6/16/13 Flashcards

1
Q

What is the best initial test for suspected renal artery stenosis?

A

Duplex Doppler US

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2
Q

What is the mgmt of (term) PROM?

A

induction of labor

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3
Q

What is the Tx of PPROM complicated by chorioamninitis?

A

Abx and induction of labor

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4
Q

What Abx are appropriate for chorioamnionitis?

A

genta/clinda

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5
Q

What are 3 signs of chorioamnionitis in a pt who has confirmed PROM and no URI/UTI?

A

uterine tenderness, maternal fever, fetal tachycardia

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6
Q

What is the mgmt of uncomplicated PPROM?

A

depends on gestational age

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7
Q

What is the mgmt of PPROM at <24 wks?

A

induce labor or send home for bed rest

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8
Q

What is the mgmt of PPROM at 24-35 wks (4 things)_?

A
  1. admit
  2. betamethasone
  3. cervical cultures
  4. ampicillin+erythro for 1 wk
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9
Q

What is the mgmt of PPROM if there is non-reassuring fetal feart monitoring?

A

deliver

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10
Q

What is the Tx of PPROM basically if there are any complications?

A

delivery

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11
Q

Auto accident in which the knees hit the dashboard runs the risk of what hip injury?

A

posterior dislocation

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12
Q

Which 2 ARBs are assoc’ed w/ the highest incidence of angioedema?

A

losartan and valsartan

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13
Q

What 2 Ag’s characterize ALL?

A

CALLA and TdT

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14
Q

What is used for the prophylaxis of “meningeal leukemia” in ALL relapse?

A

intrathecal MTX

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15
Q

What is th BEST Dx test for ALL?

A

BM aspirate

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16
Q

Name at least 2 things that make acute fatty liver of pregnancy different from HELLP.

A
  • hypoglycemia
  • hyperbilirubinemia
  • abnormal coagulation studies
17
Q

What is the Tx for acute fatty liver of preg?

A

delivery (after maternal stabilization)

18
Q

What is the most specific finding for RV infarction?

A

ST-elevation in right-sided V4 (V4R)

19
Q

Why should nitrates and diuretics be avoided in RV MI?

A

they reduce preload!