4/23 Flashcards

1
Q

biggest risk in parenteral nutrition

A

bloodstream infection

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2
Q

calcium oxalate crystals in urine

A

ethylene glycol poisoning

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3
Q

loss of radial pulse during inspiration

A

due to pulsus paradoxus, decrease in systolic BP during inspiration from increased blood to RV bulging out septum in tamponade

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4
Q

LFTs in COPD

A

decrease FEV1, Normal FVC, decreased FEV1/FVC

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5
Q

most common cause of paraneoplastic cushing syndrome

A

small cell lung cancer

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6
Q

use for vaginal misoprostol

A

labor induction (use oxytocin for labor contraction)

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7
Q

diagnosis of SBP

A

PMN >250, culture, protein<1, SAAG >1.1

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8
Q

location of brain metastasis

A

gray-white junction

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9
Q

muscle enzymes in polymyositis

A

elevated, muscles are being broken down and regenerated

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10
Q

focal seizures with impaired awareness

A

usually temporal lobe epilepsy, has automatisms followed by postictal confusion

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11
Q

major risk in diabetic moms

A

respiratory distress and macrosomia in late term (pneumocytes are not developed)
- congenital anomalies in early term

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12
Q

medical treatment of monomorphic vtach

A

amiodarone

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13
Q

calcifications in pancreas

A

chronic pancreatitis (lipase levels may be normal)

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14
Q

thin, shiny, hairless skin

A

think PAD

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15
Q

symptomatic hypokalemia after HCTZ

A

think primary hyperaldo, use spironolactone

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16
Q

common risk after major weight loss

A

gallstones

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17
Q

dysmorphic RBCs on U/A is sign of…

A

glomerular pathology, cells are getting through but they get deformed

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18
Q

how to tell upper GI bleed

A

BUN:Cr ratio higher than 20

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19
Q

common cause of acute dilated cardiomyopathy

A

coxsackie myocarditis - does not have pleuritic pain

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20
Q

results of iron poisoning

A

GI bleed, emesis, lactic acidosis due to tissue destruction

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21
Q

good initial test after afib is found

A

TSH

22
Q

knee locking or catching when extended under load

A

meniscal tear

23
Q

most common prognostic factor of astrocytoma

A

degree of anaplasma

24
Q

treatment of CLL

A

monoclonal antibody against CD20

25
Q

neuro defects in an IV drug user

A

brain abscess

26
Q

cause of hyponatremia in volume depletion

A

ADH is secreted to conserve volume, decreasing sodium

27
Q

causes of sepsis vs osteo in sickle cell

A
sepsis = s pneumo/h flu
osteo = s aureus/salmonella
28
Q

when to use prophylactic antibiotics in dental procedures

A

serious heart issues - fake valves, previous infections, congenital heart disease

29
Q

doppler tracer direction

A

towards transducer is positive, away from is negative

30
Q

triad of acute chole

A

fever, RUQ and leukocytosis

31
Q

treatment of elevated bili with pancreatic mass that can’t be resected

A

stent

32
Q

type of pain in avascular necrosis of bone in sickle cell

A

usually chronic - microvascular occlusion is acute

33
Q

u/a in multiple myeloma

A

normal, small amount of protein, but can not detect antibody

34
Q

mitral stenosis progression

A

heard closer to S2 the worse it gets

35
Q

relief of pain with elevation of testicle

A

acute epididiymitis

36
Q

juvenile myoclonic epilepsy

A

progress for absence seizures, start as myoclonus and can become generalized

37
Q

corkscrew appearance in small bowel

A

midgut volvulus

38
Q

main cause of symptoms in DKA

A

acidosis secondary to fatty acid breakdown in liver

39
Q

cells in CLL

A

smudge cells - increased fragility (ALL cells would be lymphoblasts)

40
Q

most common complication of hereditary spheocytosis

A

pigmented gallstones

41
Q

HIV med causing bizarre dreams

A

efavirenz

42
Q

test in hemodynamically stable aortic dissection

A

CTA or TEE

43
Q

lig lag is a feature of…

A

thyroid disease

44
Q

danger in giving triptan

A

avoid giving another triptan/ergot - can cause severe vasoconstriction

45
Q

symptoms of cataracts

A

blurry vision, glare and halos

46
Q

platelets after surgery

A

can have chronic thrombocytosis, especially after splenectomy

47
Q

most common cause of sterile pyuria with urethritis

A

chlamydia, can lead to infertility if not treated

48
Q

tocolytics to use by date

A

before 32 weeks = indomethacin

32-34 weeks = nifedipine

49
Q

treatment of severe hypertriglyceridemia

A

fibrates

50
Q

OCPs decrease the risk of…

A

ovarian and endometrial carcinoma

51
Q

hot shower making eye symptoms worse

A

optic neuritis in MS