Misc 2 Flashcards

1
Q

preferred airway and CIs

A

orotracheal intubation

CI if severe facial trauma

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2
Q

CI to nasotracheal intubation

A

apneic / hypopneic

basilar skull fracture

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3
Q

contender enlargement of submandibular glands

  • dx
  • predisposing factor
A
sialadenosis
liver disease (etoh), malnutrition (DM, bulimia)
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4
Q

sxs of acute angle closure glaucoma

A

severe eye pain
nausea, vomiting
dilated pupil, nonreactive to light

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5
Q

sxs amarosis fugax

A

transient vision loss

papilledema

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6
Q

sxs central artery vein occlusion

A
cotton wool spots
swelling of optic disc
retinal hemorrhages
dilated and tortuous veins
painless vision loss
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7
Q

indications to look for secondary causes of hypertension

A

malignant HTN
resistant HTN
sudden increase
less than age 30 w/o fam hx

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8
Q

if patient has HTN, basic tests

A

EKG
lipids
BMP
UA

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9
Q

features of neurofibromatosis 1

A
cafe au lait
macrocephaly
feeding problems
short
learning disab
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10
Q

disorder that greatly resembles marfan’s, and some differences, and tx

A
homocystinuria
is autosomal recessive (not dom)
intellectual disability
thrombosis
downward lens dislocation (not up)
fair complexion
megaloblastic anemia
B6, B12, folate
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11
Q

systolic-diastolic bruits in abdomen

A

renal artery stenosis

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12
Q

MCCs of digital clubbing

A

lung ca
cystic fibrosis
right to left cardiac shunts

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13
Q

cyanide poisoning risk factors and tx

A

setting fires
mining
pesticides

sodium thiosulfate

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14
Q

patient greater than 40 and has diabetes.. start on what med

A

statin

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15
Q

when is transrectal ultrasound of prostate and prostate biopsy warranted

A

PSA persistently greater than 4

prostate nodules

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16
Q

serum sickness like reaction

  • causes
  • sxs
A

PCNs, ceph, TMP-SMX

fever, urticaria, arthralgias

17
Q

tx reactive arthritis

A

NSAIDs

18
Q

tx diabetic retinopathy

A

argon laser photocoagulation

19
Q

tx of cancer related anorexia / cachexia

A

progesterone (megestrol acetate)

corticosteroids

20
Q

anesthetic agents that cause malignant hyperthermi

A

halothane

succinylcholine

21
Q

use of FFP

A

reverse warfarin anticoagulation

22
Q

features of myotonic dystrophy

A
facial weakness
hand grip myotonia
dysphagia
arrhythmias
balding
cataracts
testicular atrophy
23
Q

features of secondary amyloidosis

and tx

A
proteinuria or nephrotic syndrome
heart failure
neuropathy
organomegaly
bleeding
waxy skin

colchicine

24
Q

hepatorenal syndrome

A

liver dz
rising Cr
low proteinuria

25
Q

hypertensive nephrosclerosis associated with

A

retinopathy
LVH
renal failure

26
Q

causes of lactic acidosis

A

sepsis
shock
liver failure

27
Q

tx of vaginismus

A

kegel exercises and gradual dilation

28
Q

patient hypernatremic. ONLY time you give NS

A

if volume depleted and hemodynamically unstable

29
Q

characteristics of angiofibroma

A

nasal obstruction
visible nasal mass
frequent nosebleeds
can erode surrounding structures

30
Q

when do you do acute med therapy for hyperkalemia

A

when greater than 7

31
Q

first step when hyperkalemic

A

get EKG, then review current meds

32
Q

most common causes of hyperkalemia

A

renal dz

meds