8/4 Flashcards

1
Q

hyperparathyroid rheum thing

A

pseudo gout from calcifications

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2
Q

milk alkali syndrome is characterized by: __, ___, and ___

A

hypercalcemia, AKI, metabolic alkalosis.

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3
Q

what common thing has decreased central vision

A

macular degeneration

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4
Q

what muscles are affected bushings syndrome

A

proximal

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5
Q

preventative measures for contrast induced nephropathy

A

IVF

avoid NSAIDS

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6
Q

how to prevent post mi pericarditis

A

get those coronaries reproduced as fast as you can

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7
Q

sub clavian syndrome features

A

upper extremity pain, fatigue paresthesia or vertobasilar insufficiency = dizziness, ataxia, disequilibrium that are worsened with upper extremity exercise

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8
Q

what can cancer to immunosuppressed/ post transplant people get

A

squamous

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9
Q

tx for bile acid diarrhea

A

cholestyramine

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10
Q

postictal lactic acidosis tx

A

just watch it

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11
Q

felty syndrome

A

RA
neurtopenia
splenomegaly

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12
Q

3 big categories for GCS

A

eye opening
verbal response
motor response

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13
Q

how to lower ice in TBI

A

osmotic therapy(hypertonic saline, manitol)

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14
Q

steatorrhea, nutritional deficinecyies

microcytic anemia post roux en y dx?

A

small intestine bacterial overgrowth

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15
Q

SIBO tx

A

abx(rifaximin, amoxicillin, amor-clauv)
avoid antimotolity agents
dietary
metrocloprimide

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16
Q

TRALI sx

A

acute dyspnea

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17
Q

TRALI x ray

A

diffuse bilateral infiltrates

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18
Q

Does TRALI have JVD

A

no

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19
Q

TRALI auscultation

A

crackles/ rales , NORMAL ♥️ sounds

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20
Q

TRaili EF

A

normal

21
Q

TRALI BMP

A

normal

22
Q

TACO sx

A

acute dyspnea

23
Q

Taco xray

A

diffuse bilateral infiltrates

24
Q

does TACO have JVD

A

yes

25
Q

TACO EF

A

decreased

26
Q

TACO BNP

A

high

27
Q

Taco Auscultation

A

crackles and rales , sometimes S#

28
Q

young female with HTN, recurrent HA, Pulsatile Tinitus, maybe TIA or Stroke dx?

A

fibromuscular dysplasia affecting internal carotid, flank pain if affecting RA

29
Q

tx for fibromucular dysplasia

A

Anti hypertensive
percutaneous transluminal angiography
last resort surgery

30
Q

normal pressure hydrocephalus signs and symptoms

A

urinary incontience
gait abnormalities
cog impairment

31
Q

normal pressure hydrocephalus dx and tx

A

dx with large vol spinal tap, tx with ventricular shunt

32
Q

osteo after nail going through shoe/boot

A

pseudomonas

33
Q

where are ganglion cysts usually and do they transilluminate

A

dorsal surface of the wrist, they do transilluminate

34
Q

obstructive lung pattern 5 years post transplant no smoking

A

bronchiolitis oblieterans

35
Q

Klinefelter increases risk of ____ cancer

A

breast

36
Q

what’s the chronic kidney thing you get from taking NSAIDS all the time

A

tubulointerstial nephritis

37
Q

for idiopathic pulmonary fibrosis what happens to diffusion capacity go of CO2

A

⬇️

38
Q

guillan barre MRI

A

normal

39
Q

who gets vitreous hemorrhage and what does it look like

A

people with diabetic retinopathy. sudden loss of vision with loss of funds details and floating debris with dark red glow.

40
Q

Chronic mitral regurg can lead to .

A

left atrial and ventricle enlargement , fib, and ♥️ failure.

41
Q

in developed countries MR is usually caused by

A

myxomatous degeneration

42
Q

post seizures with mild-moderate protineria, AKI, blood in urine

A

rhabdo from so much muscle contraction

43
Q

clinical features of idiopathic transverse myelitis

A

bilat motor weakness first LMN then UMN.
bilat sensory dysfunction
distinct sensory level
autonomic dysfunction especially bowel and bladder

44
Q

idiopathic transverse myelitis tx

A

high dose iv steroids

plasmapheresis

45
Q

what med increases WBC

A

systemic glucocorticosteroids, they cause mobilization of marginated neutrophils, also stimulate release of mature cells from neutrophils, inhibit neutrophil apoptosis

46
Q

what patients are at increased risk for non Hodgkins lymphoma

A

chronic autoimmune due to persistant B-cell stimulation and exposure to immunosuppressive agents

47
Q

lab abnormality non Hodgkins lymphoma

A

elevated LDH

48
Q

what meds cause distal symmetric polyneuropathy

A

fluroquinolones and metronidazole

cisplatin and paclitaxel