17-20 Flashcards
Prophylactic platelet transplant at what levels
10k
Drugs proven to prevent hip fracture
zoledronic acid
Risedronate
Alendronate
First line agents for inducing ovulation in PCOS
metformin and clomiphene
Also pioglitazone
What is Pentoxifylline used for
Venous ulcers
A pulmonary-capillary wedge pressure of 8 suggests
Hypovolemia
Acute COPD exacerbation tx
oxygen and bronchodilators
systemic steroids and Ab
How do anaphylactic reactions begin
Pruritus around the mouth and on the palms of the hands and soles of the feet
Single dose prophylaxis after an Ixodes tick bite
single 200-mg dose of doxycycline
Pneumonia vaccine schedule
Once at 65 if healthy
Once after 50 and one at 65 (or 5 years after initial dose if after 60)
Next test if a single pulmonary nodule is seen on CXR
Chest CT
What is secondary prevention
Targets individuals who have a disease but are asymptomatic
Murmer of VSD
Pansystolic best heard at lower left sternal border
Most common cause of liver abnormalities in developed world
Non-alcoholic fatty liver disease
association with metabolic syndrome and DM
Patients with CAP should have their urine tested for what?
Legionella and pneumococcus
Best tx for lower back pain with no neuro signs (without sciatica)
Exercise as tolerated
Check what if a patient has unresponsive hypotension after surgery
Cortisol level (Delta cortisol = cosyntropin challenge)
What is not a factor when assessing exercise induced asthma control
Pre-medication with a B agonist
What do you use to prevent further seizures in eclampsia
Mag-sulfate
What is see in patients with a hx of sexual abuse
Lifelong GI disturbances
Tobacco raises the risk of colon cancer by?
50%
Earliest and most specific sign of autism
Delayed attainment of social skill milestones
When can heparin be stopped after a new onset PE?
After 5 days, if the INR has been ≥2.0 for 24 hours
24 hours needed to make sure factors II and X have stabilized
CV changes associated with aging
decreased cardiac output, maximum heart rate, and stroke volume
also increased BP
What reduces incidence of atopic dermatitis in children
Exclusive breastfeeding until the infant is 4 months of age
Tx of recurrent migraines in children under 12
B-blockers
palpable purpuric rash, without thrombocytopenia
HSP
Worst NSAID for CNS effects
Indomethacin
