Day 4 Flashcards
what are sx of TCA overdose?
seizures, tachycardia, hypotension, QRS prolongation, anticholinergic effects
3 most common drugs that cause drug induced hemolytic anemia
penicillin
cephalosporin
NSAIDs
what antipsychotics cause hyperprolactinemia?
usually is frst gen and risperidone
what are signs of MDMA/ecstasy intoxication?
hypertension, tachycardia, hyperthermia, hallucnations, euphoria sexual desire
what can ecstasy cause that is deadly?
serotonin syndrome
what is natural course of genital herpes?
usually resolves on own in a couple weeks
are systemic symptoms like fever common with genital herpes?
yes
what should be done for patient with cat bite?
augmentin and ensure Tdap is within last 5 years
what two hemolysis disorders have high MHCH and loss of central pallor?
AIHA and hereditary spherocytosis
which of AIHA and HS has positive direct coombs test?
AIHA
what is rx of acute splenic sequestration crisis?
resuscitate with fluid and then RBCs, do splenectomy later
when does HSV encephalitis in infant usually present? how?
2-3 weeks of age, will have seizures, lethargy and poor feeding
when does stress urinary incontinence in post partum period become worrisome?
more than 6 weeks after delivery
what is treatment of stress urinary incontinence?
pessary or midurethral sling
list the 5 medications that should be given to patient who presents with NSTEMI or unstable angina
beta blocker, nitrate, aspirin, clopidogrel, heparin, statin
what is fitz hugh curtis syndrome?
perihepatitis from STD
what is null value of relative risk?
1.0
Relative risk is used in what type of study?
cohort
diffuse scaly skin that is itchy should make you think of what?
ichythosis vulgaris
what is issue in ichythosis vulgaris?
filaggrin gene messed up
what are sx of ichythosis vulgaris?
onset of diffuse scaly skin in childhood that itches
what is rx of ichythosis vulgaris?
long baths and mositurizers to remove scaled
what age should bedwetting stop by?
5
what is an S3 associated with?
dilated LV….likely heart failure with reduced EF
what is rx of bulimia?
CBT and SSRI
what is rx of binge eating disorder?
CBT
what are signs/sx of friedrichs ataxia?
ataxia, limb weakness, loss of reflexes, loss of position and vibratory sense
when does friedrichs ataxia onset?
adolescent
how is friedrichs ataxia inherited?
AR
what is cardiac issue in friedrichs ataxia?
hypertrophic cardiomyopathy
what is fetal tachycardia?
above 160
are lymph nodes tender or non tender in EBV?
tender
what is active form of Vit D?
1,25 Vit D
where does Vit D get 25 from?
liver
where does vit D get 1 from?
kidney
what does 1,25 vit D actually do?
help Gi tract absorb calcium
what is first line rx of ankylosing sponylitis?
NSAIDs
name some scenarios you should give RHo D vaccine?
28-32 weeks and negative mom ectopic pregnancy 72 hours after spontaneous abortion 72 hours after delivery of positive baby\ hydatidiform mole
if you have fetal death after 20 weeks what is management plan?
if 20-24 weeks then DC if greater than 24 induce delivery
amiodarone can cause what common side effects?
hyper or hypothyroid elevated liver enzymes interstitial pnuemonitis peripheral neuropathy skin color changes
what is issue when patient taking antipsychotic is restless?
called akithisia
what is rx of akathisia?
decrease antipsychotic dose and add a beta blocker
what is rx of acute dystonia?
benztropine and diphenhydramine
what is rx of tardive dyskinesia?
deutetrabenazine
normal kid develops sudden onset left upper quadrant severe pain and has free fluid in abdomen, what happened?
atraumatic splenic rupture
if GBS status is unknown, what are indications for penicillin in pregnant patient?
if less than 37 weeks, intrapartum fever, ORM for 18 hours or more
what are complications/risks of short interval pegnancy?
PPROM
anemia
preterm delivery
low birth weight
what is displacement?
transferring feelings to person/object of lesser value
what is projection?
attributing owns feelings to others
what is sublimation?
channeling impulses into socially acceptible pursuits
what is reaction formation?
transforming unwanted feelings into the opposite…hate someone but act like you love them
what are ototoxic effects of aminoglycosides?
bilateral but not symmetric hearing loss
imbalance
positive head thrust test
what is head thrust test? positive means what?
inability to maintain visual fixation during forced head thrust…aminoglycoside toxicity sign
what is rx for oral leukoplakia?
biopsy to rule out cancer then watch
what is rx of delusional disorder?
antipsychotics and CBT
what is duration of delusional disorder?
1 month or more
what is rx of bells palsy?
steroids
if you are worried about ectopic pregnancy but dont see anything on TVUS, what should you do?
if bhcg less than 3000 then repeat in 2 days, if greater then repeat TVUS in 2 days
what is imaging for hydrocephalus in infant?
CT of head
what are sx of hydrocephalus in baby?
poor feeding, inactivity and comiting
what are signs of hydrocephalus in baby?
bulging fontanelle, prominent scalp veins and widely spaced sutures, rapid head growth
what should you do with a kid who had a febrile seizure?
reassure and send them home
patients with sickle cell trait can experience what renal issues?
hematuria, papillary necrosis, hyposthenuria
CLL patient has anemia, what is going on?
immune mediated hemolysis..warm agglutinin disease
what is major SE of hydroxyurea?
myelosuppression
what is inital step in tretament of tylenol intoxication?
charcoal and tylenol levels
what is treatment of tylenol intox once you have high level?
n acetylcysteine
