Rosh Renew Flashcards

1
Q

Dengue Fever

A

recent travel to tropical regions
high fever with a biphasic pattern, myalgias, and backache
thrombocytopenia, elevated LFTs and leukopenia
Most commonly caused by Aedes aegypti mosquito
Treatment is supportive

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2
Q

Malaria

A
  • fever > 38.5°C (101.4°F) in a traveler
  • classic triad fever, thrombocytopenia, and splenomegaly. -Fever is periodic.
  • confirmed with blood smear or rapid detection tests.
  • Treatment is supportive and targeted towards eradication of the protozoa.
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3
Q

Bacterial Meningitis Adult Rx

A

18 - 50 years: ceftriaxone + vancomycin

> 50 years: ceftriaxone + vancomycin + ampicillin (to cover Listeria)

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4
Q

Alcoholic Ketoacidosis

A
  • In alcoholics
  • decreased food and liquid ingestion leading to dehydration –> anion gap metabolic acidosis
  • Patients require a nutritional source and need glucose or dextrose administration
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5
Q

The murmur of hypertrophic cardiomyopathy is accentuated by actions that decrease blood volume in the left ventricle and increase left ventricular outflow obstruction. These actions include:

A

the Valsalva maneuver or standing.

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6
Q

What effect does the Valsalva maneuver have on the murmur associated with aortic stenosis?

A

It decreases the murmur.

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7
Q

What are three organisms responsible for “atypical” pneumonia?

A

Mycoplasma, Chlamydia, and Legionella.

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8
Q

In patients with aortic dissection, what is the recommended blood pressure goal?

A

systolic blood pressure of 110 mm Hg.

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9
Q

What is digoxin used for?

A

Its positive-inotropic and antidysrhythmic effects, at therapeutic doses, are used in treating atrial fibrillation and congestive heart failure.

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