2/11/15 Flashcards

1
Q

What is the current preferred HIV screening test combo?

A

ELISA for p24 Ag + other Abs

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2
Q

3 situations in which hypokalemia must be corrected immediately.

A

hepatic encephalopathy. ventilatory failure, and cardiac arrhythmias

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3
Q

In a nulliparous woman, arrest of the second stage of labor can be called after how long if no epidural anesthesia is used? If it is used?

A

3 hrs; 4 hrs

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4
Q

In a multiparous woman, arrest of the second stage of labor can be called after how long if no epidural anesthesia is used? If it is used?

A

2 hrs; 3 hrs (subtract 1 hr from nulliparous)

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5
Q

What is the Tx of choice for arrest of labor?

A

C-section

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6
Q

Which are the most commonly involved muscle groups in myasthenia gravis?

A

ocular and bulbar

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7
Q

What is the mgmt if mother has Hep B during pregnancy?

A

HBV vaccine and immunoglobulin w/in 12 hrs after birth

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8
Q

What is the appropriate mgmt of lobular carcinoma in situ Dxed by FNA?

A

excision and follow-up surveillance

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9
Q

What’s the difference between palliative care and hospice?

A

you can still pursue disease-modifying treatments in palliative care

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10
Q

Vesicles and ulcers on POSTERIOR oropharynx + fever in a child.

A

Herpangina

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11
Q

Vesicles and ulcers on ANTERIOR mouth and perioral skin + fever in a child.

A

Herpes gingivostomatitis

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12
Q

What is the pathologic agent of herpangina?

A

Coxsackie A virus

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13
Q

What happens to the FENa in prerenal AKI?

A

decreases (to <1%)

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14
Q

What cause of AKI should be suspected in pts w/ oliguria following a hypotensive episode (i.e. non-responsive to fluid challange)?

A

ATN

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15
Q

3 findings that differentiate ATN from prerenal azotemia.

A

non-response to fluid challenge, muddy brown casts, and normal FENa (>2%)

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16
Q

Which heart failure drug commonly causes drug-induced lupus?

A

Hydraaaalazine! (also procainamide)

17
Q

Is ANA positive in drug-induced lupus?

A

Yes!

18
Q

Other than ANA, what Ab should be tested for in drug-induced lupus?

A

anti-histone