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8/3 Flashcards

1
Q

acute fatty liver of pregnancy signs

A

RUQ/epigastric pain, fulminant liver failure

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2
Q

acute fatty liver of pregnancy labs

A 
profound hypoglycemia
aminotrasferases X2-3
increased bill
thrombocytopenia
DIC
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3
Q

acute fatty liver of pregnancy management

A

immediate delivery

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4
Q

Sheehan’s clinical features

A

lactation failure(⬇️ prolactin)
amenorrhea, hot flashes, vaginal atrophy( ⬇️ FSH and LH)
anorexia and rapid weight loss with hypotension(⬇️ACTH)
decreased lean body mass(⬇️ GH)

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5
Q

HELPP syndrome pathophys

A

systemic inflammation and platelet consumption

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6
Q

cancers that abirth control is preventative for

A

endometrial and ovarian

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7
Q

cancers birth control increases risk factors for

A

hepatic adenoma

cervical

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8
Q

what margin to remove basal cell on neck

A

narrow

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9
Q

A-a gradient in interstitial lung disease

A

increased

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10
Q

Paget’s disease labs

A

All phos: high
urine hydroxyproline: high
serum phos: normal
serum calcium: normal

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11
Q

best marker for DKA resolution

A

serum anion gap

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12
Q

hard signs of vascular bleeding

A

bruits or thrills over the injury
expanding hematoma
absent pulses
cool extremities

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13
Q

hard signs of vascular injury + penetrating wound next step

A

Urgent surgical repair

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14
Q

symptoms of RA cervical Myelopathy

A

neck pain radiating to occipital region
slowly progressive spastic quadriparxsis.
painless sensory deficits in the hands and feet
respiratory dysfunctiom from vertebral artery dysfunction

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15
Q

Signs of RA cervical Myelopathy

A

protruding anterior arch of atlas
scoliosis with loss of cervical lordosis
UMN
Hoffmans sign-flicking the nail thing

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16
Q

what test might be false pos with antiphospholipid and what is the tx in pregnancy

A
  • VDRL

- antivoagulate with low molecular weight heparin

17
Q

rare oxytocin side effect

A

seizure 2/2 hypoNa

18
Q

lafy under 30 when do you follow up after draining simple cyst breast

A

2 months

19
Q

what complication can occur in FOOSH in older patients

A

rotator cuff tears- will have abduction and external rotation weakness, dx with MRi

20
Q

acid base change with pregnancy

A

Respiratory alkalosis-stimulated by progesterone

21
Q

RF for stress fracture

A

repetitive activities
abrupt increase in physical activity
inadequate calories or vit dfemale athlete triad

22
Q

morton neuroma stuff

A

pain between 3-4 toes on plantar surface with clicking sensation

23
Q

why is there bleeding in radiation proctitis

A

deceased rectal compliance

24
Q

utter-tonic agent c antra indicated with htn

A

methylergovine

25
Q

utter-tonic agent c antra indicated with asthma

A

carboprost

26
Q

mediastinal shift toward effected side

A

atelectasis

27
Q

3 phases of treatment for cryptococcal meningitis

A
  1. amphotericin B plus flucytosine for >= 2 weeks
  2. high dose fluconazole >+8 weeks
  3. maintenan fluconazole for ever or until CD4 greater than 100 for 3 months
28
Q

PBC pathophys and sx

A

intrahepatic cholestasis due to autoimmune destruction of small bile ducts. Presents in middle aged women with fatigue pruritus, hepatomegaly and elevated all phos

29
Q

long terms side effects of Hodgkins lymphoma tx

A

secondary malignancy and CV disease

30
Q

TB Cerebrospinal fluid findings

A

⬆️ WBC(Lymphocytes
⬆️protein
⬇️ glucose

31
Q

tuberous sclerosis inheritance pattern

A

AD

32
Q

uncomplicated pyelonephritis abx

A

oral fluoroquinolone, Bactrim

33
Q

acid base probs with salicylate toxicity

A

mixed responses all and met acid with oH often in the normal range

34
Q

tx for stroke in sickle cell

A

exchange transfusion

35
Q

worried about penile fracture what test

A

retrograde urethrography bc probably has urethral injury too. But after that go get some urgent surgery

36
Q

what is elevated with leading cell tumor

A

estradiol- will have gynecomastia

step 2 (53 decks)

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