Question review Flashcards
Characteristics of tremors? Psychogenic vs essential vs physiologic.
Psychogenic: extinction with distraction. abrupt. changes.
Essential: symmetric fine tremor of hands, wrists, head, voice, LE.
Physiologic: postural tremor of low amplitude - worsened by caffeine, anxiety, meds
Shoulder muscle involved with internal rotation?
Subscapularis
Shoulder muscle involved with external rotation?
infraspinatus and teres minor
Shoulder muscle involved in abduction of the shoulder?
supraspinatus and deltoid
Category of diabetes medication with ASCVD protection?
GLP-1 and SGLT2
Diabetes medication with HF or CKD protection?
SGLT2 (mostly) - can use GLP1 if unable to take SGLT2
Initial therapy for symptomatic hypertrophic cardiomyopathy?
B-blockers first. CCB if BB not tolerated.
Slipped capital femoral epiphysis (SCFE)
Teen with unexplained pain in hip, groin, thigh or knee. limited internal rotation of the hip. XR with frog leg lateral views.
Most common hip disorder in adolescents (ages 8-15).
Wood’s lamp findings for rashes?
Erythrasma caused by a Corynebacterium minutissimum infection, and use of an ultraviolet light would reveal a coral pink color. Pale blue fluorescence occurs with Pseudomonas infections, yellow with tinea infections, and totally white with vitiligo.
Pediatric rash: Roseola vs Erythema infectiosum
Roseola: HSV 6.
Erythema infectiosum: parvovirus B19 (5th disease) with slapped cheek rash.
What is a Jones fracture?
fracture of pinky toe … surgery management for active patients d/t shorter healing time and return to activity sooner.
Light’s criteria?
A pleural protein to serum protein ratio >0.5 or a pleural fluid LDH to serum LDH ratio >0.6 suggests an exudative effusion
How to treat asplenic patients with new onset of fevers given lifelong significant risk of sepsis?
Amoxicillin, levofloxacin, moxifloxacin - should be taken with new onset and unable to go to facility within 2 hours.
Asthma: intermittent?
symptoms are present ≤2 days per week, nighttime awakenings occur ≤2 times per month, an inhaler is required ≤2 days per week, and the FEV1 is >80% of predicted.
Tx: SABA prn
Mild persistent asthma?
symptoms present >2 days per week but not daily, nighttime awakenings 3–4 times per month, and inhaler use >2 days per week but not daily and not more than once on any day. The FEV1 is >80% of predicted.
Tx: ICS
