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Step 2 question review > smartbook post class > Flashcards

smartbook post class Flashcards

1
Q

vascular accident in utero is likely to cause what kind of atresia?

A

jejunal or ileal atresia

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2
Q

triple bubble sign on XR

A

gas in stomach, dudodenum, and jejunum

jejunal atresia

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3
Q

indications for bariatric surgery

A

BMI >40

BMI > 35 with serious comorbidities

BMI > 30 with resistant DMT2 or metabolic syndrome

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4
Q

in chronic pancreatitis, what is the cause of pain and how do you tx it?

A

pancreatic exocrine insufficiency

hyperstimulation but unregulated CCK release causes pain

tx with pancreatic enzyme supplementation (lipase, protease, amylase) to reduce pancreatic hyperstimulation by CCK

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5
Q

what causes increased risk of sigmoid volvulus

A

chronic constipation

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6
Q

old person with progressive solid dysphagia, no other big signs, next step?

A

still do EGD first

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7
Q

what is associated with increased severity and progression of Crohn disease?

A

smoking

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8
Q

labs in biliary atresia

A

elevated total and direct bili

elevated GGT (2/2 bile duct destruction) and alk phos

retic ct normal (no hemolysis occuring)

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9
Q

abdominal US shows triangular cord sign (fibrous remnants above the porta hepatis) or a small or absent gallbladder

A

biliary atresia

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10
Q

late 20s, weeks of lower abdominal pain, bloody diarrhea, and fecal urgency - now more acutely has fever, abdominal distention, leukocytosis, hypotension, and tachycardia

dx? and what test to confirm?

A

IBD, now toxic megacolon

abd XR

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11
Q

besides surgery, what else can cause ileus?

A

retroperitoneal/abdominal hemorrhage, intraabdominal inflammation (pancreatitis), intestinal ischemia, and electrolyte abnormalities

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12
Q

abdominal distention, obstipation, abd xr shows uniformly dilated, gas-filled loops of bowel with no transition point

A

paralytic ileus

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13
Q

acute onset abdominal pain, shock, and acute anemia s/p tx for CLL sometime in the past

A

splenic rupture

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14
Q

insidious, continuous midepigastric pain that often radiates to the flanks or back and is sometimes worse with eating and lying down

dx and what test?

A

pancreatic cancer

CT abdomen

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15
Q

triad of elevated aminotransferases, signs of hepatic encephalopathy, and synthetic liver dysfunction (INR >1.5)

A

acute liver failure

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16
Q

which hepatitis is not associated with acute liver failure?

A

hep C

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17
Q

what type of ALF can be potentiated by chronic alcohol use?

A

acetaminophen toxicity

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18
Q

besides cats, how can toxo be spread?

A

ingestion of raw or undercooked meat from animals infected with toxo

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19
Q

dinner fork deformity

what is fx?

what nerve is injured?

what action will be weak?

A

distal radius (Colles) fx

dorsal displacement of the radius results in median n compression

motor innervation to the thenar muscles (opponens, and abductor)

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20
Q

fatigue and sypmtoms related to more than one cytopenia

A

acute myeloid leukemia

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21
Q

fatigue, prolonged bleeding, easy bruising, pancytopenia, coagulopathy, and elevated LDH

A

acute promyelocytic leukemia

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22
Q

important cause of hypocalcemia, particularly in alcoholics

A

hypomagnesemia

causes decreased release of PTH and PTH resistance

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23
Q

progressive peripheral edema, ascites, elevated JVP, and pericardial calcifications on chest XR

A

constrictive pericarditis

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24
Q

why might fat malabsorption occur in zollinger ellison?

A

inactivation of pancreatic enzymes by increased production of stomach acid may lead to malabsorption

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25
Q

what might make you think a parotid gland mass is malignant rather than the typical benign?

A

CN dysfunction - facial droop or facial numbness

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26
Q

ophthalmoplegia, ataxia, and areflexia; strength preserved

dx? ab?

A

Miller Fisher syndrome, variant of GBS

anti-GQ1b antibody

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27
Q

when might VDRL be a false negative

A

too early in disease process

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28
Q

what happens to LV preload, stroke volume, and cardiac output in cardiac tamponade?

A

decreases LV preload, SV, and CO

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29
Q

pattern of liver injury with elevated transaminases and normal alk phos

A

hepatocellular

should get viral hep panel

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30
Q

evaluation of adrenal insufficiency should include an

A

8 am serum cortisol and plasma ACTH

then cosyntropin stim test

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31
Q

initial tests if suspecting hypopituitarism

A

hormone levels (8am cortisol, free T4), testosterone, estradiol, IGF-1

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32
Q

diagnostic tests for acute hep B infection

A

HBsAg and anti-HBc

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33
Q

pt dx’d with Barrett’s 6 mo ago, now has symmetric, circumferential narrowing of the distal esophagus

A

esophageal stricture

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34
Q

incidental pancreatic cyst with more concerning features, next step?

A

endoscopic US bx

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35
Q

pt just had surgery, now has increased indirect bilirubin, normal LFTs, no hemolysis

A

Gilbert syndrome

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36
Q

new sexual partner, tenesmus, mucopurulent rectal discharge

A

gonococcal proctitis

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37
Q

pancreatic cancer v cholangiocarcinoma

A

pancreatic cancer could cause common bile duct dilation - obstruction is in the distal biliary tree

cholangiocarcinoma could cause intrahepatic duct dilation

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38
Q

early onset of sexual characteristics, advanced bone age, and low LH level

A

peripheral precocious puberty

non classical CAH

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39
Q

pt had MI 3 days ago, now has markedly elevated LFTs

A

hepatocyte ischemia

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40
Q

severe splenomegaly, hepatomegaly

anemia, thrombocytopenia

bony pain

failure to thrive, delayed puberty

A

Gaucher disease

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41
Q

short stature, anemia, developmental delays, pancytopenia, hypoplastic thumbs

A

fanconi anemia

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42
Q

hx of prostate cancer that has been tx’d, now having urgency and fecal incontinence

A

radiation proctitis

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43
Q

endoscopic view show multiple telangiectasias, mucosal pallor and friability in the colon

A

chronic radiation proctitis

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44
Q

chronic radiation proctitis will cause urgency and fecal incontinence due to

A

impaired compliance

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45
Q

in diabetics, intensive blood glucose control with insulin decreases the risk of

A

microvascular complications

(unknown affect for macrovascular)

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46
Q

epigastric pain and melena, pain improves with food

dx and tx?

A

duodenal ulcer due to H. pylori

abx and pantoprazole

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47
Q

age range for new onset UC

A

bimodal

15-40 and 50-80

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48
Q

infant at 99th percentile for weight and macroglossia

A

beckwith wiedemann syndrome

overgrowth disorder with predisposition for neoplasms

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49
Q

how do you do surveillance for someone with beckwith wiedemann syndrome?

A

serum AFP and abdominal/renal US

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50
Q

what are complications of beckwith wiedemann syndrome

A

wilms tumor

hepatoblastoma

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51
Q

chest XR in PJP

A

diffuse bilateral interstitial or alveolar infiltrates

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52
Q

toddler or young girl that has joint pain and stiffness that is worse in the morning

dx and tx

A

polyarticular juvenile idiopathic arthritis

naproxen

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53
Q

tx of solitary pulmonary nodule in someone who has hx of smoking

A

surgical excision

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54
Q

drugs associated with photosensitivity rxns

A

tetracyclines, chlorpromazine, furosemide, HCTZ, amiodarone, promethazine, piroxicam

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55
Q

resulting from airway obstruction and leading to mediastinal displacement toward the side of alveolar collapse

A

large volume atelectasis

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56
Q

tick disease, flu like symptoms, anemia with intravascular hemolysis and thrombocytopenia

A

babesiosis

maltese cross

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57
Q

chronic SOB, productive cough, evidence of destruction of lower lungs.

literally no other risk factors

A

alpha 1 antitrypsin deficiency

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58
Q

common finding in ankylosing spondylitis

A

arthritis (sacroiliitis)

reduced chest expansion/spinal mobility

enthesitis (tender on tendons)

dactylitis

uveitis

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59
Q

antibodies directed against nicotinic receptors on the motor end plate

dx and next step

A

myasthenia gravis

CT scan chest looking for thymoma

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60
Q

can generalized anxiety disorder be in kids?

A

yep

irritability, difficulty falling asleep, poor concentration

often presents with somatic symptoms

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61
Q

asbestos exposure, pleural plaques and cavitary lesion

A

bronchogenic carcinoma

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62
Q

croup tx order

A

humidified air and corticosteroids

racemic epi

intubate if prior failed

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63
Q

theophylline toxicity

A

CNS stimulation (HA, insomnia, sz), GI upset, cardiac toxicity (arrhythmia)

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64
Q

drug known to decrease clearance of theophylline

A

cipro

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65
Q

how early before surgery do you need to stop smoking?

A

at least 4 weeks prior

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66
Q

large volume atelectasis - whole side of lung is occluded on XR and has mediastinal shift

A

mucus plugging

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67
Q

panicking or hyperventilation tx

A

reassurance and deep breathing

then benzo

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68
Q

what happens to tactile fremitus in pleural effusion

A

decreased

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69
Q

alveolar consolidation in pneumonia causes hypoxemia due to

A

R to L intrapulmonary shunting

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70
Q

is heparin contraindicated in CKD

A

no

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71
Q

first thing to decrease on stable pt who is intubated

A

fiO2

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72
Q

hx of CAD and bibasilar crackles

A

CHF

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73
Q

intubation s/p vomiting and needing a lot of suction - what injury?

A

inflammatory reaction to aspirated gastric acid

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74
Q

tx for hoarding

A

CBT

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75
Q

tx for acute stress disorder

A

CBT

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76
Q

perferred modalities for dx’ing a ureteral stone

A

US or non con CT

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77
Q

labs in rhabdo

A

increased K and P, decreased Ca, increased AST>ALT

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78
Q

MDD in pt who just had MI, tx?

A

SSRI

sertraline > citalopram (QT inc)

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79
Q

constant and gnawing epigastric pain that is frequently worse at night, anorexia with wt loss

A

pancreatic cancer

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80
Q

psoriasis found on the back of hands

A

kobner phenomenon - caused by frequent minor trauma

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81
Q

arrhythmia most specific for digitalis toxicity

A

atrial tachycardia with AV block

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82
Q

influenza 5 days ago, now has pna, what bug?

A

S aureus

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83
Q

HIV pt with acute retinal necrosis and pain

A

HSV or VZV

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84
Q

HIV pt with painless retinitis, hemorrhages and fluffy or granular lesions around retinal vessels

A

CMV retitinitis

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85
Q

bilateral, cyclic breast pain

tx?

A

supportive bra and NSAIDs

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86
Q

pt with large or embolic ischemic stroke could be at risk for …. within 48 hours of presentation.

Dx this with…

A

hemorrhagic transformation

noncon CT head

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87
Q

What acid base disturbance will you see in a post op pancreatic leak?

A

nonanion gap metabolic acidosis

pancreas puts out a lof bicarb, think large volume fluid loss from pancreas or SI

88
Q

UE swelling, erythema, warmth, and pain near PICC line; afebrile

A

DVT - get US

89
Q

manic and depressive episodes, with persistence of hallucinations in between episodes

A

schizoaffective disorder

90
Q

what cell line are you monitoring when tx’ing pt with clozapine

A

neutropenia

91
Q

pregnant lady with intermittent leakage of fluid from vagina, but not amniotic fluid

A

stress urinary incontinence

92
Q

infants with blood types A or B born to a mom with blood type O

A

ABO hemolytic disease

-mild hemolytic disease of the new born

asx at brith or mild anemia, may have neonatal jaundice that responds to phototherapy

93
Q

wound ulceration after a bite

A

brown recluse - necrosis and eschar to follow

94
Q

birth control for someone that is a heterozygous carrier of Factor V Leiden

A

progestin-releasing intrauterine device

95
Q

exertional angina in young pt, different BP in each arm, murmur in first R intercostal space

A

supravalvular AS causing LVH, subendocardial ischemia when having increased O2 demand

96
Q

significant decrease in GFR in the absence of another clear cause of renal dysfunction, minimal hematuria, and lack of improvement with volume resuscitation

A

heptorenal syndrome

97
Q

how does hepatorenal syndrome start out?

A

cirrhosis progresses and pt develops splanchnic arterial dilation and an overall decrease in vascular resistance

98
Q

isolated proteinuria in a child, next step?

A

first morning urine protein/Cr ratio

if still elevated, eval for glomerular/parenchymal disease

99
Q

holosystolic murmur at apex

A

MR

100
Q

acute MR within hours of an MI is likely due to

A

papillary muscle displacement, underlying hypokinesis

101
Q

acute MR would do what to LV end diastolic pressure

A

increase

102
Q

man with atopic disorders, refractory heartburn, now has some food stuck in his throat

A

eosinophilic esophagitis

103
Q

esosinophilic esophagitis un tx’d can lead to

A

stricture formation

104
Q

guy with chronic malignancy goes into the hospital for surgery. everything goes great.

couple days later, feeding tube is in, and he is weak, has hypoK, hypoPhos, and arrhythmias

A

refeeding syndrome

105
Q

fingerstick lead level is elevated, next step

A

get venous lead level, capillary has a lot of false positives

106
Q

tx of lead toxicity >45

tx of lead toxicity >70

A

first succimer/dimercaptosuccinic acid

then dimercaprol plus EDTA

107
Q

what test do you get to dx TTP

A

peripheral blood smear

108
Q

HIV and Hep C untreated, think of

A

TTP

109
Q

tx of single brain metastasis

A

surgical resection if accessible

110
Q

tx of multiple brain metastases

A

whole brain radiation

111
Q

blunt trauma, mid back pain, CVA tenderness, microscopic hematuria

next step?

A

CT scan abd pelvis

112
Q

large contributor to medical errors and adverse pt outcomes

A

communication failures between physicians

113
Q

tool to prevent undesired medical outcomes that result from physician communication failures

A

check list

114
Q

tx of myasthenic crisis

A

plasmapheresis or IVIG as well as corticosteroids

115
Q

anticholinergic used in tx of symptomatic parkinsons disease?

what side effect?

A

trihexyphenidyl

AE: mydriasis, ppt acute angle closure glaucoma

116
Q

most significant risk factor for preterm deliver

A

hx of spontaneous preterm delivery

117
Q

soft mobile mass in unilateral breast of woman who has been breast feeding

A

galactocele

not fibroadenoma because estrogen decreased rn

118
Q

signs of relative mineralocorticoid deficiency include

A

hypotension, hyperkalemia, hyponatremia, and elevated plasma renin

119
Q

cancer pt can’t sleep because waking up in pain, tx?

A

sustained release morphine

120
Q

MI causes cardiogenic shock, doing what to preload, CO, and afterload

A

increases preload

decreases CO

increases afterload

121
Q

candida on KOH prep looks like

A

pseudohyphae with budding yeast forms (blastoconidia)

122
Q

what skin infection has a coral red appearance under wood’s lamp?

A

erythrasma - corynebactrieum minutissimum

123
Q

minor sunburn, tx?

A

NSAIDs

124
Q

suburn with blisters tx?

A

prevent bacterial superinfection with silver sulfadiazine or mupirocin

125
Q

what is the MC site of hemorrhage if spontaneous intracranial hemorrhage due to hypertensive vascuolapathy?

A

basal ganglia

126
Q

tramadol + SSRI

A

serotonin syndrome

127
Q

AMS, autonomic dysregulation, and neuromuscular hyperactivity

A

serotonin syndrome

128
Q

subacute symptoms of diarrhea, bloody stools with mucus, and abdominal pain after traveling

A

amoebic colitis

entamoeba - get stool ova and parasites

129
Q

toddler with hematuria and recurrent otitis media

A

Wiskott-Aldrich syndrome

130
Q

hx of mechanical mitral valve, now having HF symptoms

A

prosthetic valve thrombosis

131
Q

mechanism underlying Paget’s disease of bone

A

disorganized bone remodeling

132
Q

fatigue and aching joints, ED, decreased libido, mild hepatomegaly, mild tenderness and swelling of the MCP joints

dx?

A

hereditary hemochromatosis

133
Q

severe preeclampsia at 37 weeks, next step

A

induce vaginal delivery if all stable

134
Q

MC etiology of persistent nasal obstruction during childhood

A

adenoid hypertrophy

135
Q

what does Fetal fibronectin actually tell you?

A

protein found in interface of the chorion and decidua - contractions interrupt and release FFN into vaginal secretions

positive FFN = strong predictor of delivery within next week = give betamethasone

negative FFN = low likelihood delivery within next 2 weeks and can resume routine prenatal care/expectant mgmt

136
Q

proximal muscle weakness, HTN, 40 pack year hx, absent DTRs

A

Lambert eaton myasthenic syndrome

autoantibodies v presynaptic calcium channels

small cell lung cancer - get CT

137
Q

dementia characterized by fluctuating cognition/attention

A

lewy body dementia

138
Q

impending delivery and unknown GBS status?

A

give penicillin

139
Q

complication of MI -> ventricular aneurysm, then another complication

A

mural thrombus leading to systemic arterial embolization

140
Q

kid with Otitis media didn’t finish abx and now has clinically dx’d mastoiditis - next step?

A

IV abx

141
Q

SOB for a year, dyspnea with exertion, mild morning cough, hx of smoking - next step

A

spirometry

142
Q

imaging showing colonic dilation without anatomic obstruction on imaging

A

colonic pseudo obstruction - ogilvie syndrome

143
Q

MC dermal manifestation of antiphospholipid syndrome

A

livedo reticularis

144
Q

what does PTT do in antiphospholipid ab syndrome?

A

prolongs, will not correct

145
Q

beta 2 microglobulin is elevated in

A

lymphoproliferative disorders like multiple myeloma

146
Q

iron overload would present in what systems?

A

affect liver (cirrhosis), heart (cardiomyopathy), pancreas (diabetes), and skin (hyperpigmentation)

147
Q

basophilic stippling on peripheral blood smear

A

lead poisoning

148
Q

cardiotoxicity of chemo (anthracyclines like doxorubicin)

A

cardiomyocete replacement by fibrous tissue

149
Q

painless penile ulcer for several months

A

penile cancer

150
Q

mgmt of trauma pt with hemorrhagic shock

A

type O blood transfusion

consider massive transfusion protocol

151
Q

initial tx knee OA

A

PT - strengthen quads

152
Q

post op dark red, sanguineous drainage and increasing incisional pain

A

incisional hematoma

153
Q

cushing syndrome with adrenal mass

what is cortisol, ACTH and DHEA doing?

A

increased cortisol, decreased ACTH, decreased DHEA

154
Q

all pregnant pts should get what vaccine every pregnancy in their third trimester?

A

Tdap - protects mom against pertussis and provides passive immunity to the infant

155
Q

super high glucose level, what do you need to remember?

A

decrease 2 Na for every 100 excess glucose

translocational hyponatremia

156
Q

generalized anxiety, but only for 2 months, make

A

MDD more likely

157
Q

onychlysis and pitting of the nails is associated with

A

psoriatic arthritis

158
Q

will reactive arthritis have a high fever?

A

no

159
Q

cutting in adolescent but not suicidal

A

respect pt’s privacy and advocate for therapy

160
Q

what antiemetics are dopamine antagonists and therefore can cause EPS?

A

prochlorperazine

promethazine

metoclopramide

161
Q

random need to walk in someone taking dopamine antagonists

A

akathisia

162
Q

myeloproliferative disorder that is occasionally characterized by pancytopenia but is almost always associated with massive splenomegaly due to extramedullary hematopoiesis

A

myelofibrosis

163
Q

dysplastic red and white blood cells are on peripheral smear

A

myelodysplastic syndrome

164
Q

SIADH will have what serum and urine osm and urine Na levels?

A

low serum osm

high urine osm

high urine Na

165
Q

what causes an increased production of thyroid hormones in pregnancy?

A

hCG directly stimulates TSH receptors

166
Q

hernia medial to the inferior epigastric vessels

A

direct inguinal hernia

167
Q

hernia due to weakness of transversalis fascia

A

direct inguinal hernia

168
Q

first line tx of HPV warts in pregnancy

A

topical trichloroacetic acid

imiquimod and podophyllin are CI due to potential teratogenicity

169
Q

malabsorption causes of folate deficiency?

A

celiac

IBD

infiltrative bowel disease

short bowel syndrome

170
Q

neutropenic fever abx options

A

pip-tazo

meropenem

imipenem-cilastatin

cefepime

171
Q

what antibiotic caues sensorineural hearing loss?

what is the most potentially life threatening complication of this drug?

A

aminoglycosides

acute tubular necrosis

172
Q

sinus tachycardia usually is not much higher than

A

140 bpm

173
Q

narrow QRS complex and regular R-R interval

A

supraventricular tachycardia

174
Q

MC type of hodgkin lymphoma

A

nodular sclerosing type

175
Q

mosaic pattern of bone

A

Paget disease

176
Q

established legal precedence for informed consent

A

Schloendorff v society of NY hospital

177
Q

poor prognostic factor and imparts a high risk for relapse of leukemia

A

CSF involvement

178
Q

leukoaraiosis with multiple discrete hypodense foci

A

vascular dementia

179
Q

anaerobes

A

peptostreptococcus

fusobacterium

prevotella

bacteroides

180
Q

initial screening test for HIV

A

HIV-1/2 antigen/antibody combination immunoassay followed by confirmatory HIV 1/HIV 2 antibody differentiation immunoassay

181
Q

rash, fever, acute onset azotemia with hx of nsaid use

A

acute interstitial nephritis

inflammatory infiltrate on renal bx

182
Q

tx of non classical CAH

A

OCPs first, then can try spironolcatone

183
Q

2 day old hasn’t lost weight, decreased urination

A

posterior urethral valves

184
Q

how do you avoid catheter associated UTI in pt with neurogenic bladder

A

clean intermittent catheterization (CIC)

185
Q

use for tx’ing alcohol withdrawal

A

lorazepam

186
Q

swelling in LE that worsens throughout the day and then resolves overnight

A

venous valvular incompetence

187
Q

guy with recurrent jaw pain, worse with eating, tender mass under jaw and goes away with abx

what precipitated this?

A

sialolithiasis

188
Q

what might still be present in someone with brain death?

A

DTRs

189
Q

lyme carditis presentation

A

within first few weeks or months of infection

AV block - lightheadedness, syncope, dyspnea, chest pain, and/or palpitations

190
Q

what are 4 risk factors for developing acute otitis media

A

young age

lack of breastfeeding

day care attendance

passive smoke exposure

191
Q

TMP-SMX use and then tender, indurated lesions on the LE

A

erythema nodosum

192
Q

this can be triggered by antibiotics, and cause presentation of painful, raised, nonblanching, palpable purpura

A

leukocytoclastic vasculitis

193
Q

blood gas analysis in pt with aspirin intoxication

A

mixed respiratory alkalosis and anion gap metabolic acidosis

194
Q

Sickle cell pt with increased MCV

A

folate deficiency

195
Q

cervical spine trauma, de-satting, next step

A

orotracheal intubation

196
Q

prior to initating trastuzumab…

A

get an echo

baseline assessment of cardiac function

197
Q

healthy pt, shows up at prenatal and has multiple gestation. everything looks good. next step?

A

rx aspirin to decrease risk of preeclampsia

198
Q

common cause of stroke in young pt that may occur spontaneously after mild trauma or illness

A

internal carotid artery dissection

199
Q

Horner syndrome, unilateral head and neck pain, and TIA

A

ICA dissection

200
Q

mgmt of migraine in pregnancy

A

nonpharm

acetaminophen

antiemetics (promethazine), codeine, caffeine/butalbital

NSAIDs

Opioids

201
Q

HPV dosing - 2 or 3?

A

3 doses if older than 15

2 doses if younger than 15

202
Q

diffuse atherosclerosis, recurrent flash pulm edema - next step?

A

get renal US doppler

203
Q

pt with PAD is most at risk for

A

MI

then stroke

204
Q

development of hemorrhagic lesions after ischemia or the exposure of gastric mucosa

A

acute erosive gastropathy

205
Q

CHF v COPD exacerbation

A

CHF will have bibasilar crackles and have respiratory alkalosis

206
Q

risk factors for shoulder dystocia

A

fetal macrosomia

maternal obesity

excessive pregnancy wt gain

DM

post term

207
Q

periarticular erosions on XR with elevated inflammatory markers

A

RA

208
Q

pt with target cells and microcytosis on blood smear

A

alpha thal

no specific tx

209
Q

tx of acute iron poisoning

A

deferoxamine

210
Q

protruding rectal mass that occurs with valsalva maneuver

A

rectal prolapse - surgical repair

211
Q

a year of weakened stream and now urinary retention

A

bladder outlet obstruction 2/2 BPH

212
Q

kid with hx of bacterial meningitis, tx’d and recovered, now doesn’t respond to questions right away

A

hearing loss- inflammatory damage to cochlea

213
Q

nitrates action

A

systemic vasodilation, decrease LVEDV and decrease LV wall stress

214
Q

tx radial head subluxation

A

hyperpronation of forearm

OR

supination of forearm and flexion of elbow

215
Q

adverse effects of rivastigmine or other acetylcholinesterase inhibitors

A

diarrhea, vomiting, bradycardia

216
Q

trimethoprim causes what electrolyte abnl?

what other lab value does TMP affect?

A

hyperK

creatinine

Step 2 question review (9 decks)

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