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IPAP > Rosh > Flashcards

Rosh Flashcards

1
Q

Two MC systems affected after lungs w/ sarcoidosis

? sense organ is MC affected

How is prolactinoma Tx

A

Skin, Nodes

Eyes

Dopamine agonists: Carbergoline*, Bromocriptine

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2
Q

? is Necrotizing Enterocolitis Dx

Most Pts will be ? w/ ? RF association

How do they present

A

Abdominal x-ray

Premature; aggressive feeding

First days of life w/ distension, vomit, bloody stool, pneumatosis intestinalis

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3
Q

What meds are associated w/ causing Necrotizing Enterocollitis

? muscle is affected w/ anserine bursitis

Where does this muscle insert and how is it innervated

A

Indomethicin
Vit E

Gracilis

Inferior pubic ramus; Obturator L2-4

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4
Q

? concomitant knee injury needs to be evaluated for in Pts w/ Pes Anserin bursitis

MC extramural cause of small bowel obstructions

MC mural cause of large bowel obstruction

A

MCL tear

Adhesions

Neoplasm

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5
Q

? is the MCC of intussusception in adults

? is the MCC of severe gastroenteritis in children

How is this MC Dx

A

Tumors

Rotavirus d/t fecal-oral transmission

ELISA, Latex agglutination

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6
Q

Rotavirus vaccine is c/i in Pts w/ ? MedHx

? is first line HTN therapy for Pts w/ chronic, stable angina and CADz

ASA is the first line antiplatelet therapy for stable agina in all cases except ? two in which case ? is used

A

Intussusception

BBs- Atenolol

Recent MI, Coronary stents;
Clopidogrel

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7
Q

? is the most appropriate long term management for patello femoral pain syndrome

What ellicits pain w/ this Dx

What PE test is used for Dx

A

Physical therapy

Loaded flexion- climbing, jumping, theater sign

Patellar grind test

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8
Q

? medical condition is associated w/ Strep Bovis endocarditis

How is cholera Tx w/ ABX

? is cholera Tx in pregnancy/peds

A

Colorectal Ca

Doxy, Cipro

Azithromycin

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9
Q

Triad of Menieres Dz

How is this managed

? is the MC solid renal tumor of childhood <15y/o

A

SNHL Episodic vertigo (x20min) Tinnitus

Meclizine Diazepam Hydrochlorothiazide Pred

Nephroblastoma, Wilms tumor
Peak presentaton: 3y/o

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10
Q

Brain atrophy and head trauma put Pts at risk for ? bleed

? two populations are at risk

What will be seen on imaging

A

Subdural hematoma

Elderly, Alcohol users

Non-contrast CT showing crescent shape d/t blood between dura and arachnoid

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11
Q

Antisocial Personality D/o traits

These Pts have a strong associated w/ ?

Pheo meds for pre-op and for during crisis

A

Disregard for rights of others
Lack of remorse
Manipulate/lie
Friendly on surface

Drug/Alcohol abuse

Pre-Op: Phenoxybenzamine
Crisis: Phentolamine Nicardipine Sodium nitroprusside

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12
Q

Pheos are associated w/ ? three hereditary syndromes

How does prostate Ca present on DRE

? lab test will remain positive for Pts Tx for syphilis and tested again in the future

A

von Hippel Lindau MEN-2 NF-1

Asymmetric area of induration

Fluoroscent treponemal Ab Absorption

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13
Q

What MedHx makes COX-2 inhibitors c/i for life

How is gonococcal ophthalmia neonatorum Tx

? are the three neonatal conjunctivitis and how are they differed by time

A

Hx of peptic ulcers

Topical erythromycin 0.5%

Chemical: first 24hrs of life
Gonococcal: 3-5d after birth
Chlamydial: 5-10 days

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14
Q

? is a congenital RF for cervical insufficiency

How is this condition managed

How is malaria Dx

A

Ehlers Danlos

Cerclage placement at 12-14wks
C/i if membrane ruptured

Thick/Thin smears

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15
Q

? form of malaria is most severe

What forms of malaria have fever every other day

What forms have fever every third day

A

P falciparum

Vivax Ovale Falciparum

Malariae

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16
Q

How is chloroquine sensitive malaria Tx

How is chloroquine resistant malaria Tx

How are complicated cases Tx

A

Chloroquine phosphate
Hydroxychloroquine

Quinine+Doxy
Atovaquone-proguanil
Mefloquine

Artesunate (IV preferred)
Quinine dihydrochloride
Quinine gluconate w/ doxy or clinda

17
Q

What is Blackwater Fever

Genital herpes puts Pt at risk for acquiring ? Dz

How are mature cataracts Tx

A

Hemoglobinuria from hemolytic anemia d/t malaria

HIV

Phacoemulsification w/ lens implantation

18
Q

? is leading cause of blindness world wide

What is a key part of the Hx during PMS work up

What lab test should be ordered for all PMS work ups

A

Cataracts

Absent Sxs during follicular phase

TSH

19
Q

? is a relieving factors for spinal stenosis

What sign is this relieving factor called

Flu vaccine data

A

Bending forward

Shopping cart sign

Pts >6mon old
Egg allergy not a c/i for receiving

20
Q

MC microbe causing lung abscesses

What ABX are used for lung abscess Txs

Key finding for fungal diaper dermatitis and how is it Tx

A

Anaerobes

Ampicillin-Sulbactam
Carbapenem

Beefy, scaling lesions sparing inguinal folds;
Topical Nystatin/Azoles

21
Q

MOA of Nitrofurantoin

MCC of UTIs

MCC of maternal death globally

A

Inhibits cell wall synthesis

E Coli

Post-partum bleeding

22
Q

How is post-partum hemorrhage managed

What is the MOA of the drugs used

When are the drugs c/i for use

A

Uterine massage
Oxytocin
Carboprost and Methylergonovine

Carbo: prostaglandin analog stimulating uterine contractions

Carbo: C/i asthma d/t bronchosopams
Methy: HTN, CADz d/t vasospasms

23
Q

What are the 4 T’s of Postpartum Hemorrhage

? type of d/o is Marfans Syndrome

What unique PE finding may differ Marfans from Ehlers Danlos

A

Atony- MC
Trauma to birth canal
Tissue retention
Thrombin d/o

Autosomal dominant mutation of FBN-1 for Fibrillin 1

ED- loose skin w/ laxity

24
Q

How does Immune Thrombocytopenia present

How is it Dx

? is the vasopressor of choice for Tx septic shock

A

Petechial rash/bruising in otherwise healthy Pt

Platelet <100K
Normal CBC and peripheral smear

NorEpi- A-adrenergic agonist to inc constriction/BP and B-adrenergic agonist to inc CO

25
Q

Vasopressor w/ highest to lowest A-affinity

Vasopressors w/ highest to lowest B-affinity

? adrenergic function causes an increased cardiac output

A

Epi, NorEpi, Isoproterenol

Isoproterenol, Epi, NorEpi

Beta

26
Q

MCC of hand, foot and mouth Dz

? S/Sxs make kids unable to attend daycare

? PE test isolates appendix to rectrocecal/pelvic location

A

Coxsackie A

Fever

R: Psoas
P: Obturator

27
Q

How is Otitis Externa Tx

Black Widows belong to ? group

A widow bite will cause a release of ?

A

Hydrocortisone/Neomycin/Polymyxin B (Mod/Sev: Cipro)

Latrodectus mactans

Acetycholine; NorEpi

28
Q

? is MC congenital bleeding d/o

What will be seen on lab results

How are these Tx

A

Von Willebrand Dz, deficient factor 8

Abnormal bleed time;
Normal PT, PTT, INR

Desmopressin
VWF replacement

29
Q

Two first line medical therapies for Crohns Dz

Any Ped Dx w/ Juvenile Idiopathic Arthritis needs ? referral and f/u

? is hallmark Sxs of cholesteatomas and how are they managed

A

Mesalamine
Sulfasalazine

Ophth w/ slit lamp q3mon x 4yrs

Painless otorrhea;
Refer to otolarnygologist

30
Q

How does diabetic neuropathy present

How can it be medicinally managed

What meds are used for acute angle closure glaucoma

A

Burn/tingling worse at rest

Pregablain, Amytriptyline

Timolol Apraclonidine Pilocarpine- empiric
Acetazolamide Mannitol- systemic

31
Q

Three findings highly suggestive of glomerulonephritis

How does Minimal Change Dz present and how is it managed

? finding suggests nephrotic syndrome and moves Dx away from glomerulonephritis

A

Hematuria RBC casts Proteinuria

Proteinuria Edema HTN; steroids

No hematuria/RBC casts

32
Q

Hemophilia B is AKA ?

Other than complete and frequent feedings, how can lactational mastitis be controlled/reduced

How does RMSF present, Dx and Tx

A

Factor 9 deficiency- Christmas Dz

Ointments for excoriation/cracking

High fever, Arthralgia, Myalgia, Petechial rash- starts ankle/wrist and moves centrally
Indirect immunofluorescence assay
Doxy, Chloramphenicol

IPAP (212 decks)

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