General Internal Medicine Flashcards
What is mycophenolate mofetil?
immunosuppressant commonly used for transplant pts
What defines strong familial risk for colorectal cancer?
multiple first-degree relatives or 1 first-degree relative Dxed at or before age 60.
How should immunosuppressed pts be protected during an influenza epidemic?
oseltamivir and vaccination of close contacts
What strains of influenza is oseltamivir effective against?
A and B
What strains of influenza is rimantadine effective against?
neither - used to be effective against A, but now resistant
What kind of vaccine is the standard influenza vaccine given each fall?
inactivated
What is the normal JVP (in cm H2O)?
6-8 cm H2O
What do a systolic murmur, S3 heart sound, increased HR, and peripheral edema indicate in a pregnant woman?
normal findings
What are 2 potential causes of syncope in hypertrophic cardiomyopathy?
LV outflow obstruction, arrhythmia
What is neurocardiogenic syncope? Briefly describe the pathophysiology.
vasovagal episode; stimulus of tractus solitarius in brainstem leads to increased parasympathetic tone and decreased sympathetic tone –> hypotension and bradycardia
Dysthymia is a chronic mood disorder characterized by depressed mood or anhedonia at least half of the time for at least _______ accompanied by 2 or more vegetative or psychological symptoms and functional impairment.
2 years
What are the indications for polysomnography?
suspicion of sleep-related breathing disorder, narcolepsy, or sleepwalking, or if pt is pilot or truck driver
Fluoxetine’s brand name.
Prozac
Sertraline’s brand name.
Zoloft
Which antidepressant has the least sexual side effects and does not cause weight gain?
Bupropion
