Vol. 5 Flashcards by Carl Carlson

Clozapine seizure effect

lowers threshold

How well did you know this?

Not at all

Perfectly

G6PD triggers

infections and drugs (sulfa, antimalarials, nitrofurantoin)

How well did you know this?

Not at all

Perfectly

Most common metastatic brain cancers

lung > breast > unknown primary > melanoma > colon

How well did you know this?

Not at all

Perfectly

tx severe hyperCa

> 14 mg/dL, NS and calcitonin. Avoid loops unless volume overloaded

How well did you know this?

Not at all

Perfectly

erysipelas cause

GABHS (strep pyo), raised borders

How well did you know this?

Not at all

Perfectly

cocaine and fetal effects

jejunal atresia (triple bubble: stomach, duodenum, jejunum)

How well did you know this?

Not at all

Perfectly

Theophylline tox

CNS stim. and cardiac tox

How well did you know this?

Not at all

Perfectly

PPV

Of all patients with positive test, what fraction is a true positive

How well did you know this?

Not at all

Perfectly

best test for recurrent MI

CK-MB

How well did you know this?

Not at all

Perfectly

how often nonstress test

weekly in 3rd trimester

How well did you know this?

Not at all

Perfectly

pneumocystis tx

bactrim is first line + steroids if severe disease

How well did you know this?

Not at all

Perfectly

second line tx for pneumocystis

pentamidine, atovaquone, bactrim and dapsone, clinda and primaquine

How well did you know this?

Not at all

Perfectly

Fanconi’s anemia

Pancytopenia and congenital abnormalities

How well did you know this?

Not at all

Perfectly

Diamond-Blackfan anemia

Congenital Pure red cell aplasia

How well did you know this?

Not at all

Perfectly

endometritis tx

IV clinda and IV aminoglycoside

How well did you know this?

Not at all

Perfectly

causes of variable decels

Cord compression, oligohydramnios, cord prolapse

How well did you know this?

Not at all

Perfectly

are variable decels always bad

if no relation to contractions, they are common and fine

How well did you know this?

Not at all

Perfectly

neuroblastoma origin

neural crest derived

How well did you know this?

Not at all

Perfectly

neuroblastoma dx

serum and urine catecholamines (HVA and VMA) elevations, but no pheo sxs

How well did you know this?

Not at all

Perfectly

Wilm’s tumor source

Metanephros, renal parenchyma

How well did you know this?

Not at all

Perfectly

Herpangina cause

Coxsackie A (B is myocarditis)

How well did you know this?

Not at all

Perfectly

dihydropyridine CCBs

nifedipine and amlodipine

How well did you know this?

Not at all

Perfectly

non-dihydropyridine CCBs

diltiazem and verapamil

How well did you know this?

Not at all

Perfectly

which CCB class causes angioedema

I think the dihydropyridine group???

How well did you know this?

Not at all

Perfectly

Pinealoma

commonly GCT, can produce hCG, can cause obstructive hydrocephalus

HSP kidney histo

IgA deposition in mesangium

HSP sxs

palpable purpura, abdominal pain, arthralgias, kidney failure

How does congenital hypothyroidism look

Normal birth, then develops large tongue, abd. bloating, umbilical hernia, weakness, hypotonia, jaundice

Primary amenorrhea definition

No menarche by Age 15

dx for Turners

Karyotype, then FISH

breastfeeding failure jaundice

not enough fluids b/c of not enough breastfeeding means they reabsorb more bile acids . Happens in first week of life

breast milk jaundice

nl breastfeeding, not dehydrated, but high levels of beta-glucuronidase in breast milk lead to more reasbroption. Starts age 3-5 days, peaks at 2 weeks

sodium loss in HHNK

free water loss is great than sodium loss

hemochromatosis infection risk

increased risk to yersinia, vibrio vulnificus, yersinia enterocolitica

Staph aureus PNA

nodular infiltrate with cavitation

can you have MDD episodes in dysthymia?

yes, it just wont be pure dysthymia

janeway lesions

palms and soles, non-painful, macular

osler nodes

painful, violaceous nodules on fingertips and toes

roth spots

edematous and hemorrhagic lesions of the retina (IE)

reye syndrome histo

microvesicular fatty infiltration and hepatic mitochondrial dysfunction

reye syndrome associations

influenza B, then A, and varicella zoster

Macrovesicular fatty chances

alcoholic and NAFLD

what elevated in folate deficiency

homocysteine

what elevated in B12 deficiency

homocysteine and methylmalonic acid

painless hematochezia in a young toddler

Meckel's diverticulum

antiphospholipid syndrome tx in pregnancy

aspirin and LMWH

indications for parapneumonic tube thoracostomy

tx variant angina

CCBs and nitrates

cat bite tx

amox-clav for pasturella multocida

echinococcus animals

sheep and dogs

klumpke paralysis hand

CLAW

Wernicke encephalopathy sxs

encephalopathy, ocular dysfunction, and gait ataxia

Marfan's lens subluxation

Upwards

MGUS follow up test

metastatic skeletal bone survery

aspirin exacerbated respiratory disease

seen with asthma, chronic rhinosinusitis with nasal polyposis

Tx for baby born to mom with HBV

HBIG and HBV vaccine

tx for antiphospholipid syndrome in pregnancy

low-dose aspirin

thyroid labs

TSH and T4

Tay-Sachs cells apperance

onion-skin lysosomes

Patau apperance

cleft lip/Palate, holoProsencephaly, Polydactyly, | rocker-bottom feet, MR; death by 1 y/o

Patau mnemonic

Puberty is 13

Edwards mnemonic

Election age is 18

Williams syndrome apperance

Elfin facies, Extreme friendliness w/ strangers, | well-developed English, MR

Williams mutation

7q-

Cri-du-chat mutation

5p-

Cri-du-chat appearance

microcephaly, cardiac problems, high-pitched | meowing, epicanthal folds, MR

Eisenmenger syndrome

Pulmonary HTN reversing direction of shunt

ASD presentation

low-grade systolic murmur, fixed S2, and frequent colds

When to get prenatal imaging

Level-I U/S at 18-22 wks is standard of care

Wilson disease dx

Low serum ceruloplasmin, increased urinary copper, kaiser-fleischer rings

Vol. 5 Flashcards

(70 cards)