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Mixed 2 > UW 6 > Flashcards

UW 6 Flashcards

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1
Q

Complication of pseudotumor cerebri if left untreated

A

Blindness

- Impaired absorption of CSF by arachnoid villi

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2
Q

Guillan Barre pathophys

A

Peripheral motor nerves Demyelination

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3
Q

Pediatric fall on outstretched hand

A

Supracondylar Fracture of the humerus

  • MC complication - median nerve or brachial artery entrapment
  • Check distal perfusion, analgesia, immobilization
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4
Q

Limb Length discrepancy - seen where

A

Proximal humerus

Distal Forearm Fractures

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5
Q

Rare but devastating complications with supracondylar fx of humerus

A

Compartment syndrome

Volkmann ischemic contracture

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6
Q

Non anion gap metabolic acidosis + preserved kidney function

A

RTA

- Type IV = hyperkalemic common in poorly controlled DM

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7
Q

Ludwig Angina Presentation

A

Rapidly progressive
Bilateral cellulitis of submandibular and sublinguual spaces
Infxn from teeth - 2nd/3rd molar
Fever, dysphagia, odynophagia, drooling

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8
Q

MCC death Ludwig Angina

A

Asphyxiation

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9
Q

CVS - most influential factor that reduces incidence of limb reduction

A

GA of Fetus

- Increased risk when done before 9-10 weeks

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10
Q

Presentation of Gonococcal septic arthritis

A
  1. Asymmetric polyarthritis
  2. Isolated purulent arthritis affected 1 or few joints
    Skin rash not always present
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11
Q

Medulloblastoma

Location

A

2nd MC Posterior Fossa tumor
(MC is cerebellar astrocytoma)
MC in cerebellar Vermis

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12
Q

Angular cheilosis, stomatis, glossitis
Seborrheic dermatitis
Normocytic Anemia

A

B2 Riboflavin Deficiency

B2 found in meat, eggs, yeast, dairy, green veggies, enriched foods

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13
Q

Unexplained chronic abd pain + wt loss + aversion to food

A

Chronic mesenteric ishemia

aka abdominal angina

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14
Q

Complications in SGA infants

A 
Hypoxia
Polycythemia
Hypoglycemia
Hypothermia
Hypocalcemia
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15
Q

PPX for Rheumatic Fever

A

RF + NO carditis = 5 yrs or until 21
RF + Cardittis = 10 yrs or until 21
RF + Carditis + Persistent heart/valve dz = 10 years or until 40

Whichever is longer in each case
IV Pen G every 4 weeks

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16
Q

Febrile Neutropenia

A

Absolute neutrophil count < 500

Neutropenia < 1,500

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17
Q

MC Infxn in febrile neutropenia

Management and TX

A

Pseudomonas aeruginosa
Blood cultures
TX: Pipercillin-tazobactam
Cefepime, meropenem

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18
Q

Management of ascites

A
  1. Sodium and water restriction
  2. Spironolactone
  3. Loops
  4. Frequent abdominal paracentesis
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19
Q

When do we use vascular shunts in ascites

A

Symptomatic varices

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20
Q

Large mediastinal mass + elevated AFP and BhCG

A

Nonseminomatous Germ cell tumor

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21
Q

Tumors w elevated BhCG

A

Seminomatous germ cell tumor

Nonseminomatous germ cell tumor

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22
Q

Tumors w elevated BhCG + AFP

Study These Flashcards
A

Nonseminomatous Gern Cell Tumor

23
Q

Examples of conjugated hyperbilirubinemia

Study These Flashcards
A

Dubin-Johnson

Rotor Syndrome

24
Q

Examples of UNconjugated hyperbilirubinemia

Study These Flashcards
A

Gilbert’s syndrome

Crigler-Najjar

25
Presentation of Dubin-Johnson
Icterus Sephardic Jews Triggers - illness, pregnancy, OCPs Increased coproporphyrin I (normal individuals have III) Black liver Histo - dense pigment made of epinephrine metabolites within lysosomes TX: none
26
Niacin Deficiency seen in
Corn based diet Carcinoid syndrome Hartnup's Alcoholics
27
Niacin def Presentation
``` 4 D's Diarrhea Dermatitis Dementia Death ```
28
Initial hematuria or Blood in the beginning of urination indicative of?
Lesion in urethra
29
Terminal hematuria indicative of?
Prostate cancer | Bladder cancer
30
Total hematuria - during entire urinary cycle
Dz within ureters or kidneys
31
Labs in alcoholic hepatitis
AST: ALT > 2:1, less than 500 High GGT High Ferritin
32
DDX of AST and ALT elevations 25X (in thousands)
Toxins (Acetaminophen) Ischemic Viral Hepatitis
33
Electrolyte disturbance seen after blood transfusion
Hypocalcemia b/c blood contains citrate which chelates calcium and magnesium
34
TX for premature atrial beats
Observation. | Benign, do not require follow up or TX
35
MCC of CF related pneumonia in infants and young children
Staph aureus
36
MCC of CF-related pneumonia in adolescents and adults
Pseudomonas aerg
37
UTI with alkaline urine (pH>7)
Proteus mirabilis
38
TX that decreases frequency of relapse, reduces disability in pts w relapsing MS
IFN-Beta
39
HIV Vaccination of Pneumococcal
If CD4 > 200 = Vaccinate every 5 years. | If CD4 < 200 = wait until above
40
When are live vaccines CI in HIV | Examples
If CD4 < 200 MMR Varicella Zoster
41
Postural or orthostatic hypoTN seen in? Caused by? Effect on kidney?
Syncope in elderly Impaired baroreceptor sensitivity Volume depletion BUN/Cr ratio increased
42
What does PCWP measure
Preload
43
What does SVR measure
Afterload
44
What does RA Pressure measure
Preload
45
What does cardiac index measure
Pump Function
46
Pathophys of septic shock
Decrease SVR due to overall peripheral vasodilation Low PCWP, SVR High CO, Mixed venous oxygenation sat
47
High PCWP + dyspnea confirms what?
Cardiac origin for Sx's
48
What is normal JVP
< 10 cm H2O
49
Findings on imaging in Asbestosis
Pleural Plaques of lower lung fields | Interstitial abnormalities
50
Causes of gastric outlet obstruction
Gastric malignancy PUD Crohn Strictures - Pyloric stenosis
51
Causes of pyloric stricture | Timing?
Ingestion of acid | Fibrosis occurs 6-12 Wks after resolution of acute injury
52
What causes a succussion splash
Retained gastric material > 3 hours after a meal | Presence of hollow viscus filled w both fluid and gas
53
When does diabetic gastroparesis occur
Diabetics > 10 years

Mixed 2 (9 decks)

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