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STEP II > 5/22/13 > Flashcards

5/22/13 Flashcards

1
Q

What differentiates toxic epidermal necrolysis from Stevens-Johnson syndrome?

A

TEN involves >30% of the total body surface area

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2
Q

Drug Rash with Eosinophilia and Systemic Symptoms (DRESS) is most commonly associated with what drugs?

A

anti-convulsants (e.g. phenytoin)

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3
Q

What should be done for sebaceous nevi discovered in babies?

A

biopsy and excision

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4
Q

Why should sebaceous nevi be removed?

A

usually develop into malignancies (esp. BCC) in adulthood

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5
Q

What kind of malignancy tends to develop at the site of giant congenital melanocytic nevi?

A

melanoma

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6
Q

What parameters define mild persistent asthma?

A

Sx >2x/wk but not daily, nighttime awakenings 3-4x/mo., FEV1 ≥80%

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7
Q

What is the treatment for mild persistent asthma?

A

albuterol + low-dose inhaled corticosteroid

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8
Q

What parameters define moderate asthma?

A

daily Sx, weekly nighttime awakenings, FEV1 60-80%

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9
Q

What is the baseline tx for moderate persistent asthma?

A

albuterol + low-dose inhaled corticosteroids + LABA

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10
Q

_______ is condition found in pts w/ longstanding diabetes. It is characterized by minimal pain, hyperlaxity of the joint, usu. the ankle, swelling, warmth, redness, and joint effusion.

A

Charcot joint

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11
Q

What is the other name for Charcot joint?

A

neuropathic arthropathy

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12
Q

How is neurosyphilis treated?

A

continuous IV crystalline penicillin G

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13
Q

Older pt w/ red eyes, headache, and blurred vision w/ halos around lights which is worse at night.

A

Acute angle-closure glaucoma

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14
Q

What would the fundoscopic exam show in acute angle-closure glaucoma?

A

optic disc is pale and edematous

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15
Q

What is the best initial treatment for acute angle closure glaucoma?

A

acetazolamide

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16
Q

What is the best initial tx for acute trigeminal neuralgia?

A

carbamazepine

17
Q

_______ is characterized by hypotension, hi fever, vomiting, watery diarrhea, sore throat, myalgias, macular erythematous rash, conjunctivitis, and headache. It may occur following a break in the skin.

A

Toxic Shock Syndrome

18
Q

What is the tx of toxic shock syndrome?

A

supportive + clindamycin and vancomycin

19
Q

What are the parameters for itermittent asthma?

A

Sx ≤2/week, nighttime awakenings ≤2/mo, FEV1 ≥80%

20
Q

What is the Tx for intermittent asthma?

A

only albuterol

21
Q

What are the parameters for severe persistent asthma?

A

Sx continuously, nighttime awakenings frequent, FEV1 <60%

22
Q

What is the tx for severe persistent asthma?

A

albuterol + LABA + hi-dose inhaled corticosteroids

STEP II (79 decks)

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