6/14/13 (RTA) Flashcards

1
Q

Grief is only considered pathologic if it lasts longer than how long?

A

1 yr

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2
Q

chronic htn –> _______ –> LV diastolic dysfunction

A

concentric hypertrophy of LV

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3
Q

Wha tis the first-line tx of LV diastolic dysfunction d/t htn?

A

β-blockers

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4
Q

What types of sensations are lost in anterior cord syndrome?

A

pain and temp

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5
Q

What is the next step in a 46 y.o. pt presenting w/ classic signs of GERD?

A

endoscopy (anyone over 45 or w/ alarm Sx)

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6
Q

What is the next step in a pt 44 y.o. presenting w/ classic signs/sx of GERD?

A

trial of PPI

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7
Q

How is mood disorder w/ psychotic features different from schizoaffective disorder?

A

psychosis only occurs at the same time as mood disorder and mood disorder may occur in the absence of psychotic Sx

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8
Q

What classes of drugs may be used to tx akathisia from neuroleptics?

A

benzos or β-blockers

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9
Q

Name two drugs commonly used to tx neuroleptic malignant syndrome.

A

dantrolene and bromocriptine

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10
Q

What is the main tx for panic disorder?

A

SSRI and CBT

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11
Q

What may be added to SSRI and CBT for acute control of panic attacks?

A

alprazolam

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12
Q

What cyanotic congenital heart defect may appear with a lg supracardiac shadow along with a lg cardiac shadow (snowman) and increased pulm vascularity?

A

total anomalous pulmonary venous return (TAPVR)

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13
Q

What is the anatomical defect in total anomalous pulmonary venous return?

A

pulm v. drains into RV

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14
Q

What typically causes airway obstruction in mechanically ventillated pts?

A

mucus plug (d/t decreased mucociliary clearance)

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15
Q

_______ should be suspected in any pt w/ a non-anion gap metabolic acidosis and a urine pH >5.5.

A

Type 1 RTA

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16
Q

What is the defect in type 1 RTA?

A

inability to secrete H+ in distal tubule

17
Q

What are clinical features of RTA type 1?

A

nephrolithiasis and nephrocalcinosis

18
Q

What is the diagnostic test for type 1 RTA?

A

give acid

19
Q

What is a positive result for type 1 RTA in the give acid test?

A

urine remains alkaline

20
Q

What is the Tx for RTA type 1?

A

give bicarb!