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Z First Aid Bonus > IM Shelf Quick Review > Flashcards

IM Shelf Quick Review Flashcards

1
Q

LAD EKG territory

A

V1-V4

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2
Q

RCA EKG territory

A

II, III, aVF

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3
Q

LCx/Diagonal branch of LAD EKG territory

A

I, aVL, V5-V6

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4
Q

Intermittent Asthma

A

ssx/SABA use
<2 days a week

Nighttime ssx
<2 times a month

Step 1 tx

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5
Q

Mild Persistent Asthma

A

ssx/SABA use
>2 days week - not daily

Nighttime ssx
3-4 a month

Step 2 tx

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6
Q

Moderate Persistent Asthma

A

ssx/SABA use
daily

Nighttime ssx
>1 time per week - not nightly

Step 3 tx

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7
Q

Severe Persistent Asthma

A

ssx/SABA use
throughout the day

Nighttime ssx
4-7 times a week

Step 4 or 5 tx

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8
Q

Asthma PFTs

A

FVC nl/decreased
FEV1 decreased
FEV1/FVC decreased
DLCO nl/increased

Reversible with bronchodilator

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9
Q

COPD/Obstructive PFTs

A 
RV increased
FRC increased
TLC increased
FVC nl/decreased
FEV1 decreased
FEV1/FVC decreased
DLCO nl/decreased

FEV1 decreases more than FVC

Not reversible with bronchodilator

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10
Q

Restrictive PTFs

A 
RV decreased
FRC decreased
TLC decreased
FVC decreased
FEV1 decreased
FEV1/FVC nl/increased
DLCO nl/decreased

FEV1 decreases proportional to FVC

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11
Q

Asthma Tx Step 1

A

SABA prn

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12
Q

Asthma Tx Step 2

A

low dose ICS
or
Cromolyn, LTRA, Nedocromil, theophyline

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13
Q

Asthma Tx Step 3

A

low dose ICS + LABA
or
medium dose ICS

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14
Q

Asthma Tx Step 4

A

medium dose ICS + LABA

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15
Q

Asthma Tx Step 5

A

high dose ICS + LABA

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16
Q

Asthma Tx Step 6

A

high dose ICS + LABA + oral corticosteroid

consider omalizumab if they have allergies

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17
Q

increased 24 hr cortisol/ no suppression on low dose dexamethasone suppression test:

low ACTH

A

exogenous glucorticoids

adrenal adenoma

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18
Q

increased 24 hr cortisol/ no suppression on low dose dexamethasone suppression test:

high ACTH

high dose dexamethasone suppression test:

No supression

A

Ectopic ACTH production

Get CT chest/abdomen/pelvis

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19
Q

increased 24 hr cortisol/ no suppression on low dose dexamethasone suppression test:

high ACTH

high dose dexamethasone suppression test:

Adequate suppression

A

Cushings Disease

Get MRI of pituitary

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20
Q

ANA

A

Lupus

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21
Q

Anti-CCP

A

rheumatoid arthritis

22
Q

anti-RF

A

rheumatoid arthritis

23
Q

anti-histone

A

drug induced lupus

24
Q

anti-dsDNA

A

lupus (specific) renal involvement

25
Q

anti-centromere

A

scleroderma CREST

26
Q

anti-topoisomerase

A

systemic scleroderma

27
Q

anti-jo

A

polymyositis

28
Q

anti ro/la

A

sjorgrens

29
Q

anti-mitochondrial

A

primary biliary sclerosis

30
Q

anti smooth muscle

A

autoimmune hepatits

31
Q

MI Complications

hours -2 days

A

reinfarction

32
Q

MI Complications

hours- 1/2 weeks

A

ventricular septal rupture/free wall rupture

33
Q

MI Complications

1 day- 3 months

A

pericarditis

34
Q

MI Complications

5 days - 3 months

A

left ventricular aneyrysm

35
Q

MI Complications

2 days - 1 week

A

papillary muscle rupture

36
Q

CAP tx

A

ceftriaxone + Azithromycin (IV)

Azithromycin PO

37
Q

HCAP tx

A

Vanc and pip/tazo

38
Q

Meningitis tx

A

ceftriaxone + Vanc + steroids +/- ampicillin (immunocompromised)

39
Q

Cellulitis tx

A

vanc-MRSA
Clindamycin
TMP-SMX

40
Q

UTI tx

A 
amoxicillin- pregnant
Nitrofurantoin- women
TMP-SMX- no renal failure
Ceftriaxone (IV)- septic with pyelo
Ciprofloxacin- ambulatory pyelo
41
Q

Anaerobe coverage

A

clindamycin- non GI

Metronidazole- GI/GU

42
Q

Ulcerative Colitis

A 
Ulcers
Large intestine
Continuous
Colorectal CA
Crypt abscesses
Extends proximally
Red diarrhea
Sclerosing cholangitis
43
Q

Crohns Disease

A 
cobble stone mucosa
skip lesions
rectal sparing
creeping fat
noncaseating granulomas
44
Q

AML

A

Auer Rods
M3: tx Vit A- trans retinoic acid
Myeloperoxidase

45
Q

ALL

A

Kids

Ppx to cns and scrotum

46
Q

CML

A 
BCR-ABL
T(9:22)
Imatinib- tyrosine kinase
Basophilia 
Assx with WBC >60k
47
Q

CLL

A

Smudge cells

48
Q

RBC Casts

A

Glomerulonephritis

49
Q

WBC Casts

A

Pyelo

50
Q

Muddy brown casts

A

ATN

51
Q

Waxy casts

A

CKD

Z First Aid Bonus (6 decks)

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