6/7/13 Flashcards

1
Q

Where shouldn’t you inject epi prior to suturing?

A

any site of end-organ perfusion (e.g. digits, penis, nose, ear)

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2
Q

What do you call the complication of herpes zoster that causes neuropathic pain before and after the lesions?

A

postherpetic neuralgia

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3
Q

What agents can be used to treat post-herpetic neuralgia?

A

TCAs, gabapentin, and pregabalin

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4
Q

Name 2 TCAs.

A

Clomipramine, desipramine

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5
Q

What would be the most likely cause of sudden-onset, well-demarcted bleeding within a lobe of the cerebral cortex of an older person?

A

cerebral amyloid angiopathy

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6
Q

What sort of acute eye problem w/ pain, blurry vision, and increased intraocular pressure can arise secondary to anterior uveitis?

A

acute angle-closure glaucoma

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7
Q

Only hi-risk individuals should be screened for ovarian cancer. What are the first 2 steps, following Hx and PE, in screening hi-risk pts for ovarian cancer?

A

1) CA-125

2) TVS

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8
Q

BRCA-1 mutation and fam Hx are both risk factors for ovarian cancer. Name the 2 diseases that are also risk factors.

A

dermatomyositis and HNPCC

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9
Q

How long must anti-coagulation w/ warfarin be continued in pts following a pulmonary embolus?

A

3-6 mos

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10
Q

What is the best choice of anti-hypertensive in a pt. w/ htn and coronary artery disease?

A

β-blockers (metoprolol)

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11
Q

What is a good choice of medication for pts w/ coronary artery disease who require rate control, but cannot tolerate β-blockers (e.g. asthmatics)?

A

Verapimil, diltiazem

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12
Q

What 2 comorbidities are the main indications for using ACE-Is as first-line antihypertensives?

A

DM and CHF

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13
Q

What is the most common form of melanoma?

A

superficial spreading melanoma

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14
Q

What are 2 choices for treatment of HITT?

A

lepirudin and argatroban

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15
Q

In the pediatric po., microhematuria following minor trauma is suggestive of _______. The first step in workup is _______.

A

congenital anomaly of the GU system; US

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16
Q

_______ is a type of colonic dysfunction mimicking obstruction that is often seen in elderly pts who are not very active and are further immobilized by extra-abdominal surgery .

A

Ogilvie syndrome

17
Q

What Abx should be administered to a pt with septic arthtritis but a negative Gram stain?

A

ceftriaxone and vancomycin

[cover Gram (-) (Gonococcus) and MRSA]

18
Q

Theophylline has a very narrow therapeutic window. How would a drug interaction cause theophylline to surpass this window?

A

inhibition of CYP-450

19
Q

What is the effect of macrolides on the CYP-450 system?

A

inhibition