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heart defect with ?
conotruncal abnormalities are seen with?
congenital heart block
- supravalvular aortic stenosis
- digeorge syndrome
how do your rx anemia of chronic disease?
treat the chronic disease
what is arrest of dilation?>
arrest of descent?
- no dilation for 2 hours
- no descent for 2 hours
what are the types of prolonged labor?
- prolonged latent stage-->20 hours
- protracted cervical dilation-->1.4 cm/h4
- arrest of descent -->2 hours
- arrest of dilation->2 hours
how many contractions in 10 minutes is adquate for labor'.?
false vs true labor?
- false--irregular contractions but no cervix change
- true--regular contractions and cervix changes
what 2 antibodies are specific and confirmatory for sle?
rx for temporal arteritis?
rx for polymyalgia rheumatica?
- high dose steroids
- low dose steroids
best initial test for primary hyperaldosteronism?
nacl loading and seeing if it suppresses aldosterone or sampling adrenal vein for high aldosterone level
rx for neonate with a hepatitis b infection in mother?
hepatitis b vaccine and hep b ivig
toxicity of trastuzumab?
monoclonal antibody for her2-erb + cells?
most common casues for cough?
- post nasal drip--h1 blocker--chlorpherniramine
what germ cell tumors have the following markers>?
beta hcg and afp
- embryonal carcinoma
- choriocarcionoma and seminoma
- yolk sac
which bacteria have capsules?
some killers have nice shiny bodies
- h. influenza
- s. pneumo
- group b
what to think when you see vitiligo?
other autoimmune diseaess
dry , rough with horny plates skin?
vitiligo commonly occurs with what disease/?
antibodies present in hashimotos?
anti tpo antibodies
when is sx for primary hyperparathyroid done?
in symptomatic patients
in asymptomativ patient who have renal function impaired, low dexa bone scan, <50 yo
moa of sodium bicarb in tca overdose?
na bicarb stop the tca from blocking sodium channels on the heart
osteomyelitis from a nail going in the shoe and the foot?
difference between hsv and cmv esophagitis?
cmv has intranuclear inclusions and produces large and shallow ulcers
treatment for endocarditis?
what htn drugs prevents osteoporosis?
what is a contra indication to ace in renal pathology? bun and cr or high K?
best initial test for renal artery stenosis?
mr angiogram or duplex scan
most accurate is arteriogram
rx for ocp htn?>
stop ocp and give progesterone only
how do you lower bp in hypertensive emergency?
initital decrease is no more than 25%
what is the difference between acute and chronic rx for hf?
stop bb in acute
what is the map in shock? neurogenic?
- to prevent cord swelling
side effect of norepi in shock?
ischemia to various body parts
what is better for venous stasis, unna boot or hydrocolloid dressing?
rx for large vsd?
when do you do sx/?
- ace inhibitors
when medical therapy fails and the vsd doesnt close over time
a neonate with mi?
anamoloug origin of left coronary artery from pulmonary artery
when do you give albumin
large volume paracentesis--5L
cause of febrile transfusion rx?
- 1- hla antigen antibody
- 3- rh or kidd
- 4--iga deficiency
- 5- plasma proteins in donor blood
how long after an epidural catherer is withdrawn should LMWH be restarted? and why?
2 hours after to prevent an epidural hematoma
rx for acute mesenteric ischemia
- ng tube decompression
hla matching is more important for which transplants?
pancreas and kidney
immunosuppresant for lupus nephritis?
what kind of organ rejection manifests itself as a maculopapular rash, diarhea, ?
graft vs host disease
clean contaminated wounds