolus 3% saline
if symptoms persist, 2 additional 100mL doses can be given over 10 min
goal is to increase Na by 4-6mEq/L over period of hours
Initial evaluation after discovery of atypical glandular cells from pap?
colposcopy & endometrial sampling if patient is over 35
Which papillary muscle is most prone to rupure post MI?
posteromedial b/c it is has only one coronary distrubution via the right coronary artery
35 year old female presents with an isolated, painless mass in her thyroid gland. Labs reveal hyperclacemia and elevated parathyroid hormone. What is the most likely diagnosis?
medullary carcinoma
What is the first line treatment for hypertension in patients with proteinuria or evidence of chronic kidney disease?
ACE inhibitor
Embryologic innervation foregut?
- stomach: T5 - 10 (left)
- duodenum: T6 - 8 (right)
Embryologic innervation midgut?
- small intesting: T8 - 10
- Appendix/cecum: T9 - 12
Embryologic innervation hindgut?
descending colon/rectum: L1 - L3 (left)
Typical labs seen in patients with hyperaldosteronism?
- hypokalemia
- hypernatremia
- metabolic alkalosis
- hypomagnesemia
- increased aldosterone to plasma renin activity ration
A 50-year-old female presents to the office with the complaint of a rash that has progressed over the past few months. She said it started as a red rash but it has now changed to a plaque like area over her arms and legs. A biopsy of the lesion is obtained and reveals Pautrier’s microabscesses. The most likely diagnosis is
mycosis fungoides
What is a sensitive laboratory test to screen for muscular dystrophy?
serum creatinine kinase
What is the most appropriate position to examine a patient is the 3rd trimester of pregnancy?
left lateral decubitus
When a patient in DKA is ready to be transitioned off the insulin drip, when should subcutaneous insulin be started?
2 hours before the insulin drip is stopped
What is the treatment for Bell’s palsy?
glucocorticoids (within 72 hours)
eye care
Treatment for postpartum endometritis?
clindamycin and gentamicin
ampicillin if patient is know to be colonized by group B strep
Histology, AFP, and B-hCG of yok sac tumor?
Histology
* multiple patterns
* Schiller-Duval bodies present in 50%
AFP
* elevated (>100ng/mL)
B-hCG
* negative
