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Step 3 > Inservice Deck 5 - rapid board review 3 > Flashcards

Inservice Deck 5 - rapid board review 3 Flashcards

1
Q

pathogen and tx for neonate with sepsis?

A

GBS, listeria, gram negative

amp, gent

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2
Q

pathogen and tx for infant with sepsis?

A

GBS, listeria, h influ, strep pneumo, n mening

vanc, cefotaxime/ceftriaxone

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3
Q

pathogen and tx for child with sepsis?

A

h influ, strep pneumo, n mening

vanc, ceftriaxone

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4
Q

pathogen and tx for adult with sepsis?

A

strep pneumo, n mening

vanc, ceftriaxone

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5
Q

pathogen and tx for elderly with sepsis?

A

strep pneumo, n mening, listeria, gram neg

vanc, ceftriaxone, amp

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6
Q

postmenopausal female with vaginal bleeding, what should you be concerned for?

A

endometrial carcinoma

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7
Q

tx of thomboembolic disease in pregnant woman?

A

heparin

NO WARFARIN

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8
Q

tx of eclampsia?

A

mg and antihypertensive

delivery is only definitive therapy

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9
Q

first step for pregnant female who is critically ill

A

left lateral recumbent position, improves venous return

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10
Q

what beta hcg levels are necessary for transvag ultrasound to see IUP?

A

1500/2000

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11
Q

dx and tx of grey/yellow frothy malodorous discharge?

A

trich vag

metro or clinda

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12
Q

dx and tx of fishy odor with clue cells?

A

gardnerella vaginalis

metro or clinda

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13
Q

dx and tx of white cottage cheese discharge?

A

candida albicans

topical or oral antifungals (fluconazole)

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14
Q

what does 1 unit PRBCs increase hgb and hct by?

A

1 unit hgb and 3% hct

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15
Q

what factors does warfarin inhibit?

A

vit k dependent

2, 7, 9, 10

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16
Q

what factor is hemophilia a a problem in? how do you treat? what do you see on labs?

A

abnl factor 8
normal PT and prolonged PTT
give factor 8, for major 50 u/kg

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17
Q

what is the most common human enzyme defect?

A

G6PD deficiency

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18
Q

what triggers the most common enzyme defect?

A

oxidant drugs (sulfa, phazopyridine, malarals, salicylates) or fava beans

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19
Q

what are the signs of TTP?

A

FAT RN

fever
anemia
thrombocytopenia
renal insufficiency
neuro changes
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20
Q

how do you treat ttp?

A

plasma exchange, FFP, steroids, antiplatelet

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21
Q

what is the most common genetic bleeding disorder? what labs do you see?

A

von willebrand disease

nl platelet, prolonged bleeding time

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22
Q

how do you treat the most common genetic bleeding disorder?

A

DDAVP
FFP
cryoprecipitate
factor 8

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23
Q

patient who has malignancy and constipation, what diagnosis?

A

hypercalcemia

24
Q

patient who has malignancy and fever, what diagnosis?

A

neutropenia or sepsis

25
Q

patient who has malignancy and hypotension and JVD and dyspnea, what diagnosis?

A

tamponade or SVC

26
Q

patient who has malignancy and hypoglycemia, what diagnosis?

A

adrenal insufficiency

27
Q

patient who has malignancy and hyponatremia, what diagnosis?

A

adrenal insufficiency or SIADH

28
Q

patient who has maglignancy and back pain, what diagnosis?

A

cord compression

29
Q

tx of spinal cord compression in onc patient?

A

dex, radiation, surgery

30
Q

tx of upper airway compression in onc patient?

A

establish definitive airway

31
Q

tx of pericardial tamponade in onc patient?

A

pericardiocentesis

32
Q

tx of superior vena cava syndrome in onc patient?

A

diuretics, radiation, vascular stenting

33
Q

tx of SIADH in onc patient?

A

fluid restrict, diuretics, hypertonic saline

34
Q

tx of hyperviscosity in onc patient?

A

IV saline, phlebotomy

35
Q

tx of adrenocorticol insufficiency with shock in onc patient?

A

IV hydrocortisone

36
Q

dx of arthritis, conjunctivitis and urethritis (not gonorrhea)

A

reiter’s syndrome

37
Q

tx of anaphylaxis?

A

epi, albuterol, diphenhydramine, H2 blocker, corticosteroids,

if patient on beta blockers give glucagon

38
Q

what are signs on an EKG for TCA?

A

large S in 1 and aVL, wide QRS, sinus tach, R> 3 mm in aVR, long QT

39
Q

what are signs on EKG for dig tox?

A

paroxysmal atrial tach with variable AV block

40
Q

what are the dialyzable drugs?

A

STUMBLE

salicylates
theophylline
uremia
methanol
barbiturates
lithium
ethylene glycol
41
Q

what is the goal pH for TCA tox?

A

7.5

42
Q

signs of aspirin tox?

A 
anion gap metabolic acidosis
resp alk
hyperthermia
hypoglycemia
hypokalemia
43
Q

signs of ethylene glycol ingestion? tx?

A

anion gap acidosis with osmolar gap

tx with ethanol or fomepizide

44
Q

signs of methanol ingestion? tx?

A

anion gap acidosis with osmolar gap
visual sx
tx: fomepizole, ethanol, dialysis

45
Q

triad of myxedema coma?

A

hypotension, hypothermia, and brady

46
Q

electrolyte findings in adrenal insufficiency

A

hyponatremia

hyperkalemia

47
Q

most common cause of anion gap metabolic acidosis?

A

lactic acidosis

48
Q

what should you be concerned about with hypokalemia?

A

hypomagnesemia

49
Q

how do you treat hyponatremic patient with seizures or AMS?

A

3% hypertonic saline

50
Q

what do you consider with patient with diarrhea, fever, AMS, psychosis, a fib?

A

thyroid storm

51
Q

how do you treat bony fishes, stingrays and sea urchins?

A

hot water

52
Q

how do you treat jellyfish nematocysts?

A

salt water or vinegar

NOT FRESH WATER

53
Q

what is a side effect of antivenin (made from horse)

A

anaphylaxis

54
Q

how does black widow present?

A

muscular rigidity, acute abd

55
Q

how do you tx black widow?

A

benzo and antivenin

Step 3 (30 decks)

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