2 more days.... Flashcards

1
Q

How is malaria diagnosed?

A

Blood smear

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2
Q

Woman is stable in active labor with placental abruption. What should be done?

A

Vaginal delivery

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3
Q

Person has s/s of appendicitis. Is imaging necessary to diagnosis before surgery?

A

NO…just go ahead and do the surgery

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4
Q

What medications can be used to treat restless leg syndrome?

A

Dopamine agonists (pramipexole)

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5
Q

A culture grows Gram+ anaerobic branching bacteria. What is this? How is it treated?

A

Actinomycosis

Penicillin

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6
Q

A person has been on digoxin for a while…and tolerating it just fine. A new medication is added and the patient develops side effects (anorexia, N/V, abdominal pain, confusion, color vision alterations). What drug was added?

A

Amiodarone;
Verapamil;
Quinidine; OR
Propafenone

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7
Q

Where is Eikenella common?

A

Oral flora

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8
Q

When should an abdominal US be done for AAA?

A

65-75yo with smoking history

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9
Q

What is the most common side effects of olanzapine?

A

Weight gain and sedation

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10
Q

Lesch-Nyhan…the disease that cause self-mutilation in kids. What’s it caused by?

A

Hypoxanthine-guanine phosphoribosyl transferase (HPRT) deficiency

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11
Q

Lead toxicity is a worry in houses built before when?

A

1978

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12
Q

A patient has a history of seizures and is on phenytoin…reports fatigue and is found to have megaloblastic anemia. What is deficient?

A

Folic acid (B9)

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13
Q

What happens with thyroid hormone with pregnancy?

A

beta-hCG stimulates thyroid hormone production
Thyroid binding globulin (TBG) is increased

Net result: slight increase in total and free T4

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14
Q

Back and leg pain that is worse with back extension and better with flexion. What is it most likely?

A

Lumbar spinal stenosis

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15
Q

What should be checked if B12 deficiency is expected?

A

Methylmalonic acid

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16
Q

At what age is doxy given for Lyme disease?

A

8yo…before then amoxicillin is given

17
Q

A person has syncope with emotional events. What kind of syncope is this?

A

Vasovagal…so orthostatic stress will also set it off

18
Q

What is the order of frequency of cancers that metastasize to the brain?

A

Lung, breast, unknown primary, melanoma, colon