Aaron: other or ect. Flashcards
Saw Palmetto is used to treat what?
BPH, alternative medicine
What is a common Saw Palmetto side effect?
Bleeding and upset stomach
What genetic inheritance pattern shows woman only give the disease?
Mitochondrial Pattern
What is the most common non surgical nosocomial problem when admitted to the hospital?
Adverse Drug Event
What is the antidote of choice for ethylene glycol and methanol?
Fomepizole, inhibits alcohol dehydrogenase
What side effect can Kava Kava cause?
Hepatotoxicity and Liver Failure
Gingko Bilbo and Ginseng can cause what?
Can cause bleeding risk
If someone appears with aspiration pneumonia, what is the first round of abxs?
Ceftriaxone and Azithromycin, Clindamycin is not first line for aspiration abx, can cause C. Diff
At Aultman, think Unasyn
Carboxyhemoglobin will be elevated with what problem?
Methemoglobinemia will be elevated with what problem?
Carboxy: Elevated in house fires, coma, seizure, and MI
Methemo: Elevated in medication administration, dapsone, benzocaine, and aniline dyes
Hypercalcemia will cause AMS after what level?
Over 14
Hyponatremia will cause AMS after what level?
120-125 and lower
BUN will cause AMS after what level?
Over 50, elevated Creatinine and creatinine clearance indicate poor renal function and can cause elevated decrease toxin clearance
What is the time table for charcoal intervention?
Less than 4 hours
What is the biggest hinderance to helping liver acetaminophen damage?
Length of time to hospital admission
Liver damage does not show up until after 24 hours
NAC (N-acetyl cysteine) is most effective if given in what time frame?
Less than 8 hours after ingestion
Patient presents with
Headache, confusion, dizziness, nausea, repairing an old house and heating equipment, what is the most likely diagnosis?
Carbon Monoxide poisoning, give supplemental oxygen
DDX would be lead poisoning, could show up in kids
What are the diagnostic criteria for
Chronic Prostatitis/Chronic Pelvic Pain Syndrome
Chronic bacterial prostatitis
CPP: 20 or more leukocytes in urine plus negative urine culture
CBP: 20 or more leukocytes in urine plus a positive urine culture
If a patient has priapism, +lactic acidosis, and aspiration is unsuccessful, what is the next best step?
Phenylephrine injection, decrease blood flow
ED and a long history of atherosclerosis risk factors, what is the next best step?
ABI test, look at PAD problems
What is the best way to help an HIV positive CNS lymphoma patient?
Increase CD4 count
Does cystic fibrosis show up late or early in life?
Does cystic fibrosis usually have gastroenteritis concerns?
Early
No gastroenteritis
What is the first line drug for Restless Leg Syndrome?
Gabapentin, not Dopamine agonists
What medical condition is associated with Restless Leg Syndrome?
Iron Deficiency Anemia
Which drug is a bigger culprit with respect to orthostatic hypertension: ACE inhibitor or Nitroglycerin
Nitroglycerin, ACE (hyperkalemia, CKD, cough, or angioedema)
What is the first line and second line drug for PCP intoxication?
1) Benzo
2) Haldolol
Does Buspirone help decrease smoking cessation?
Can Bupropion be given 2/2 smoking cessation with a patient history of seizure disorder?
No
No
80+ years old delirium, acute confused state, what is the drug of choice?
Haldol, not Benzo first
First line action for delirium episodes at night?
Strict Routine, especially with Alzheimer’s Disease
If a patient has been taking Benzos for a long period of time and stops suddenly, can they withdraw from them?
Yes
New onset psychosis and joint pain, no other past medical history?
Think SLE
Urine Porphobilinogen elevation can be caused by Acute Intermittent Porphyria, with psychosis. What is the number one complaint?
Abdominal Pain
Thiazides
ACE inhibitors and ARBS
NSAIDs
these drugs increase the level of what drug?
Lithium
How do you DDX Peritonsillar abscess versus Tonsilitis?
Trismus is only seen in Peritonsillar abscess, Tonsilitis does not have it
Sudden conductive hearing loss, what is the next step?
Call ENT urgent, think about steroids
Periodic Vertigo more than an hour
Unilateral Hearing
Tinnitus
What am I?
Menierie’s Disease
If I increase background noise will that make a patient’s presbycusis worse or better?
Worse
Otitis Externa can be treated how?
Malignant Otitis Externa can be treated how?
Topical Antibiotics
IV Ciprofloxacin
Ethical Terms
Justice means what?
Equally distribute health care and resources, and provide fair and equitable treatment
Ethical Terms
Non-maleficence means what?
Do no harm
Ethical Terms
Proportionality means what?
Ensure that methods used to achieve a worthwhile goal are necessary, appropriate, and not excessive
Ethical Terms
Autonomy means what?
Protect and facilitate the patient’s informed decision-making process
