june 4 Flashcards
occlusion of the ___ leads to lateral medullary syndrome
PICA
livedo reticularis and peripheral edema are side effects of which parkinsons drug?
amantidine
is bupivicaine a long acting or short acting local anesthetic?
long acting
Respiratory symptoms in patients wtih ALS are often more prominent at…
night time (when gravity isn’t helping with chest expansion)
blood findings in a patient with systemic juvenile idiopathic arthritis?
leukocytosis
thrombocytosis
electrolyte disturbance caused by acetelzolamide?
hypokalemia
major manifestation of chronic lung transplant rejection?
bronchiolitis obliterans
should you use tocolytics in PPROM?
NO - premature contractions often indicate something is wrong
can nitrufurantion treat pyelonephritis?
no - poor penetration of kidney. Better for UTI
treatment of bacillary angiomatosis?
oral erythromycin
endometrial cells on pap smear are an abnormal finding in women aged >….
45
should a patient with chronic hep C be vaccinated against hep B and hep A?
yes - unless already immune
churg strauss AKA
eosinophilic granulomatosis with polyangitis
presentation of churg strauss?
-asthma
-eosinophilia
-poly/mononeuropathy
-pulmonary infiltrates
-
what antibodies are seen in churg strauss syndrome?
p-ANCA
all men and women over age 35 should be screened for…
lipid disorders
number 1 risk factor for stroke =
hypertension
acute sinusitis is most commonly…
VIRAL
how to treat stable pericarditis?
antiinflammatories (NSAIDS, colchicine)
do you need to do pericardiocentesis in a patient with a small effusion pericarditis?
no
a child with FS has…
sickle cell disease
a child with FAS has…
sickle cell trait
all children under 5 years old with sickle cell disease require…
penicillin prophylaxis
progressive lengthening of the PR interval preceeding a dropped beat =
Mobitz Type I heart block
Consistent PR interval before a dropped beat =
Mobitz Type II heart block
ascites wiht neutrophil count over ___ is consistent with spontaneous bacterial peritonitis
250
treatment of choice for spontaneous bacterial peritonitis?
third gen cephalosporin
presentation of MSG symptom complex?
chest tightness, facial flushing, nausea, giddiness, sweating, urticaria
treatment of catatonia?
benzos
common complication of bacterial meningitis?
hearing loss
bicarb levels in HHS?
normal or mild decrease
spasticity of the lower extremities is seen in the advanced form of which neuro complication of toxo?
chronic hydrocephalus
which antiseizure medication is associated with acute pancreatitis?
valproic acid
does esophageal spasm cause ECG changes?
NOOOOOO
most common cardiac defect in edwards syndrome?
VSD
is CK elevated in polymyalgia rheumatica?
no
is ESR elevated in polymyalgia rheumatica?
yes
uncontrolled epilepsy is a contraindication for which vaccine?
TDAP
