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- less than 4 days
- no hospitalization required
1st line agent for mania
best initial test for mono?
- heterophile monospot test
- evc-anitbody test
signs of opiod withdrawal?
rhinoorzea, abdominal carmping, pupil dilation
infection of submandibular/sublingual glands secondary to infected teeth
5 types of schizophrenia?
crystalloids are what? albumin or normal saline?
most common side effect of epidural anesthesia?
blocking of sympathetic chains leading to venous pooling and hypotension
5 t's for masses in anterior mediastinum?
- terrible lymphoma
- thoracic aorta
middle mediastinum structures?
- bronchogenic cyst
- inflammation of l.nodes
- tumor of trachea
risk factors for cervical incompetence?
- preterm birth
- obstetrical history
- leep or cone biopsy
most accurate test to check for cervix competence?
rx for croup vs epiglottitis?
what vitamin deficiency leads to seborheaic dermatitis?
vit b 2
what organic test is 50% abnormal in alzheimers?
dexamethasone suppression test
what symptoms must a pt with alzehiemrs exhibit?
- gradual memory loss +
cause of conjunctivitis taht results in inflammatory follicles and neovascularization?t
what kind of conjunctivits does trachoma cause?
inflammatory follicles with neovascularization
herpes simplex keratitis presents how?
presentation of a posterior elbow dislocation?
olecranon process is displaced behind the distal humerus
dirty wound and possible tetanus infection, next step in management/>
td booster only if vaccination is less than 8 years
chronic ankylosing spondylitis poses a risk for?
colonoscopies for pts with uc?
8 years after diagnosis and then annually
what two drugs inhibit calcineurin?
side effect of cyclosporine?
- gum hyperplasia
what two drugs cause gum hyperplasia?
toxicity of mycophenolate?
toxicity of azathioprine
- bone Marrow suppression
- diarrhea, bone marrow suppression
paralytic used in kidney and liver failure?
normal urine specific gravity?
primary polydypsia is common among what patients?
foul smelling sputum, rx?
anaerobes and clindamycinw
what is albright hereditary osetodystrophy?
albright hereditary osteodystrophy symptoms?
- short stature
- short forth finger
- hypocalcemia, hyperphophatemia and high pth
rx for crptococcoal, histoplasmosis meningitis?
amphotericin + flucytosine
rx for coccidiomycosis lung infection?
rx for histo/blastomycosis lung infection?
induction therapy for cryptococcus meningitis?
amphotericin + flucytosine
itraconazole is maintenenace
who has the right to medical records?
the physician and the patient has the right to copies
risk factors for nasopharyngeal carcinoma?
- nitrosamines in food
most useful parameter used in determining the fetal weight in the case of fetal growth restriction?
what is the best test to distinguish between symmetric and assymteric growth restriction?
head to abdomen circumference ratio
symmetric growth restriction occurs before how many weeks?
what are the tests performed in the 1st trimester?
- quadruple screen
- percutaneous umbilical blood sampling
what are the components of the full integrated test?
- ultrasound measurment of nuchal translucency
- PAPP-A in second trimester from the maternal blood
chorionic villi sampling poses what risk for the fetus?
limb reduction defect
most common cause of infertility in a woman >35 years old?
decreased ovarian reserve-not enough occytes!
3 tests to test for infertility of agins?
- clomiphene test
- fsh level
- inhibin level
turcott vs gardner syndrome?
- turcot--tumors in the brain plus polyps in gi
- gardners--tumors of bone, fat plus polyps in gi
who requires annual influenza shots?
whats is the pap smear guideline for women over 30?
every 3 years if she had 3 consecutive negative pap smears
when do you do latex agglutination test for bacteria?
if antibiotics were given first
what is the most common cause of orbital cellulitis?
causes of cavitation on lung?
- gram - rods
most common cause of a communicating hydrocephalus in a neonate?
- dandy walker--4th ventricle
- arnold-chiari--tonsills in foramen magnum
most common presentation of pe?
clots can arise from which part of the lower extremity?
what is the most common source?
above and below
above the knee
ego dystonic vs ego synstonic?
syntonic--the person has a Symbiotic relationshiop with the disorder and it doesnt cause them distress
when do you give post exposure prophylaxis for rabies concern?
if the bite involves the head or the neck
what prevents inh induced liver toxicity?
nothin, vit b6 is for neuropathy
mode of hypercalcemia in hodking dz?
production of calcitriol
Difference between gestational trophoblastic neoplasia and choriocarcinoma?
choriocarcinoma is metastatic
most common cause of hip pain in children?
next step in management if suspecting septic arthritis?
tapping the joint
moa of kayexalate?
promotes exchange of na for k and binds k since it is a k binding resin
alternative to contrast in ct procedures?
choice of analgesia for severe pain regardless of addiction to opiod?
most common side effect of epo in diabetics?
rx for cocaine induced ischemia?
1st line rx for prolactinoma?
when is sx done?
when is radiotherapy used?
- when carbergoline fails
- when sx and medical therapy fails
most common caue of perforated esophagus?
most accurate test for perforated esophagus?
what drugs cause esophagitis?
most accurate test for leprsoy?