4/20 Flashcards

1
Q

mixed venous oxygen in septic shock

A

can be elevated due to inability for oxygen delivery in peripheral tissues

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2
Q

highest risk psych drugs for weight gain and hyperglycemia

A

olanzapine and clozapine

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3
Q

ovarian hyperstimulation syndrome

A

caused by VEGF leading to ovarian cysts and increase in doppler flow

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4
Q

meds for HOCM

A

beta blockers, CCBs

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5
Q

signs of appendicitis in pregnancy

A

rebound tenderness and guarding, may have contractions and fetal tachy

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6
Q

first step to reduce cord compression

A

maternal repositioning followed by amnioinfusion

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7
Q

when does acute fatty liver occur in pregnancy

A

third trimester

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8
Q

hyponatremia in respiratory infection

A

legionnaires, treat with fluoro or macrolide

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9
Q

area of brain in huntingtons

A

caudate and putamen - GABA

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10
Q

choanal atresia

A

cyanosis aggravated by feeding and relieved by crying - obstruction in nose

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11
Q

immediate med for stroke

A

IV alteplase, within 4.5 hours

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12
Q

port wine stain, seizures, capillairy-venous malformations

A

Sturge-Weber syndrome

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13
Q

nevus flammeus

A

port wine stain

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14
Q

testosterone secreting tumor

A

sertoli-leydig cell tumor, rapid onset virilization

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15
Q

frequent common cause of urinary stasis and UTI in toddler

A

chronic constipation

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16
Q

patient with hypoalbuminemia may be deficiency

A

calcium

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17
Q

causes of splenic infarction

A

thromboembolus, sickle cell, hypercoag state

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18
Q

consideration in recurrent lobe pneumonia

A

foreign body or malignancy

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19
Q

treatment of ethylene glycol poisoning

A

fomezezil prevents further breakdown into toxic products

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20
Q

sodium thiosulfate treats…

A

cyanide poisoning

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21
Q

megestrol acetate

A

prostaglandin analog for appetite in cancer

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22
Q

measure in case control studies

A

odds ratio

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23
Q

when does odds ratio approximate relative risk

A

when the incidence of disease is rare

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24
Q

lewy body vs parkinsons

A

in lewy body, symptoms occur at the same time

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25
Q

how long should SSRIs be continued in depression

A

6 months if helpful, longer if refractory

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26
Q

symmetric vs asymmetric IUGR

A

first tri = symmetric (infections)

2/3 = asymmetric (placental insufficiency)

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27
Q

high AFP in baby

A

neural tube/abdominal wall defects or multiple gestations

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28
Q

fetal hydantoin syndrome

A

cleft lip, wide fontanelle, phalangeal hypoplasia, cardiac - antiepileptics in neonates

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29
Q

treatment of EHEC

A

supportive only, antibiotics increase risk of HUS

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30
Q

breastfeeding jaundice

A

increase in indirect bilirubin due to poor feeding and delayed stooling

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31
Q

breast milk jaundice

A

persistence of jaundice past the first week due to breast milk content, no feeding difficulties

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32
Q

PPROM in 34-37 weeks

A

antibiotics, maybe steroids and delivery

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33
Q

herpangina vs herpes

A

herpangina is in oropharynx, herpes in lips

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34
Q

treatment for food bourne botulinum

A

horse-derived antitoxin

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35
Q

EBV DNA in CSF

A

HIV lymphoma

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36
Q

side effect of trastuzumab

A

cardiac toxicity - get an echo before

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37
Q

advanced bone age in early puberty, next step

A

LH measurement

  • high = central
  • low = peripheral
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38
Q

fanconi anemia

A

congenital cause of aplastic anemia due to DNA repair defect

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39
Q

epigastric burning with heaving lifting

A

atypical angina

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40
Q

infectious causes of bloody diarrhea

A

campylobacter, EHEC, shiga

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41
Q

causes of constrictive pericaditis

A

cardiac surgery, TB, viral pericarditis

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42
Q

risk of PPI

A

c diff due to decrease in acid

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43
Q

treatment for borderline

A

dialectal therapy

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44
Q

ice pack tests

A

improves myasthenia gravis

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45
Q

spondylolisthesis

A

slipping of vertebral body forward

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46
Q

partial vs absent dystrophin

A

duchenne’s vs becker, varies with age of onset

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47
Q

liver disease in pregnancy with normal platelets

A

cholestasis

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48
Q

treatment of warfarin bleeds

A

PT concentrate or vitamin K (takes longer)

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49
Q

most common cause of viral myocarditis

A

coxsackie

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50
Q

danger in TCA overdose

A

QT prolongation

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51
Q

hexagonal urine crystals

A

cysteinuria

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52
Q

cardiac conduction system degneration

A

sick sinus syndrome

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53
Q

bloody diarrhea in HIV

A

CMV

54
Q

risk in drowning

A

respiratory insufficiency and ARDS

55
Q

telogen effluvium

A

major hair loss due to stress

56
Q

sialendosis

A

most common in liver disease/malnutrition

57
Q

steroid induced myopathy

A

painless proximal muscle weakness, labs are normal

58
Q

med to avoid in acute glaucoma

A

atropine, dilated pupil and makes things worse

59
Q

instability after TEE

A

esophageal perforation

60
Q

somatic symptoms of GAD

A

muscle tension

61
Q

chancroid

A

painful - h ducreyi

62
Q

vaginal pH in menopause

A

above 5

63
Q

chronic shingles treatment

A

gabapentin

64
Q

retinal hemorrhages in child

A

think abuse - subdural bleeding

65
Q

d-xylose test

A

normal with enzyme deficiencies, abnormally high in malabsorption because of gut (celiac)

66
Q

false positive d-xylose test

A

SIBO

67
Q

no red reflex

A

retinoblastoma

68
Q

heart failure at day 3 of life

A

coarctation after ductus closes

69
Q

RBCs in thalassemia

A

target cells

70
Q

labs in HUS

A

thrombocytopenia, decreased haptoglobin, increase bilirubin

71
Q

eventual outcome of Graves treatment

A

hypothyroidism

72
Q

pH in cyanide poisoning

A

metabolic acidemia from lactic acidosis

73
Q

pain in PFPS

A

tonic contraction of the quads

74
Q

persistent diarrhea with international travel

A

giardia

75
Q

treatment for acute organ rejection

A

IV steroids

76
Q

resistant hypertension and hypokalemia

A

suspect aldo producing tumor

77
Q

vasculitis with BP extremity discrepancies

A

Takayasu arteritis

78
Q

lewy body vs parkinsons

A

in lewy body, symptoms occur at the same time

79
Q

how long should SSRIs be continued in depression

A

6 months if helpful, longer if refractory

80
Q

symmetric vs asymmetric IUGR

A

first tri = symmetric (infections)

2/3 = asymmetric (placental insufficiency)

81
Q

high AFP in baby

A

neural tube/abdominal wall defects or multiple gestations

82
Q

fetal hydantoin syndrome

A

cleft lip, wide fontanelle, phalangeal hypoplasia, cardiac - antiepileptics in neonates

83
Q

treatment of EHEC

A

supportive only, antibiotics increase risk of HUS

84
Q

breastfeeding jaundice

A

increase in indirect bilirubin due to poor feeding and delayed stooling

85
Q

breast milk jaundice

A

persistence of jaundice past the first week due to breast milk content, no feeding difficulties

86
Q

PPROM in 34-37 weeks

A

antibiotics, maybe steroids and delivery

87
Q

herpangina vs herpes

A

herpangina is in oropharynx, herpes in lips

88
Q

treatment for food bourne botulinum

A

horse-derived antitoxin

89
Q

EBV DNA in CSF

A

HIV lymphoma

90
Q

side effect of trastuzumab

A

cardiac toxicity - get an echo before

91
Q

advanced bone age in early puberty, next step

A

LH measurement

  • high = central
  • low = peripheral
92
Q

fanconi anemia

A

congenital cause of aplastic anemia due to DNA repair defect

93
Q

epigastric burning with heaving lifting

A

atypical angina

94
Q

infectious causes of bloody diarrhea

A

campylobacter, EHEC, shiga

95
Q

causes of constrictive pericaditis

A

cardiac surgery, TB, viral pericarditis

96
Q

risk of PPI

A

c diff due to decrease in acid

97
Q

treatment for borderline

A

dialectal therapy

98
Q

ice pack tests

A

improves myasthenia gravis

99
Q

spondylolisthesis

A

slipping of vertebral body forward

100
Q

partial vs absent dystrophin

A

duchenne’s vs becker, varies with age of onset

101
Q

liver disease in pregnancy with normal platelets

A

cholestasis

102
Q

treatment of warfarin bleeds

A

PT concentrate or vitamin K (takes longer)

103
Q

most common cause of viral myocarditis

A

coxsackie

104
Q

danger in TCA overdose

A

QT prolongation

105
Q

hexagonal urine crystals

A

cysteinuria

106
Q

cardiac conduction system degneration

A

sick sinus syndrome

107
Q

bloody diarrhea in HIV

A

CMV

108
Q

risk in drowning

A

respiratory insufficiency and ARDS

109
Q

telogen effluvium

A

major hair loss due to stress

110
Q

sialendosis

A

most common in liver disease/malnutrition

111
Q

steroid induced myopathy

A

painless proximal muscle weakness, labs are normal

112
Q

med to avoid in acute glaucoma

A

atropine, dilated pupil and makes things worse

113
Q

instability after TEE

A

esophageal perforation

114
Q

somatic symptoms of GAD

A

muscle tension

115
Q

chancroid

A

painful - h ducreyi

116
Q

vaginal pH in menopause

A

above 5

117
Q

chronic shingles treatment

A

gabapentin

118
Q

retinal hemorrhages in child

A

think abuse - subdural bleeding

119
Q

d-xylose test

A

normal with enzyme deficiencies, abnormally high in malabsorption because of gut (celiac)

120
Q

false positive d-xylose test

A

SIBO

121
Q

no red reflex

A

retinoblastoma

122
Q

heart failure at day 3 of life

A

coarctation after ductus closes

123
Q

RBCs in thalassemia

A

target cells

124
Q

labs in HUS

A

thrombocytopenia, decreased haptoglobin, increase bilirubin

125
Q

eventual outcome of Graves treatment

A

hypothyroidism

126
Q

pH in cyanide poisoning

A

metabolic acidemia from lactic acidosis

127
Q

pain in PFPS

A

tonic contraction of the quads

128
Q

persistent diarrhea with international travel

A

giardia

129
Q

treatment for acute organ rejection

A

IV steroids

130
Q

resistant hypertension and hypokalemia

A

suspect aldo producing tumor

131
Q

vasculitis with BP extremity discrepancies

A

Takayasu arteritis