14 Flashcards

1
Q

triad in cardiac tamponade

A

hypotension, JVD, dec heart sounds

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2
Q

plusus parodxus

A

SBP dec by 10 with inspiration

seen in tamponade

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3
Q

echo for tamponade

A

RA and RV collapse- impaired diastolic filling of right side of heart

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4
Q

widespread musculoskeletal pain, fatigue, nl ESR

A

fibromyalgia

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5
Q

what tests to get to rule out fibromyalgia

A

CBC, TSH, ESR

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6
Q

aplastic crisis in Sickle cell

A

cessation of erythropoiesis , retic <1%

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7
Q

drug interactions with lithium

A

ACEI, thiazide diuretics, NSAIDs(not ASA)

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8
Q

management lithium toxicity

A

Li levels q2-4 hrs

IV hydratation

HD if level>4 or >2.5 + renal failure

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9
Q

jones criteria

A

rheumatic fever

Joints
heart (carditis)
nodules
erythema marginatum
sydenham chorea
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10
Q

sydenham chorea

A

emotional lability
distal hand movements
facial grimacing, feet jerking
pronator drift

develop 1-8 months after strep

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11
Q

treatment of s chorea

A

penicillin until adulthood

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12
Q

GI sxs, eosinophilia, iron def anemia

A

hookworm

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13
Q

when is viral conjunctivitis no longer contagious?

A

once drainage has resolved

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14
Q

differentiate viral vs allergic conjunctivitis

A

viral- burning, viral prodrome

allergic- itching, both eyes

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15
Q

unilateral middle ear effusion that persists >3mo c/f

A

cancer! nasopharyngeal mass

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16
Q

treatment for menieres

A

salt restricted diet, diuretics

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17
Q

Nelson’s syndrome

A

pituitary enlargement, hyper pigmentation, visual field defect

following bilateral adrenalectomy

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18
Q

healthy worker effect

A

working populations generally healthier than general pop and have lower mortality rates (bias effect in studies)

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19
Q

initial test for child with prolonged cough

A

spirometry to test for asthma

20
Q

structural lesions that lead to dysphagia in pharynx and upper esophagus should be visualized how

A

nasopharyngeal largynoscopy

21
Q

when is CABG preferred over PCI?

A

its with multi vessel dz or DM

22
Q

pt with pSVT treated with what (vs if persistent tachyarrythmia)

A

adenosine

if persistent- direct cardioversion

23
Q

ovarian hyperstimulation syndrome

A

complication of ovarian induction for IVF

b/l ovarian enlargement, ascites, hypercoagulable, hemoconcentration

multi organ failure…

24
Q

when should epi be given for anaphylaxis

A

generalized skin findings

resp sxs- wheezing

GI sxs- N/V/D

CV sxs- hypotension

25
Q

after HIV exposure, when can HIV test be reliable?

A

after 4 weeks

26
Q

before starting HIV treatment, what tests should you get?

A

hep B serologies

drug resistance genotype testing

27
Q

rapid strep test for center criteria over..

A

3

28
Q

kid with mild lead level should have repeat testing in

A

1 month

29
Q

most common cause of sudden cardiac death

A

HOCM

30
Q

cause of sudden cardiac death with nl EKG and TTE

A

anomalous aortic origin of a coronary artery

31
Q

can HELLP san occur postpartum?

A

yes apparently

32
Q

lead time vs length time bias

A

lead: detecting earlier
length: slow vs rapid progressive dz

33
Q

management of hyatidiform mole

A
  • suction curettage

- monitor bhcg until gone for 6mo

34
Q

do you need to get MRI before joint aspiration for c/f pediatric septic joint?

A

no- don’t delay care

35
Q

preferred tx for ureteral stone in clinically unstable patient

A

percutaneous nephrostomy or retrograde ureteral stent

36
Q

proximal muscle weakness (cant climb stairs) with elevated CK, ESR, CRP

A

polymyositis

37
Q

resp dz associated with polymyositis

A

ILD

38
Q

what can help patients with chronic hypoparathyroidism with low serum Ca and high urine Ca

A

thiazide diuretics

39
Q

which STI test should asymptomatic man get?

A

HIV

40
Q

treatment for herpes zoster

A

valacylovir

41
Q

dx for herpes zoster

A

clinical- don’t need testing

42
Q

precautions for localized vs generalized herpes zoster

A

localized- standard + covering wounds

gen: contact + airborne

43
Q

treatment for raynauds

A

CCB - nifedipine, amlodipine (NOT verapamil)

44
Q

if c/f cholecystitis but US is inconclusive, what tesT?

A

HIDA scan

45
Q

ideal imaging for appendicitis in pregnant pt

A

graded compression abd US

46
Q

treatment for lichen sclerosus

A

topical corticosteroids