USMLE Medicine Flashcards
most common cause of death in pts with acute MI
vfib (re-entry)
obtunded, decreased respiratory rate, decreased bowel sounds, hypotension, hypothermia
opioid intoxication
how to tx opioid intoxication
naloxone
bradycardia, hypotension, wheezing… what intoxication and how to treat
beta blocker intoxication
tx with glucagon
drowsiness, slurred speech, unsteady gait… what intoxication and how to treat
benzo intoxication
flumazenil
most common thyroid malignancy
papillary –> best prognosis
adrenal insufficiency, calcifications in the adrenal glands… what is this most likely?
TB in the adrenals
most common cause of adrenal insufficiency in developed countries
autoimmune adrenalitis
- glomerulonephritis
- upper respiratory tract disease- oral ulcers, sinusitis, nasal discharge
- lower respiratory tract disease- dyspnea, cough, hemoptysis
Wegener’s granulomatosis/granulomatosis with polyangitis
how to dx and tx wegener’s granulomatosis
dx with c-ANCA antibodies and tissue bx
tx with high dose CS and cytotoxic agents
3 top causes of cough in nonsmokers w/o pulmonary disease
asthma
GERD
post nasal drip
cough, chest pain, hemoptysis, numerous round alveolar infiltrates on CXR, systolic murmur that increases on inspiration
- bacterial endocarditis causing tricuspid regurgitation
- septic emboli to the lungs
S4
hypertension
aortic stenosis
hypertrophic cardiomyopathy
older adults
diastolic murmur heard best while sitting up
aortic regurgitation
systolic murmur that increases when patient stands up
hypertrophic cardiomyopathy
