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Internal Medicine > Levothyroxine Is Used For > Flashcards

Levothyroxine Is Used For Flashcards

1
Q

Surgical intervention for aortic aneurism is required if_____________

A

5.5cm or size increase 1 cm per year

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2
Q

Polys cystic kidney disease managent_____________

A

Ace inhibitors
Agressve control of cv and ckd
Hemodialysis
Renal transplantation

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3
Q

Poly static ovarian disease s/sx—————————

A

Abdominal mass
Hemturia
Flank pain
Ckd
Palpable abdominal mass
Cerebral aneurism
Hepatic and pancreatic cyst
Ventral and inguinal hernia

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4
Q

U/s finding of PCOD——————

A

Multiple renal cyst

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5
Q

Warfarin effect increasing drugs

A

Metronidazole
Macrolades
Azole antifungals
Amiodarone
Cimetidine
Grape juice

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6
Q

Drugs which decrease warfarin effect

A

Carbamazepine
Phenytoin
Phenobarbitone
Rifampin
St.jons wart

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7
Q

Most common cause of mitral regurgitation in developing world

A

Mitral valve prolapse

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8
Q

Effect of hemodialysis in uremic pericarditis patient

A

Decreases chest pain and pericardial effusion

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9
Q

Gold standard test for typhus

A

Indirect immunoflorecence

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10
Q

Typhus mgt

A

Doxy 200mgpo per day
TTC 250mgpo qid for 10 days
Chloramphenicol 500 mg po qid for 7 days

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11
Q

In Relasing fever patients may collapse if they stand in __________phase

A

Flush

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12
Q

Jerish heximer reaction is found in________________

A

Treating relapsing fever and syphillis

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13
Q

Mgt of relapsing fever

A

Procain penicillin 400000to 6000000 then if blood film is -ve continue TTC 250 mg Po tid for 3days if not continue the penicillin and then ttc

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14
Q

Diagnosis of RF is made by

A

Thick and thin blood film

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15
Q

If evidence of heart failure present in RF

A

Digoxin 1mg IM stat could be given

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16
Q

Pfalsiparum managent

A

Quarten for 3days with primaquine single dose

If pregnant quinine

17
Q

P vivax mgt

A

Chloroquine phosphate 25 mg/kg given in divided doses over three days

Primaquine phosphate 15mg base, PO, daily for 14 days for all patients after completing the three days of chloroquine.

18
Q

Mixed infections (P. falciparum and P. vivax) management

A

o Artemisinin based combination therapies (like AL for 3 days) should be used for
mixed (falciparum and vivax) infections, followed by 14 day primaquine phosphate

19
Q

Treatment failure in malaria is defined as

A

Consider treatment failure in a patient with malaria who was treated for malaria in the past 28 days

20
Q

Antibody sensitive to lupus is

A

Antinuclear antibody

21
Q

Anti body in sle for kidney involvement is

A

Anti DNAse

22
Q

Antibody in sle which is specific to sle

A

Anti smith
Anti DNAse

23
Q

Less specific antibody for sle

A

Anti phospholipid antibody

24
Q

Pneumonic for SLE

A

Rash or pain

Rash (malar or discoid)
Arthritis
Serositis
Hematologic Disorder

Oral or nasopharyngeal ulcer
Renal disease

Photosensitivity
Ana
Immunologic disorder
Neurological disorder

25
Q

Drugs contraindicated in Sle are

A

Isoniazid
Hydralazine
Procainamide

26
Q

Gonococcal septic arthritis

A

Polyarthicular
Skin lesion
Tendon involvement

27
Q

Non gonococcal septi arthritis

A

Single Joint Invovemnt
Complete Joint destruction
S.aureus the commonest

28
Q

Diagnosis of septic arthritis

A

Synovial fluid analysis
Imaging

29
Q

Management of septic arthritis

A

Arthrotomy
Arthrocenthesis
Antibiotics

30
Q

Osteoarthritis mainly affects

A

Weight bearing joints

31
Q

Risk factor for osteoarthritis

A

Old Age
Trauma over the Joint

32
Q

Osteoarthritis and Rheumatoid arthritis difference

A

OA
Pain >1hr
During morning and end of the day
Sharp pain
Worsen with activity
No joint swelling
RA
Painful Joint Swelling
Pain <1 hr

33
Q

Mgt of OA

A

Weight loss
Physical Activity
Nsaid
Joint replacement therapy
Myloumic acid injection

34
Q

Prophylaxis for malaria________________

A

Mefloquine
Avoid doxycycline

35
Q

Children less than 5kg for pfalciparum uncomplicated mgt_____________

A

Quartem as for children equal to 5kg

36
Q

Pregnant woman with vivax in all trimester of pregnancy

A

Chloroquine instead of Primaquine: provide chloroquine 2tabs weekly (300mg base/500mg salt), continue during for 6 months of lactation. A full course of Primaquine for 14 days at a dose of 0.25 mg/kg will be given after 6 months of lactation.

37
Q

Uncomplicated P. falciparum malaria in the first trimester of pregnancy

A

ncomplicated P. falciparum malaria or mixed infection in the second and third trimester of pregnancy: treat similarly to non-pregnant patients.
o Complicated malaria in all trimester of pregnancy: treat similarly as non-pregnant patients

38
Q

o Uncomplicated P. falciparum malaria in the first trimester of pregnancy

A

 Avoid: Arthemete Lumfantrene with uncomplicated malaria.
 Use: Oral quinine is preferred for patients with first trimester pregnancy

Internal Medicine (1 decks)

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