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Family med > deck 22 > Flashcards

deck 22 Flashcards

1
Q

syncope with exercise?

A

manifestation of organic heart disease in which cardiac output is fixed and does not rise (or even fall) with exertion. Syncope, commonly on exertion, is reported in up to 42% of patients with severe aortic stenosis.

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2
Q

preferred treatment for scabies

A

topical permethrin (5%)

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3
Q

management of hep B exposure

A

hep B immune globulin + hep b vaccine

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4
Q

strong RF for dupuytren’s disease

A

diabetes

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5
Q

stool character in c diff colitis

A
  • semiformal rather than watery stool + **
    fecal leukocytes (not seen in viral gastroenteritis)
  • CAN BE SEEN outside abx use
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6
Q

conservative management of unstable angina/NSTEMI

A

clopidogrel + aspirin

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7
Q

granuloma annulare treatment

A
  • self-limited

- can be treated with topical corticosteroids

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8
Q

use of probiotics

A
  • reduce incidence, duration, and severity of antibiotic-associated and infectious diarrhea.
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9
Q

when to screen for GDM

A

24-28 weeks

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10
Q

normal EF

A

55-75%o

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11
Q

management of asymptomatic uterine fibroids

A

observation

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12
Q

cognitive therapy

A

helps patients correct false self-beliefs that can lead to negative moods and behaviors.

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13
Q

RF’s for delirium in hospitalized patients

A

vision impairment, hearing impairment, dehydration, immobility, cognitive impairment, and sleep
deprivation

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14
Q

best method for estimating gestational age

A

crown-rump length

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15
Q

treatment for latent TB

A

isoniazid monotherapy

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16
Q

treatment for latent TB in HIV positive person

A

isoniazid monotherapy

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17
Q

best imaging procedure for hematuria

A

CT urography

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18
Q

initial treatment of neurogenic bladder (i.e. with DM)

A

strict voluntary urination schedule
then bethanechol
many need to self-cath

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19
Q

treatment of cocaine-associated chest pain

A

BENZOS

- HTN, tachycardia, and CP will often respond to IV benzos

20
Q

when to give fibrinolytics for ACS

A

only to patients who clearly have an STEMI and can’t get PCI

21
Q

amount of exercise necessary to begin burning fat stores

A
  • at least 30 minutes (glycogen is primary energy source fro muscles during the first 20 minutes of exercise)
22
Q

management of herpes zoster opthalmicus

A

Systemic antiviral + ophthalmology referral

23
Q

supplement that can cause hepatotoxicity

A

niacin

24
Q

most common cause of hypoglycemia in a previously stable, well-controlled diabetic patient

A

renal disease

25
Q

value of chest films in ACS

A

While they do not confirm or rule out the presence of myocardial ischemia, other causes of chest pain may be evident, such as pneumothorax, pneumonia, or heart failure. The chest film may also provide clues about other possible diagnoses, such as pulmonary embolism, aortic disease, or neoplasia.

26
Q

management of exercise-related oligomenorrhea

A

increased caloric intake

27
Q

influenza vaccine for fetus?

A

some protective effect up to age of 6 months

28
Q

diet and when to initiate in pancreatitis

A
  • low-fat solid diet has been shown to be safe compared with clear liquids, providing more calories and shortening hospital stays
29
Q

recommended test to confirm eradication of h pylori

A

1) urea breath test OR stool antigen

30
Q

vaccine diabetics need if not previously vaccinated

A

hepatitis B

31
Q

recommended treatment for OCD

A

CBT

32
Q

confirming PD diagnosis

A

positive response to levodopa

33
Q

management of postpartum urinary retention

A

discharge with a catheter in place and close follow-up

34
Q

diagnosis of gastroparesis

A

gastric emptying scintigraphy

35
Q

mgmt of low back and pelvic pain in pregnant women

A

core stability exercise

36
Q

mgmt of patient who doesn’t want to know prognosis

A

ask pt to designate someone with whom you can discuss the results and prognosis

37
Q

skin tags are associated with…

A

DM + obesity

38
Q

flu shot for pt with egg allergy?

A

give inactivated + observe for at least 30 minutes afterward

39
Q

Etiology of DI

A

Caused by a deficiency in the secretion or renal action of arginine vasopressin (AVP). AVP, also known as antidiuretic hormone, is produced in the posterior pituitary gland and the route of secretion is generally regulated by the osmolality of body fluid stores, including intravascular volume. Its chief action is the concentration of urine in the distal tubules of the kidney. Both low secretion of AVP from the pituitary and reduced antidiuretic action on the kidney can be primary or secondary, and the causes are numerous.

40
Q

treatment of choice for PSVT

A

IV adenosine

41
Q

pernio

A

localized inflammatory lesion of the skin, usually found
in the extremities following exposure to nonfreezing cold temperatures. It is generally a benign condition,
and is not associated with any systemic diseases. These lesions are red-purple plaques with deep swelling,
and are accompanied by itching or burning. They are not associated with infections or connective tissue
disease.

42
Q

rule about release of patient information

A

always has to be in writing

43
Q

alternative medication with best evidence for anxiety

A

kava

44
Q

tarsal tunnel syndrome

A

Entrapment of the posterior tibial nerve or its branches as the nerve courses behind the medial malleolus results in a neuritis known as tarsal tunnel syndrome. Causes of compression within the tarsal tunnel include varices of the posterior tibial vein, tenosynovitis of the flexor tendon, structural alteration of the tunnel secondary to trauma, and direct compression of the nerve. Pronation of the foot causes pain and paresthesias in the medial aspect of the ankle and heel, and sometimes the plantar surface of the foot.
- leads to paresthesias

45
Q

usual site for a stress fracture

A

2nd, 3rd, 4th metatarsals

46
Q

loss of smell think…

A

vitamin A, B6, b12 deficiency, brain tumors

Family med (48 decks)

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