45-48 Flashcards

1
Q

Why is BUN/creatinine ration in children not helpful

A

Serum creatinine changes with age

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2
Q

If endoscope is undiagnostic for lower GI bleeding, next step?

A

A technetium-99m blood pool scan

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3
Q

What do you need to test for in patients taking red yeast rice

A

LFTs (red yeast rice acts like a natural statin)

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4
Q

Rhinitis developing in setting of workplace

A

Occupational asthma

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5
Q

Standard treatment for multiple myeloma in patients under 65

A

Autologous stem cell transplantation

steroids for those not candidates

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6
Q

Inhaled steroid effects on COPD

A

Decrease exacerbations and decline in quality of life

Increase risk of pneumonia and hoarseness

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7
Q

Why can loperamide be bad for diarrhea

A

Can’t slow down the excretion of the toxins and make it last longer

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8
Q

Topical Ab should not be used for longer than what when treating pressure ulcers

A

no longer than 2 weeks at a time

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9
Q

Tx for epididymitis

A

250 mg IM ceftriaxone

100 mg bid Doxy for 10 days

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10
Q

5’-nucleotidase and Alk phos elevation suggest problem is located where

A

Liver

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11
Q

Alk phos elevated in what 4 organs

A

Bone, liver, small intestine, placenta

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12
Q

When should you aggressively lower BP after a stroke

A

When >220 systolic or MAP > 120

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13
Q

Main electrolyte abnormality seen in bulemia

A

Hypokalemia

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14
Q

What is almost universally associated with peritonsular abscesses

A

trismus

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15
Q

Anatomic snuff box is between

A

extensor pollicis brevis and extensor pollicis longus

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16
Q

Most common AE of Verincycline

A

Nausea

17
Q

Circumflex artery occlusion on EKG

A

1 and AVL (maybe V5 and V6)

18
Q

Bullous impetigo in infants tx

A

TMP/SMX (caused by exfolatoxin in S. aureus)

19
Q

Rheum condition with highest risk of malignancy

A

Dermatomyositis

20
Q

Episodic sharp/cramp like pain in rectum

A

Proctalgia fugax

21
Q

Telogen effluvium

A

Non-scarring hair loss that occurs after stressful events (3-6 months after event)

22
Q

Anagen effluvium

A

Hair loss after chemo

23
Q

Best dx test for osteoporosis

A

Central DXA scan

24
Q

Slapped cheeks syndrome

A

Parvo B19

25
Q

Triquet fractures common with?

A

Hyper-extention of the wrist (sliding into base)

26
Q

Narrow complex tach is

A

SVT (adenosine to tx)

27
Q

Legg-Calvé-Perthes disease

A

Avascular necrosis of the femoral head