Jinesa Flashcards by Najala Orrell

prophylactic Neisseria meningitis

Rifampin

Except if on pill - give Ceftriaxone

How well did you know this?

Not at all

Perfectly

on Pill or pregnancy and on levothyroxine

increase dose

How well did you know this?

Not at all

Perfectly

coughing , drooling and aspirating - what do you od?

nasopharyngeal laryngoscopy

How well did you know this?

Not at all

Perfectly

thick pertursion blue friable from anus

rectal prolapse

How well did you know this?

Not at all

Perfectly

Short bowl and diarrhea - tx with

cholestyramine

How well did you know this?

Not at all

Perfectly

post cholecystectomy with bile salt diarrhea

cholestyramine

How well did you know this?

Not at all

Perfectly

angiodysplasia - why side of abdomen

Right abdomen

How well did you know this?

Not at all

Perfectly

Angiodysplasia ass/ w/

ESKD
vWD
Aortic stenosis

How well did you know this?

Not at all

Perfectly

acute gout treatment in renal insufficiency

steroids

How well did you know this?

Not at all

Perfectly

number 1 tx HOCM

beta blocker

How well did you know this?

Not at all

Perfectly

MCC sudden death in steering wheel accident

Aortic injury

How well did you know this?

Not at all

Perfectly

Tx acute cocaine toxicity

benzo PLUS nitropursside

THEN later give alpha blocker

How well did you know this?

Not at all

Perfectly

bicuspid aortic valve cause

AD inheritance

How well did you know this?

Not at all

Perfectly

Patient with cocaine persistent chest pain

CTA - b/c think they have aortic / tricuspid

How well did you know this?

Not at all

Perfectly

who do you not give b blockers to

Pheochromocytoma

B- blocker

How well did you know this?

Not at all

Perfectly

Herceptive - cardiac S.e

cardiotoxicity

heart failure

How well did you know this?

Not at all

Perfectly

Electrolyte imbalance in patients who have prolonged standing

hypercalemia

How well did you know this?

Not at all

Perfectly

when to use statin in diabetic

LDL > 70

How well did you know this?

Not at all

Perfectly

c/i metformin

egfr < 30

How well did you know this?

Not at all

Perfectly

Syndrome bitemporal hemianopia, hyper pigmentation, adrenal removed

nelson syndrome

How well did you know this?

Not at all

Perfectly

patient has contact lens what infection you worried about

Pseudomonas
- can cause keratitis ( opt emergency)
b/c patient can become blind

How well did you know this?

Not at all

Perfectly

graduation tissue in ear

malignant otitis externa

How well did you know this?

Not at all

Perfectly

acute otitis media - what to tell them daily if they smoke

smoking exposure is a risk factor

How well did you know this?

Not at all

Perfectly

when to operate for cleft lip

rule of 10

10 pounds
10 weeks old
Hg 10

How well did you know this?

Not at all

Perfectly

what labs do you check in patients who get their B12 replaced

CHECK - hypokalemia - Rct ( b/c can be ineffective eyrthropoesis)

1st line Tx for juvenile myoclonus

valproate

Tx tourrettes in adults and children

Tourette - pimizide ( adult) 2nd gen antipsychotics - children

When to do carotid endarterectomy

70-99%

Hyperthyroidism what labs will be abnormal

hyponatremia | high MCV

paradoxical emboli - how to Dx

ECHO | bubble study

Number one cause of diaphragmatic paralysis

ALS

carbamazepine - use and s/e

use - seizure , Trigeminal neuralgia | - neutropenia major S/e

Old person with new onset dementia

think depression

oropharyngeal cobblestone

upper airway cough syndrome

major s/e of TRAILI

psychiatry and neurocognitive

level of bill for exchange transfusion

20-25

pleural fluid TB

adenosine deaminase

tension pneumothorax - what to check first

bedside US first

when to add steroids for PJP

Aa gradient 35 | O2 < 70

chocking child < 1

pat on back then on front

total thyroidectomy for medullary ca of thyroid - then elevation of calcitonin

CT chest and pelvis to look for recurrence

tx of platelet dysfunction CKD

desmopressin

INR 5-9 what to do

give oral vit K | stop Warfarin

INR > 9

give po vita stop Warfarin unless unstable - give Ivvit K , FFP , PCC

Goal for INR if aortic or mitral valve replace

Aortic 2-3 | Mistral 2.5 - 3.5

what to check first for the polycythemia

raise EPO | nocturnal oximetry - to see if OSA

Stage 1 nephro cancer vs. Stage 2 nephro cancer

Stage 1 - partial nephrectomy Stage 2/3 - radical nephrectomy Stage 1 - w/i capsule Stage 2 - through capsule but not grottos facia Stage 3 - beyond kindly , adrenals

Hit knee into dashboard what did you damage

PCL

hear pop then immediate heamarthosis

ACL tear

tx of rental artery stenosis

ACE inhibitor

UTI in pregnancy

Amocillin Cephalexin Nitrofurrantonin

Dx of scabies

skin snapping and electro microscopy

Alopecia area

non scarring hear loss | explanation point hairs

telogeneffluvium

diffuse thinning of hair

Androgen alopecia

male pattern baldness

pulmonary hypertension - will show what

increase in pulomday artery systolic pressure ( > 25 mmhg)

treatment of breastfeeding failure jaundice

you want to optimize lactation and increase breastfeeding frequency. - breastfeeding 15 minutes per side every 2-3 hours

patient draws up there leg when palpating abdomen tired appearing girl with abdominal tenderness and palpable cylindrical; mass on right side of abdomen - what is dx? and what is the trigger of this condition

think intussusception - b/c hypertrophied peter patches

conversion disorder

sudden onset of neurological symptoms with clinical finding that are incompatible with neurological conditions - precipitated by stress

difference b/w pemphigus vulgarism and bulgur pemphigoid

pemphigus vulgaris - invovves mucous membrane, easily rupture, positive nikolsky sign bulgur pemphigoid - rense and firm, negative nikolsky sign and rare to involve the much membrane