Shit I Got Wrong From The Stupid D2L Quizzes Flashcards
Lab tests to order (in order of most important) for BHP symptoms
Urinalysis
Urine culture
PSA
Lifestyle management for BPH symptoms
Avoid caffeine
Avoid alcohol
Avoid excess fluids
Fluid restrict before bedtime
Absolute indications for TURP
Patient wants it
Refractory retention after conservative management
Concurrent UTI
concurrent bladder stone
Renal insufficiency
Recurrent gross hematuria
How long can you store breast milk
Fridge 7 days
Freezing 3-4 months
Can you breast feed with the following conditions:
HepB
HIV
Chemotherapy
Yes
No
No
Can you use sertraline when breastfeeding?
Yes even though it is excreted in milk bc infant serum level is low. No evidence of harm in long term
Nonpharm ways to increase breast milk production
Pumping/breast stimulation
Hydrating
Adequate calories
Fenugreek and milk thistle
Infant benefits to breast feeding (lower incidence of the following):
NEC
SIDS
DMT2
Childhood obesity
Meningitis
UTI
Asthma
Eczema
Allergies
Infant mortality
Lymphoma
Maternal benefit to breast feeding
Lower rate breast cancer
Lower rate ovarian cancer
Lower rate DMT2
Quicker return to pre pregnancy weight
Quicker resolution of postpartum bleed
Digoxin toxicity clinical features
Nausea
Vomiting
Abdominal pain
Anorexia
Weakness
Visual disturbance
Bradycardia
Arrhythmia
What to order for digoxin toxicity
Serum calcium
Serum magnesium
Serum potassium
Creatinine
POCT glucose
ECG
Digoxin toxicity mimics:
BB
CCB
Alpha agonist
Labs for diarrhea
Hb and WBC
ferritin
TTG/IgA
CRP
TSH
Albumin
Na
K
Agents for IBS D
Fibre supplement
Antispasmodic (peppermint oil, hyoscine)
TCA
Probiotic
Antidiarrheal (loperamide)
Rifaximin
Causes of high MVC anemia
B12
Folate
Liver
EtOH
Hypothyroid
Myelodysplasia
Medication side effect
Percent of kids that experience febrile seizure
2-4%
Advise for febrile seizure recurrence
Lie child on side
Loosen clothing
Watch time, 911 if >15 min
Don’t hold child down
Don’t put stuff in mouth
Watch for focal neuro signs
Febrile seizure education
Will not cause brain damage
Simple febrile doesn’t change epilepsy risk
High chance for another seizure
No antiepileptics
Use acetaminophen for comfort, will not prevent recurrence
No further work up needed
Exercise recommendation:
150min aerobic weekly
2-3x 30min resistance
What BMI to start talking about meds
> 30
27 if complications
Maternal risk factor for SIDS
Young mom <20
Smoking during pregnancy
Driving use during pregnancy
Alcohol use during pregnancy
Poor prenatal care
Other risk factors in SIDS
Preterm
Low birth weight
Prone sleeping
Bed sharing
Soft sleep surface
Sibling with SIDS
Male infant
2-4mo age
Second hand smoke
Indication for vacuum/forcep
Maternal exhaustion
Lack of maternal cooperation
Need to avoid effort (ie CAD)
Ineffective pushing
Lack of progress
Unexplained bleed
Abnormal FHR or scalp pH
Conditions to apply vacuum
Assistance
Analgesia
Bladder empty
Cervix dilated
Determine head position
Equipment functional
Membrane rupture
Engaged head and +2 station
Maternal consent
Risk of synto
Uterine rupture
Tachysystole
Water intoxication
Fetal intolerance
Benefit of synto for induction
Decreased infection risk
Decreased operative delivery
Decreased PPH
shorter labor
Less fetal deaths
OSA symptoms
Snoring
Witnessed apnea
Choking awake
AM headache
Daytime sleepiness
Poor concentration/memory
Low libido/ED
irritability
Classes of HIV meds
Protease inhibitors
Fusion inhibitors
Nucleoside reverse transcriptase inhibitors
Non-nucleoside reverse transcription inhibitors
MMR vaccine schedule
12 and 18 mo
4-6 yrs
Ppx for measles if unvaccinated
MMR vaccine
Serum Ig
Causes of ST elevation
MI
HyperK
HyperCa
HypoCa
Takotsubo CM
Pericarditis
LVH
Features of eczema
Recurrent relapsing
Extensor in kids and flexor in adults
Thickened patches
Pururitis
Atopic triad on history
Environmental triggers
Early age onset
Risk factor for SAH
HTN
Smoking
Alcohol
Fhx
Known aneurysm
Cocaine use
Estrogen deficiency
Low APGAR risk
Preterm
Shoulder dystocia
Meconium
Precipitous birth
Opioids during labor
Causes of NV in pregnancy
Normal pregnancy
Nola pregnancy
Multiple pregnancy
Heartburn
HP infection
Dyspepsia
DM
Hyperthyroidism
Gastroenteritis
Acute treatment for hyperCa
IVF
IM calcitonin
IV bisphosphonate
Investigations for hyperCa
SPEP
Phos
Albumin
Creatinine
PTH
Vit D
What triggers ahh sickling?
Low O2
Dehydration
Fever/infecfion
Acidosis
Cold
Pregnancy
Alcohol
How to prevent sickle cell crisis
Routine vaccination
Additional pneumonic
Ppx penicillin
Avoid sickling condition
Good hygiene
Folate supplement
Clinical features of epididymitis
Adolescent
Gradual onset days
Moderate severe pain
Over epididymis
Frequency
Dysuria
Fever
Unilateral pain
Urethral discharge
Causes of primary enuresis
Developmental delay/neuro immaturity
Constipation
Genetic
Sleep disorder
Low ADH
Nonpharm Management of enuresis
Scheduled void
Avoid fluids at bedtime
Schedule waking time
Buzzer pad
Avoid shaming
Involve child in cleaning
Ensure BM ok
Causes of delayed toilet training
Voluntary holding stool
Frequent constipation
Started too early or late
Psychosocial conflict
First born
Male
Fhx
Epi men dose for croup
L racemic 0.5cc in 3ml NS
Education on PMR
Treat 1-4 years
Relapse if stopped too soon
Some people need low dose steroids chronically
Some have exacerbations independent of steroid use
Sx fade quickly on steroid
No cure
Lithium toxicity symptoms
ALOC
Tremor
Nystagmus
Seizure
Hyperreflexia
Complications of chronic Li toxicity
Hypothyroidism
Chronic renal failure
Diabetes insipidous
Ataxia
Tremor
Smoking cessation therapy
NRT
Nicotine partial agonist (varenicline)
Opioid antagonist (naltrexone)
NDRI (wellbutrin)
TCA
A2A receptor agonist
Can you use champix/naltrexone in pregnancy
No
When to order CT head in someone with cognitive impairment
Abrupt onset
Age <60
Rapid decline
Focal neuro signs
Previous malignancy
Recent head trauma
Bleeding disorder
Second line for strep throat in someone with penicillin allergy
Clindamycin
Clarithromycin
HPV wart treatment
Podifilox
Imoquimod
Cryo
Laser
Surgery
Why not screen pap in women <25?
Most cervical abn revert to normal
Proper BP technique
Rested 5 min
Seated
Back supported
Feet flat and uncrossed
Cuff sized
Not talking
Arm at heart level
Both arms taken at first visit
Specific lipid levels that increase DM risk
HDL< 1 in men and 1.3 in women
TG fasting >1.7
Risk factors that increase diagnosis of prostate cancer
Increasing age
Black race
FHx
Brca 1/2
Antipsychotic side effects
Weight
DLD
Glucose
EPS
Anticholinergic
NMS
Galactorrhea
Sedation
Seizures
Risk factors that increase HSV outbreak
UV
URTI
Fevers
Immune suppression
Stress
Surgery
Complications of HSV outbreak
Transmission
Social isolation
Bacterial infection
Keratitis
Gingival recession
Encephalitis
Gold standard test for HSV?
Viral culture
Risks for OA glaucoma
DM
Old age
Family history
Increased IOP
African descent
Investigations for GCA
Biopsy
MRI
Risks factors for c diff
Old
Hospitalization
Severe illness
Enteral feeds
GI surgery
Obesity
PPI
Chemo
Complications from pseudomembrane colitis
Toxic mega colon
Bowel perf
Dehydration
DDx chronic leg pain while walking
Vascular valediction
Venous insufficiency
Lumbar stenosis
Peripheral neuropathy
Myositis
Fibromyalgia
PMR
RA
Myofascial pain syndrome
Statins
Magnesium
Symptoms of intermittent vascular claudication
Muscle cramp on exertion
Pain better when resting
Better with depending position
Fatigue
Pain in lower extremities
Weakness
Aching muscles
What imaging to order in arterial insufficiency
Abdominal US for AAA
Criteria to Dx AIDS
Positive HIV
CD4<200
Opportunistic infections
Malignancy
Risk factors for HIV
Unprotected sex
Multiple partners
Receptive anal intercourse
Prior STI
Current STI
IVDU
blood transfusion
Vertical transmission
Physical exam findings in scaphoid fracture
Snuffbox tenderness
Limited wrist flexion extension
Pain with telescoping thumb
Pain with forearm supination
Pain with radial and ulnar deviation
Pain with forced dorsiflexion
Swelling over snuffbox
