Day 3 Flashcards

1
Q

what abx for UTI in kids?

A

cefixime

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2
Q

what is rx of acute stress disorder?

A

CBT

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3
Q

what is duration of acute stress disorder?

A

3 days to 1 month

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4
Q

what is rx for pseudoe gout?

A

intraarticular steroids, colchicine and NSAIDs

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5
Q

what type of gout comes on with overuse?

A

psueodgout

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6
Q

two treatments for OCD?

A

SSRI and CBT

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7
Q

young girl with ovarian mass and precocious puberty likely has what tumor?

A

granulosa cell tumor

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8
Q

granulosa cell tumors produce what?

A

estradiol and inhibin

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9
Q

what is histology of granulosa cell tumor?

A

call exner body

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10
Q

what are clinical features of granulosa cell tumor?

A

precocious puberty, AUB, breast tenderness and post meno bleeding

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11
Q

what is genotype of androgen insensitivity syndrome?

A

46 XY

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12
Q

what sex organs does androgen insensitivity syndrome have/

A

phenotypically female but without female internal organs, will have cryptorchid testis

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13
Q

paravertebral mass in a kid

A

neuroblastoma

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14
Q

what is treatment of anti cholinergic toxicity?

A

physostigmine

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15
Q

what are signs of anti cholinergic toxicity?

A

confusion, hallucination, tachycardia, tachypnea, dilated pupils, dry mucus membranes

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16
Q

what should ED do for patient with chemical burn to eye?

A

wash with saline profusely

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17
Q

what is rx of minimal change disease/

A

steroids

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18
Q

what is pathophys of minimal change disease?

A

t cell mediated cytokine release that leads to podocyte effacement

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19
Q

postdural puncture headache is treated how?

A

will resolve on own, but if not can give dural blood patch

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20
Q

describe character of syphillis bump?

A

single ulcer with indurated borders and non purulent base

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21
Q

what is characteristic finding of lymphogranuloma venerum?

A

small shallow ulcers that turn into painful buboes

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22
Q

what are four cardinal findings of strep throat?

A

fever sore throat anterior cervical lymphadenopathy and tonsillar exudated

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23
Q

gray vesicles/ulcers in childs oropharynx, should make you think of what? what causes this?

A

herpangina…coxsackievirus

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24
Q

what is herpetic gingivostomatitis?

A

herpes in the mouth…which causes vesicles and pain and fever

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25
what is main difference between herpetic gingivostomatits and herpangina?
herpangina is in oropharynx (posterior) and herpetic gingivo is anterior mouth and tongue
26
define PPROM
37 weeks or less rupture of membrane before onset of labor
27
what do you give for PPROM less than 34 weeks?
if fetus OK give abx and steroids, if fetus not OK deliver
28
what do you give for PPROM more than 34 weeks?
deliver
29
what are common complications of PPROM?
infection, abruption, cord prolapse, preterm labor
30
what are risk factors for developing PPROM?
genitourinary infection, prior PPROM
31
what is treatment of invasive aspergillosis?
voriconazole and capsofungin
32
what is classic triad of invasive aspergillosis?
hemptysis,chest pain and fever
33
decribe a case control study
take diseased and non diseased and retrospectively compare risk factor exposure
34
describe retrospective cohort study
take ppl with risk factor and without, and compare disease incidence
35
describ cross sectional study
take ppl with risk factor and without, and estimate disease prevalence
36
does case control study use relative risk or odds ratio?
odds ratio
37
dysphagia, jaw jerk reflex and tongue fasciculations should make you think of what?
ALS
38
what is a skin finding of amyloidosis?
peri orbital purpura
39
what can worsen graves disease eye issues?
radioactive iodine
40
what is MOA of 2nd gen antipsychotics?
D2 and Serotonin 2a receptor blockers
41
what is rx for anorexia?
nutrition and therapy
42
patients in preterm labor at less than 32 weeks require what drugs?
indomethacin betamethasone Mg sulfate penicillin
43
why is mg sulfate given in preterm labor less than 32 weeks?
to prevent cerebral palsy
44
why is indomethacin given in preterm labor less than 32 weeks?
slow contractions
45
why is betamethasone given in preterm labor less than 32 weeks?
lug maturity
46
what is a complication of giving indomethacin in preterm labor?
oligohydramnios
47
what is an anatomic contraindication to IUD?
bicornuate uterus...big fibroids
48
baby thats 2-7 days old comes in with lots of bruises, what is leading diagnosis?
vitamin K deficient bleeding
49
what are PT/PTT and platelets in vitamin k deficient bleeding of newborn?
PT and PTT up, platelets are normal
50
what movement is limited in SCFE?
internal rotation of the hip
51
what are symptoms of central cord syndrome?
sensory disturbances of upper extremity and upper extremity weakness...not so much lower extremity since in outer parts of SC
52
who gets central cord syndrome?
elderly with pre-existing cervical spine degenerative changes
53
what are symptoms of ehrlichiosis?
fever headache myalgia chills and neurologic issues
54
what are lab finding in ehrlichiosis?
leukopenia, thrombocytopenia, elevated liver enzymes
55
what is rx for ehrlichiosis?
doxycycline
56
where is ehrlichiosis found?
SE and central USA
57
what is phenotype and genotype of mullerian agenesis?
46 XX, will have normal external anatomy but wont have uterus or cervix....will have functioning ovaries
58
what is most common presenting symptom of mullerian agenesis?
amenorrhea
59
early diastolic murmur best heard at left upper sternal border is what?
aortic regurgitation
60
what muscles does suprascapular nerve innervate?
supraspinatus and infraspinatus
61
what can cause suprascapular nerve entrapment?
backpack use
62
what are sx of suprascapular nerve entrapment?
shoulder abduction and external rotation weakness
63
what is treatment of P vera?
phelbotomy and hydroxyurea
64
what are topical antifungals for tinea corporis?
clotrimazole or terbinafine
65
does measles rash include palms and soles?
NO
66
what is prodrome of measles?
cough, coryza, conjunctivits and koplik spots
67
when does rash of measles onset? where?
2-4 days into illness, onsets at face and spreads caudally
68
what is treatment of acute bacterial prostatitis?
6wks of bactrim of fluoroquinolon e
69
what is first line med for a fib in hyperthyroidism?
propanolol
70
how does placenta accreta appear on US?
placental lacunae and myometrial thinning
71
what are two risk factors for placenta accreta?
vasa previa and previous endometrial surgery
72
3 options for malaria prophylaxis?
atovaquone and praguinil, doxy or mefloquine
73
infants with galactosemia have increased risk for what type of sepsis?
e coli sepsis
74
what are symptoms of galactosemia?
jaundice, hepatomegaly, nausea and vomiting, failure to thrive
75
what is eye finding in galactosemia?
cataracts
76
what are lab findings in galactosemia?
increased liver enzymes, bilirubin low glucose metabolic acidosis urine reducing substances
77
what is management of seborrheic keratoses?
watch them...no reason to excise
78
what do you do with vaccines in premature babies?
give them as usual
79
what is antibody attacking in myasthenia gravis?
Ach receptor in post synaptic cell
80
does weaken worsen or improve with activity in myasthenia gravis?
worsens
81
what is treatment for myasthenia gravis?
pyridostigmine
82
what else should you check for in patient with myasthenia gravis?
thymoma
83
two treatments for altitude sickness
acetazolamide and dexamethasone
84
dendritic ulcers on fluroscein staining is classic finding of what?
herpes keratitis
85
what are sx of herpes keratitis?
pain photophobia tearing and blurred vision
86
what is management of polyhydramnios?
if patient is asymptomatic..nothing...if patient is symptomatic then amnioreduction
87
what are symptoms of a pinealoma?
limited upward gaze and upper eyelid retraction | headache, N/V
88
where does a flutter originate?
cavotricuspid isthmus
89
what are features of dyshydrotic eczema?
recurrent episodes of itchy vesicles on hands and feet
90
where does dyshidrotic eczema occur?
on hands and feet
91
what is rx for dyshidrotic eczema?
strong steroids and emollients
92
are sarcoid granulomas caseating?
NO
93
what valve area constitutes severe aortic stenosis?
1cm or less