Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Rosh Review > Rosh 6 > Flashcards

Rosh 6 Flashcards

1
Q

Diagnosis in a kid with fever, lymphadenopathy, conjunctivitis, followed by maculopapular rash spreading from face to trunk and extremities?

A

Rubella

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Feared complication of peri-lunate dislocation?

A

Median nerve palsy

*remember PERI-lunate dislocation is actually dislocation of capitate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Pt with exposure to gas or liquid that smelled like rotten eggs….
What exposure and what treatment?

A
  • hydrogen Sulfide

- Nitrites like sodium-Nitrite

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Contraindications for methotrexate use in ectopic preg?

A
  • fetal heart tones detected
  • hemodynamic instability
  • evidence of rupture
  • gestational sac > 4-5 cm
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Young patient with recurrent ear infections, painless otorrhea, PE shows yellow-white mass behind TM .

Diagnosis and management?

A
  • congenital cholesteatoma

- CT, hearing eval, and surgical resection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Traumatic SAH, small with no midline shift and normal VS and exam. Management?

A
  • Observation and repeat CT

- oral CCB like nimodipine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Burn Patients under age 5 should have what else added to fluid resuscitation aside from Bolus via parkland formula?

A

Maintenance fluid with 5% dextrose

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Duke criteria for endocarditis?

A

Major:

  • 2 separate positive blood cultures
  • echo evidence of vegetation etc

Minor:

  • fever
  • predisposing factor like abnormal valve or IVFU
  • vascular phenomenon (Jane way, emboli)
  • immunologic phenomena (oslers, Roth spots)
  • positive culture

Need:
-2 major, 1 major + 3 minor, or 5 minor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Do antibiotics prevent Post-strep glomerulonephritis?

A

No

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Management of sickle cell patient presenting with stroke symptoms?

A

Exchange transfusion

*do not give fibrinolytics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What antidote can be used to counteract edrophonium if patients develop bronchospasm and bradycardia?

A

Atropine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Upper age limit for tPA administration?

A

80

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What AIDS defining Infection can present with skin lesions that look like molluscum contagiosum?

A

Disseminated cryptococcus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Treatment of CNS toxo?

A
  • pyrimethamine
  • sulfadiazene

*also give Leucovorin (pyrimethamine can cause hematologic toxicity)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

For tetanus, which vaccine is used before age 8?

A

Dtap

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Myasthenic crisis intubating….what agent and dose?

A
  • Succ = 1.5x usual dose

- Roc = 0.1 to 0.2 x usual dose

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What bacteria causes severe illness, bacteremia, sometimes fatal multi-organ failure after a dog bite?

A
  • Capnocytophaga Canimorsus

* Happens in Asplenic patients, hepatic failure patients, immunocompromised

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What are Symptoms of Magnesium toxicity? What is the treatment?

A
  • Loss of DTR, muscle weakness, hypotension, dysrhythmia, paralysis, res failure
  • Calcium gluconate
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What local anesthetics can be used subdermally in patients with allergic reactions to both amide and ester anesthetics?

A

Diphenhydramine or benzyl alcohol with epinephrine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What is potential cause of refractory anaphylaxis that doesn’t respond to Epi?
How do you treat it?

A
  • Beta blockers

- Glucagon

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Dextrose dosing for kids:

What formulations and how to estimate weight and dose requirement?

A

estimation of weight:
- (2 x age in years) + 8

Formula:

  • > 8 y.o = D50, 1 mL/Kg
  • 1-8 y.o = D25, 2 mL/Kg
  • < 1 y.o = D10 , 5 mL/Kg
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Match the pathophys with the disease:

  1. Botulism
  2. Tick paralysis
  3. Myasthenia

A. Toxin reversibly bound at the presynaptic membrane preventing acetylcholine release

B. Toxin irreversibly bound to presynaptic membrane preventing acetylcholine release

C. autoimmune destruction of acetylcholine receptors on the postsynaptic membrane

A
  1. B
  2. A
  3. C
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What is the preferred method of delivery in a woman with placental abruption?

A

Oxytocin-induced vaginal delivery. Cesarean delivery is reserved for significant maternal and fetal instability.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Indications for anticoagulation in superficial vein thrombosis?

A
  • thrombus within 5 cm to the deep venous system

- affected vein segment that is greater than 5 cm

25
Q

Tx of primary syphyllis in penicillin allergic patient?

A
  • Doxycycline BID x 2 weeks
26
Q

What is the most common nerve injured in a hip dislocation?

Most commonly associated injury with a hip dislocation?

A
  • The sciatic nerve and will result in loss of sensation in the posterior thigh and the inability to dorsiflex the foot.
  • Acetabular fracture
27
Q

How can you differentiate opiate OD from Clonidine?

A
  • QT prolongation

- Torsades

28
Q

Antibiotic choice for pre-septal cellulitis?

A

Augmentin

29
Q

Which medication is now the drug of choice for the parenteral treatment of severe, complicated malaria in the United States?

A

Artesunate

30
Q

Which form of malaria gives you fevers every 3rd day rather than every other day?

A

-Plasmodium malariae

31
Q

Tx of malignant otitis externa?

A

IV cipro 400 mg BID

32
Q

What therapy is indicated in a patient with persistent QRS widening from TCA overdose who has already received sodium bicarb with pH 7.5-7.55 (maximal effect)

A

Hypertonic saline

33
Q

Pt with seizures from TCA overdose….which antiepileptic is contraindicated?

A

Phenytoin

*can cause further Na channel blockade

34
Q

Treatment of uncomplicated malaria from Central America or Caribbean?

A

Chloroquine or hydroxychloroquine

35
Q

Treatment of uncomplicated malaria from South America, South Asia, or Africa?

A

-Atovaquone-proguanil
or
-Quinine + doxy or Linda
or -Mefloquine

36
Q

Within how long should hips be reduced to prevent AVN?

A

6 hours

37
Q

What can you infuse for bleeding hemophilia A patient if Factor 8 is not available?

A

-Cryo

38
Q

What should you infuse for a bleeding hemophilia B patient?

A

-Factor 9

39
Q

Treatment for pituitary apoplexy?

A
  • Steroids
  • Neurosurgery consult emergently
  • Dopamine agonist
40
Q

Which congenital syndrome is most commonly associated with Hirschsprung disease?

A

Down syndrome.

41
Q

What is the lower limit of normal systolic blood pressure in a newborn?

A

60

42
Q

Normal newborn res rate?

-6 month old?

A
  • 40
  • 30

*1 year to 8 years = 20s

43
Q

When is treatment indicated for tick exposure but without signs or symptoms of disease?

What treatment is indicated?

A

For tick attached > 36 hours

Single dose Doxycycline 200 mg po

*Specifically for Lyme only?

44
Q

What is the dose of atropine for a child with bradycardia and signs of hypoperfusion?

A

0.02 mg/kg for a maximum dose of 0.5 mg.

45
Q

Hyrocarbon exposure management?

A

Chest XR and observation for 6 hours.

  • even if normal VS and well appearing
46
Q

What cough medication may cause life-threatening sodium channel blockade toxicity in children with just one dose?

A

Benzonatate

47
Q

http://3bb59dce5506584d6e1f-fb29dfb4e6851bd17c71dfbd9fa646fd.r61.cf1.rackcdn.com/32028/content_image_-_osteochondroma.png

A

Osteochondroma

48
Q

Treatment for bacterial parotitis?

A

Febrile = Unasyn

Afebrile we’ll appearing = augmentin or keflex

49
Q

Characteristics of eczema in infants vs adults

A

Infants: cheeks, diaper area, extensor surface

Adults: flexor surfaces

*worse in cold weather, worse with sweating

50
Q

Minimum gestational age for peri-mortem C-section?

A

24 weeks

51
Q

PaO2: FiO2 ratio diagnostic for ARDS?

A

< 300

52
Q

What meds can commonly cause labyrinthitis?

A

aminoglycosides, salicylates, and loop diuretics

53
Q

Diagnosis in patient with exam showing acute otitis media and symptoms of vertigo and hearing loss?

Management?

A

Bacterial labyrinthitis

-Antibiotics, ENT consult, admission because these can be complicated by Meningitis

54
Q

Woman with ROM, fever, tachycardia, fetal tachycardia….Diagnosis and tx?

A
  • chorioamnionitis

- Ampicillin + Gentamicin

55
Q

What medications are associated with the development of Necrotizing enterocolitis?

A
  • Indomethacin and vitamin E.
56
Q

What is considered “high dose” aspirin therapy for management of Kawasaki disease?

A

80 to 100 mg/kg/day for 14 days, followed by 3 to 5 mg/kg/day for 6 to 8 weeks for those without coronary aneurysms or indefinitely for those with coronary aneurysms.

57
Q

Pt with constitutional symptoms, diffuse LAD, Mediastinal mass, hepatosplenomegaly, “owl’s eye” cells. Diagnosis?

A
  • Hodgkin lymphoma

“Reed sternberg” cells

58
Q

Diarrhea, dermatitis, dementia….seen in what vitamin deficiency?

A

-Niacin B3

59
Q

Lead level for chelation therapy?

A

> 45

Rosh Review (7 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions