Jinesa Flashcards

1
Q

prophylactic Neisseria meningitis

A
  • Rifampin

Except if on pill - give Ceftriaxone

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2
Q

on Pill or pregnancy and on levothyroxine

A

increase dose

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3
Q

coughing , drooling and aspirating - what do you od?

A

nasopharyngeal laryngoscopy

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4
Q

thick pertursion blue friable from anus

A

rectal prolapse

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5
Q

Short bowl and diarrhea - tx with

A

cholestyramine

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6
Q

post cholecystectomy with bile salt diarrhea

A

cholestyramine

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7
Q

angiodysplasia - why side of abdomen

A

Right abdomen

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8
Q

Angiodysplasia ass/ w/

A

ESKD
vWD
Aortic stenosis

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9
Q

acute gout treatment in renal insufficiency

A

steroids

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10
Q

number 1 tx HOCM

A

beta blocker

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11
Q

MCC sudden death in steering wheel accident

A

Aortic injury

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12
Q

Tx acute cocaine toxicity

A

benzo PLUS nitropursside

THEN later give alpha blocker

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13
Q

bicuspid aortic valve cause

A

AD inheritance

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14
Q

Patient with cocaine persistent chest pain

A

CTA - b/c think they have aortic / tricuspid

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15
Q

who do you not give b blockers to

A

Pheochromocytoma

B- blocker

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16
Q

Herceptive - cardiac S.e

A

cardiotoxicity

heart failure

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17
Q

Electrolyte imbalance in patients who have prolonged standing

A

hypercalemia

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18
Q

when to use statin in diabetic

A

LDL > 70

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19
Q

c/i metformin

A

egfr < 30

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20
Q

Syndrome bitemporal hemianopia, hyper pigmentation, adrenal removed

A

nelson syndrome

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21
Q

patient has contact lens what infection you worried about

A

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

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22
Q

graduation tissue in ear

A

malignant otitis externa

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23
Q

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

A

smoking exposure is a risk factor

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24
Q

when to operate for cleft lip

A

rule of 10

  • 10 pounds
  • 10 weeks old
  • Hg 10
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25
Q

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

A

CHECK

  • hypokalemia
  • Rct ( b/c can be ineffective eyrthropoesis)
26
Q

1st line Tx for juvenile myoclonus

A

valproate

27
Q

Tx tourrettes in adults and children

A

Tourette - pimizide ( adult)

2nd gen antipsychotics - children

28
Q

When to do carotid endarterectomy

A

70-99%

29
Q

Hyperthyroidism what labs will be abnormal

A

hyponatremia

high MCV

30
Q

paradoxical emboli - how to Dx

A

ECHO

bubble study

31
Q

Number one cause of diaphragmatic paralysis

A

ALS

32
Q

carbamazepine - use and s/e

A

use - seizure , Trigeminal neuralgia

- neutropenia major S/e

33
Q

Old person with new onset dementia

A

think depression

34
Q

oropharyngeal cobblestone

A

upper airway cough syndrome

35
Q

major s/e of TRAILI

A

psychiatry and neurocognitive

36
Q

level of bill for exchange transfusion

A

20-25

37
Q

pleural fluid TB

A

adenosine deaminase

38
Q

tension pneumothorax - what to check first

A

bedside US first

39
Q

when to add steroids for PJP

A

Aa gradient 35

O2 < 70

40
Q

chocking child < 1

A

pat on back then on front

41
Q

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

A

CT chest and pelvis to look for recurrence

42
Q

tx of platelet dysfunction CKD

A

desmopressin

43
Q

INR 5-9 what to do

A

give oral vit K

stop Warfarin

44
Q

INR > 9

A

give po vita
stop Warfarin

unless unstable - give Ivvit K , FFP , PCC

45
Q

Goal for INR if aortic or mitral valve replace

A

Aortic 2-3

Mistral 2.5 - 3.5

46
Q

what to check first for the polycythemia

A

raise EPO

nocturnal oximetry - to see if OSA

47
Q

Stage 1 nephro cancer vs. Stage 2 nephro cancer

A

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

48
Q

Hit knee into dashboard what did you damage

A

PCL

49
Q

hear pop then immediate heamarthosis

A

ACL tear

50
Q

tx of rental artery stenosis

A

ACE inhibitor

51
Q

UTI in pregnancy

A

Amocillin
Cephalexin
Nitrofurrantonin

52
Q

Dx of scabies

A

skin snapping and electro microscopy

53
Q

Alopecia area

A

non scarring hear loss

explanation point hairs

54
Q

telogeneffluvium

A

diffuse thinning of hair

55
Q

Androgen alopecia

A

male pattern baldness

56
Q

pulmonary hypertension - will show what

A

increase in pulomday artery systolic pressure ( > 25 mmhg)

57
Q

treatment of breastfeeding failure jaundice

A

you want to optimize lactation and increase breastfeeding frequency.

  • breastfeeding 15 minutes per side every 2-3 hours
58
Q

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

A

think intussusception

  • b/c hypertrophied peter patches
59
Q

conversion disorder

A

sudden onset of neurological symptoms with clinical finding that are incompatible with neurological conditions

  • precipitated by stress
60
Q

difference b/w pemphigus vulgarism and bulgur pemphigoid

A

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