Random Qs 2 Flashcards
holosystolic murmur with thrill
VSD
treatment of dermatomyositis
steroids and methotrexate or azathioprine
treatment of acute cholecystitis
antibiotics and cholecystectomy prior to hospital discharge
abnormal uterine bleeding in an obese woman who is <45
endometrial biopsy to eval for cancer
treatment of IgG-4 disease
rituximab
adjuvant therapy for localized breast CA after bilateral mastectomy
nothing, hormone therapy prevents new cancers, but only if breast tissue remains
undulent fever after travel
brucellosis
do you need to treat bacteruria prior to surgery?
Nope you and you shouldn’t check except urologis procedures
work-up for bronchiectasis
immunoglobulins
treatment of relapsed UC
infliximab & azathioprine
treating early stage hodgkin’s lymphoma
combination chemo followed by radiation therapy
scarring and blistering on sun exposed skin
porphyria cutanea tarda
treatment for scleroderma renal crisis
IV ACE inhibitor
treatment for GCA which is steroid sparing
tocilizumab (IL-6 blocker)
treatment for refractory gout
anakinra
How to treat prolactinemia in a patient taking risperidone
estrogen-progesterone replacement (let the prolactin stay)
treatment for a chill cellulitis
if nonpurulent: cefazolin, if purulent: bactrim or doxy
traveler’s diarrhea prophylaxis in immunocompromised patients
rifaximin
low-normal blood pressure, hypokalemic metabolic alkalosis, and, frequently, hypomagnesemia and high-normal serum calcium levels
Gitelman syndrome
how do you diagnose CTEPH (initial test)
VQ scan
treatment for severe malaria
artesunate
treatment for hypermagnesemia
calcium gluconate and dialysis
when to screen for secondary causes of hypertension
must be on four BP meds including a diuretic, or have lab/exam abnormalities
high fever, headache, retro-orbital pain, myalgia, arthralgia, and lower back pain (break-bone fever); a positive tourniquet test is characteristic
dengue fever
insidious onset of distal and proximal muscle weakness in an older patient
inclusion body myositis
renal disease in ankylosing spondylitis
causes renal amyloidosis
anticoagulation in a pregnant patient with a mechanical valve
continue warfarin
contraindications to exercise EKG
inability to exercise and baseline ECG abnormalities (e.g., ST-segment depression >1 mm, left bundle branch block, left ventricular hypertrophy, paced rhythm, or preexcitation)
treatment of severe hypothermia
active internal rewarming
work-up of hyperprolactinemia
TSH, hypothyroidism can cause mild hyperprolactinemia
immunosuppressants and elective surgery
Nonbiologic disease-modifying antirheumatic drugs (DMARDs) can be continued throughout the perioperative period; biologic DMARDs should be discontinued and restarted after evidence of wound healing.
side effects of montelukast
black box warning for depression!
treatment of isopropyl alcohol ingestion
supportive care (fomepizole for ethylene glycol and methanol)
treatment for anklosing spondylitis
etanercept (TNF inhibitor)
roflumilast
a selective phosphodiesterase-4 inhibitor, can reduce symptoms and exacerbations in patients with severe COPD who have a chronic bronchitis phenotype or frequent exacerbations
should you screen for TB in HIV patients?
Yes when CD4 reaches 200
what should you screen for in a patient with dermatomyositis
colon cancer
initial therapy for COPD
LABA or LAMA (or combo), ICS is added later
treatment of dry mouth in Sjogren’s
symptomatic tx, then pilocarpine or cevelimine - no DMARD for this
treatment of familial Mediterranean fever
colchicine
adjuvant therapy for GIST
imatinib
reversal agent for dabigatran
Idarucizumab
