05-08 Flashcards
Anti-pseudomonal cephalosporins
cefepime or ceftazidime
HCAP drug regimen
Anti-pseudomonal cephalosporin + quinalone + anti-MRSA
Only SSRI that is teratogenic
Paroxetine
Painful abdomen in infants that gets better in between episodes
Intusseception
Intestinal malrotation presents as
usually presents within the first 4 weeks of life and is characterized by bilious vomiting
What is Teriparatide for
Severe osteoporosis
Dysuria with culture neg and no relief with Ab likely?
Chlamydia
Most common cause of falls in elderly
gait and balance disturbances
get up and go test for gait and balance
When should antivirals for flu be initiated
high suspicion with increased risk or within 48 of high suspicion for otherwise healthy
Asprin ages in men and women
45-79 in men
55-79 in women
insufficient evidence over 80
What asthma drug should not be used as a mono-agent
Long acting B2-agonists
Rash and lots of eosinophils in a newborn
Erythema toxicum neonatorum
Folic acid and low dose aspirin in diabetics?
Hell yeah
Just no NSAIDs
Primary tx for symptomatic MVP
B-blockers
Tx for altitude sickness in those with a sulfa allergy
dexamethasone
Most common drugs to cause acute interstitial nephritis
Antibiotics, especially penicillins, cephalosporins, and sulfonamides
Horse chestnut seed extract can treat
Varicose veins
Breastfeeding absolutely contra in
Herpes simplex lesions on breast
MCC of erythema multiform
HSV
When do you drain/splint pyogenic tenosynovitis
drain after 48 hours
What seafood poisoning requires more than just supportive treatment
Scombroid poisoning - treat the same way you would treat anaphylaxis
POTS tx
encouraging adequate fluid and salt intake, followed by the initiation of regular aerobic exercise combined with lower-extremity strength training, and then the use of β-blockers.
Subclinical hypothyroidism defined as
Slightly elevated TSH and normal levels of T4
inc cardiovascular risk but tx with thyroid hormone won’t help that
What kind of tinia in children always requires systemic anti fungal therapy
Tinia capitis
PPI AE
Decreased b12 absorption
Increased rate of fractures
Increased rate of c-diff
What age to worry about bleeding in females
Over 35
Symptoms of acute HF
rales, jugular venous distention, hepatojugular reflux, hypotension, and angina
Drug combo to reduce risk of stroke in HTN
ACEi/diuretic
2 best topical tx for psoriasis
- High dose steroids (less AE)
2. Vit D analoge (a little better)
Additional agent to add if single agent isn’t helping depression
Lithium
Test for proteinuria with unknown etiology
spot morning urine protein/creatinine ratio
Acute cervical radiculopathy with normal x-ray tx
NSAIDs
MRI if there are red flags like fever or myelopathy