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Complex Patient > Ken's Final Bullshit > Flashcards

Ken's Final Bullshit Flashcards

1
Q

MET

A

metabolic equivalent levels

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2
Q

1 MET =

A

3.5 mL O2 / kg / minute (rest)

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3
Q

STDs in dental office

A

HIV
HBV/HCV
syphillis

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4
Q

diastolic 80-89

A

stage I

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5
Q

systolic 120-129

A

stage I

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6
Q

weight loss = think (3)

A

malignancy
diabetes
TB

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7
Q

white nails = think ___

A

cirrhosis

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8
Q

preferred benzo

A

triazolam

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9
Q

anxious patient = ASA

A

II

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10
Q

controlled HTN, not on Rx = ASA

A

II

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11
Q

controlled asthmatic or epileptic = ASA

A

II

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12
Q

controlled diabetic, not on Rx = ASA

A

II

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13
Q

secondary HTN due to what?

A

renal disease

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14
Q

odd cause of arrythmias

A

pulmonary

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15
Q

HF sign

A

distended jugular veins

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16
Q

HF symptoms

A

orthopnea

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17
Q

odd HF symptoms (2)

A

muscular fatigue
GI distress

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18
Q

both signs and symptoms of valvular heart disease (2)

A

HF
SOB

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19
Q

symptom of liver disease

A

mental confusion

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20
Q

AST pathway

A

glutamic oxalate

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21
Q

ALT pathway

A

pyruvate

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22
Q

hypoalbuminemia most specific for ___ liver disease

A

chronic

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23
Q

HBV vaccination schedule

A

initial
1 mo
6 mo

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24
Q

HCV leads to (2)

A

lichen planus
lymphocytic sialadenitis

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25
Q

NSAIDs effect on T4

A

increase

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26
Q

cipro effect on TH

A

decrease absorption

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27
Q

CKD based on ___ and ___/___

A

GFR
albuminuria/proteinuria

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28
Q

complications of CKD (4)

A

hyperkalemia
edema
HTN
hypervolemia

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29
Q

HCT values

A

41% men
36% women

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30
Q

normocytic anemia (3)

A

CKD
sickle cell
hemolytic

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31
Q

sickle cell manifestations (4)

A

pallor
papillary atrophy
delayed eruption
neuropathy

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32
Q

avoid ___ in sickle patients

A

prilocaine

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33
Q

vWF function

A

platelet adhesion

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34
Q

lymphoma cause

A

HCV

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35
Q

autologous grafts for ___ and ___

A

lymphoma
MM

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36
Q

extrinsic asthma = ___ or ___

A

allergic
atopic

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37
Q

intrinsic asthma = ___

A

idiosyncratic

38
Q

beta blocker side effects

A

tremors
tachycardia
hypokalemia
hyperglycemia
cough

39
Q

COPD comorbidities (3)

A

CV
muscle wasting
osteoporosis

40
Q

TB locations

A

india
eastern europe
china

41
Q

acquired immunity with TB

A

+ PPD
not infectious

42
Q

latent TB

A

+ PPD
not infectious

43
Q

scrofula involves ___ and ___ lymph nodes

A

cervical
SM

44
Q

HIV-2

A

west

45
Q

HIV-1

A

sub-sahara

46
Q

HIV size

A

100 nm

47
Q

___ determines tropism

A

env

48
Q

___ gene has enzymes

A

pol

49
Q

___ has matrix and core

A

gag

50
Q

___ interacts with RNA

A

NC

51
Q

protease cleaves ___

A

gag

52
Q

stage 1 HIV

A

> /= 500
/= 29 %

53
Q

stage 2 HIV

A

200-499
14-28 %

54
Q

stage 3 HIV

A

<200
<14 %

(or any AIDS-defining illness!)

55
Q

average CD4 %

A

40%

56
Q

ELISA is an ___ test

A

AB

57
Q

ART failure vs success

A

< 48
> 200

58
Q

how many are unaware of HIV status

A

1 out of 7

59
Q

when to test for HIV seroconversion

A

3, 6, 12 mo

60
Q

___ presents with lichenoid lesions

A

SLE

61
Q

SLE Dx requires

A

4/11

62
Q

RA Dx requires

A

6/10

63
Q

scleroderma AB

A

ANA

64
Q

RA is a type ___ HSR

A

IV

65
Q

melkerson rosenthal

A

swelling
fissured tongue
facial paralysis

66
Q

sarcoidosis death

A

pulmonary fibrosis

67
Q

MC skin condition of the mouth

A

LP

68
Q

predisposing factors for LP

A

HPV
HCV
diabetes

69
Q

civette bodies

A

LP

70
Q

MMP

A

+ nikolsky
female
no ABs
eye involvement

71
Q

MMP ocular complications

A

entropion
symblepharon
trichiasis

72
Q

EM-like stomatitis seen in ___

A

PNP

73
Q

50% of PNP develop ___ ___

A

bronchiolitis obliterans

74
Q

total radiation over time

A

65-72 Gy

75
Q

5 Rs

A

repair
redistribution
repopulation
reoxygenation
radiosensitivity

76
Q

xerostomia occurs at ___ Gy

A

25

77
Q

xylitol is from ___

A

xylan

78
Q

max pilocarpine

A

30 mg per day

79
Q

fluoride types

A

1.1 NaF
0.4 SnF

80
Q

magic mouthwash

A

lidocaine
maalox
diphenhydramine

81
Q

HBO

A

20 before, 10 after

82
Q

taste disorders occur at ___ Gy

A

60

83
Q

GVHD occurs with ___ transplants

A

allogenic

84
Q

non-nitrogen bis MOA

A

inhibit ATP enzymes

85
Q

nitrogen bis MOA

A

prevent adhesion of OC to HA by altering cytoskeleton

86
Q

oral bis (AIR)

A

alendronate
risedronate
ibandronate

87
Q

IV bis (PZ)

A

zolendronate
pamidronate

88
Q

2 mo pre-surgical holiday allows for ___ life cycles

A

4

89
Q

CTX

A

< 150 risk for MRONJ
(measures OC activity)

90
Q

MRONJ Dx requirements

A

no radiation
exposed bone > 8 weeks
antiresorptive Rx

Complex Patient (7 decks)

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