HWK SB2 (-6) Flashcards
W2 HWK blocks (16,18,19,21,22,24,25,27,28) Missing blocks 16,19,22,25,27,28
what is separation anxiety?
= marked fear of being separated
-often younger kids, but it’s possible to see this at any age
how to tx appendiceal abscess?
IVF, ABX, NPO, appendectomy
until what age do you automatically test sexually active young adults for G/C @ every visit?
age < 24 yo
what exercises aren’t allowed during nL pregnancy?
- contact sports
- high risk of falling (eg. gymnastics, skiing, etc)
- hot yoga
- scuba diving
which factors are decr by warfarin?
- factors 2, 7, 9, 10
- proteins C & S
how does exertional heat stroke present?
T > 104F (>40C) + AMS
What are the components of the glasgow coma scale?
- eye opening
- verbal response
- motor response
what does the CSF look like in guillain-barre?
- incr protein
- nL WBC and glucose
- no blood
how can Asherman synd present?
- abn uterine bleeding
- amenorrhea
- infertility
- cyclic pelvic pain
- h/o repeated miscarriages
what class of meds do you avoid in bipolar pts b/c they can incr mania?
SSRIs
what is the 1st line tx for acute bipolar depression?
- quetiapine (2nd gen antipsychotic)
2. lurasidone (2nd gen antipsychotic)
why must you give adequate pain control for pts w/ rib fracture?
adequate pain control –> decr hypoventilation –> decr risk of developing atalectasis and pneumonia
what is the timeline for EtOH withdrawal?
12-24 hr = s/s hangover
12-48 hr = hallucinations and/or siezures
48-96 hr = DTs
Expected Fe study results in Fe def anemia vs thalassemias?
MCV FE TIBC Ferritin Sat
Fe –> decr decr incr decr decr
T –> DECR incr decr incr INCR
why is Fe nL/incr in thalassemias?
incr RBC turnover
other than incr Fe what other lab will be elevated in thalassemias?
- reticulocyte count
- total bilirubin
if Fe is decr what will TIBC be incr/decr?
incr (b/c more available binding sites)
what is the nL range for Fe?
50-170
how does acute mesenteric ischemia present?
acute abdoment + rectal bleeding
how does chronic mesenteric ischemia present?
- crampy abd pain after meals
- wt loss
- pt will avoid eating
what does SOAPBRAIN MD stand for?
Serositis Oral ulcers Arthritis Photosensitivity Blood abn (CBC abn) Renal ANA Immunologic (anti-dsDNA, anti-smith antibodies) Neuro (AMS, seizures) Malar rash Discoid rash
what is the difference btwn cirrhosis and adrenal insufficiency affects on sexual f(x)?
cirrhosis –> gynecomastia, testicular atrophy
adrenal insufficiency –> ED
how does vertebral osteomyelitis present?
- FEVER
- back pain
- FOCAL SPINAL TENDERNESS
Ddx focal tenderness over spine
- vertebral osteomyelitis
- vertebral cancer (prostate or breast ca mets)
- multiple myeloma
- vertebral compression fracture
what specific muscle group can you strengthen to limit knee OA progression?
quads
how do you distinguish between premature adrenarche, premature thelarche, and precocious puberty from one another?
Premature adrenarche = nL bone, early breast
Premature thelarche = nL bone, early breast
Precocious puberty = bone maturity, incr FSH/LH, adv developement
how will a lacunar stroke present?
FND that does not generally develope incr ICP (no n/v/HA/AMS)
how will an intracranial hemorrhage typically present?
- FND –> 2. incr ICP (n/v, HA, AMS)
how will pleural effusion 2/2 pneumonia present?
- small/mod volume that is stable in size
- on POD 1 or 2
- NO respiratory s/s
how can most pleural effusions 2/2 CABG be managed?
watchful waiting. will generally self-resolve
what is laryngomalacia?
- supraglottic tissue collapse
- presents as stridor when supine (babies)
what is the timeline for larygomalacia presentation?
- stridor peaks at 4-8 mos old
- self-resolves by 18 mos old
how does black widow spider bite present?
local + systemic presentation (injected toxin)
what local s/s does black widow spider bite present w/?
- painless lesion
- does not form deep ulcer
what systemic s/s are seen w/ black widow spider bite?
-n/v
-muscle pain
-abd rigidity
muscle cramps
how does a brown recluse spider bite present?
- local s/s only!
- lesion = painful, deep, expanding ulcer –> eschar
what is the drug of choice for infective endocarditis in IVDU?
vancomycin
when do you start supplementing Fe (to prevent anemia) in infants?
pre-term = day 1
full term = age > 4mos
what is the 1st line tx for migraine in kids age < 12 yo?
- acetominophen
- NSAIDS
- supportive tx
(triptans = 2nd line)
what mimics sarcoidosis and should be r/o prior to starting steroids?
fungal infections (histoplasmosis, blastomycosis, coccidiomycosis)
what is the MCC spontaneous lobar hemorrhage in elderly pts?
cerebral amyloid angiopathy
assoc. w/ alzheimer’s dz
how do cardioembolic strokes present?
- stuttering course –> 2. FND
imaging findings on cardioembolic stroke = ?
multiple ischemic intensities @ grey-white matter junction
what does trichophyton rubrum cause?
- ringworm
- tinea pedis
- tinea manuum
what is herpetic whitlow?
HSV infec of hand s/p genital ulcer contact
how to decr kidney stone recurrence?
- incr IVF
- decr Na intake
- thiazide diuretics
- KCitrate (incr pH of urine)
- HCO3-salt (incr pH of urine)
