Mix9 Flashcards
What drugs could you use to correct coagulopathy in platelet dysfunction in uremic platelets?
Can use desmopressin (DDAVP), cryoprecipitate, and conjugated estrogens.
What’s the most common site of ulnar nerve entrapment?
ELBOW. Where the ulnar nerve lies at the medial epicondyle groove.
Common extrarenal manifestations of AD PCKD:
Intracranial berry aneurysm (most common), hepatic cysts, valvular heart dz, colonic diverticula, abdominal and inguinal hernia.
Drug class for chlorthalidone:
thiazide diuretic
NSAIDs can cause prerenal AKI due to:
afferent arteriole constriction
Rx for acute epididymitis in older patient:
Levofloxacin (E colic MCC in older Pt)
Cough with daily mucopurulent sputum production, rhinosinusitis, dyspnea, hemoptysis, crackles, and wheezing:
chronic bronchiectasis. This is bronchial wall damage and airway dilation due to recurrent cycles of infection, inflammation, and tissue damage. High res CT is best test for diagnosis.
What are the guidelines for BRCA mutation screening?
Only do BRCA mutation testing in Pt with FH of ovarian cancer at any age or personal/family H/o of breast cancer at age < 50 in first degree relative.
Don’t do BRCA screening for FH of endometrial/breast cancer at advanced age.
MCC of erysipelas:
Group A strep (s pyogenes). Superficial dermis and lymphatics, raised/sharply demarcated edges, rapid spread and onset.
- S aureus is a common cause of cellulitis, not erysipelas. Cellulitis has slower onset with indistinct borders.
Varicocele that fails to empty when patient is recumbent:
Renal cell carcinoma. (tumor obstructs gonadal vein) Dx with abdominal CT
Why no phenytoin in pregnancy?
Teratogen. Causes “fetal hydantoin syndrome” characterized by orofacial clefts, microcephaly, nail/digit hypoplasia, dysmorphic facial features, and cardiac defects.
Why no valproic acid in pregnancy?
Causes neural tube defects and dysmorphic facial features.
Craniopharyngiomas have what embryologic origin?
Rathke’s pouch
Screen AAA in male smoker >65 w/smoking history. Do you perform U/S or low dose CT?
U/S
Patient with exertional syncope presents with the following: delayed/diminished carotid pulse, single soft second heart sound, mid to late systolic murmur. What’s the dx?
Aortic stenosis. Delayed/diminished carotid pulse is pulsus parvus et tardus.