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3/28 Flashcards

1
Q

treatment for nocardia

A

bactrim

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2
Q

treatment for actinomyces

A

penicillin G

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3
Q

complication of late delivery

A

oligohydramnios, due to redistribution of fluid to brain and less to kidneys

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4
Q

first step after suspected lichen sclerosis

A

punch biopsy to rule out vulvar cancer

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5
Q

treatment for lichen sclerosis

A

topical cotricosteroids

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6
Q

side effects of cyclophosphamide

A

hemorrhagic cystitis, bladder cancer and myelosuppression

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7
Q

milk alkali syndrome

A
  • excessive intake of calcium and alkalai
  • hypercalcemia causes renal vasoconstriction and AKI
  • nausea, vomiting, constipation
  • worse with HTCZ, ACEi, NSAIDs
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8
Q

neurocardiogenic syncope

A

same as vasovagal

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9
Q

MS vs TIAs

A 
MS = days to weeks
TIAs = transient, less than 24 hours, risk factors
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10
Q

boggy, tender, symmetrically enlarged uterus

A

adenomyosis

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11
Q

maneuvers increase intensity of HCM murmur

A

decreasing preload - Valsalva, standing, nitrates

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12
Q

respiratory distress syndrome

A
  • due to surfactant deficiency
  • grunting, nasal flaring and retractions
  • ground glass appearance
  • in premature births
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13
Q

when does high potassium need to be treated

A

above 7, give insulin and calcium gluconate

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14
Q

time line of adjustment disorder

A

within 3 months of an event

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15
Q

common problem in lyme carditis

A

AV nodal block

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16
Q

EKG in pericarditis

A

PR depression and ST elevation

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17
Q

treatment of pericarditis

A

NSAIDs and colchicine

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18
Q

pure motor hemiparesis

A

cause by hypertensive vasculopathy in the internal capsule (lacunar stroke)

19
Q

new onset psych and neurological abnormalities with neuropathic abdominal pain

A

acute intermittent porphyria

20
Q

treatment for varicies

A

nadolol or propranolol

21
Q

complications in giant cell arteritis

A

polymyalgia rheumatica, aortic aneurysm, blindness

22
Q

osler-weber-rendu syndrome

A

telangectasias, epistaxis, AV malformations, reactive polycythemia

23
Q

first step after caustic chemical exposure

A

ABCs then clothing removal to decrease further exposure

24
Q

how is CLL diagnosed

A

flow cytometry

25
Q

features of NEC

A

temp instability, abdominal distension, bloody stool and xray findings

26
Q

indications for hospitalization in anorexia

A

electrolyte abnormalities, vital sign changes, very low weight, cardiac dysrhythmias

27
Q

treatment for MDD

A

SSRI AND therapy

28
Q

persistent EKG changes after MI indicate

A

ventricular wall aneurysm (5 days - 3 months post MI)

29
Q

most common cause of active phase protraction

A

cephalopelvic disproportion

30
Q

what stage of labor does epidural affect

A

2nd, after cervix is fully dialated

31
Q

alternative treatment for kids with lyme

A

amoxicillin

32
Q

characteristics of Lewy body dementia

A

dementia with fluctuating cognition, parkinsons, hallucinations and REM sleep issues

33
Q

condyloma lata

A

secondary syphilis

34
Q

initial treatment of androgen insensitivity syndrome

A

testicle removal - prevent testicular cancer of undescended testes

35
Q

most common cause of MALT

A

h pylori

36
Q

best test for volvulus in neonates

A

GI series with barium swallow

37
Q

eggshell calcification in liver

A

hydatid cyst cause by echinococcus

38
Q

lung vascular findings in CREST syndrome

A

intimal hyperplasia

39
Q

treatment of hyperthermia

A

ice water emersion

40
Q

inability to get pregnant after 35 with no other causes

A

insufficient ovarian reserve

41
Q

treatment for neuroleptic malignant syndrome

A

bromocriptine or amantadine (reverse dopamine blockade)

42
Q

back pain radiating to thighs with no neuro signs

A

lumbar spinal stenosis

43
Q

type of hypertrophy in viral myocarditis

A

eccentric

44
Q

most specific arrhythmias in digoxin toxicity

A

atrial tachycardia with AV block

Step 2 (28 decks)

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