The flashcards below were created by user
pszurnicki
on FreezingBlue Flashcards.
-
screenign for diabetes in pcos, test of choice
2 hr glucose tolerance
-
rx for akid with deafness in one ear
sit in front of the class
-
most important steps to reduce osteoporotic fractures?
bisphosphonates
-
when do you start infusing potassium for dka
when it reaches 3.0
-
an aneurysm of what is common in pregnancy
splenic artery
-
best initial test for renal cancer
ultrasound
-
when do you hospitalize infants for respiratory infections
rr >60 or pao2 <60
-
rx for a mother with prior transfundal myomectomy?
c section
-
tumors of the retina--gardners
tumors in the brain--turcott
-
itchy rash in an infant
scabies
-
rx for an infant with adiaphragmatic hernia
extracorporeal membrane
-
once monthly injection contraception is given how often
once monthly
-
what kind of aminotransferase levels are seen in ischemic hepatitis?
viral?
acloholic
- ischemic--extremely high and noramlize
- viral in the 1000"s
- alcoholic--below 500
-
what causes flail chest
pulmonary contusion from broken ribs
-
best initial test for pml?
most accurate
-
amblyopia causes strabismus or strabismus causes amblyopia
strabismus causes amblyopia
-
next step when wnating to excise renal cell carcinoma
see if it is in the inferior vena cava or renal vein
-
rx for placenta accreta
- conservative in young women
- hysterectomy in older women
-
dysphagia equal for both solids and liquids
solids then liquids
- achalasia
- cancer or stricutre
-
fluids for hypotension that would also decrease cerebral edema
7.5 % salin
-
lh, fsh and testosterone in hypothalamic hypogonadism?
normal lh, normal fsh , low testosterone
testicular failure- low t, very high fsh and lh
-
kidney stone that is 5 mm or smaller
5 mm to 3 cm
3cm and bigger
- spontaneous passage with fluids
- extra corporeal shock wave lithotripsy
surgical removal
-
antibodies in type 1 diabetes
anti-glutamic acid antibodies
-
mysthenia gravis usually have what 2 associated tumors in the chest
-
contraindication to contraction stress test
- classic c section
- placenta previa
-
neurotransmitter in ocd
serotonin
-
when is artificial rupture of membranes performed
when the fetus is at a low position and to shorten the labor
-
what reduces a right to left shunt
nitric oxide
-
a cause of different arterial oxygen saturation in the upper limb and lower limb
pda
-
2 drugs that cause closure of pda
-
depigmentation of areas of the body that follows a sun burn
vitiligo
-
most important pre-operative risk factor to control
- blood pressure with bb
- hematocrit at 30%
-
rx for post streptococcal glomerulonephritis
- antihypertensives--ace
- salt restriction
- penicillin to resist the spread of the bacteria
-
two complications (deadly) of heat stroke
- renal failure from myoglobin
- DIC
-
tachypnea, tachycardia, pleuritic sudden onset chest pain
Pulmonary embolus
-
what kind of electrolyte abnormality can cystic fibrosis pts present with
metabolic, hypochloremic, hypokalemic alkalosis due to excessive sweating and fluid loss
-
symptoms suggestive of pad, and abi is normal, next step
exercise abi
-
high calcium causes
- constipation
- kidney stones
- psychiatric mood disorder
- bone pain
-
kidney stone + peylo, next step
iv antibiotics + stone decompression
-
when is symptomatic aneurysm not an emergency
when there is inflammation around it on the ct
-
rx for a benign teratoma
immediate resection
-
what vitamin excess can cause kidney stones
vitamin c
-
visualization of biliary tree when ercp cant be performed
mrcp
-
when can you not perform ercp
with extensive gi tract surgery like a rho and y
-
what procedure for ectopic pregnancy removal can predispose to another ectopic
salpingostomy
-
what is the cause for increased basal metabolic rate in burn patients
cytokines and catecholamines
-
cannon a wave in
3rd degree heart block
-
hyperactive reflexes, tachy
cocaine
-
bilobed neutrophills are seen in
mds--myelodysplastic syndrome
-
what deletion is seen with mds
rx
5q-lenalidomide
-
hiccups indicate what
irriatation of phrenic nerve
-
complication of post splenectomu
subphrenic absscess
-
dose of metro for trichomonas
single dose
-
blowout of the vertebral bodies causes what kind of sydnrome
anterior cord syndrome
-
hyperextension of the neck can produce what kind of syndrome
central cord syndrome
-
ataxia confusion ophtalmoplegia
wernickes encephalopathy
-
what insulin should be adjusted if morning glucose is high
nightime nph
-
murmurs at the left sternal border
-
-
rx for shouulder dystocia
- call for help
- mcroberts maneuver--flex hips
-
hemolytic jaundice in the newborn is due to what 2 causes
- abo incompatibility
- rh incompatibility
-
cause of bullous impetigo
staph---cephalexin is the rx
-
-
most important risk factor for endometritis
c section
-
rx for metablic acidosis from loosing bicarb from the gi tract
sodium bicarb
-
flexion of 4th and 5ht fingers
dupturyens contracture
-
most common manifestation of sturge weber syndrome after a port wine stain
convulsions
-
tumor of the carotid body produces what
catecholamines
-
blistering due to sun exposure which turns to fibrosis, cause
porphyria cutanea tard---due to hep c or alcoholic
-
causes of gush of fluid in a pregnant woman
next step if urine incontinent and woman is in latent stage 1
- urine, bacterial infection, semen
- reassure and instruct to come back if contractions increase
-
best way to visualize ureters and kidney
bladder
-
most common cause of hypothyroid in the us?
overseas?
hashimotos
iodine deficiency
-
most common malignant liver tumor in a kid <3 years?
>3 years?
- hepatoblastoma
- hepatocellular carcinoma
-
when do you do surgery for hemothorax?
if blood draining is more than 1000mL
-
how to differentiate between adrenal source of high cortisol vs pituitary
- look at CRH and ACTH
- or give high dose dexamethasonerx
-
rx for ccb toxicity
calcium
-
when is calcium given for emergencies
- ccb
- magensium toxicity
- hyperkalemia
-
best way to address heavy menstrual flow in a 40 + woman
hysterectomy
-
best surgical method to loose weight
rhoux and y
-
cavernous hemangioma may lead to
dic
-
wood grain appearance skin rash is secondary to what cancer
lung
-
two indications for ptca
- st segment elevation
- Left bundle branch block
-
two indications for amnioinfusion
- meconium stained amniotic fluid
- persistent variable decelerations
-
rx for intermittent explosive disorder
-
high pitched abdominal sounds + air in the biliary tree
gallstone ileus
-
rx for atopic dermatitis after steroids
tacrolimus
-
rx for both psoriasis and eczema
- steroids for acute
- tacrolims
-
what is an adapalene
retinoid
-
first thing to look at in transplant failure
vein and artery anastamosis
-
retroverted uterus is a risk factor for
uterine perforation
-
rx for chronic rejection
new transplant
-
rifampin prophylaxis for young kids when
if kids <4 years old and in contact with someone with tb or + ppd
-
first clue to alzehimers
prominent memory impairment
-
rx for a small fecal fistula
observation
-
patients with risk factors going for vascular surgery should have what b4 surgery
stress test and bb
-
hsp occurs secondary to
strep d
-
drug to prevent gout or pseudogout
colchicine
-
thrombocytopenia and anemia in an elderly with recurrent infection
mds
-
medical rx for endometriosis
nothing
-
what improves fertility in endometriosis
surgery
-
diabetes sugar control improves with the same insulin dosage, cause
renal function is worsening--insulin cannot be cleared
-
inpatient rx for pid
clindamycin and gentamycin
-
what are the aminotransferases in viral, ischemic, acetominophen, and alcoholic hepaits
- viral--ALT/AST
- ischemic--very high levels
- acetominophen very high
- alcoholic---AST/ALT 2:1
-
which dermatophyte causes hair infection
trichophyton t
-
what causes uterine hyperstimulation
oxytocin or prostaglandins
-
a white pupil means two possibilities
-
common complication after a vericocele
infertility
-
difference between parkinsons vs lewy body dementia
- parkinsons---movment + slight demenita
- lewy body dementia---overt dementia
-
resentfullness and blaming others is characteristic of what disorder
oppositional defiant disorde
-
for how large of a baby do you do c section
more than 4500 grams
-
excision size for a melanoma less than 1 mm in depth?
2 mm
-
stent of surgery for aaa
surgery
-
the world/person or persons internal organs exist
nihilistic delusion
-
tumor in the retroperitoneum producing beta hcg and alpha feto protein is
testicular carcinomawh
-
what kind of skin infection does strep cause
-
microcephaly, maxillary hypoplasia, smooth filtrum are characteristics of abuse of what
alcohol
-
what two diseases can cause erythromyelgia
-
rx for erythromyalgia
aspirin to decrease prostaglandins
-
when can you have irregular menses with hysterectomy
if the hysterectomy is supracervical
-
next step when symptoms of prostatitis present
urine culture
-
rx for colon cancer when it metastesizes and replaces more than 50% of the liver by mets
palliative care
-
supracondylar fracture of humerus has what compliations
high incidence of neurovascular compromise
-
best initial test for neurosyphilis
most accurate
- vdrl, fta-abs
- most accurate is csf analysis
-
rx for neurosyphilis
IV penicillin
-
fluid draining after hysterectomy?
fistula from the bladder
-
next step in management of popliteal aneurysm
abdominal ct
-
neonatal chlamydia pneumonia can present with eosinophilia
-
most common tumor taht metastesizes to the thyroid
rcc--clear
-
what substances shoudl be withheld for dipyrimadole or adenosine nuclear stress test
methylxanthine and other caffeins/theophylline
-
rx for thyroid carcinoma
thyroidectomy
-
cause of lymphoma in a immunocompromised patient
ebv
-
rx for ductal carcinoma in site in multiple quadrants of breast
total mastectomy
-
empiric iv abx for a pt with fever and sickle cell
ceftriaxone
-
a patient with hypospadias, next step in management
ultrasound of urinary tract
-
2 immunodeficiencies taht cause eczema
-
agoraphobia
fear of being in places that may be difficult to escape
-
rx for optic glioma in neurofibromatosis if vision is not affected?
if afected?
- not affected--wait
- affected--chemo
-
cancer on the lower lip
squamous cell carcinoma
-
side effect of abdominal compartment syndomre and putting a mesh to slowly allow edema to subside
large ventral hernia
-
first line rx for gerd in babies
thickening the feeds and elevation of head of the bead
-
difference between gerd in babies and tracheoesophageal fistula
tracheoesophageal fistual appears in the first days with vomiting
gerd appears somewhat later
-
most common cause of lymphangitis in immunecompetent invdividuals?
immunocompromised?
- immunocompetent---strep
- immunocompromised---pseudomonas
-
rx for mild dehydration?
- mild---at home fluid replenishment
- severe--normal saline
-
cause of bullous impetigo?
non bullous?
- bullous---staph
- non bullous--- strep
-
score used to determine hepatic function
discrimination score
-
thyroglossal duct resection involves the removal of what bone
hyoid bone
-
what happens to fibrinogen intitially?
it goes up but then it decreases
-
bilateral parotid tumor in older man
warthin tumorrx
-
rx for wilsons
penicillamine
-
infantile head bobbin, spasm is most commonly caused by
tuberous sclerosis
-
woman thats on heparin and goes into labor, next step
stop heparin
-
next best step when you cant do ercp to look at biliary ducts or peancreatic duct
mrcp
-
most important prognostic sign for liver
prothrombin or INR time
-
next step when a tap in a suspected gonoccocal arthritis is negative,
swab rectal, urethra and oral for gonorrhea
-
most common complications of diabetes in infants
ones that develop earliest--vsd and togv
-
do you need to give anesthesia for 3rd degree burns
no
-
rx for sporotrichosis
- potassium iodide
- itraconazole
-
rx for carcinoma of the vulva
resection
-
first step in management of a hemodynamically unstable patient
-
most senstitive indicator of nutritional status?
pre-albumin
-
when do you not have to get 3 blood pressure reading to initiate anti-hypertensives
if there is end organ damage
-
seizures and interictal slow spike waves
lenoux gestat syndrome
-
which score is used for allocation of liver
-
anti-proteinase 3 is seen in what vasculitis
wegeners
-
re-enactment of aggressive dreams is called
rapid eye movement behavior disorder
-
rx for grades 1-3 concussion
- grade 1-- 20 minutes
- grade 2--- 1 week
- grade 3--- 1 month
-
post surgical hematoma compressing airway, next step in management?
evacuate the hematoma
-
rx for a patient whoe blood pressure is not fully controlled with one drug
increase the dose
-
iv potassium, bolus or infusion?
infusion
-
a pt with angina type of chest pain but currently does not have chest pain, next step
exercise stress test
-
best imaging test for pheo
MIBG scan
-
headache, precocious puberty, high beta hcg, dx?
pinealoma
-
biopsy for melanoma
wide excision
-
pain at the hypothenar prominence, cause
injury to hamate-ulnar nerve
-
sore throat + silvery like skin rash
guillete psoriasis
-
most common testicular mass
seminoma
-
a perimenoupausal woman with irregular bleeding?
endometrial biopsy
-
prevention of seborheic dermatitis
wash gently with shampoo
-
next step when histological biopsy is not as severe as cytological test. ie pap smear
cone biopsy
-
rx for tinea versicolor
seleniun sulfide
-
side effect of tretinoin
- high lipids
- pregnangy problems
-
diffuse goiter and normal TFT?
nodular
-
when can subglottic stenosis occur
due to edema from chronic intubation
-
waxy papules on the forehead
scaling papules on the forehead
- seborheic keratosis
- actinic keratosis
-
intense itching but normal urinary porphyrin levels?
erythropeoitn porphyria
-
what is peculiar about the ph and hco3 in metabolic acidosis caused by aspirin overdose?
the HCO3 is higher than expected for the pH
-
abgs of copd exacerbation
respiratory acidosis with metabolic compensation
-
u waves are synonymous with
hypokalemia
-
urinary incontinence that has urge and stress parts to it is called
detrussor hyperreflexia
-
radial deviation of the wrist is due to ?
colles fracture
-
how long should zidouvidine be given to infants
6 weeks
-
rx for anticholinergic intoxication
physostigmines
-
when is prazosin and finasteride used
in normal sized prostate--prazosin
in big prostates--finasteride
-
rx for theophylline toxicity
beta blockers
-
test to check for heamthrosis of th eknee
move patella posteriorly
-
rx for ibs
antidiarrheal--loperamide and stool softenenr
-
rx for autoimmune hepatitis
steroids
-
most common cause of recurrent abortions
unknown
-
rx for dumping syndorme
small meals
-
patientw with tourettes can develop what other disorder
ocd
-
what happens to hemoglobin in preeclmapsia
hemocontreations
-
myocardial contusion
radionuclide angiography
|
|