Cases Flashcards
if the case is tension pneumothorax, what physical exam to do?
What to do to treat?
What to do after management?
How to correctly spell dianosis?
heart and lung exam
chest tube
Chest Xray
Tension Pneumothorax
what fluids to give for DKA?
what level of potassium to give replacement?
What potassium to give for DKA?
What insulin to give for DKA?
IV isotonic or normal saline
if potassium levels are less than 5.3, give
PO potassium chloride
Regular Insulin
What two exams to check in a lady presenting with Pre Eclampsia?
What 8 diagnostic tests?
What is the best med to treat hypertension?
what is the best med to give the baby?
What is the best med to give to prevent seuizures?
What is the cure for the condition?
pelvic exam and extremity exam
CBC, BMP, OB US, UA, Urine protein, LFT, Pulse Ox, Cardiac moniotor
IV Labetalol
IV Dexamethasone
IV Magnesium Sulfate
C section
what two exams to do for CHF?
Order of meds for hart failure to think of?
lung exam and heart exam
sodium restriction
Lasix
Ace
Coreg
Spironolactone
what two antibiotics I am going to choose for cholecystitis?
what is the surgical term I will use?
IV metronidazole and IV Rocephin
remove gallbladder
What two abx for bacterial meningitis?
What other med to give?
IV Vancomycin and Rocephin
IV Dexamethasone
if I have ACS on the test, what are the 6 meds to give?
What am I saying for procedure?
IV Morphine
PO Aspirin
Sublingual Nitroglycerin
PO Metoprolol
IV Heparin
PO Lipitor
angiogram
who to consult for subdural hematoma?
neurosurgery consult for hematoma
What two meds to give for Myasthenia Gravis?
What antibody?
What test to confirm diagnosis?
What tumor is associated with MG?
PO Prednisone and PO Pyridositgmine
Acetylcholine receptor
repetitive nerve stimulation
thymoma
what two conditions to think of with NSAID use?
gastritis and PUD
What test confirms sickle cell crisis?
what is the antibiotic of choice?
What 3 treatments in addition to abx for managemen?
what med to prevent this?
what type of hemoglobin does hydroxyurea stimulate?
Hemoglobin electrophoresis
IV Ceftriaxone
Oxygen, IV Morphine, IV normal saline
PO Hydroxyurea
Fetal
How to spell DT?
What to give to treat auditory hallucinations?
What med to give for alcohol abuse patients by blocking reward pathways?
Delirium Tremens
IV Haldol
Naltrexone
what 6 tests/labs to always order for TIA?
What % blocked do we intervene with carotid stenosis and what is the procedure?
CT Head without contrast
Echocardiogram
US Carotid
Lipid
A1C
EKG
over 70%
Endarterectomy
what does EGD show for Celiac?
what are the two serological antibody tests for celiac?
villous atrophy of small bowel
transglutaminase and endomysial
what lab test to confirm diagnosis of CF?
In patient’s 3-36 months with CF, what test to perform and why?
What to give for patient’s weight and oily stools?
sweat test
LP for meningitis
pancreatic enzymes
for PID, what type of ultrasound?
pelvic ultrasound
what to always think of with pancreatitis?
gallstones, alcohol, and triglycerides
first and second line treatment for edema and BP with PSGN?
How to spell PSGN?
IV lasix
IV Nicardipine
Poststreptococcal glomerulonephritis
What two abx to give for COPD exac?
What other 3 meds to give?
Counseling to patient?
IV Solumedrol
Inhaled Atrovent
Inhaled Albuterol
smoking
If i see viral meningitis, what two viruses am I thinking?
If it is west nile, what is the diagnosis?
Herpes Simplex virus
West Nile Virus
West nile encephalitis
what 3 meds to give for pericarditis?
If patient is unstable, what procedure to fix?
colchicine, ibuprofen, and Protonix
pericardiocentesis
How to say abdominal CT for exam?
CT of abdomen
What are the 4 meds to give for TB?
What supplement to give?
rifampin
PZA
Ethambutol
INH
Pyridoxine
What dual therapy to give for MI?
What procedure?
dual anti platelet with aspirin and plavix
cardiac catheterization
first line diagnostic test for PVD?
ankle brachial index
what two meds to think of with hypertensive emergency?
In pregnancy?
What two meds to give for aortic dissection?
labetalol and Nicardipine
Labetalol
Labetalol and Esmolol
what does GBS stand for? are steroids given in GBS?
What procedure to confirm the diagnosis?
gullian barre syndrome
no
EMG
what two meds to pick for CAP on test?
Augmentin or Rocephin
symptomatic new a fib, what to do right away to manage?
what two meds to treat?
long term treatment?
cardioversion
cardizem and eliquis
ablation
what two exams to do if I have male with sti symptoms?
genital exam
rectal exam
what two meds outpatient to give for chlamydia?
Gonorrhea?
azithromycin or doxy
Ceftriaxone
what is the image name for trauma US?
What is the treatment for tamponade?
What is the surgery for tamponade for long term treatment?
FAST US
pericardiocentesis
pericardiectomy
What type of xray to remember for epiglottitis?
two abx?
neck xray
IV Rocephin and Vancomycin
if I have weakness, fatigue and concerning for cancer, what exam to do?
lymph
after getting backa tsh when checking for hypothyroidism, what to do next?
get a free t4
what is the non invasive test called to check for H pylori?
urease breath test
What are the sexually transmitted infections?
gonorrhea
chlamydia
hep b
hep c
HIV
syphilis
what labs to order for Croup?
What two meds to give for croup and their admin route?
How many doses of one of them to remember?
none
nebulized epinephrine
PO Dexamethasone for only 1 dose
what two meds and routes of admin for lead poisoning?
what to give for the seizures associated with lead poisoning?
IV EDTA
IM Dimercaprol
ID Lorazepam
what two meds to think of when treating graves and routes of admin?
PO metoprolol
PO PTU
what term to use for ischemic bowel?
What two abx>
ischemic colitis
IV Zosyn and IV Flagyl
What med to try to pass baby during spontaneous abortion?
What procedure if that doesn’t work?
What abx to give prophylactical after D and C?
What med to give to reduce bleeding and shrink uterine size?
PO Misoprostol
D and C
PO Doxycycline
PO Methergine
what is the cutoff pulse for CPR in pediatric patient?
what to give for bradycardia in peds?
60
epi
what image to order to find the source of subarachnoid hemorrhage or ruptured aneurysm in brain?
MRA Brain
What is the most common cause of SJS?
What bacterial infection can cause it and should always be tested for?
4 steps to managamanet?
What med can be given in the early stages to stop progression?
Drug, Bactrim
Mycoplasma pneumoniae
stop drug, ICU, IV Fluids, Pain meds
Cyclosporine
what meds to give to to push potassium into cells?
IV Insulin
IV Dextrose
Nebulized Albuterol
PO Lasix
what is the term for esrd?
end stage renal failure
how to definitively treat normal pressure hydrocephalus?
VP Shunt
What is the referral for MDD with reason?
psychiatry for therapy CBT
What medicine will I type for MDD on exam?
sertraline
what is long term treatment for panic disorder?
SSRI and CBT
when answering arthrocentesis, what to include?
What is the order of treatment for gout flare?
include the joint
NSAIDS, colchicine, corticosteroids
what confirms diagnosis of giant cell arteritis?
temporal artery biopsy
what is first line treatment for a cluster headache?
What is the med to prevent cluster headaches?
100% oxygen and then if that does not work use PO sumatriptan
PO Verapamil
what lab value points to hemolytic anemia?
low haptoglobin
what is both diagnostic and therapeutic for intussusception?
what can be done also for treatment?
barium enema
air enema
what two head tests to order for seizure?
CT or MRI Brain
EEG
what antibiotic to choose on the exam for pyelo?
IV Levaquin
what is first line treatment for crohns flare?
Prednisone or Budesonide
what to give for acute bacterial gastroenteritis or e coli diarrhea?
azithromycin
what is rotterdam criteria for PCOS?
first line treatment for PCOS?
no ovulation, clinical signs of high androgen, polycystic ovaries by US, 2/3
combined oral estrogen progestin pill
what is treatment of choice for polycystic kidney disease?
two specialists for the disease?
what abnormality is associated with pckd?
what to avoid with pckd?
captopril, ace
urology and nephrology
berry aneurysm
contact sports
what med to give when finding out prostate cancer?
PO Leuprolide
what two antibiotics for toxic shock syndrome?
IV clindamycin and IV Vancomycin
what to give for vaginal atrophy?
what to give for hot flashes?
vaginal estrogen
Venlafaxine
how to spell out GBS?
guillain barre syndrome
what is the diagnosis of L5 in relation to the sacrum?
side bending is always the same as the axis
rotation is opposite the sacral rotation
What is the most common sacral dysfunction in post partum patients?
bilateral sacral flexion
what is the treatment for intracranial hypertension?
PO Diamox
what two meds to treat RA?
PO Ibuprofen and PO Methotrexate
what image for AS?
What two meds for AS?
pelvic xray
NSAIDS and then infliximab
what are the lab values for insulinomas and what is gold standard diagnosis?
low glucose, high insulin, proinsulin and c peptide
low platelet, petechia, and had infection, what to always think of and what is first line treatment?
ITP
PO Prednisone or IV Dexamethasone
what am I going to choose for DVT or PE
PO Eliquis
what to give and what route for acute agitation?
What do antipsychotics do to EKG?
IM Haldol
prolong QTC
which hepatitis can cause travel diarrhea?
treatment for giardia?
hepatitis a
po flagyl
what not to do for tension headache?
treatments?
don’t do imaging
Tylenol or NSAIDS
What is immediate and what is long term treatment of BPH?
Flomax
Finasteride
what to give with fluids for rhabdomyolysis
sodium bicarbonate
