Challenge Bowl #3 Flashcards
Exam of a pregnant woman: bluish cervix. What is this sign called?
Chadwick’s sign
A potentially life threatening of anti-psychotic therapy characterized by fever and muscle rigidity?
neuroleptic malignant syndrome
What are the names of the specific physical exam findings that are positive in carpal tunnel syndrome?
Phalen’s and tinel’s
Which class of commonly used asthma medication has the most rapid and slowest onset of effect?
Short acting beta2 agonists
Inhaled corticosteroids
What is the most common presenting sign of hodgkin’s disease?
Painless lymphadenopathy
What three drugs or drug classes can be used to slow the ventricular rate in a. fib?
CCB - nondihydropyradine
Beta blockers
Digoxin
What is the name given to avascular necrosis of the capital femoral epiphysis in children?
Leg calf perthes
A woman has been on the same OCP x 4months and complains to early - mid cycle bleeding? What should you do?
Increase estrogen and check adherence
Pt presents with chronic back pain, you find dec’d proprioception and vibration. Which portion of spinal column?
posterior columns
What two categories or class of medications can be used to tx an acute manic episode in a pt with BPAD?
mood stabilizers (Li, VPA) atypical antipsychotics
Pg pt, where would you expect to find the fundus at 12 weeks and 20 weeks?
12 weeks: just outisde the pelvis
20 weeks: at the level of the umbilicus
1 cm qweek following
What is considered first line for GAD?
SSRI or SNRI
Benzo if rapid response
Distant heart sounds, midline trachea, and diffuse hyperresonance to percussion indicate what condition?
COPD
Pg woman develops DVT and is d/c on what anticoagulant therapy?
LMWH (Lovenox)
During the luteal phase what hormones are affecting the menstrual cycle?
Predominantly progesterone, as well as estrogen
What empiric tx is recommended in pts 1month - 50yrs for meningitis
Ceftriaxone and vanco
Name three RF for developing PE
Virchow’s triad: immobility, hypercoagulable state, endovascular injury
Three clinical uses for TCA’s?
depression, neuropathy, migraines
A dendritic ulcer on the eye is characteristic of what infection?
Herpes opthalmicus
What is the MC finding of a pt with long standing HTN on an EKG
LVH
T or F? Starting ibuprofen on a pt on warfarin will cause the INR to inc?
F - increased bleeding risk because antiplatelet, but not anticoagulation.
Name 4 IADL’s
Finances Laundry Shopping Telephone cooking
How long should sutures be left in place on the face?
3-5 days
For which condition is prostatic massage CI and why?
Acute prostatitis because risk of bacteremia
A mother brings her 3 month old infant; single red vascular, nodular growth on back; enlarges slightly but causes no impairment. Dx? Pt Ed?
Hemangioma; not causing problem should watch and let involute on its own
Pt with GDM, needs medication therapy should be treated with what?
Insulin
10y.o. obese boy presents with knee pain. X-ray shows posteriorly displaced femoral head.
SCFE
slipped capital femoral epiphysis
What type of hernia develops at the internal inguinal ring?
Indirect
What is the MC cause of community acquired pneumonia in kids >5yrs?
m. pneumo
s. pneumo (MC overall)