Fresh cut grass Flashcards

1
Q

what do you measure for acromegally testing

A

insulin like growth factor

confirmation with glucose suppression test (acro= GH stays elevated)

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2
Q

Labs in paget disease

A

normal ca/ phose

elevated alk phos

rx: bisphosphonates

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3
Q

Labs in OA

A

normal ca, phos, alk phos

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4
Q

Lung nodules with surrounding ground glass should tip you off for?

A

aspergillosis

rx: IV voriconazole

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5
Q

Hydroxychloroquine

A

disease modifying agent
vs TNF and IL1
adr: retinopathy

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6
Q

Magnesium and calcium

A

HypoMag–> HypoCa

low mag causes PTH resistance

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7
Q

Dupuytren contracture

A

4th and 5th digit palmer fascia fibrosis from ETOH free radicle damage

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8
Q

HCM inheritance pattern

A

auto dom

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9
Q

Indications for carotid endarectomy

A

symptomatic 70-99% stenosis

men w/ no s/s 60-99% stenosis

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10
Q

TNFa inhibitor ards

A

ex: infliximab, adalimumab

Significant ards:

  • HF
  • Demylination
  • inc ca risk
  • neutropenia
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11
Q

Ankle brachiasl index for PAD

A

under 0.90

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12
Q

When to NOT use succinylcholine in RSI

A

can cause electrolyte derangment

bad in severe muscle injury

use roc instead

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13
Q

when to not use etomidate in RSI

A

can cause adrenal suppression

bad in elderly/ sepsis

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14
Q

when to not use propofol

A

s/e: severe hypotension and mycocardial supression

caution in ventricular systolic dysfxn

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15
Q

number one risk factor for stroke

A

htn

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16
Q

ALL pts presenting with ischemic stroke should be given?

A

aspirin

stroke on aspirin? add clopidogrel

17
Q

timeframe to give tPA

A

alteplase

4.5 hours

18
Q

t2dm bp target

A

130/80

most best way to prevent diabetic nephropathy

19
Q

phenytoin vitamine deficiency

A

B6

20
Q

isonizide pt has LFT elevation. next step?

A

nothing- this will self resolve

carry on

21
Q

cardiac index

A

amount of blood pumped per minute per meter of body

22
Q

envelope shaped ua crystals

A

classic for ethylene glycol poisoning

23
Q

rx for antiphospholipid syndrome

A

heparin

24
Q

what helps control for cofounding

A

randomization