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Shelf - FM > Round Two > Flashcards

Round Two Flashcards

1
Q

ECK has T wave inversions in leads V4-V6. Spouse died 5 days ago. What will confirm dx?

A

Dx: takutsubo cardimyopathy (LV dyskinesia mimicing acute coronary syndrome dt excess catecholamine release)

Test: repeat EKC 1-4wks later, showing physiologic ventricular wall motion

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2
Q

Test to dx CAD

A

excercise stress test.

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3
Q

Dx and test:
Asx in childhood, hallmark cardiac finding is a wide fixed, split S2 heart osund that may be accompanied by a systolic ejection murmur at LUSB (dt increased pulmonary blood flow)

A

ASD

Echo shows the defect

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4
Q

Murmur that improves with Valsalva (innocent childhod murmur), musical/vibratory

Murmur that worsens with Valsalva. Crescendo descrescendo systolic ejection murmur at LLSB.

A

Hypertrophic cardiomyopathy

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5
Q

The three SSRIs safe for tx of depression during pregnancy.

Avoid which?

A

Fluoxetine, sertraline, citalopram

(Cit Flu Sert)

Avoid paroxetine

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6
Q

chlamdia testing guidelines

A

all sexually active Females or pregnant females less than 24

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7
Q

define threatened v. inevitable abortion v. incomplete

cervix and tisse

A

Threatened - cervix CLOSED, vaginal BLEEDING

Inevitable - cervix DILATED, no tissue seen through os

Incomplete - cervix DILATED, YES TISSUE through os

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8
Q

First line tx for premature ejaculation (time to ejaculate less than 1min, loss of control, anxiety in patient or partner) - MOA

A

SSRI

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9
Q

Name the SSRI suffixes (3)

A
  • tine (paroxetine, fluoxetine)
  • line (sertraline)
  • pram (citalopram, escitalopram)
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10
Q 
Anemia of chronic disease:
MCV?
Fe?
Ferritin?
TIBC?
A

MCV - low
Fe - low
Ferritin - high
TIBC - normal

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11
Q 
IDA:
MCV?
Fe?
Ferritin?
TIBC?
A

MCV - low
Fe - low
Ferritin - high
TIBC - high

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12
Q 
Thalassemia:
MCV?
Fe?
Ferritin?
TIBC?
A

MCV - low
Fe - normal
Ferritin - normal
TIBC - normal

A microcytic anemia with normla iron studies

(inadequate production of alpha and beta Hb chains)

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13
Q 
Hemochromatosis (triad: cirrhosis, increased skin pigmentation, hyperglycemia dt iron deposits in pancreas)
MCV?
Fe?
Ferritin?
TIBC?
A

MCV - normal
Fe - high
Ferritin - high
TIBC - low

iron overload

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14
Q

Ferritin and TIBC trends

A

opposite

Ferritin is how much Fe is IN THE CELL, so TIBC is how much it wants more.

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15
Q

Tx for aphthous ulcers

A

a corticosteroid - triamcinolone

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16
Q

Corneal abrasion in a contact lens wearer. What bug is MC and what drug is given to tx?

A

Pseudomonas aeruginosa

give a fluoroquinolone or aminoglycoside - ciprofloxacin

17
Q

Corneal abrasion in a non-contact lens wearer. What bug is MC and what drug is given to tx?

A

polymyxinB/TMP ophthalmic drops

18
Q

CHARGE associtation

A 
Coloboma
Heart defects
choanal Atresia
Restricted growth
Genital hypoplasia
Ear anomalies and deafness
19
Q

VACTERL association

A 
Vertebrae anomalies (fused or missing)
Anal atresia
Cardiac defects
Tracheo-Eophageal fistula
Renal abnormalities
Limb abnormalities
20
Q

RADS - predominant cell responsible for airway infiltration in RADS

A

neutrophil

21
Q

Why is edema present in DM patients with nephrotic sydnrome?

A

Urinary loss of major protiens including albumin causes decreased protein content in serum, dropping intravescular oncotic pressures, and leaking fluid into interstitial space. So edema ensues.

22
Q

Dx and diagnostic test:

Infant with bilious, nonbloody, nonprojectile vomiting wihtin first d-mo of life. PRogressiv eintolerance and FTT.

A

Dx of infants with a malrotation of the gut

Test: upper GI barium contrast - proximal duodenal dilation followed by “bird’s beak” obstruction and then spiral or corkscrew duodenal configuration.

23
Q

What does excessive alcohol use do to cause anemia?

A

Siderolastic anemia - heme synthesis dusrupted causing iron to accumulate in mitochondira, causing BM to produce ringed sideroblasts (nucleated RBC precursors),

24
Q

DM retinopathy dx by fluorescein angiography or fluorescein staining?

A

angiography

25
Q

thiazides and lithium can cause what lab abonormality?

A

hyperCa

26
Q

who should be screened for alcohol abuse?

A

all adults

27
Q

What neumococcal and meningococcal vaccines are given to asplenic if vaccination hx unknown?

A

PCV13 if unknown
PPolysaccharide if known

MCV3 less than 55
Mpolysaccharide 56+

Hib if uncertain/not received

28
Q

A woman had a cesarean birth for first child. She wants TOLAC. What do you tell her?

A

risk of maternal dath significantly decreased by TOLAC compared to elective repeat cesarean delivery.

29
Q

Target HbA1c for elderly population with multiple comorbidities and less than 10y to live.

A

8.0

Shelf - FM (14 decks)

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