UW 6 Flashcards Preview

Mixed > UW 6 > Flashcards

Flashcards in UW 6 Deck (50):
1

Post-exposure prophylaxis for animal bites (rabies)

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

2

Screening for children 0-5

Vision exam to id strabismus, amblyopia, refractive errors

3

Rotavirus - when

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

4

Presentation of androgen secreting neoplasm of ovary or adrenal

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

5

Screening test for androgen screening neoplasm

Testosterone and DHEAS

6

Risk factors for RDS

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

7

CXR of RDS

Diffuse reticulogranular pattern (ground glass opacities)
Air bronchograms

8

Achalasia workup

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

9

Tx for achalasia

Pneumatic dilatation
Surgical myotomy

10

What can mimic achalasia and what is workup to differentiate?

Esophageal cancer at Esophageal - gastric Jnc
R/O with endoscopy

11

CML presentation

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

12

What are mature granulocytes

Segmented neutrophils
Band forms

13

LAP score in CML

LOW

14

LAP score in Leukomoid Rxn

High

15

Absence of measurable EPO in urine

Polycythemia vera

16

When do adults receive td booster?

Every 10 years
1x Tdap booster

17

MCC of secondary clubbing

Lung malignancies
Cystic Fibrosis
R to Left shunt

18

How does Cerebellar hemorrhage present

Evolves over a few hours
Acute occipital HA, repetitive vomiting, gait ataxia, 6th CN palsy, conjugate deviation

19

Tx for cerebellar hemorrhage

Immediate evacuation of hematoma

20

How does PCA occlusion present?

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

21

What does PCA supply

Midbrain
Basal nuclei
Thalamus
Mesial inferior temporal lobe
Occipital and occipitoparietal cortices

22

What is vestibular neuonitis

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

23

What is Meniere dz? Presentation?

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

24

MOA of metoclopromide and prochlorperazine

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