General Flashcards

1
Q

What is Heerfordt disease?

A

Acute presentation of sarcoidosis characterized by facial paralysis, parotid enlargement and uveitis

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2
Q

Which inhaled anesthetic has lowers MAC?

A

Halothane : 0.77%

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3
Q

Estrogen increases _____ leading to increase need for _______

A

Thyroxine Binding Globulin

Increase in T4 dose needed

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4
Q

Which anesthetic improved local flap survival in Mohs recon

A

Isoflurane

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5
Q

Which meds increase flap survival in mohs recon?

A

Verapamil

lidocaine

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6
Q

What are first generation histamine blockers?

A

Hydroxyzine, chlorpheniramine, diphenhydramine

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7
Q

What are second generation antihistamines and which is less sedating?

A

Cetrizine, fexofenadine and loratidine

fex and loratidine less sedating

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8
Q

Which ct scan scre for CRS correlates well with symptom severity

A

Lund-Kennedy

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9
Q

What can be a risk of prilocaine administration?

A

Met hemoglobinemia, treat by administering methylene blue

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10
Q

Which nerve provides sensation to the ala of nose

A

Anterior ethmoidal nerve bus the external nasal nerve

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11
Q

What medication can be used to prevent thyroid production in someone who can’t get PTU or methimazole?

A

Lithium

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12
Q

when are you at highest risk of TI fistula after trach?

A

3-4 weeks out

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13
Q

what is the mechanism of action of mytomycin c

A

DNA alkylating agent and prevents fibroblast proliferation

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14
Q

what is the mechanism of action of cocaine as local anesthetic?

A

blocks sodium channels

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15
Q

what is the general concentration of topical cocaine thats used?

A

4%

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16
Q

What medication can be used in patients receiving RAI in order to avoid stopping thyoroid replacement hormone

A

Thyrogen, ensures adequate uptake of iodine

17
Q

what is the nervus intermedius

A

contains preganglionic parasympathetic nerve fibers supplying innervation to the lacrimal, sulingual, submandibular gland, and minor salivary glands

18
Q

What is the blood supply to SCM?

A

Upper - occipital
Middle - inferior thyroid
inferior - suprascapular

19
Q

What is the treatment for hypercalcemic crisis

A

calcitonin, bisphosphanates, fluid hydration, loop diuretics

20
Q

What patient can you not use methylene blue to treat methemoglobinemia

A

G6PD deficiency -> can cause anemia, need to be transfused

21
Q

What antibiotic class is cytochrome p450 inhibitor

A

macrolides

22
Q

What effect does high serum level of iron have on survival in invasive fungal sinusitis

A

high serum level -> decreased overall survival

23
Q

What kind of bacterium is fusobacterium necrophorum

A

gram negative anaerobic rod

24
Q

What branch of the trigeminal nerve is most commonly affected by post-herpetic neuralgia?

A

V1

25
Q

What do you do for hydrofluoric acid burns?

A

Calcium gluconate slurry

26
Q

Where are H1 inhibitors metabolized?

A

The liver

27
Q

How can mumps cause SNHL?

A

degeneration of stria vascularis and organ of corti

28
Q

MEN 1

A

parathyroid, pituitary, pancreas

29
Q

MEN 2A

A

Parathyroid, pheo, medullary

30
Q

MEN 2B

A

Pheo, Medullary, ganglioneuroma