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Step 3 > Misc > Flashcards

Misc Flashcards

1
Q

How to diagnose chronic pancreatitis

A

MRCP or CT Abdomen

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2
Q

First line for bacterial conjunctivitis? In a contact lens wearer?

A

Erythromycin gtt

Ciprofloxacin gtt

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3
Q

Differentiate between Anticholinergic tox and Stimulant tox

A 
Anticholinergic = Dry Skin
Stimulant = Diaphoretic
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4
Q

Perioperatively - what risk factor predisposes the elderly to adverse drug events?

A

Multiple medications

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5
Q

What side effect should you watch for after thrombectomy?

A

Compartment Sydnrome

  • parasthesias
  • fasciotomy
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6
Q

What is the leading cause of dilated CM in South America?

A

Chagas (protozoa)

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7
Q

What findings do you see in Chagas

A

Cardiac aneurysm
V-Tach
Complete Heart Block

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8
Q

What is the most important factor in determining prognosis in patients with COPD

A

FEV1 % of predicted

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9
Q

Most common cause of nec fasc in healthy young people with preceding trauma?

A

Group A Strep (Zosyn or Carbapenem)

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10
Q

Broad Spec for Nec Fasc

A

Zosyn or Carbapenem
Vanc
Clindamycin

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11
Q

Strep vs Lyme arthritis

A

Strep - ESR > 60k, migratory polyarthritis, + fever

Lyme - Single joint, afebrile, well appearing

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12
Q

Drug-induced extrapyramidal symptoms, dystonia, akathisia, Parkinson’s-like

A

Metoclopramide/Reglan - central and peripheral D2 blocker

- Treat with IV diphenhydramine

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13
Q

Hand Foot and Mouth Disease

A

Coxsackie

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14
Q

Late-life (>65) depression is a risk factor for what?

A

Alzheimers and Vascular Dementia

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15
Q

POI

A 
No menses before 40
Turner
Fragile X
Autoimmune
Chemo/Radiation
Galactosemia
--Rx with estrogen
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16
Q

Risks associated with kidney donation in women

A

Gestational

  • Preeclampsia
  • G DM
  • G HTN
  • Fetal loss
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17
Q

Patients with acute diverticulitis who do not improve after 2-3 days of treatment should get what?

A

Repeat abdominal CT - evaluate for abscess, obstruction, or perforation

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18
Q

Strep Agalactiae

A

GROUP B STREP!!

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19
Q

ds-DNA correlates with disease activity of what?

A

Lupus nephritis

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20
Q

Treatment for Shingles

A

7 days of Valacyclovir if presents within 72 hours

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21
Q

The first step of HHS

A

Fluid resuscitation

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22
Q

Increased Hemoglobin A2 is associated with what

A

Beta-thal minor

23
Q

Treatment of Tourettes

A
  1. CBT (Habit)
  2. 2nd gen antipsychotic
  3. Alpha2 blockers - clonidine
24
Q

Pain with passive stretching is indicative of what?

A

Compartment Syndrome

25
Q

When should you hold Metformin

A

The day of contrast - resume 2 days later

26
Q

1st line for heat stroke

A

Evaporative cooling

27
Q

Risk factors for recurrence of acute otitis media

A

Absence of breastfeeding
Day Care attendance
2nd hand smoking
Pacifier use

28
Q

Alternate options for SSRI induced sexual dysfunction

A

Mirtazapine

Bupropion

29
Q

Patients with HIV who start HAART and present with worsening of infection have what?

A

IRIS

30
Q

Bone care for patients on chronic steroids

A
  • Lowest possible dose
  • Calcium and Vitamin D
  • Yearly dexa
31
Q

Acute diarrhea with blood or mucus is likely due to

A

Bacterial infection

32
Q

Carbamazepine side effects

A

Marrow suppression
Hyponatremia/SIADH
Mild Antichol (glaucoma, urinary retention, constipation)

33
Q

Pain and stiffness in shoulders and pelvic girdle

A

PMR

**check for GCA

34
Q

OM coverage in kids

A

Staph - Clinda/Vanc (MRSA) Nafcillin/Cefazolin (MSSA)

Salmonella (+SCD) - Ceftriaxone

35
Q

Outpatient Staph (MSSA)

A

Keflex, augmentin, dicloxacin

36
Q

First line for esophageal spasm

A

CCB (Diltiazem)

37
Q

FOBT +
Eosinophils
Diarrhea
+Travel/International

A

Intestinal helminths
Treat with Albendazole

NO travel consider eosinophilic gastroenteritis

38
Q

Age for smoking screening CT

A

Age 55-80

Current smoker or quit within last 15 years

39
Q

Painful ulcers = ***

Painless ulcers = ***

A

Pyoderma gangrenosum (IBD, neutrophilic)

Ecthyma gangrenosum (violaceous, raised borders, neutropenic - Pseudomonas bacteremia)

40
Q

Dual Pseudomonal coverage

A

Zosyn and Gent (aminoglycoside)

41
Q

Children at age 2 with < 50 words

A

Audiology evaluation

42
Q

The most common inherited pro-coagulable condition

A

FVL

43
Q

abdominal pain followed by bloody diarrhea

A

Acute colonic ischemia - hypovolemia

44
Q

Severe abdominal pain, nml/mild abdominal exam

A

Mesenteric ischemia - usually emoblic

Dx: on CTA

45
Q

Hyperthyroid post large contrast load

A

Iodine induced hyperthyroidism
Rx Methimazole if severe or w/ heart disease
BB if mild

46
Q

orthostatic proteinuria

A

Elevated protein in those under 30

Nml at night, high during the day - NTD

47
Q

Tight glycemic control in T2DM helps prevent what

A

Microvascular complications

**No clear evidence for decreased macrovascular

48
Q

What is excessive milk intake

A

> 24 oz/day of cows milk - if > 1 yo

49
Q

Best antihypertensive in a patient with gout

A

Losartan

50
Q

Lymphocyte predominant pleural effusions and adenosine deaminase elevation are indicative of what

A

TB - Need Pleural biopsy (Pleural granulomas)

51
Q

Treatable risk factors for stroke

A

HTN***
DM
Smoking
Dyslipidemia

52
Q

Most common cause of cellulitis? With abscess?

A 
Strep Pyogenes (
Staph aureus (Keflex)
53
Q

Cocaine-induced MI

A

No BB
Benzos! + Nitroglycerin + ASA (cocaine is prothrombotic)
Persistent - PCI

54
Q

When starting amio what should you do to the warfarin dose

A

Decrease by 25-50%

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