Kaplan Qbank Flashcards
leatd poisoning treatment in kids
level below 70:succime
over 70:EDTA and BAL
animal bite antibiotic
- amoxi clav
- 2 line: clinda + doxy a fluoroquinolone or TMP/SMX
DUB treatmetn
stable: high dose orally estrogen-progestero
unstable: IV stronge
most common cause of hypertension in children
renal disease
SAAG below 1.1
serum albumin- acitis albumin
- cancer
- infection(except SBP)
- nephrotic
treatment of choice for tularemia
streptomycin
speckled appearance US of the heart
amyloiodosis
best initial test for pulmonary hypertension
US
biliary colic with normal galllbladder, and dilated common bile duct
Sphincter of oddi dysfunction(SOD)
- do a ERCP
- gold standerd: sphincter manometry
- complication:biliar pain and pancreatitis
quervain tenosynovitis
abductor pollicis longus and extensor pollicis brevis
lumpectomy
only in tumor less than 4 cm
IUGR type in a chronic maternal disease
hypertension,DM,SLE, cardiovascular disease
DECREASED PLACENTAL PERFUSION
normal head -small abdominal circumference
cryptococcal antigen assay in CSF
do it when you have highly suspicion of cryptococcal meningitis and a negative indian ink .
best treatment option for localized ( no invacion of capsule) carcinoma of the prostate
radical prostatectomy
patient with slowly developing with severe hypernatrenia, best IV fluid for rehydrate
5% dextrose in 0.45% sodium chloride
EKG findings in princemetal angina
ST elevation
diagnosis confirmation for HSV encephalitis
PCR of the CSF for HSV
Diagnosis of EVB mononuclosis
Heterophil antibodies if negative order a igM for VCA(viral capsid antigen)
first line treatment for A.baumannii pneumonia
imipenem
AECB in patients with COPD results from S.pnuemo and moraxella …. drug of choice
amoxi/clav
other choices
- fluoroquinolones
- macrolides
- cephalosporins
most common presentation of HOCM
DYSNEA
-AD
-chormosome 14 mutation
DxEcho
Tx:BB,CCB and surgery
difference between botulism and Miastenia gravis
botulism has dilated pupils and increase in muscle fiber contraction in EMG
acute pyelonephritis managment
if inpatient IV Abx , after 24-48 of no fever, discharge home to complete 14 days of oral Abx.
admission criteria for pyelonephritis
- concer of sepsis, pregnancy, old age, other medical illnes
- noncompliance
- cannot tolerate oral intake
- severe illness
- uncertain diagnosis.
traetment for neonatal apnea
iv Theophylline o cafeine
euthyroid sick syndrome
low T3 and T4 and a normal or midly elevated or mildly decreased TSH level
hospitalization criteria for PID
pregnancy
- temperature above 39
- IUD
- evidence of pelvic abscess
best study to confirm amebic liver abscess
serum antibodies
best study for Normal pressure hydrocephalus
CT and Spinal tab
firts line treatment for HEG
1-.pyridoxine-doxylamide
2-.promethazine
3-.ondansetron
ABG on COPD acute exacerbation
respiratory acidosis ( CO2 retencion) (ashtma exacerbation present with respiratory alkalosis)
lyme treatment in children under 8 y
amoxicilin
rickettsia treatment for child
DOXYCYCLINE
first step to Dx HOCM
TTE and HOLTER
digitalis toxicity … next best step
check electrolites
pancreatic metastasis treatmetn
chemoretherapy
most common cause of epistaxis in children
nose picking-induce-trauma
best initial step for syphilis
NONTREPONEMAL SEROLOGIC STUDIES
- VDRL
- ART(Automated regain test)
- rapid plasma reagin (RPR)
- recombinant antigen test(ICE)
fixed drug eruption assoaciation
sulfas,anticonvulsants,NSAIDs,Pseudoephedrine and tetacyclines
most sensitive test for neurosyphilis
FTA on CFS
achalasia manometry results
decreased peristalsis and elevated resting LES pressure
best step for organic erecttile dysfunction
obtain testosterone,prolactine and glucose level
