02 APR 2017 1900 MIX Flashcards
what is the pathophysiology of the pain in primary dysmenorrhea?
release of PGs from endometrium causes uterine contractions
what is the treatment for lichen sclerosis?
topical corticosteroids (clobetasol)
how is the murmur characterized for IV drug use associated bacterial endocarditis?
holosystolic murmur increasing with inspiration (tricupid involvement)
in IV drug use associated bacterial endocarditis are there fewer or more peripheral manifestations (splinter hemorrhages, janeway lesions, osler nodes)?
fewer
what is the treatment for empiric chlamydia / gonorrhea infection? confirmed chlamydia? confirmed gonorrhea?
*testing with PCR
- empiric: azithromycin and ceftriaxone
- confirmed chlamydia: azithromycin
- confirmed gonorrhea: azithromycin and ceftriaxone
when is a non-stress test performed in pregnant women?
high risk pregnancies starting at 32-34 weeks gestation or when there is loss of perception of fetal movements in any pregnancy
what is the first step if fetal demise is suspected?
US
what medication is used for the severe psychomotor agitation from PCP use?
benzodiazepines
ascitic fluid from spontaneous bacterial peritonitis will show PMNs over _______ / mm3
250 PMNs per mm3
what is the treatment for SBP?
- empiric abx: 3rd gen ceph
- fluoroquinolones for prophylaxis
what is the SAAG in SBP?
over 1.1 g/dL
what test can be used to help detec subtle mental status changes sometimes present in patients with SBP?
Reitan trail test - a timed connect-the-numbers test
in mechanical ventilation, in general oxygenation may be improved by increasing either the _____________ or _______________
- FiO2
- PEEP
what is given to counteract the effects of organophosphate poisoning?
atropine
what is the preferred antihypertensive medication in patients with ADPKD?
ACE inhibitors
