4/27/13 Flashcards

1
Q

Following blunt abdominal trauma, a pt. is normotensive, but has some respi distress. Breath sounds are decreased on the lower left chest. On X-ray, the left diaphragm is higher than the right. Dx?

A

Diaphragmatic rupture/hernia

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2
Q

What is a major complication of diaphragmatic hernia aside from respiratory distress?

A

incarcerated bowel

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3
Q

What would be a pathognomonic finding for diaphragmatic hernia?

A

NG tube in the chest

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4
Q

A pt who was rescued from a burning bldg and subsequently claims to have no memory of the event is using what neurotic defense mechanism?

A

dissociation

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5
Q

What are the 2 Tx options for acute cardiac tamponade?

A

pericardiocentesis or pericardiotomy

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6
Q

How can the cardiac silhouette be normal in acute cardiac tamponade?

A

pericardium is not very distensible

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7
Q

What receptors are blocked by typical antipsychotics?

A

D2

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8
Q

What receptors are blocked by atypical antipsychotics?

A

dopamine AND serotonin

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9
Q

What would be an average cardiac output?

A

about 5 L/min

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10
Q

Pain and numbness in one arm, limited neck rotation and lateral bending, and decreased sensation in the same arm in an older person.

A

cerviacl spondylosis

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11
Q

What is a common, but non–specific x-ray finding in spondylosis?

A

osteophytes

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12
Q

Person experiences popping sensation in knee during physical activity, followed by pain. Swelling of knee occurs gradually over the next 12-24 hrs. Tenderness on ant. and medial knee jt. Dx?

A

medial meniscus tear

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13
Q

Person feels popping sound in knee while doing physical activity and experiences immediate swelling and pain. Tenderness over ant. and medial knee. Dx?

A

ACL tear

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14
Q

Tenderness over the medial aspect of the knee with no precipitating event in an athlete or obese woman. Dx?

A

Anserine bursitis

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15
Q

Which neuro disease is amantadine used to Tx?

A

Parkinson’s

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16
Q

What causes hyponatremia in central adrenal insufficiency?

A

excessive ADH secretion

17
Q

Why does central adrenal insuff. cause excessive ADH secretion?

A

cortisol suppresses the secretion of ADH

18
Q

What is the best next step once a firm, rubbery, freely mobile mass w/ well-defined borders has been palpated on breast exam?

A

imaging: US if 30yo