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OBS and GYN > FEb 16 > Flashcards

FEb 16 Flashcards

1
Q

what is cholestyramine used to treat?

A

diarrhea related to bile acid malabsorption

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2
Q

which heart problem may uncontrolled gestational diabetes lead to in the neonate?

A

hypertrophic cardiomyopathy

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3
Q

what does diabetes cuase hypertrophic cardiomyopathy in the newborn?

A

leads to increased glycogen and fat deposition in the interventricular septum -> dynamic LVOT obstruction

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4
Q

prognosis of hypertrophic cardiomyopathy in the newborn?

A

spontaneous regression by 1 year

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5
Q

what is the initial management of hypertrophic cardiomyopathy in the newborn?

A

beta blockers to increase left ventricle filling and IV fluids

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6
Q

exposure to abdominopelvic radiation is associated with…

A

increased risk of colon cancer as an adult

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7
Q

when should patients who had abdominopelvic radiation in the past begin colonoscopy screening?

A

age 30-40

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8
Q

patients with celiac disease need earlier colon cancer screening T or F

A

FALSE

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9
Q

you can use topical or oral NSAIDs for hand osteoarthritis, T or FALSE?

A

TRUE

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10
Q

what type of drug is tramadol?

A

opioid

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11
Q

what is the most common cause of death in patients with end stage renal disease?

A

cardiovascular disease

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12
Q

chronic aspergillosis is more common in patients wtih…

A

previous TB

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13
Q

Demylinating plaques in the brain and spinal cord are consistent with…

A

multiple sclerosis

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14
Q

what is the path of chronic inflammatory demylinating polyneuropathy?

A

immune mediated demyelination of peripheral nerves and nerve roots

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15
Q

is chronic inflammatory demylinating polyneuropathy length dependent?

A

no - there will be distal and proximal symptoms

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16
Q

will the symptoms in chronic inflammatory demylinating polyneuropathy be symmetric or asymmetric?

A

symmetric

17
Q

will the symptoms in MS be symmetric or asymmetric?

A

asymmetric

18
Q

what is the most common primary immune deficiency?

A

selective igA deficiency

19
Q

which immunodeficiency is associated with anaphylaxis during blood transfusinos?

A

selective igA deficiency

20
Q

clinical features of selective igA deficiency?

A
  • usually asymptomatic
  • recurrent sinopulmonary and GI infections
  • associated autoimmune/atopic conditions
21
Q

what prodrome may precipiate bells palsy?

A

auricular pain/dysaucusis (distortion of sound)

22
Q

how can you distinguish bells palsy from an acute stroke?

A

-involvment of the upper face (forehead/eye) in bells palsy

23
Q

pharmacological treatment for PROPHYLAXIS of eosphageal variceal bleeding?

A

beta blockers

24
Q

pharmacological treatment for ACUTE eosphageal variceal bleeding?

A

ocreotide

25
Q

clinical manifestations of x-linked agammaglobulinemia (brutons)?

A
  • recurrent GI and sinopulmonary infections

- small or ABSENT lymphoid tissue (tonsils, adenoids)

26
Q

which immunodeficiency is associated with small or absent tonsils/adenoids?

A

x linked agammaglobulinemia

27
Q

characteristics of NECROTIZING otitis externa?

A
  • severe unremmitting ear pain (worse at night, with chewing)
  • CN deficits
  • granulation tissue in external canal
  • -elavated ESR
28
Q

treatment of necrotizing otitis externa?

A
  • IV antibiotics (anti-pseumomonal coverage)

- possible surgical debridement

29
Q

is granulation tissue a normal finding in otitis externa?

A

no - suggest necrotizing otitis externa

30
Q

when should children receive the tetanus vaccines?

A

2,4 and 6 months of age

31
Q

A patient with a concerning puncture wound, who has completed the childhood vaccination schedule but never received a booster for tetanus, should now receive…

A

single dose of tDAP

32
Q

A patient with a concerning puncture wound, who IS NOT SURE IF THEY completed the childhood vaccination schedule but never received a booster for tetanus, should now receive…

A

the vaccine + immunoglobulin

33
Q

is xray useful for lateral epicondylitis?

A

no - its useful for fractures but not soft tissue (U/S is more useful in this case)

34
Q

when is activated charcoal used to treat salicylate poisoning?

A

-alert patients within 2 hours of acute ingestion

35
Q

how can you treat salicyluate poisoning when you cant give activated charcoal?

A

IV sodium bicarbonate - alkalinize the urine

36
Q

in which patients with salicylate poisoning can you not give IV sodium bicarb?

A

-those who cannot tolerate the large volume of fluid needed to do this (chronic kidney disease) or pulmonary edema

37
Q

how do you treat patients with salicylate poisoning in which activated charcoal and IV sodium bicarb are contraindicated?

A

hemodialysis

OBS and GYN (42 decks)

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