Final Step Notecards - 2nd 500 Flashcards
The baby was delivered several minutes ago. Suddenly there is a increase in blood flow from the vagina and the cord noticeably lengthens. What is the most likely cause of these signs?
Placental separation
List three signs or symptoms which will likely be included in a description of a patient with a pheochromocytoma?
Thin, diaphoretic, tachycardic, agitated and hypertensive
Often caused by chlamydia what is the syndrome characterized by urethritis (or cervicitis), arthritis and conjuctivitis?
Reiter’s syndrome
An EKG shows a regular heart rate of 200 bpms. QRS is narrow. What is the most likely diagnosis?
Supraventricular tachycardia
What is the treatment for a volvulus in a child?
Barium enema
A 65 year old presents complaining of severe pain in his great toe that began when he woke up this morning. It is swollen, red and very tender. What is the most likely diagnosis?
Gout would be number one because of the location, but you might also think about an infection.
You suspect a patient has polyarteritis nodosa. What is the test for a definitive diagnosis and what is the treatment?
Biopsy, high dose steroids
A resting or pill-rolling tremor should make you think of what diagnosis?
Parkinson’s disease
What are three medications often combined as a first line treatment for H. pylori?
Omeprazole, clarithromycin and amoxicillin (PPI + 2 Antibioitcs)
What is the treatment goal for a diabetic with hypertension?
130/80
What medication might you use prior to thyroidectomy in a patient with hyperthyroidism?
Methimazole or propylthiouracil (PTU
Is diphtheria a Gram-positive or negative organism?
Gram-positive
How do you treat achalasia?
Loosen up the muscle - botox, dilation or surgery
What is the most specific test for acute cholecystitis?
HIDA
Prolonged expiration (low FEV1) should make you think of what diagnosis?
Asthma or COPD
What imaging needs to be done before taking a patient to the OR with an aortic aneurysm?
CT (echo may be used as initial study, but CT is need for surgery)
A fundal exam shows a cup to disc ratio of >0.5. There are also vessels bending over the disc. What is the most likely diagnosis?
Glaucoma
Define inevitable abortion.
Vaginal bleeding, cervix is open, products of conception are still inside
List three medication that may cause lupus.
Procainamide, isoniazid and Quinidine
Hyperpigmentation of the skin along creases should make you think of what diagnosis?
Gram-positive
Are most shoulder dislocations anterior or posterior?
Anterior
What are three things in your differential if you have a paradoxical pulse?
Cardiac tamponade, pericarditis and obstructive lung disease
How long should pressure be applied to treat epistaxis?
15 minutes
What is the term for painful swallowing?
Odynophagia