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scc in the neck of a smoker and drinker, next step?
when the biophysical profile is what value is delivery indicated?
BPP of 6, next step?
BPP of what score is considered normal?
causes of hemoptysis?
cause of steppage gait?
injury to peroneal nerve--cant dorsiflex
most common type of kidney stones?
what two conditions predispose to calcium phosphate stones?
- RTA type I
atrophic vaginitis can mimic uti with dysuria and urinary frequency
when do you treat hep c?
- if liver enzymes are elevated
- HVC rna
- biopsy shows necrosis
do you give hep b vaccine to a pt that has hepsag?
when do you repair surgically vsd?
- when the defect is large..decompensation and vascular markings are seen
- otherwise reassurance and observation
what dz produces blunting of villi?
what are the 2 characteristics of innocent murmurs in kids?
- grade 2 or less
- changing with position
- no other symptoms--cyanosis, sob, vascular markings, decompensation, edema
beta 1 or beta 2 enables transport of K into the cell?
dark brown discoloration of lymph follicles shining throught as white patches?
a person with access to medications...consider?
vaccination status unknown and the person gets stuck with hepB needle? next step?
hep b vaccine and immunoglobulins
pancytopenia in sle is due to?
antibodies to rbc, platelets and wbc
buproprion is contraindicated to what patients?
- patient at high risk for seizures
- eating disorders
- alcohol or benzo use
which stage do u treat of b.pertussis infection?
all and prophylax with marcrolides close contacts
convalescent stage of b. pertusis?
- congestion adn rhinorrhea
- less coughing
rx for strep viridans endocarditis sensitive to penicillin?
route of adminisatartion of antibiotics for endocarditis?
test for rule out vasovagal syncope/
tilt table testing
syncope brought on by emotional stress?
rx for frost bite?
rx is warm water
forward slip of l5 over s1 in kids causing cuada equina?
rx for endometriosis for a pt that wants to conceive?
does not want to conceive?
removal via laparoscopy
---danazol or ocp
post menopausal women get what type of HRT?
estrogen + progesterone
rx for mg toxicity?
mode of delivery in a gestational diabetic woman?
induction from 27-40 weeks
chorioamniotis predisposes to what?
rx for invasive molar pregnancy?
- mtx or adriamycin
- multiple chemotherapy
rx for fibroids but preserve fertility?
absolute contraindication for vaginal delivery after a c section?
classical c section for a transverse pregnancy
2 causes of variable decelerations?
2 causes of late decelerations?
- cord compression
late---uteroplacental insufficiency and maternal hypotension
on how big of ovarian cysts do you operate on?
what makes shoulder dystocia worse?
rx for adenomysosis?
3 emergency contraception methods?
- progesterone only pill pop
- ocp--estrogen and progesterone
- Copper IUD
wht kind of lesions are pedunculated?
what has favorable outcome, breast cancer with hormone receptor or without
rx for it?
- chemo and hormone therapy
pelvic pressure, woman feels like she is sitting on the ball?
rx for cystocele?
incontinence after iv infusion of due but not after retrograde infusion into the bladder?
how long are hrt indicated for?
6-12 months and then other means of controlling symptoms
with premature rupture of membranes at 35 weeks,next step?
- expectant management
- no tocolysis bc of risk of amnionitis
- no bethamethasone after 34 weeks
when are bethamethasone not given, after how many weeks?
pre pregnancy hba1c does not prevent what complication of pregnancy?
fna is non diagnostic for a breast lesion, next step?
best way to date pregnancy?
fever and abdominal tenderness post c section?
- mullerian agenesis--abnormal uterus, fallopian and upper vagina formation..
- causes amenorrhea
differentiation between emphysema nad chronic bronchitis?>
acute chest syndrome characteristics?
- chest pain
- xray inflitrate
- altered abg's
rx for tremors in parkinsons?
trihexphenydyl or other antimuscarinic
most psychiatric and mood disorders need what criteria to be classified as something?
they need to have functional impairment
difference in presentation between posterior urethral and anterior urethral injury?
- anterior is from trauma you get from a saddle impact--normal prostate, +/- urination
- posterior--from pelvic trauma, high riding prostate and cant urinate, scrotal hematoma
both have blood in the urethra
- wbc >1200
- rr >20
- temp >101 or less than 95
- pulse >90
erythematous maculopapular rash?
what is the only way to have low Na and K in serum and high Na and K in urine?
what is the pathophysiology of dyspnea in pericarditis?
decreased preload bc of the edema surrounding the heart
when is the cerival mucus thin and most accomodating to sperm..high ph?
difference in presentation between interstitial cystitis and cystocele?
- interstitial cystitis--has tenderness of anterior vaginal wall
- cystocele--herniation of the anterior vaginal wall
what is the strongest prognostic factor for reducing mortality and morbidity in an MI?
restoration of blood flow
injury to the knee where there is popping and locking and inability to fully extend the knee?
medial meniscal tear
serum sickness reaction presentation?
- type III hypersensitivity
most common predisposing factor for bacterial sinusitis?
best initial rx for hepatorenal syndrome?
most effective rx for hepatorenal syndrome?
rx for premature atial beats?
difference between rmsf and secondary syphilis?
rmsf has headache and myalgia
side effect of cyclophosphamide?
- hemorrhagic cystitis
- bladder cancer
rx for cyclophosphamide induced hemorrhagic cystitis?
rx for contraction alkalosis?
in order for odds ratio to be valid what must happen?
prevalence of disease is small
what happens to odds ratio and relative risk when the prevalence of disease is low?
manifestation of glucagonoma?
- erythamtous skin leasion
bony spurs causing neurological deficits occur secondary to ?
osteoarthtiris of the vertebra
rx for ascites due to cirhosis?
- sodium and fluid restriction
- frequent paracentesis
who gets primary biliary cirhosis?
best test for reocclusion?