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final count down Flashcards

1
Q

gout treatmetn in a CKD patient

A

steroids

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2
Q

is steroids a red flag to back pain

A

yes - immune wise and bone wisse

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3
Q

atrial myxoam assoaciated with

A

raynauds

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4
Q

lead migration vs perfortio

A

migration is still in the heart out of place

the perforation is outsde the heart

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5
Q

aVR elevation think….

A

left main

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6
Q

1/L + 5/6 elevation =

A

circumflex

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7
Q

preventing tx for kawasakis for anyrusm?

A

IVIG

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8
Q

TB ppd

A

15 for everyone
10 for me and high riskers
5 for HIV / transplants

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9
Q

is klebsiella penis painful

A

no

duceyi is painful at the enis and groin

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10
Q

MC pNa IN HIV PATIENTS/

A

Strep pnruo

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11
Q

unexplained hypotension next step

A

RUSH
not fast or ekg

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12
Q

if you have an anion hap acidosis and a bicarb that is usper low…

A

metabolic acidosis and non gap acidosis contributing to delta gap

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13
Q

tx torsades

A

no pulse= defib
pulse= mag
definitive mangement = overdrive pace

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14
Q

CT scans for stones

A

patients without a history of nephrolithiasis, signs of infection, solitary or transplanted kidney, or for whom an alternate diagnosis is suspected

or else dc them for trial of passage

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15
Q

trip, sudden fevere, retororbital headache, myalgies

A

dengue fever

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16
Q

phismosi frist step

A

topicals and manual reduction
then dorsal slit

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17
Q

absolute contraidcnation to a cric - kid < 10 or abscess over it

A

Kid less than 10!

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18
Q

peds parkland formula

A

same but add a maintence rate on top of it !

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19
Q

ttp

A

needs thrombcytopenia and MAHA - AKI is +/-

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20
Q

MC vessel and nerve hurt in elbow dislocation

A

brachial
ulnar

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21
Q

aspiration pneumonitis next step

A

observation

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22
Q

postive hip dysplasia in a kid next steps

A

US and harness

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23
Q

b12 def

A

loss of reflexes lower, + babiski, loss of sensation

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24
Q

tripod fx

A

all bones you would expect to being punched in the face

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25
Q

what do i have sometimes

A

work dysphora = burnout

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26
Q

does micro heamturia indicate CT scan in stabel trauma patients

A

no gross or unstable

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27
Q

liver disease and needs reversal - PCC or FFP

A

PCC
FFp is too much volume for ESLD

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28
Q

acute stroke in a sickler tx

A

PLEX! not tpa

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29
Q

do you need a yolk sac on US to confurm IUP

A

yes for viabiity

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30
Q

aa gradient needed for steroids for pjp

A

> 35

or less than 70 pao2

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31
Q

thora spot

A

between 8/9 no lower

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32
Q

what is luous pernio

A

purple or indruandted erythmea on face in sarcoid pts

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33
Q

NV intact open fx - doppler pluses or abx

A

abx first - no need for dopplers

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34
Q

when do you do charcoal for ibuprogen OD

A

Over 400 mg/kg OD
100 is symptoms
if less they can go home

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35
Q

concner for strangulated hernia- ct or surgeon

A

surgeon (not upright X ray)

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36
Q

deepest abscess butt space

A

supralevator

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37
Q

herpes on eye tx

A

ORAL ACYLORVIR AND TOPICAL PREDNSIONE

topcial sless good

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38
Q

best syph test rpr ftaa or biopsy

A

ftaa!

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39
Q

TYPE 2 hypersnesitvity

A

Graves, auto hemo anemia, Goodpastures

TYPE 3- serum sickness PSGN (compelemnt inovlvment)

4= type 1 diabestes, PPD test, hasimotos

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40
Q

TIA tx

A

ASA

dont start on AC in ED

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41
Q

strain and sprains

A

sprain is ligemants
strain in tendons

all 1-3 grades

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42
Q

healthy CAP outpatient coverage

A

Amox !!! better than azithro
azithro or doxy

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43
Q

perforated TM- ppx abx or no

A

no

44
Q

atropine overdose but a plant

A

jimson weed

foxglove is digitalis OD

45
Q

looks like WPW but no Delta wave…

A

LGL syndrome

46
Q

post ROSC care

A

cool to 32-36

EEG/TTE

normo normo

47
Q

when can hand foot mouth go back to schoool

A

fever resolution

48
Q

inpatient CAP tx up to 5 years
‘’’’ less than 6 motnhs

A

ampicillin
CFTX

49
Q

chlamydia or N gonorrhea FHC syndrome`

A

Chlamydia!

50
Q

nuchal cord on baby next step

A

reduce then deliver!

51
Q

bruygagda tx

A

admit cards

52
Q

infectious causes of SJS?

A

Mycopalsma and Herpes

53
Q

hypopyon next step–

A

optho ocnsult

54
Q

alkali ingestion dispo

A

admit ICU for supportiv care and endsopcy urgently

55
Q

hypermag tx

A

calcium gluconate

56
Q

side effect of ltos of pRBC infusions

A

hypothermia
acidosis
DIC/coagualopthy

57
Q

when to use Kleuke test in preggos

A

after 20 weeks to see if there was massive ehmorrhag eand how much rhogam to give

58
Q

when to give 50 mcg rhogam?

A

less than 12 weeks

59
Q

300 mch rhogam given at

A

12-20 weeks

60
Q

whar is fibringoen in TTP

A

normal

61
Q

pilocarpine?

A

not anymore

62
Q

next step tracheal transecton

A

fiberoptic tube

63
Q

sciatic nerve or tab fx MC

A

tabs

64
Q

b/l heel pain in a kid worse when squeezed

A

sever
disease
apophysis of growth plate

65
Q

3 letter code is for

A

paced
sensed (just flip it in your head)
response

66
Q

chronic pain patient fobromyclagia next step1

A

ketamine or an attempt at pain control
dont d/c or admit yet - no narcotics

67
Q

otitis media with vertigo - MC complication

A

meninigits

68
Q

buklllous pempphoigoid tx

A

DOXY

69
Q

afib and want to know if you anticoagulate - what do you use?

A

CHADS VASC

70
Q

peau d oragne is

A

inflammaotry carcinoma

71
Q

75% of nail and lingula involvment =

A

nail bed disprtopn- gotta take off the nail

72
Q

MC pitutiary tumor and complciaiton

A

prolacintoma- impotence and loss of libido

73
Q

incontinence studd

A

urethrla hyoermobility is form stress incontinuene

overactive bladder from overflow incontinece

74
Q

insulinoma tx

A

diazoxide

75
Q

preggo hives tx
preggo hives + angioedema

A

H1 and H2

Add steroids

76
Q

pain beyond 90 degrees with abduction is + for

A

rotator cuff

hakins and neer are impingement syndrome

77
Q

ankle arhtrocentiss spot

A

medial to tib ant

78
Q

phsyiloguc ansiosicra is a thing

A

adia pupil is basclaly the same but form trauma or illness mydriatic single pupil

79
Q

steroids and colchicine or NSAid and ICe for gout

A

Snaids and ice
unless cant tolerate NSAIDs

80
Q

PE + hypotension next step

A

TPA
If cant do tpa or refectory Hypotension then thrombecotmy

dotn need + torp or bnp for tpa

81
Q

need cxr in copd bt not laway asthma

A
82
Q

chalymdia eye tx

A

oral

83
Q

ortic dissection ekg

A

non specific t wve changes

84
Q

hemnophilia A repacement
B replcament

for head cocnenr bleeding

A

50 (81 unit givs you 2%)

100 (91 unit gives you 1%)

85
Q

acute mitral regurg stemi spot?

A

infeorir 2 3 F!

86
Q

truncal ataxia stroke and falling over while sittign is in the

A

vermis

87
Q

capral tunnel

A

MC in females (Not computer work!?)
steorids, splints

88
Q

c diff risk factors

A

abx in three months
hsoptial stay 2 days
65 yrs old

89
Q

which drug is HD capable
carbamaz
dig
or dilt

A

carbamaz

90
Q

intuss fist tx

A

contrast enema

91
Q

cigutera fish are

A

barracuda
snapper
grouper

92
Q

superficial thomboplhebitis needs AC when it is

A

bigger thn 5 cm

93
Q

do you need x rays for achilles tendon rupture?

A

no

94
Q

IP diaylsis infeciton tx

A

IP abx

95
Q

loss of ant horn cells is

A

als
lewy bodies is parkinsons

96
Q

blast crisis tx

A

-ibs
stem cell tx
leukopheresis

97
Q

blood transfusion in sicklers for which disease

A

aplastic crisis

98
Q

400 mg
66 mmol
severe isioprpyl needs

A

HD

99
Q

severe or higher than 50 for …. needs HD

A

methanol

100
Q

INR > 10 no bleeding =

A

vit K and hold next dose

101
Q

INR «10 and no bleeding =

A

hodl next dose no K

add pcc if lfie threatening

102
Q

volume of lquiuid for drowing

A
103
Q

impingement with POsitive hawkins is due to

A

subacromial bursitis
steorid injections!

adhesive capsulitis will be loss of rom

104
Q

ESRD cellutlits needs

A

MRSA coverage

105
Q

green stick needs

A

splint follow up

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