10/29/21 Flashcards

1
Q

Labs will show glucose > 600 mg/dL and negative ketones

A

Hyperosmolar Hyperglycemic State

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2
Q

Neonates with a bilirubin level; over _______ should be admitted for the initiation of phototherapy in order to avoid the risk for kernicterus,

A

bilirubin > 20 mg/dL

over 20 is always abnormal on the graph

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3
Q

Facial and Dental Nerve Blocks

Supraorbital

A

ipsilateral forehead and scalp

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4
Q

Perichondritis (infection of connective tissue of the ear) differs in treatment from other soft tissue infections in that?

A

Antipseudomonal antibiotics are standard of care

ex: ciprofloxacin

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5
Q

Hypothermia is defined by a core body temp of?

A

< 35°C

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6
Q

________________ is classically associated with a productive cough with rust-colored sputum, pleuritic chest pain, and high fevers

A

Streptococcus pneumoniae

most common PNA

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7
Q

PNA: chronic alcohol use, currant-jelly sputum, bulging fissures

A

Klebsiella

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8
Q

_______ PNA is asc w/ COPD and has gram-negative pleomorphic rods

A

Haemophilus influenzae:

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9
Q

Facial and Dental Nerve Blocks

Infraorbital

A

area between lower eyelid and upper lip

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10
Q

Wernicke encephalopathy is the result of acute ______ deficiency

A

thiamine- B1

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11
Q

Facial and Dental Nerve Blocks

ipsilateral maxillary molars

A

Posterior superior alveolar

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12
Q

Thyroid Storm Rx

A

Treatment
Beta-blocker (propranolol)
Thioamide (propylthiouracil or methimazole)
Iodine solution
Glucocorticoids
Empiric antibiotics if infection is suspected

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13
Q

Patients with severe hypermagnesemia should be given ___________

A

intravenous calcium

directly antagonizes the membrane effects
reverses respiratory depression, hypotension, and dysrhythmias.

Hemodialysis should be considered in patients with coma, respiratory failure, hemodynamic instability, or those with severe hypermagnesemia associated with renal failure.

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14
Q

Herniation of _____ will cause decreased sensation of the medial thigh and weakness of hip flexion.

A

L2-3

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15
Q

Facial and Dental Nerve Blocks

ipsilateral mandibular teeth, lower lip, chin

A

Inferior alveolar

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16
Q

Herniation of _____ results in decreased sensation of the medial foot and weakness of knee extension.

A

L3-4

17
Q

Decreased sensation between the first and second toe and weakness of ankle dorsiflexion can be seen with _____ disk herniation.

A

L4-5

18
Q

Facial and Dental Nerve Blocks

Mental

A

ipsilateral lower lip and chin

19
Q

Patients with an S1 radiculopathy present with

A
  • decreased sensation of posterolateral calf and lateral foot
  • weakness of ankle plantar flexion
  • decreased Achilles reflex
20
Q

HHS Labs

A

serum glucose > 600 mg/dL
serum osmolality > 315 mg/dL
minimal to absent ketosis
pH typically > 7.25