41-44 Flashcards
Anal fissure and abdominal pain
Chrons
Medicare part A is
Hospital care
Medicare part B covers
outpatient physician care
doxylamine is for
nausea and vomiting of pregnancy
What area do you always biopsy if a lymph node is enlarged
Supraclavicular
Greatest risk factor for development of diabetes in women
hx of gestational diabetes
What do you add if serum creatinine is >1.5 mg/dL in patients with resistant hypertension
Loop diuretic
changes in the palmar fascia, with progressive thickening and nodule formation
Dupuytren’s contracture
Thyriod nodule workup
If TSH is suppressed, do iodide uptake scan
If TSH normal, biopsy
hot nodules almost never malignant
When do suicide attempts peak? completed suicide?
peaks in 20s
completed in 30s
What is donepezil? AE?
Cholinesterase inhibitor
Associated with bradycardia needing pacemaker
Arthritis with palpable purpura
HSP
According to JNC 7, CV risk begins to increase with a bp of
115/75
Head manifestations of DM
Parotid enlargement, gum bleeding, candidiasis
Odd AE of prochlorperazine or metoclopramide? Tx?
Acute dystonia (dopa blockers) Tx with diphenhydramine
Tx for moderate ingrown toe nail
partial avulsion of the medial nail plate and phenolization of the matrix
tx for mild ingrown toe nail
Elevation of nail edge with a whisp of cotton
If you can’t administer a drug IV during an acute MI, next best route?
Intraosseously
Plan of action if placenta previa is seen at 20 weeks gestation in a patient with no bleeding
repeat US at 28 weeks, as most resolve on their own
steroids to promote lung maturity at 24-34 weeks if bleeding
Most likely dx if arm pain precedes weakness and pain is difficult to localize
Brachial neuritis
Dx with nerve conduction study
Elevated LH and FSH indicate what usually
Ovarian failure (HPA axis trying to make up for it)
Best agent to add if Albuterol inhaler not working for asthma
Inhaled corticosteroids
What is raloxifine
SERM that reduces risk of breast cancer
- estrogenic activity on bone*
- anti estrogenic on breast and ovary*
What is Teriparatide (Forteo)
PTH analoge with potent bone anabolic activity
intermittent PTH increases bone formation
Rapid onset of flashes of light and visual field deficit
retinal detachment
Vitrous hemorrhage would cause
blurring of vision over most of the visual field
Drug that leads to falsely depressed levels of PSA
Finasteride (Proscar)
Test to dx thalassemia
Hgb electrophoresis
Somatization disorder must include
2 GI complaints
1 sexual complaint
1 neuro complaint
4 pain complaints
What can’t you do in ARDS
Get out CO2
will see high CO2 and appropriate rise of pH
