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UW Flashcards

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1
Q

Presentation of Benzo OD

A 
Slurred speech
Unsteady gait
Drowsiness
Normal pupils
Mild resp depression
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2
Q

Phenytoin toxicity presentaiotn

A

Horizontal nystagmus
Cerebellar Ataxia
Confusion

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3
Q

Presentation of opiod intoxication

A

Resp depression
Miosis
Sedation

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4
Q

Presentation of Lithium toxicity

A

Tremor
Hyperreflexia
Ataxia
Seizures

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5
Q

TX for pneumothorax

A

Needle thoracostomy

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6
Q

Presentation of pneumothorax

A 
Rapid onset SOB
Tachycardia
Tachypnea
HypoTN
Neck vein distension = SVC compression
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7
Q

Presentation of Rotor syndrome

A

Jaundice, dark urine
Normal LFTs
Defect of hepatic storage
Conjugated Hyperbilirubinemia

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8
Q

95% of Circulating BR is what?

A

Unconjugated = insoluable in water
Tightly bound to albumin
Cannot be filtered by glomerulus so not excreted in urine

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9
Q

Gilbert syndrome presentation

A

Icterus
Mild UNconjugated HyperBR
malaise, fever, fatigue, abd discomfrot
Stress induced

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10
Q

Diphenhydramine toxicity Presentation

A 
Drowsiness, confusion
Dry mouth
Dilated pupils
Blurred vision
Reduced bowel sounds
Urinary retention
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11
Q

TX for diphenhydramine toxicity

A

Physostigmine

= Cholinesterase inhibitor

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12
Q

DOC for delirium in elderly

A

Low dose Haloperidol

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13
Q

Management of mechanical ventilation in ARDS

A
  1. FiO2 should be < 40%

2. Add PEEP

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14
Q

What are ways to improve oxygenation

A
  1. Increase FiO2

2. Add PEEP

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15
Q

What does PEEP do

A

Prevents alveolar collapse

Can reopen some alveoli that are collapsed

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16
Q

Long term neuro sequelae of Bacterial Meningitis

A
  1. Hearing loss
  2. Loss of cognitive fnc
  3. Seizures
  4. MR
  5. Spasticity of paresis
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17
Q

Anemia in chronic phenytoin use

A

Mild megaloblastic anemia
- others; primidone, phenobarb
MOA: impaired absorption of folic acid in SI

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18
Q

Drugs that cause folic acid deficiency

A 
Phenytoin 
Phenobarb
Primidone
Trimethoprim
MTX
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19
Q

Renal colic w no stones Id’d

A
  1. Radiolucent stones - uric acid, xanthine stones
  2. Calcium stones < 1-3mm
  3. Non-stone urethral obstruction - blood clot/tumor
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20
Q

TX for uric acid stones

Study These Flashcards
A
  1. Hydration
  2. Alkalinize urine to 6-6.5 w Oral Potassium citrate
  3. Low purine diet
21
Q

MC Peripheral Neuropathy in diabetics

Study These Flashcards
A

Symmetrical Distal Polyneuropathy

22
Q

Shoulder pain w No response to lidocaine injection

Study These Flashcards
A

Rotator Cuff injury

23
Q

TX for hoarding disorder

Study These Flashcards
A

SSRI

DBS if refractory

24
Q

Imaging modality for splenic rupture

Study These Flashcards
A

CT w contrast

25
Next step in management of hemodynamically stable splenic rupture
CT w contrast
26
Next step in management of hemodynamically UNstable pt w splenic rupture
Urgent Laparotomy
27
Bite wound TX
Amoxicillin-clavulanate
28
DOC dog bites
Amoxicillin-clavulanate
29
Active uncontrolled bleeding and Placenta Previa management
Emergency C section
30
Presentation of ovarian and adnexal torsion
Sudden onset mod-severe pelvic pain (R>>L) N/V Abnormal vag bleeding - less common
31
TX for ovarian/adnexal torsion
Immediate detorsion w emergency laparoscopic surgery
32
Labs for G6PD
``` Low hemoglobin Low Haptoglobin High Indirect BR High LDH Coombs negative ```
33
Presentation ischemic hepatic injury/shock liver
Septic shock | High LFTs - AST/ALT in thousands
34
Neurofibromatosis w cafe au lait spots, macrocephaly, feeding probs
NF 1
35
NF with BL acoustic neuromas and cataracts
NF 2
36
Acanthosis Nigracans Presentation
Symmetrical Hyperpigmented Velvety plaques Axilla, groin, neck
37
Acanthosis Nigricans ass'd with
Insulin resistance - DM, PCOS | GI Malignancy
38
Waldenstrom's macroglobinemia
1. IgM spike | 2. Hyperviscosity
39
Pseudomonas aerg TX
Cefepime | Pipercillin-tazobactam
40
What does hepatojugular reflex indicate
Failing RV that cannot accomodate an increase in venours return w abdominal compression
41
Cardiac findings in Down Syndrome
1. Complete AV septal defect 2. VSD 3. ASD
42
Narrow QRS complex tachycardia Mangement
IV Adenosine
43
MOA Adenosine
Slows sinus rate Increases AV nodal conduction delay Transient block in AV node conduction
44
Mammogram Screening - how often
Every 2 years in women 50-75
45
Hyperlipidemia Screening
Every 5 years for Men 35+
46
Anovulation due to morbid obestiy labs
Normal FSH and LH
47
Premature ovarian failure labs
High FSH and LH
48
Most common origin for ectopic foci that cause A fib
Pulmonary veins

Mixed 2 (9 decks)

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