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UW 6 Flashcards

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1
Q

Post-exposure prophylaxis for animal bites (rabies)

A

Unvaccinated bitten by animal that could have rabies - PEP with active and passive immunization

Exposure to healthy appearing animals - observe animal 10 days w/out PEP

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2
Q

Screening for children 0-5

A

Vision exam to id strabismus, amblyopia, refractive errors

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3
Q

Rotavirus - when

A

B/t 2-8 months
1st dose: 6-14 wks
Do not initiate for > 15 wks
Final dose not given after 8 months

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4
Q

Presentation of androgen secreting neoplasm of ovary or adrenal

A

Rapid development of androgenic sx’s w virilization - excess muscle development, clitoral enlargement

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5
Q

Screening test for androgen screening neoplasm

A

Testosterone and DHEAS

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6
Q

Risk factors for RDS

A 
Prematurity
Male sex
Perinatal asphyxia
Maternal DM
C-section w/out labor
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7
Q

CXR of RDS

A

Diffuse reticulogranular pattern (ground glass opacities)

Air bronchograms

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8
Q

Achalasia workup

A

CXR - widened mediastinum
Barium Swallow - bird’s beak
Manometry - confirm Dx
Endoscopy to r/o esophageal cancer

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9
Q

Tx for achalasia

A

Pneumatic dilatation

Surgical myotomy

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10
Q

What can mimic achalasia and what is workup to differentiate?

A

Esophageal cancer at Esophageal - gastric Jnc

R/O with endoscopy

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11
Q

CML presentation

A 
Leukocytosis
Anemia
Increased mature granulocytes 
Fatigue, malaise, low grade fever, anorexia, bone pains, night sweats
Phil chromosome
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12
Q

What are mature granulocytes

A

Segmented neutrophils

Band forms

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13
Q

LAP score in CML

A

LOW

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14
Q

LAP score in Leukomoid Rxn

A

High

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15
Q

Absence of measurable EPO in urine

A

Polycythemia vera

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16
Q

When do adults receive td booster?

A

Every 10 years

1x Tdap booster

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17
Q

MCC of secondary clubbing

A

Lung malignancies
Cystic Fibrosis
R to Left shunt

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18
Q

How does Cerebellar hemorrhage present

A

Evolves over a few hours

Acute occipital HA, repetitive vomiting, gait ataxia, 6th CN palsy, conjugate deviation

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19
Q

Tx for cerebellar hemorrhage

A

Immediate evacuation of hematoma

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20
Q

How does PCA occlusion present?

A

Ipsilateral sensory face, 9th, 10th CNs
Contralateral sensory loss of limbs
Limb ataxia

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21
Q

What does PCA supply

Study These Flashcards
A 
Midbrain
Basal nuclei
Thalamus
Mesial inferior temporal lobe
Occipital and occipitoparietal cortices
22
Q

What is vestibular neuonitis

Study These Flashcards
A

Acute onset of vertigo and nystagmus w/out any other neuro deficit

23
Q

What is Meniere dz? Presentation?

Study These Flashcards
A

Labrinthine dysfnc
Increased pressure of endolymph
Recurrent vertigo,tinnitus, hearing problems
Vomiting NOT common

24
Q

MOA of metoclopromide and prochlorperazine

Study These Flashcards
A

Dopamine antagonists

25
Hepatic Encephalopathy management
``` 1. Supportive - IVF, electrolytes Esp K 2. Nutrition 3. Tx precipitating cause 4. Lower serum ammonia ```
26
Tx of patient with hepatic encephalopathy and hypokalemia
K replacement | Hypokalemia increases renal ammonia production
27
How to lower serum ammonia
Lactulose orally or enema if cannot take oral | Rifaximin oral -If no improvement in 48 hours w/lactulose
28
Heme manifestations of SLE?
Anemia Leukopenia Thrombocytopenia Antiphospholipid syndrome
29
SLE + panctyopenia
Concurrent peripheral immune mediated destruction of all 3 cell lines Do bone marrow BX
30
Drugs Ass'd with drug induced pancreatitis
``` Anti-seizure - Valproic Acid Diuretics - Furesomide, thiazides IBD - sulfsalazine, 5-ASA Immunosuppressive - Azathioprine HIV meds - Didanosine, pentamidine Abx - metronidazole, tetracycline ```
31
Rheumatoid arthritis + hepatomegaly + proteinuria
Amyloidosis - deposits revealed under polarized light
32
Crescent formation on light microscopy
Rapid Progressive GN
33
Granular deposits seen on immunofluorescence
Immune complex GN - lupus nephritis or poststreptococcoal
34
Major cause of morbidity and moratlity in SAH
Cerebral infarction Rebleeding w/in first 24 hrs Vasospasm days 3-10
35
Prevent vasospasm in SAH with
Nimodipine
36
MCC Brain abscess after neurosurgery, penetrating trauma
Staph aureus
37
MCC brain abscess w sinusitis
Viridans strep | Head and neck anaerobes
38
Tx for brain abscess
Prolonged Abx - 4-8 wks | Aspiration/drainage when possible
39
What are ankylosing spondylitis pts for 2+ decades at risk for?
Vertebral Fx - decreased bone mineral density - minimal trauma
40
Spinal root compression pain
Dermatomal distribution Sensory loss Paresthesias Muscle weakness
41
Candida esophagitis presentation
Oral thrush | odynophagia - mild to moderate
42
Viral esophagitis
Severe odynophagia HSV - circular, ovoid vesicular ulcerated lesions CMV - large, linear ulcers
43
Pill esophagitis presentation Meds that cause
``` Acute odynophagia Meds: Potassium Chloride Tetracyclines Bisphosphonates NSAIDs ```
44
TX for Cryptococcal meningoencephalitis
Induction: 2 wks IV Ampho B + flucytosine then Consolidation: 8 wks Fluconazole Maintenance: tx for 1 year If HIV + start antiretroviarls at least 2-8 wks after completing induction tx
45
What is the tx for cerebral toxoplasmosis
Sulfadiazine-pyrimethamine
46
When is thymoma visualized on CXR
Children < 3yoa | Sail sign - triangular shape, scalloped border, uniform density
47
Electron microscopy shows alternating areas of thinned and thickened capillary loops w GBM splitting
Alport's syndrome
48
Tx for stress incontinence
1. Kegel exercises | 2. Urethropexy
49
Tx for urge incontinence
Oxybutynin | Urge incontinence = detrusor hyperactivity
50
Overflow incontinence Tx
Bethanechol | Alpha blockers

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