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Step 3 Final > Aaron: other or ect. > Flashcards

Aaron: other or ect. Flashcards

1
Q

Saw Palmetto is used to treat what?

A

BPH, alternative medicine

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2
Q

What is a common Saw Palmetto side effect?

A

Bleeding and upset stomach

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3
Q

What genetic inheritance pattern shows woman only give the disease?

A

Mitochondrial Pattern

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4
Q

What is the most common non surgical nosocomial problem when admitted to the hospital?

A

Adverse Drug Event

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5
Q

What is the antidote of choice for ethylene glycol and methanol?

A

Fomepizole, inhibits alcohol dehydrogenase

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6
Q

What side effect can Kava Kava cause?

A

Hepatotoxicity and Liver Failure

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7
Q

Gingko Bilbo and Ginseng can cause what?

A

Can cause bleeding risk

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8
Q

If someone appears with aspiration pneumonia, what is the first round of abxs?

A

Ceftriaxone and Azithromycin, Clindamycin is not first line for aspiration abx, can cause C. Diff

At Aultman, think Unasyn

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9
Q

Carboxyhemoglobin will be elevated with what problem?

Methemoglobinemia will be elevated with what problem?

A

Carboxy: Elevated in house fires, coma, seizure, and MI

Methemo: Elevated in medication administration, dapsone, benzocaine, and aniline dyes

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10
Q

Hypercalcemia will cause AMS after what level?

A

Over 14

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11
Q

Hyponatremia will cause AMS after what level?

A

120-125 and lower

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12
Q

BUN will cause AMS after what level?

A

Over 50, elevated Creatinine and creatinine clearance indicate poor renal function and can cause elevated decrease toxin clearance

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13
Q

What is the time table for charcoal intervention?

A

Less than 4 hours

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14
Q

What is the biggest hinderance to helping liver acetaminophen damage?

A

Length of time to hospital admission

Liver damage does not show up until after 24 hours

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15
Q

NAC (N-acetyl cysteine) is most effective if given in what time frame?

A

Less than 8 hours after ingestion

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16
Q

Patient presents with

Headache, confusion, dizziness, nausea, repairing an old house and heating equipment, what is the most likely diagnosis?

A

Carbon Monoxide poisoning, give supplemental oxygen

DDX would be lead poisoning, could show up in kids

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17
Q

What are the diagnostic criteria for

Chronic Prostatitis/Chronic Pelvic Pain Syndrome

Chronic bacterial prostatitis

A

CPP: 20 or more leukocytes in urine plus negative urine culture

CBP: 20 or more leukocytes in urine plus a positive urine culture

18
Q

If a patient has priapism, +lactic acidosis, and aspiration is unsuccessful, what is the next best step?

A

Phenylephrine injection, decrease blood flow

19
Q

ED and a long history of atherosclerosis risk factors, what is the next best step?

A

ABI test, look at PAD problems

20
Q

What is the best way to help an HIV positive CNS lymphoma patient?

A

Increase CD4 count

21
Q

Does cystic fibrosis show up late or early in life?

Does cystic fibrosis usually have gastroenteritis concerns?

A

Early

No gastroenteritis

22
Q

What is the first line drug for Restless Leg Syndrome?

A

Gabapentin, not Dopamine agonists

23
Q

What medical condition is associated with Restless Leg Syndrome?

A

Iron Deficiency Anemia

24
Q

Which drug is a bigger culprit with respect to orthostatic hypertension: ACE inhibitor or Nitroglycerin

A

Nitroglycerin, ACE (hyperkalemia, CKD, cough, or angioedema)

25
Q

What is the first line and second line drug for PCP intoxication?

A

1) Benzo

2) Haldolol

26
Q

Does Buspirone help decrease smoking cessation?

Can Bupropion be given 2/2 smoking cessation with a patient history of seizure disorder?

A

No

No

27
Q

80+ years old delirium, acute confused state, what is the drug of choice?

A

Haldol, not Benzo first

28
Q

First line action for delirium episodes at night?

A

Strict Routine, especially with Alzheimer’s Disease

29
Q

If a patient has been taking Benzos for a long period of time and stops suddenly, can they withdraw from them?

A

Yes

30
Q

New onset psychosis and joint pain, no other past medical history?

A

Think SLE

31
Q

Urine Porphobilinogen elevation can be caused by Acute Intermittent Porphyria, with psychosis. What is the number one complaint?

A

Abdominal Pain

32
Q

Thiazides
ACE inhibitors and ARBS
NSAIDs
these drugs increase the level of what drug?

A

Lithium

33
Q

How do you DDX Peritonsillar abscess versus Tonsilitis?

A

Trismus is only seen in Peritonsillar abscess, Tonsilitis does not have it

34
Q

Sudden conductive hearing loss, what is the next step?

A

Call ENT urgent, think about steroids

35
Q

Periodic Vertigo more than an hour
Unilateral Hearing
Tinnitus
What am I?

A

Menierie’s Disease

36
Q

If I increase background noise will that make a patient’s presbycusis worse or better?

A

Worse

37
Q

Otitis Externa can be treated how?

Malignant Otitis Externa can be treated how?

A

Topical Antibiotics

IV Ciprofloxacin

38
Q

Ethical Terms

Justice means what?

A

Equally distribute health care and resources, and provide fair and equitable treatment

39
Q

Ethical Terms

Non-maleficence means what?

A

Do no harm

40
Q

Ethical Terms

Proportionality means what?

A

Ensure that methods used to achieve a worthwhile goal are necessary, appropriate, and not excessive

41
Q

Ethical Terms

Autonomy means what?

A

Protect and facilitate the patient’s informed decision-making process

Step 3 Final (12 decks)

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