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Flashcards 4

1
Q

Lbs indication for cesarean delivery

A

> 9.9lbs

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2
Q

Difference between myositis and Hypothyroid myopathy

A

Hypothyroid usually doesn’t have tenderness on exam and pain worse with exercise; both have high CK

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3
Q

Charact of lichen planus

A

4Ps: pruritic, planar, polygonal and purple

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4
Q

Charact of PSC

A

Cholestatic pattern usually in someone with UC

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5
Q

Diagnosis in neonate with cyanosis and progressive respiratory distress after closure of ductus arteriosus

A

Hypoplastic left heart syndrome

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6
Q

Tx of hypoplastic L heart syndrome

A

Immediate prostaglandin E1 to keep PDA

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7
Q

Standard first pre-natal visit test

A

Rh type and Ab, Hgb, Rubella and varicella titer, UA, UCx, Syphilis, HIV, HepB, Chlamydia, Pap

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8
Q

Dx of PCOS

A

2/3: Oligomenorrhea, hyperandrogenism, polycistic ovaries on US

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9
Q

When to start tx for zoster

A

Within 72hrs

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10
Q

Where are femoral hernias anatomically

A

below inguinal ligament, meidal to femoral nerve, artery and vein

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11
Q

Reflexes in Guillan Bare

A

Diminished or abscent

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12
Q

When to place pacemaker in SSS

A

If symtpomatic to episodes of bradychardia

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13
Q

Symmetry in Parkinsons

A

Usually asymmetric features

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14
Q

Urine casts in thromboembolism

A

eosinophils

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15
Q

Treatment of postpartum thyroiditis

A

BB, antithyroid meds not helpful becuase the problem is the release, not the synthesis

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16
Q

When to suspect vibrio

A

fish, oysters, fast septicemia and cellulitis

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17
Q

Causes of hyponatremia with Urine osm>100 and low Urine Na

A

SIADH, Adrenal insuff, hypothyroidism

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18
Q

When to give tetanus vaccine

A

If unknown satus, <3 doses and dirty wound given vaccine + TIG, if clean wound only vaccine. If >5years and dirty but all doses only vaccine. If >10 and clean then also

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19
Q

When to use cipro for UTI

A

If acute uncomplycated PUELO (not for cystitis because of side effects).

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20
Q

Osteomyelitis in patients with sickle cell

A

Staph and salmonella

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21
Q

What is chronic pelvic pain syndrome/postatitis

A

Prostatitis w/ culture revealing >20 leukocytes but no microorganisms

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22
Q

Most common congenital heart lesion in Down syndrome?

A

Endocardial cushion

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23
Q

Charact of trastuzumab toxicity

A

Cardiac tox can end in heart failure but reversible after discontinuation (no associated with dose)

24
Q

NF1 vs NF2

A
  1. Hyperpigmented spots, unilateral acoustic neuroma. 2. Hypopigmented, bilateral deafness
25
Q

What causes increase AFP

A

Open neural tube defects, ventral wall defects, multiple gestations

26
Q

What causes low AFP

A

Aneuploidy

27
Q

What is the Hawthrone effect

A

Changes in characteristic when someone know he/she its been observed

28
Q

When is rotavirus likely?

A

<2 years old

29
Q

Foul-smelling diarrhea

A

Giardia

30
Q

Charact of subgaleal hemorrhage

A

Rapidly explanding swelling that leads to hypovolemic shock from blood loss

31
Q

cephalohematoma vs caput secundum

A

cephalohematoma does not crosses suture lines

32
Q

Oppositinal defiant vs onduct disorder

A

Conduct involves cuelty, destruction of property and theft

33
Q

How to diagnose antisocial personality disorder

A

Conduct disorder before 15 and now >18 years old

34
Q

When to give antibiotics for rhinosinusitis

A

If not improving by 7-10 days

35
Q

What is interstitial cystitis?

A

Idiopathic bladder pain for >6 weeks and relieved with urination

36
Q

What medications can treat heart failure in pregnancy?

A

Loop diuretics, BB, hydralazine, nitrates and cardiac glycosides (digoxin)

37
Q

What gives the risk of heart block to fetus in moms with SLE

A

Passage of anti-SSSA or anti-SSB

38
Q

Side effect of stimulants in adults

A

increase in blood pressure and pulse

39
Q

Treshold for diagnsosi of PKD

A

Most patients if >60 require >4 cysts per kidney for diagnosis

40
Q

What are pragmatic trials

A

Those to test effectiveness and make sure an intervention works in real life

41
Q

What is pyomyositis

A

Purulent bacterial infection of the muscle

42
Q

Primary dysmenorrhea vs endometriosis

A

Pain in PD usually during and endometriosis usually before

43
Q

Who gets AAA screening

A

Men 65-75 with any smoking history

44
Q

Allergen most frequently associated with asthma

A

house dust mites

45
Q

Culture in reactive arthritis patients

A

Usually negative

46
Q

When to give GBS ppx

A

Unknown AND: <37 weeks, +18hours of ROM, intrapartum fever; otherwise if another GBS + pregnancy, or + culture

47
Q

Serotonin syndroe vs NMS

A

NMS does not involve neuromuscular hyperactivity

48
Q

Cold water irrigation in auditory canal

A

To the side of the stimulus

49
Q

Cord related to plantar flexion

A

L5-S2

50
Q

Cremasteric reflex level

A

L1-L2

51
Q

IF you have breasts menarche can wait until

A

15

52
Q

phase 1 trial

A

small number of healthy subjects to eval toxicity, max dose, adverse effects

53
Q

phase 2 trial

A

small number (hundred) of affected subjects to explore efficacy and optimal dose (safety)

54
Q

phase 3 trial

A

large number to compare treatments

55
Q

headache and unilateral horners

A

carotid artery dissection

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