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1st line rx for social phobia?
tumor in the nasal septum producing bleeding?
presentation of toxic megacolon?
- secondary to bloody diarhea caused by IBD
- volume depletion
best initial test for toxic megacolon?
what parameters are used in evaluating the glasgow coma scale?
- eye opening
- motor response
- verbal response
what 3 parameters are used to evaluate for coma?
- brainstem activity--eom, reflexes
- motor response--decorticate/decerbrate
Legg Parthe idiopathic necrosis occurs in what age?
up to 10 years old
complication of Pseudotumor Cerebri?
posterior shoulder dislocation occurs most commonly secondary to ?
best initial rx for central retinal artery occlusion?
ocular massage and oxygen
rx for acute angle closure glaucoma?/
- acetazolamide and mannitol
- pilocarpine or bb
what is the only live vaccine given to aids patients?
what is the fluid in galactorrhea?
white, yellow, brown or red
when do you worry about fluid coming out of a nipple..ie consider intraductal papilloma?
- if its unilateral
- breast lumps
- if fluid is gauiac positive
when do you test for g6pd?
after the hemolytic event
rx for sinusitis?
in a patient that is in a hypovolemic shock..what care must be taken so that no code occurs?
fluids must be give first and then intubation
causes of achalasia and pseudoachalasia?
- idiopathic achalasia from chagas or others
- pseudo caused by malignancy
when do you scope for achalasia?
alarming symptoms such as weightloss
drugs used for sle nephritis?
what causes dic in aml?
release of auer rods
what aml type is peroxidase negative and esterase negative?
what aml is peroxidase + and esterase -?
what aml has prodeminanly monocytes?
which leukemia is pas + and which one is peroxidase +?
if two guardians have difference of opinion on rx, what shud be done?
1 consent is fine for rx
when does eczema herpeticum occurs?
after atopic dermatitis--on top of the lesion of eczema--the lesions are vesicular
rx for digitalis toxicity/?
- anti-dig ab
rx for theophylline overdose?
most accurate test for histoplasmosis?
rx for systemic histo?
what oocytes are acid fast +?
test for phenylketonuria?
test for estrogen effects on the endometrium in ruling out amenorrhea?
progesterone withdrawal test
CIN II affecting ectocervix rx?
CIN II affecting endocervix?
blanchable skin lesion?
non blanchable ?
- telangiectasia and erythema
young age produces what kinds of babies?
small for gestationa age
- poor feeding
large for gestational age?
test for cmv
- urine culture
- urine antigen
- urine antigen
when do u give ig against hep b to a baby?
if the mother is HbsAg +
what antigens are used for evaluating response to therapy of pancreatic cancer?
in a situation where a spouse can expire if not given blood but he is presumed jehovahs witness and the wife protests the blood transfusion, next step?
dont give blood
best initial test for diaphragmatic hernia?
causes of pulsus paradoxus?
- cardiac tamponade
- tension pneumothorax
how are mg and polymyositis similar?
both affect proximal muscle groups
when is decompression of the gi tract happens?
during small bowel obstruction
3 disease conditions causing baker cysts?
pathophys behind baker cysts?
inflamed synovium producing excess synovial fluid
what mimics dvt ?
- ruptured baker's cyst
rx for spontaneous subconjunctiva hemorrhage?
two pathologies commonly seen after blunt trauma to the chest in motor vehicle accidents?
- aortic rupture
- pulmonary contusion--with alveolar infiltrate
rx for vulvovaginitis?
osgood- schlatter disease
separation of the tibial tubercle occurs in what condition?
Difference between endometritis and lochia?
- endometritis--uterus is tender, WBC is high, foul smelling vaginal discharge
- Lochia--uterus is non tender, wbc is normal
- both have temp, tachycardia and tachypnea, not foul smelling
How long does luchia last?
if luchia does not have an odor it is?
if it does have an odor?
- up to 4 days
- luchia rubra
next step if the vaginal discharge in the post partum period has foul smelling odor?
culture of the discharge and consider empiric antibiotics
what complications will endoscopy show with gerd?
85% of hypothyrodism is caused by ?
dysplasia, aplasia or ectopic thyroid gland
2 causes of floppy baby syndrome?
- botulism toxin
- wernig-hoffman disease
most effective management of a neurogenic bladder?
prophylaxis for malaria in sub-saharan africa and the indian continent?
3 causes for n-acetylcysteine?
- mucus resolution in cf
- acetaminophen overdose
- prophylaxis against contrast induced renal failure
what is enthesitis?
where is it seen?
- inflammation and pain at the insertion of ligaments and tendons into the bone
- overusage injuries as well as HLA-B27 spondyloathropathies
Ankylosing spondylitis enthesitis commonly occurs in what areas?
- illiac crest
sick sinus syndrome results from?
fibrosis of SA node or thrombosis of the sa node artery
most common side effect of dopamine agonists use in parkinsons?
what electrolyte is disturbed in DiGeorge syndrome?
difference between primary and secondary hypercalcemia?
- primary--low phosphate, high calcium
- secondary--high phosphate, normal calcium
Most common complication of mumps?
rx of asthma exacerbation?
rx for copd exacerbation
rx for single episode of depression?
relapsing epidsodes of depression?
abrupt cessation of what drug causes seizures?
how is the management of meningitis in children and adults varying?
- in children--- do LP first and then antibiotics
- In adults--antibiotics and then LP
who should get steroids for bacterial meningitis?
adults and children >6 weeks old
when is the rh titer in the mother considered not sensitized?
less than 1:4
rx for gestational diabetes that fails to be controlled with diet?
how does gestational dm causes hyperviscosity?
hyperglycemia promotes increased BMR which leads to increased oxygen consumption which leads to hypoxia which in turn leads to polycythemia and hyperviscosity
rx for septic abortion?
cervical/endometrial/blood cultures, iv antibiotics and gentle suctioning
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