ExamMaster Flashcards
exacerbating factors atopic derm
changes in temp/humidity
exercise
stress
definitive dx for S. typhi
blood cx
what test to order to differentiate ZE from other causes of hypergastronemia
stimulatory test w/ secretin
adjunct to levodopa to reduce levodopa-induced dyskinesia in Parkinsons pts
Amantidine
CN6
abducens
paralysis of nerve = esotropia
contrast image for PE shows
partial enhancement of arteries - look for lack of vasculature
glaucoma med reduces aqueous humor secretion
betablockers (timolol)
diuretics (acetazolamid - carbondic anhydrase inhibitor)
glaucoma rx enhances aqueous humor drainage via canal of Schlemm
cholinomimetics - pilocarpine, physostigmine
tx of choice for open-angle glaucoma
cholinomimetics (pilocarpine, physostigmine); enhance drainage
glaucoma tx that increases outflow through trabecular meshwork at the anterior chamber angle
Alpha agonists - brimonidine
How does tenofivir work
blocks the viral enzyme in reverse transcriptase (NRTI)
Hyperchlorhydra + epigastric pain + red flags = dx? complication
ZE
complication of intestinal ulcers b/c continuous acid
venous hum over epigastric/umbilical area
hepatic cirrhosis
CN3
superior rectus inferior rectus medial rectus = unopposed ABDuction eye inferior oblique levator palpebrae = ptosis if damaged pupilloconstrictor
mood stabilizer preferred over Li b/c no weight gain
Depakote (divalproex)
“coin lesion” on CXR
pulmonary hamartoma (benign) - no cells on FNA
Is regular, long term exercise recommended for CF?
yes
utureus large for gest length + high hCG + NO fetal parts/heart sounds
choriocarcinoma
neoplams that is most sensitive to chemo
if female pt is on what type of med she should be on OCP
valproic acid and other anticonvulsants
failure to respont to bactrim
high fever + chills + pleuretic CP + cough
CXR = peribroncial thickening and infiltrates
Mycoplasma PNA
rx: azithromycin
B blocker for HTN ok in COPD
selective beta 1 antagonists:
metoprolol
atenolol
MCC erythema multiform - recurrent swollen painful lips + targetoid rash
HSV
fx of olecranon causes?
injury to ulnar nerve = no sensation to pinkie palmar surface
ANA or RF+
CXR = peripheral reticular opacities at lung bases, honeycombing, lower lobe volume loss
idiopathic pulm fibrosis
bronch lavage for idiopathic pulm fibrosis
neutrophilia + eosinophilia
mypathic gait
weakness 1 side
Trandelenburg +
cerebellar ataxia gait
staggering, unsteady, wide-based
Romberg sign+
Sensory ataxia gait
feet thrown forward-out-down = 2-slap sound
polyneuropathy or posterior column damage
steppage gait
foot drop or lifts knee high up to slap foot against ground
lower neuron disease
tx invasive aspergillosis
voriconazole
when is backup contraception mandatory for missed OCP
more than 2 missed pills; take 2 pills per day until caught up
SE ethambutol
retrobulbar neuritis (posterior optic nerve) = red/green color blindness
gram- cocci pairs
COPD
cough + CP + fever
infiltrates on lower lobe
M Cat lobar pneumonia COPD
Augmentin
joint pain worse w/ mvmt
fever + swelling + warmth
septic arthritis
1st degree AV block assoc w/
blowing diastolic murmur (but no mitral regurg), probably just stiff mitral valve
delayed carotid upstroke assoc w/
aortic stenosis
hemorrhagic gastritis MCC upper GI bleed in pts taking what?
NSAIDS (stop prostaglandin synthesis)
familial adenomatosis polyposis syndrome
APC mutation
MEN2: medullary thryoid, PTH adenomas, pheo
RET gene mutation
when to recheck scoliosis XR for growing kid
Q3mon (1yr too long)
epiglottitis: best way to confirm and initially manage pt
endotrach tube
MCC common cold
rhinovirus - HA, runny nose, sore throat, nasal congestion
apthous ulcers/stomatitis
chlorhexidine mouth wash to relieve pain and aid healing
antimicrobial that cab be used in pt that can’t tolerate cholestyramine for PBC tx
Rifampin
Can cause theophyline toxicity (via cytochrome 450 inhibition)
cimetidine
what should pt’s w/ anal fissures avoid to help healing
spicy foods
postpartum psychosis
sx interfere w/ mom’s ability to func and care for child
laryngitis for 2+ weeks in heavy smoker
thinck squamous cell carcinoma larynx
refer to otolaryngologist
cardiogenic shock
decreased tissue perfusion = cyanosis, AMS
HoTN from low CO
cutis marmorata from vasoconstriction
neurogenic shock
vasodilation
BRADYcardia
diaphoresis
parasympathetic dominance
septic shock
SIRS + evidence infxt, end organ dysfunction, refractory HoTN
tx for wide spread impetigo - vesicles/bullae
dicloxacillin
ARDS
ratio of PaO2/FIO2 < 200 + bilateral interstitial infiltrates
tx ARDS
PEEP to improve oxygenation by opening alveoli
hx pressure change ringing in ear dizziness HA buldging TM
barotrauma
