June 9 Flashcards
Management of catatonia?
Benzo’s
ECT
alcohol causes a ___ peripheral neuropathy
toxic
presentation of alcohol neuropathy?
bilateral pain, tingling, numbess of feet
- loss of deep tendon reflexes
- loss of light touch, vibration
what type of antibiotic is amikacin?
aminoglycoside
which presents more acutely, CMS pneumonitis or PCP?
CMV (PCP is more indolent)
A woman in labour has intraamniotic infection but her and baby are both stable. Method of delivery?
Augmentation of labour - SVD
can ABO incompatibility effect the first pregnancy?
yes
can ABO incompatibility effect the first pregnancy?
yes
in which condition is micropthalmia seen? (small eyes)
PATAU
is micropthalmia (small eyes) seen in edwards?
NO
is fever within 6 hr of surgery likely from infection?
NO - could be from tissue damage, blood products, malignant hyperthermia
is placental abruption a complication of PPROM?
yes
are glucocorticoids useful for treating acute liver failure?
no - increase risk of infeciton
diagnosis of tinea pedis?
KOH prep
findings on KOH prep of tinea pedis?
branched, segmented hyphae
which disease are synthetic cannabinoids useful for?
HIV cacexia
s1q3t3 on ecq =
pulmonary embolism
does smoke exposure cause methemoglobinemia?
NOOO
what causes methemoglobinemia?
exposure to oxidizing agents (nitrates, dapsone, anesthetics)
what is the state of Fe in methemoglobinemia
Fe 3+ (as opposed to Fe2+ which is normal)
what poisonings does smoke exposure cause?
CYANIDE AND CARBON MONOXIDE
path of cyanide poisoning?
Binds Fe3+ preventing reduction to Fe2+ and blocks ATP from oxidative phosphorylation
what does pronator drift indicate?
UMN / corticospinal pyramidal tract disease
mannitol is contraindicated in..
HF and pulmonary edema
acetelzolamide can help prevent which type of kidney stone?
uric acid (because it alkalinizes the urine)
why may patients with diabetes mellitus get sialadenosis?
fatty infiltration of parotid glands
can you give the varicella vaccine during pregnancy?
no
is the MRR vaccine safe for breastfeeding mothers?
yes
path of wilson disease?
mutation in ATP7B -> copper accumulation in liver ->leakage into blood
path of hereditary hemochromatosis?
increased absorption of iron in the intestine
which antibiotics cannot be used in myasthenia gravis?
aminoglycosides
how do you treat a child <8 with lyme disease?
amoxicillin
what type of reaction is the rash caused by scabies?
type IV hypersenisitivity reaction to mite feces
bullous pemphigoid has anitbodies againt…
hemidesmosomes
cause of alport syndrome?
X linked mutation in Type IV collagen
path of goodpasture syndrome?
autoantibodies against type IV collagen in basement membrane and alveoli
what is c-anca
antineutrophilic cytoplasmic antibodies
waht is p-anca?
perinuclear antineutrophil cystoplasmic antibodies
c-ANCA =
PR3anca
p-ANCA =
MPO-anca
s1q3t3 on ecq =
pulmonary embolism
pathology of myopathy in Cushings syndome?
catabolic effects leading to muscle atrophy
