UW 14 Flashcards

(41 cards)

1
Q

Managementi for Anorexia

A
  1. CBT
    2 Nutritional Rehab
  2. Olanzapine if unresponsive
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2
Q

Infxn w prosthetic > 3 months

A

Staph Epidermidis
Propion
Enterococci

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3
Q

Prosthetic joint Infxn within 3 mos of primary arthroplasty

A

Stap Aureus
Gram - Rods
Anaerobes

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4
Q

Management of infected prosthesis

A

Removal

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5
Q

Imaging for pancreatic cancer
Head
Tail/Body

A

Head - US

Body/Tail - CT

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6
Q

Administration of anti-D Ig

A
  1. 28 weeks - Standard dose

2. Within 72 hrs of delivery - Kleihauer-Betke test determines higher dose

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7
Q

Diagnostic test for Zenker’s

A

Contrast Esophogram

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8
Q

Criteria for Kawasaki

A

Fever > 5 days + 4/5

  1. Conjunctiviits
  2. Oral mucosal changes
  3. Rash
  4. Extremity changes
  5. Cervical LA
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9
Q

Labs in Kawasaki

A

High CRP, ESR
Leukocytosis w neutrophilia
Reactive thrombocytosis
Sterile pyuria on UA

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10
Q

Intussusception ass’d with

A

HSP

Meckel’s

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11
Q

Diverticulosis v Diverticula

A

Diverticulosis - noninflamed diverticular; painless bleeding

Diverticulitis - Abd pan, infectious sx’s, bleeding uncommon

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12
Q

MCC of lower GI hemorrhage in elderly pt

A

Diverticulosis

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13
Q

MCC sepsis in sickle cell

A

Strep Pneumo

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14
Q

Analgesic Nephropathy

A

Chronic analgesic use
Usually asymptomatic
Chronic tubulointerstitial nephritis

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15
Q

Dx for analgesic nephropathy

A
High Cr 
UA - hematuria, sterile pyuria
Mild proteinuria
CT - small kidneys w BL renal papillary calcifications
White blood cell casts
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16
Q

Osteomalacia labs

A
Low/N serum calcium
Low serum phosphate
High serum PTH
Low plasma 25-OH Vit D
High AP
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17
Q

Xray of osteomalacia

A

Decreased bone density
Thinning of cortex
Codfish vertebral bodies
Pseudofractures

18
Q

EKG in hypokalemia

A

Broad flat T waves
U waves
ST depression
PVCs

19
Q

Most sensitive test for disseminated Histoplasmosis

A

Histoplasma Antigen immunoassay of serum or urine

20
Q

Presentation of Histo in HIV pt

A

RES system - pancytopenia, HSM, adenopathy
Pneumonia - Diffuse reticulonodular or cavitary
Mucocutaneous lesions

21
Q

TX of Histo

A

Mild: Oral Itraconazole
Severe: IV Ampho B for 2 weeks, then Itraconazole for 1 year

22
Q

Flucytosine TX for?

A

Cryptococcus

Candida

23
Q

Statins MOA

A

Inhibit HMG-CoA reductase

  • RLE in intracellular biosynthesis of cholesterol
  • Converts cholesterol to mevalonate
  • Increase # of cell membrane LDL receptors
  • decrease coenzyme Q10 synthesis
24
Q

Mycoplasma pneumoniae Skin lesion

A

Erythema Multiforme

25
WHat is erythema multiforme
dusky, red target shaped lesions
26
Difference b/t Central and Peripheral precocious puberty
Central - Early activation of HPO axis - GnRH activation FSH and LH HIGH Peripheral - gonadal or adrenal release of excess sex hormones FSH and LH are LOW
27
VAccinations for North Africa
Hep A Hep B Typhoid Polio booster
28
Who gets yellow fever vaccine
Sub-Saharan Africa | South America
29
Smudge cells?
CLL
30
CLL - diagnostic test
Flow cytometry -prove clonality of abnormal lymphocytes seen on PS
31
JAK2 mutation seen in
Myeloproferative disorders | Polycythemia vera
32
Brain death criteria
1. Evaluate corticol and brain stem fncs | 2. Prove irreversibility of brain activity loss
33
What functions in brain death
Spinal Cord - DTRs may be present
34
Hep B TX
Entecavir | Tenofovir
35
Tx for cellulitis w systemic signs
IV Nafcillin | Cefazolin
36
Duodenal Hematoma Presentation
Post blunt abdominal trauma Children Blood b/t submucosal and muscular layers cause obstruction Epigastric pain and vomiting
37
Management of Duodenal Hematoma
Nasograstric suction with parenteral nutrition | Surgery if needed
38
NB w cyanosis aggravated by feeding, relieved by crying? What is seen in management?
Choanal Atresia | - Failure to pass a catheter thru nose to oropharynx
39
Pt planning pregnancy on levothyroxine - what to do?
Increased during pregnancy according to levels
40
What is the most common MOA of ventricular arrhythmia in immediate post infarct period
Reentry
41
MCC sudden cardiac arrest in immediate post infarction period with acute MI
Reentrant ventricular arrhythmias