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DIT Step 2 > More study guide Qs > Flashcards

More study guide Qs Flashcards

1
Q

RF for suicide

A 
SAD PERSONS 
Sex male
Age > 60
Depression sx
Psych hx (prev. attempt, sexual assult, PTDS, etc.)
Excessive EtOH or drugs
Rationality loss
Single
Organized plan
No social support
Sick

also
imuplsivity
access to weapons

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2
Q

Sx mania

A 
DIG FAST
Distractilitiy
Insomnia/decreased need for sleep
Grandiosity
FLight of ideas
Activity/agitation
Speech 
Taking risks
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3
Q

low potency typical antipsychotics

A

chlorpromazine (Thorazine)

thioridazine

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4
Q

SE atypical antipsychotics

A

WEIGHT GAIN
less EPS
less anticholinergic

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5
Q

SE high potency typical antipsychotics

A

EPS
TD
NMS
less anti-cholinergic

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6
Q

Initial sx of NMS

A

AMS - agitated delirium with confusion rather than psychosis

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7
Q

tx for acute dystonia form high-potency neuroletpics

A

benztropine, benadryl

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8
Q

sCa, sPhos, ALP, and PTH in Paget disease

A

sCa nL
sPhos nL
ALP increased
PTH nL

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9
Q

sCa, sPhos, ALP, and PTH in osteomalcia/rickets

A

sCa decreased
sPhos decreased
ALP nL
PTH increased

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10
Q

sCa, sPhos, ALP, and PTH in CKD

A

sCa decreased
sPhos increased
ALP nL
PTH increased

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11
Q

sCa, sPhos, ALP, and PTH in primary PTH

A

sCa incrased
sPhos decreased
ALP increased****
PTH increased

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12
Q

sCa, sPhos, ALP, and PTH in hypoparathyroidism

A

sCa decreased
sPhos increased
ALP nL
PTH decreased

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13
Q

med used to treat HTN in pt with pheo

A

phenoxybenzamine first (alpha blocker) then BB

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14
Q

reverese benzos with

A

flumazenil, but may induce seizures

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15
Q

opioid withdrawal

A 
sweating
dilated pupils
piloerection
yawning
rhinorrhea
flu-like sx
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16
Q

treatment of amphetamine and cacaine toxicity

A

benzos
haloperidol
No BB
phentolamine

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17
Q

SE varenciline

A

depression

vivid dreams

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18
Q

complications with longterm MJ use

A

memory impairement, lung disease, reduction in IQ

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19
Q

pupils in hallucinogen toxicity

A

pupillary dilation

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20
Q

hallucinogen treatment

A

calm environment
haloperidol
benzos

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21
Q

tx PCP

A

benzos

haloperidol

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22
Q

tx chronic adrenal insuficiency (primary, Addisons)

A

steroids + fludricortisone

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23
Q

CAGE

A

cut down attempts
annoyed
guilty
eye opener

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24
Q

vitamins alcoholics typically deficient in

A 
B1
B2
B3
B6
B9
B12
C
A
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25
Q

Wernicke triad

A

confusion
nystagmus/ophthalmoplegia/sluggish pupillary response
ataxia

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26
Q

Korsakoff sx

A

antero and retrogade amnesia
confabulation
halluncinations
(mam bodies)

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27
Q

DTs sx

A 
agitation
seizures
autonomic instabilty
fever
AH/VH
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28
Q

why metformin contraindicated in pt with renal insufficiency

A

inc risk lactic acidosis

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29
Q

doxepin MOA

A

TCA

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30
Q

tranylcypromine MOA

31
Q

cellulitis without pus is likely…

A

betahemolytic strep (pyogenes, GBS)

32
Q

cellulitis with pus/abscess is likely…

A

staph. aureus

33
Q

erysipelas is

A

infection of upper dermis and superficial lymphatics

raised from skin with clear line of demarcation

34
Q

tx non-purulent cellulitis

A

strep
PO dicloxacillin
cephalexi
clinda

if severe, IV
clinda
cefazolin
nafcillin

35
Q

tx puruelnt cellulitis

A

PO clinda
TMP-SMX
doxy
linezolid

if severe, IV
vaco

36
Q

tx nec fasc

A

immediate aggressive surgical debridement
abx:
1. imipenem/meropenem OR pip + tazo (Unasyn)
2. clindamycin (for GAS exotoxin and anaerobe)
3. vancomycin

37
Q

dry gangrene due to ___, tx

A

severe ischemia

Tx: revascularization, auto-amputuation

38
Q

wet gangrene due to ____, tx

A

bact infection in moist tissue, likely to septecemia

tx: abx, debridement, poss amputation

39
Q

gas gangren caused by

A

clostridium perfengens

crepitus

40
Q

tx hydraentiis suppuritiva

A

clean
punch biopsy “roofing”
topical clinda

41
Q

isotretinoin SE

A 
hepatotoxicity
teratogenic
dry/crack lips and skin
increased TG ***
depression ***
42
Q

tx for rosacea

A
  1. topical metronidazole or azelaic acid
  2. laser tx for rhinophyma
  3. systemic and severe: acne meds
43
Q

tx of choice for mania with psychosis

A

mood stabilizer PLUS antipsychotic:

  • lithium and quetiapine
  • lithium and haoperidol
44
Q

adjustment dis with depressed mood differe from MDD

A

adjustment: starts within 3 mo of identifieable stress, resolves within 6 months after stressor removed, doesn’t meet MDD criteria

45
Q

MVC, HTN, brady, abnL respi, after ACs, next step

A

Cushing triad of inc ICP

  • ->
  • inc HOB
  • hyperventilate
  • IV mannitol
  • consult neurosurgery
46
Q

tx for DTs

A

chlordiazepoxide (benzo)

47
Q

infections associated with increased likelihood of lichen planus

A

HIV in younger

Hep C in older

48
Q

erythema multiforme, common offenders

A 
PCN
sulfonamids
anticonvusants
OCPs
NSAIDs
49
Q

classic presentation of psoriasis

A

exstensor surfaces
red, silvery plaque
Auspitz sign (bleeds when touch)

50
Q

classic presentation erythema nodosum

A

tender noduesl on shins
malasie
red subQ fat inflam
think SPUD BITS

51
Q

classic presentation of lichen planus

A 
pruritic
purple
papules
plaques
polygonal
palapble
on flexor surfaces
52
Q

EN (erythema nodosum) causes

A 
SPUD BITS
strep
pregnancy
unkwnown
drugs
Behcets dz
IBD
TB
sarcoid
53
Q

APPEARANCE OF PRPHYRIA CUTANEA TARDA

A

CHRONIC BLISTERING
HYPERTRICHOSIS
HYPERPIGMENTATION
ETOH AND HEPC

54
Q

PEMPHIGUS VULGARIS

A

Desmoglein/desmosome ab
Antibody
Mouth
Nikosky - break easily

55
Q

appearance basal cell carcinoma

A

pearly with telangiectasias

if ulcer, rolling edges

56
Q

appearance squamous cell carcinoma

A 
papule or ulcer
scaling or kerontizing
never heals
crusty
irregular and disorderly
painful or painfless
57
Q

type psychoterpahy used to treat phobias, OCD, panic disorder

58
Q

purple red lesion on face that does not regress with age

A

port wine stain Sturge Weber

59
Q

infant with bright red lesion that regresses over months years

A

infantile (strawberry) hemangioma

60
Q

benign, small red papule that appears on skinw ith age

A

cherry hemangioma

61
Q

bright red papule with radiating blanching vessels

A

spider angioma

62
Q

blue, compressielmass tat ddoes nto regress

A

cavernous hemangioma, venous malformation

63
Q

red-pink nodule on child that is often confused with melanoma

A

spitz nevus

64
Q

copmlicated infantile hemangioms: tx

A

oral propranolol

65
Q

hair loss associated with effects of DHEA on hair follicles

A

androgenic alopecia

66
Q

caused by complete lack of melanocytes

67
Q

31 F has patches of hypopigmentation on skin, assoc comrob, so order….blood test

68
Q

diffuse stress-related hair loss

A

telogen effluvium

69
Q

tx alopecia areata

A

inj steroids

and others

70
Q

vitamin can be used to treat psoriasis

A

vit A

topical vit D analogs

71
Q

what should you do in case of child’s parents refusign a clearly lifesaving treatme for their chld in an emergency situation

A

if emergency:

  1. give emergency tx
  2. contact court

if non-emergency:
1. contact court

72
Q

have to report

A

child/elder abuse
penetrating assault injury to police
STIs, TB, HIV
danger to self, danger to others

73
Q

tx for seborrheic dermatitis

A

cradle cap
-selenium sulfide shampoo
topical antifungals

74
Q

normal bell curve distrubution, what percentage of study population falls within 1, 2, and 3 standard deviations of the mean

A

1 sd = 68%
2 sd = 95%
3 sd = 99.7%

DIT Step 2 (8 decks)

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