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10 Flashcards

1
Q

Pylephlebitis

A

Infective portal vein thrombosis 2/2 untreated intraabdominal infection

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2
Q

Acute varicella bleeding antibiotics

A

Prophylactic fluoroquinolone to prevent SBP

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3
Q

You cannot pursue aggressive treatments while in hospice

A

You can leave to pursue, then return

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4
Q

Abdominal pain, fecal urgency, bloody diarrhea, distension of colon, lactic acidosis, Leukocytosis

A

Colonic ischemia

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5
Q

Urinary incontinence management

A

Only test required is u/a

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6
Q

Acute otitis media prevention

A

Environmental smoke cessation, avoid daycare/pacifier, continue breastfeeding

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7
Q

Odds ratio table calculation

A

Ad/bc

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8
Q

Meningitis+ ears+eyes+ questionable sexual history

A

Syphilis

Secondary (rash+ LAD)

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9
Q

Apathetic thyrotoxicosis

A

Hyperthyroidism in elderly

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10
Q

Management of incidentaloma

A

Assess if functional: dexamethasone suppression test, urine metanephrines, serum electrolytes, steroids.
Excuse if functional/ malignant/ >4 cm

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11
Q

Vitamin B12 ineffective erythropoiesis

A

Markers of hemolytic anemia with low rec count

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12
Q

Extrapulm sarcoidosis

A

Fatigue, lymphadenopathy, facial nerve palsy, hepatomegaly

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13
Q

Scabies testing

A

Skin scrapings for microscopy

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14
Q

MS diagnosis

A

MRI, lumbar puncture if needed

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15
Q

Isolated anti-Hbc

A

Repeat serologies, IGM anti-Hbc and LFTs

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16
Q

Persistent urethritis after treatment with azithromycin

A

Non-gonococcal urethritis
Repeat gram stain and NAAT
Moxifloxacin

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17
Q

Erysipelas org

A

Strep

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18
Q

Functional abdominal pain

A

Nothing else on history or exam

Symptom dairy

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19
Q

Capital succedaneum

A

Crosses suture lines, benign

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20
Q

Graves vs thyroiditis

A

Vs fever, tender, post viral

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21
Q

Cluster headache treatment

A

Oxygen, intranasal sumatriptan, lidocaine

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22
Q

Syphilis+ neuro symptoms

A

LP

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23
Q

Erysipelas, nonpurulent cellulitis org

Purulent cellulitis

A

Strep

Staph

24
Q

V/q mismatch

A

COPD

PE

25
Q

PUV

Vesicoureteral reflux diagnosis

A

Voiding cystourethrogram

26
Q

Vitamin E dementia

A

Modest benefit in mild-moderate dementia, not healthy people

27
Q

Thyroid goiter/nodules

A

Ultrasound (only situation where reflex ultrasound)

28
Q

Ethylene glycol and methanol ingestion

A

Fomepizole

29
Q

Osteomyelitis in children

A

Staph (clinda/vanc)

Sickle cell: + salmonella (gram neg), cover with ceftriaxone

30
Q

Postpartum blues vs depression

A

2 weeks

31
Q

Breastfeeding antidepressants

A

Sertraline and paroxetine

32
Q

BV

A

Clinda/flagyl

Treat for symptom management

33
Q

Pregnancy thyroid screening

A

TSH only

34
Q

Cryptococcal meningitis treatment

A

Amphotericin B and flucytosine till symptoms improve and CSF is sterile, then daily fluconazole

35
Q

AKI after initiation of ACEI

A

Renal artery stenosis

36
Q

Colorectal cancer risk factors

A

Family history, IBD, AA, alcohol, smoking, obesity

37
Q

Reactive arthritis risk factors

A

Chlamydia, HLA B27

38
Q

Lithium hypothyroid

A

Continue lithium, start levo

39
Q

Population attributable risk percent

A

Proportion of disease in population that is attributable to exposure
(Risk in total pop-risk in unexposed)/Rika of total pop

Risk in total pop=risk in smokersprop of smokers+ risk in nonsmokers*prop

40
Q

ACEI angioedema through

A

Bradykinin system (elevated)

41
Q

Mechanical valve anticoagulation

A

Aspirin and warfarin forever

No risk factors: INR 2-3, otherwise 2.5-3.5

42
Q

Pulm htn diagnosis

A

Initial test echo

43
Q

Untreated prolactinoma

A

Hypogonadism-> osteoporosis

44
Q

MDD treatment

A

Antidepressant for 6 months at least

45
Q

> 30 yo with breast mass

A

Mammogram, not u/s

46
Q

Tuning fork test

A

Neuropathy

47
Q

Preggo glucose parameters

A

Fasting <95, 1 hour postprandial <140, 2 hour postprandial <120

48
Q

Lyme arthritis diagnosis

A

ELISA

49
Q

Dichorionic/Diamniotic twins in vertex/vertex

A

If B remains vertex and has normal heart tracing, manage labor expectantly.

50
Q

Arrest of labor

A

No fetal descent in nulliparous after 3 hours of pushing (4 with epidural).

51
Q

Menopausal symptoms with anovulatory bleeding in >45 yo

A

Endometrial biopsy

52
Q

Systolic function in chronic primary MR

A

Considered abnormal if LVEF<60%

53
Q

Adjustment disorder timeline

A

Within 3 months

54
Q

Psoriasis skin

A

High potency topical steroids like fluocinonide.

55
Q

Adjustment disorder timeline

A

Within 3 months

56
Q

Adjustment disorder timeline

A

Within 3 months

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