6/9/13 b Flashcards
What imaging modality should be used to Dx AAA in the presence of bowel distention or obesity?
Contrast CT
Name an appropriate IV antibiotic for CNS or late diffuse Lyme disease.
Ceftriaxone, Cefotaxime, Penicillin G
In what case would you use an intr-aortic balloon pump?
cardiogenic shock post-MI
What is the first-line tx for a pt w/ Sx (dizziness, syncope) from bradycardia or conduction block?
transcutaneous pacing
What is the antidote for β-blocker overdose?
glucagon!
What is the underlying propblem in Kallman;’s syndrome?
GnRH deficiency
What is the tx of Kallman’s syndrome for pts who do not currently want to get pregnant?
estrogen and progesterone replacement
What should be done if pregnancy is desired by a pt w/ kallman’s syndrome?
pulsatile GnRH to induce ovulation
What is the use of brain natriuretic peptide testing?
dx CHF if unclear
What are 2 reasons for echocardiogram in a pt presenting w/ CHF?
- diastolic or systolic
2. ejection fraction
Where is most EPO produced in adults?
kidney
What is the first test, after a nornal resting ECG, for a pt. presenting w/ Sx of stable angina?
exercise stress test (stress EKG)
If the baseline (resting) EKG of a pt presenting w/ Sx of stable angina has abnormalities (e.g. ST-depression, LBBB), what test sould be done next?
stress echo or nuclear stress test (thallium, sestamibi)
What are the results of a stress echo positive for angina?
hypokinesia of affected myocardium
What are the results of a nuclear stress test positive for angina?
diminished radiotracer uptake by affected myocardium
