4/25 Flashcards
side effects of stimulants
decreased appetite, weight loss and insomnia
cause of dermatitis herpetiformis
in celiac disease - microabscesses at dermal papillae - treat with dapsone
treatment of nursemaids
hyperpronation of forearm or supination of forearm and flexion of elbow
requirement of cyclothymic
must be over 2 years
signs of langerhan cell histiocytosis
lytic bone lesions, skin lesions, central diabetes insipidus
thalmic strokes
contralateral sensory loss
thalamic pain syndrome
burning pain over nerve distribution after thalamic stroke
treatment of syphilis in pregnancy with penicillin allergy
desensitization then penicillin
treatment of tardive dyskinesia
reduce dose or switch drugs
symptoms of botulinum toxin
descending paralysis, oculobulbar palsies, autonomic dysfunction
disease with no thymus
digeorge - cardiac defects, hypocalcemia, cleft lip/palate
cause of factor V leiden
protein C resistence
cause of warfarin induced skin necrosis
protein C deficiency
heart problem with long standing hypertension
diastolic dysfunction - heart can’t fill
causes of high output heart failure
AV malformations, anemia, thyrotoxicosis
meds needed for HIV prophylaxsis
only bactrim and azithromycin (anti fungal in endemic areas)
most common cause of facial nerve palsy
virus induced nerve inflammation - usually herpes
medication treatment of renal artery stenosis
ACEi or ARB - stenting is not better
treatment of echinococcal abscess
do not drain - treat with metronidazole
measurement in case control
odds ratio
viral vs bacterial lymphadenitis
bilateral vs unilateral
rash with suboccipital and posterior auricular nodes
rubella
FRC in COPD
normal or increased
basic urine in UTI = concern for…
urease producing organism = proteus
meningitis initial mangement
CT in adults
LP if kids are stable
Antibiotics if unstable
TSH in pregnancy
decreased
medical treatment of short cervix in pregnancy
vaginal progesterone to keep uterus quiescent
how does lead cause microcytic anemia
disruption of heme synthesis
treatment of foreign body aspiration in kid
rigid broncoscopy
treatment of ingestion of sharp object
endoscopy - must be removed
when should external cephalic version be performed
greater than 37 weeks so you don’t induce labor
worst type of colon polyp
villous adenoma
peripheral lung tumors
adenocarcinoma or large cell
most common cause of secondary bacterial pneumoia
staph/strep
contraindication to ergot/triptans
heart disease
glomerular disease most likely to occur in malignancy
membranous - can also be minimal change
most common glomerulonephropathy in Hodgkins lymphoma
minimal change
DMARD in RA
methotrexate
first line in catatonia
benzos
liver and psych problems in child
lead or copper
conjunctivitis with itching
probably allergic
most common cause of pediatric stroke
sickle cell
child with inspiratory stridor that worsens with lying down
laryngomalacia
FHT in previa vs abruption
previa = normal FHT abruption = abnormal
hearing loss and cardiac defect and cataracts in maternal infection
rubella
risks in OCPs
increasing hypertension and strokes
posterior fossa tumors in kids
astrocytoma and medulloblastoma
PPROM with complications
immediate induction of labor
TSH in prolactinoma
can be normal depending on if there are compression symptoms
anti-topoisomerase antibodies
systemic sclerosis
urinary problems with benadryl are caused by…
impaired detrusor contraction
McCune Albright
cafe au lait, precocious puberty, fibrous dysplasia of bone
factorial design
many studies in one
life threatening side effects of anti thyroid meds
neutropenia
best solution to single brain mass
surgical resection
seeing bent and wavy vertical lines
macular degeneration - grid test
rapid food bourne illness
staph aureus toxins
complement in lupus
lower
triggers of cyclic vomiting
migraines, stress or infection
postradiation with clear leakage of fluid
vesicovaginal fistula
genetic screen for women over 35
cell free DNA
fair complexion and musty body odor
phenylketonuria
screening for celiac
anti-tissue transglutaminase IgA
treatment of toxo in AIDS
sulfadiazine and pyrimethamine
high triglycerides in exudative effusion
thoracic duct rupture
when to treat carotid stenosis
symptomatic 70-99%
asymptomatic 80-99%
cause of seizure in HHS
hyperosmolality
plateau pressure
sum of PEEP and elastic pressure
treatment of MS flare
steroids
smudge cells
CLL
decrease hyperkalemia with
insulin and glucose
stroke occuring over minutes to hours
usually hemorrhagic
cause of primary hypotension after tranfusion
bradykinin in blood products - patients on ACEi
patients at risk of anaphylactic transfusion reactions
IgA deficiency
widened wrist in kids
vitamin D deficiency
frequent presentation of adolescent depression
irritability
best markers for acute liver failure
bilirubin and PT
ovarian findings in molar pregnancy
theca lutein cysts due to overstimulation
treatment in chemo vomiting
ondansetron - serotonin antagonist
calcium in acidosis
more hydrogen ions bound to albumin leading to more calcium in serum
DLCO in emphysema
low
most common spread of choriocarcinoma
lungs
pupil sparing vs non-pupil sparing CN3 palsies
parasympathetics operate pupil and run on outside
- non-sparing are due to compression (require CT)
- sparring are due to ischemia (vascular risk factors)
helmet cells are due to
hemolysis - RBC breakdown (not sickling)
RBCs in functional asplenia
Howell Jolly bodies
cause of hypotension in tension pneumo
decrease in right ventricular filling due to compression
inheritance of myotonic dystrophy
autosomal dominant (trinucleotide repeat)
mid cycle LH tests for
ovulation
Most common initial location for acute PE
thigh veins
untreated hyperthyroidism puts at risk for…
bone loss - increase in osteoclastic resorption
ovarian cyst rupture vs torsion
look at doppler arteriogram
