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STEP 2 > STEP 2 - UWORLD part 3 > Flashcards

STEP 2 - UWORLD part 3 Flashcards

1
Q

inspiratory strider in FBAO

A

extrathoracic - call GI

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2
Q

expiratory wheeze in FBAO

A

intrathroacic - call pulm

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3
Q

+ coin sign on lateral

A

its in the trachea

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4
Q

stepwise asthma tx

A

SABA then ICS then increase the ICS then SABA (LTA at ICS or not)

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5
Q

person who’s asthma is not controlled, what next

A

make sure they’re using inhaler correctly

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6
Q

tx for bronchiolitis

A

nothign, SABA, steroids, abx doesn’t work - O2 and IVF if really bad

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7
Q

child who is <2 with wheezing and dyspnea in the winter

A

bronchiolitis

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8
Q

meconium ileus on day of birth is what disease

A

CF

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9
Q

diverticulosis vs diverticulitis bleeding

A

none in -itis, only in -osis

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10
Q

treatment for severe babiosis with anemia

A

exchange trasnfusion

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11
Q

complex vs simple seizure

A

complex - LOC

simple - no LOC

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12
Q

generalized simple seizure - what dx?

A

think pseudoseizure

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13
Q

simple vs complex febrile seizures

A

simple - 1 per 24 hours, duration <15 mins, generalized (if any one absent, go to complex)
complex - probably not febrile (do EEG, LP, etc) treat as epilepsy

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14
Q

treatment for febrile seizures - complex vs simple

A

simple - acetaminaphen

complex - bzd

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15
Q

<1 yo symmetrical jerking with hypsarrhythmia on EEG with no fever

A

infantile spasm, tx with ACTH

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16
Q

infantile spasm is most associated with what disease

A

tuberous sclerosis

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17
Q

cosyntropin is also knonw as

A

ACTH

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18
Q

sebasceous adenoma is connected with what peds disease

A

tuberous sclerosis

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19
Q

blood disorders with SLE are what kind of hypersensitivity

A

type 2 - hemolytic anemia, thrombocytopenia, lymphopenia, leukopenia

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20
Q

volar displaced radius fracture

A

smiths - fall on outstretched hand in volarflexion

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21
Q

lab to monitor for spetic arthritis tx

A

CRP

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22
Q

GI bacterial overgrowth in systemic sclerosis - tx

A

MTZ

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23
Q

renal problems coocurring with septic arthritis

A

serum A amyloidosis (look for proteinuria or nephrotic syndrome)

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24
Q

pt who has TRAP+, elevated alk phos and increased CKBB and decreased hemotocrit and hemoglobin

A

osteopetrosis

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25
Q

increased ESR, WBCs and decreased Hgb in a child with wht probable bone problem

A

Ewing sarcoma

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26
Q

who is predisposed to drug induced lupus

A

slow acetylators

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27
Q

night stick fracture

A

monteggia - strike up the proximal ulnar side of forearm

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28
Q

renal problem with “wire loop” lesions

A

SLE class 4 lupus nephritis

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29
Q

membranous glomerulonephritis in lupus

A

class 5

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30
Q

impaired delivery of NaCl to the macula densa results in what production and outcome

A

PGE2 -> stimulates renin release, electrolyte derangement

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31
Q

how do sulfonyureas work

A

increase insulin secretion by closing ATP-gated K channel in pancreatic beta cell membranes which causes Ca2+ channels to open and release insulin

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32
Q

trying to diagnose meckles in a teenager - what scan is best

A

CT > technetium-99

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33
Q

Apt test

A

fetal maternal blood swallowing

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34
Q

erisypelas is MCC by

A

s pyogenes

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35
Q

heart problem in infants where mom already had diabetes before conception

A

transposition of the great vessels

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36
Q

what does a VSD sound like

A

holosystolic murmur at the left sternal borner

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37
Q

increase what in ToF

A

SVR

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38
Q

MCC of erythema nodosum

A

strep pharyngitis

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39
Q

painful erythemetous nodules on the anterior portion of the tibia

A

erythema nodosum

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40
Q

clicky hip in newborn that is still there at 4 weeks

A

DDH - do u/s

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41
Q

treatment for developmental dysplasia of the hip

A

harness

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42
Q

6 year old with antalgic gait and doesn’t want to put weight on a leg

A

Legg-Calve-Perthes

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43
Q

treatment for LCP disease

A

casting

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44
Q

13 year old with non-traumatic joint pain

A

slipped cap - get a frog leg XR

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45
Q

hip pain in a child after a viral illness

A

transient synovitis - supportive care, come back in 2 days

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46
Q

osteocondrosis other name

A

osgood slatter

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47
Q

pin point tenderness in a teenage athlete

A

osgood slatter/osteochondrosis

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48
Q

teenage girl with dyspnea and one shoulder is higher than the other

A

scoliosis

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49
Q

translocation of 11;22 with a an onion skin appearance on the mid shaft of the femur

A

Ewing sarcoma

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50
Q

sunburst pattern on the distal femur and Rb gene

A

osteosarcoma

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51
Q

leukocyte alkaline phosphate - CML vs leukemoid reaction

A

low in CML - because it shows neutophil activity and they aren’t doing a whole lot in CML

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52
Q

BZD you should use in etoh withdrawl

A

Lorazepam becuase its good with Liver dysfunction

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53
Q

pt with profound hypotension after an OD - what to give

A

glucagon

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54
Q

cataracts day one vs not day one

A

day one - TORCH

not day one - galactosemia

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55
Q

treatment for torsades de pointes

A

mg2+

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56
Q

dysmorphic RBCs or RBC casts

A

glomerular nephritis

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57
Q

imaging for reflux in peds

A

VCUG

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58
Q

imaging for kidney stones

A

non con CT

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59
Q

PUV is most similar to what adult condition

A

BPH

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60
Q

what will you see on u/s for UPJO

A

hydroureter not hydronephrosis

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61
Q

child with recurrent UTI and pyelo, u/s shows hydro

A

vesiculouretral reflex

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62
Q

no urine on day one

A

PUV

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63
Q

female child who is never dry, constant urinary leak

A

ectopic ureter

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64
Q

child pt has had 1 UTI vs 4?

A

1 - do an u/s

2+ - do VCUG

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65
Q

pain after mass diuresis like first etoh consumption in teenager

A

UPJO - diagnose with u/s

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66
Q

B12 deficiency looks exactly like what chldhood genetic disease

A

friedrichs ataxia

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67
Q

normal hgb

A

alpha2 beta2

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68
Q

embyonic hgb

A

alpha2 delta2

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69
Q

fetal hgb

A

alpha2

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70
Q

acute chest is what

A

pulmonary embolism - give exchange transfusion

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71
Q

treatment for CVA in someone SS disease

A

exchange transfusion

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72
Q

recurrent sinopulmonary infections with no IgA, IgG

A

XLA - Brutons

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73
Q

anaphylaxis to a transfusion

A

IgA deficiency

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74
Q

XLA presentation but in a teenager, not a baby

A

CVID

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75
Q

child with frequent fungi and PCP infx with low set eats and small face

A

DiGeorge - give the missing thymus and Ca

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76
Q

Eczema and low platelets in a child

A

Wiskott Aldrich

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77
Q

cellular failure in CGD

A

macrophages

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78
Q

giant granules in neutrophils

A

chediak higashi

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79
Q

spontaneous non-drug related angioedema

A

C1esterase

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80
Q

type of cancer in cervical cancer

A

SCC

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81
Q

type of cancer in endometrial cancer

A

adenocarcinoma

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82
Q

treatment for endometrial cancer

A

total abdominal hysterectomy and bilateral salpingoophorectomy

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83
Q

types of chemo used in gyne cancers

A

platinum agents

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84
Q

young person with endometrial cancer - look for what

A

PCOS or granulosa-theca cell tumor

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85
Q

treatment for endometrial hyperplasia

A

progesterone therapy

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86
Q

type of cancer most likely in ovarian cancer

A

epithelial

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87
Q

how to track progress of dysgerminoma of ovary

A

LDH

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88
Q

MC occurence of germ cell tumors

A

adolescent female

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89
Q

treatment for germ cell tumor in female

A

unilateral salpingoophorectomy

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90
Q

serous, mucinous, endometriod and BRenners cancers are what

A

cystadenoma carcinoma of the ovarian epithelial cell

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91
Q

post menopausal woman with ascites with no liver disease

A

epithelial cell ovarian cancer

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92
Q

stromal cell tumors

A

granulosa theca and sertoli-leydig

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93
Q

granulosa cell tumor has what

A

estrogen

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94
Q

sertoli leydig tumor has what

A

testosterone

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95
Q

MC ovarian mass in adolescent/young girl

A

granulosa theca

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96
Q

grape like mass in uterus

A

DES in utero

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97
Q

MCC of sudden onset DOE in someone with COPD

A

ruptured alveolar bleb

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98
Q

symmetrically enlarged uterus that is tender, boggy and globular

A

adenomyosis

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99
Q

urine pH >8 suggests what

A

urease + bacteria like proteus or klebsiella

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100
Q

cancers associated with lynch syndrome

A

colorectal
endometrial
ovarian

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101
Q

cancers associated with FAP

A

colorectal, osteomas, brain

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102
Q

cancers associated with von Hippel Lindau

A

hemangioblastomas, RCC, pheo

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103
Q

cancers associated with MEN1

A

parathyroid, pituitary, pancreatic

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104
Q

cancers associated with MEN2

A

medullary thyroid, pheo, parathyroid hyperplasia

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105
Q

first line meds for hypertensive emergency in pregnancy

A

labetolol unless HR <60 then hydralazine

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106
Q

treatment for postpartum endometritis

A

clindamycin and gentamicin

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107
Q

child with cyanotic heart problem and seizures and sinusitis

A

brain abscess from hematogenous spread of sinusitis bacteria

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108
Q

earliest renal dysfunction in diabetes pts

A

glomerular hyperfiltration

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109
Q

mammary pagets disease is what kind of cancer

A

adenocarcinoma

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110
Q

next step in suspecting GBS

A

spirometry to assess lung function - even if it seems like breathing is fine, if breathing is not fine, intubate

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111
Q

ipratropium is what kind of medicaiton

A

antimuscarinic

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112
Q

Highest risk for LV thrombus post STEMI

A

large anterior ST elevation MI

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113
Q

limb ischemia after MI suggest what

A

arterial embolus from LV

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114
Q

increase the murmur of HOCM

A

valsalva

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115
Q

murmurs where decreasing preload (valsalva or abrupt standing) increases the murmur

A

HOCM and MVP

116
Q

things that decrease preload

A

valsalva, abrupt standing, nitro

117
Q

things that increase preload

A

squatting, passive leg raise

118
Q

things that increase afterload

A

hand grip, squatting

119
Q

what increases both afterloadand preload

A

squatting

120
Q

why can you not give someone nitro with right MI

A

nitro decreases preload and right MI is preload dependant

121
Q

prevention measures for migraine

A

topiramate, propranolol, amitriptylene

122
Q

liver disease that is strongly associated with UC/IBS

A

PSC

123
Q

ovaries are supplies by what (arterial)

A

directly from the aorta

124
Q

ligament in ovarian torsion

A

suspensory ligament of ovary

125
Q

uterine arteries come from where

A

iliac arteries

126
Q

postpartum hemorrhage size

A

500cc in vaginal birth

1000cc in c-section

127
Q

medications to stop uterine hemorrhaeg

A

oxytocin (first choice)

128
Q

surgical fixes for post partum hemorrhage

A

uterine artery ligamentum
or internal iliac ligation
finally TAH

129
Q

ligament with ovarian vascular supply

A

suspensory ligament of ovary

130
Q

ligaments that need to be cut in TAH

A

uterosacral ligaments (looks like ureters)

131
Q

ligament that connects ovary to side wall

A

cardinal ligament

132
Q

pelvic floor relaxation comes from what ligament problem

A

cardinal

133
Q

anterior falling in vagina

A

cystocele

134
Q

posterior falling in vagina

A

rectocele

135
Q

cervix is way too close to vaginal opening

A

uterine inversion - TAH

136
Q

size of small vs large ovarian cysts

A

<10/>10

137
Q

HUGE ovarian cyst

A

teratoma

138
Q

treatment for ovarian teratoma

A

cystectomy - they’ll recur but don’t BSO unless she’s older

139
Q

if you can’t use OCP in endometriosis, use what

A

GnRH analog (lueprolide)

140
Q

u/s should show uterine pregnancy at what bhcg

A

1500-2000

141
Q

when can you use MTX for etopic

A

<5000 beta quant, <3cm GS and no heart tones

142
Q

diagnosis for ovarian torsion

A

u/s with doppler to see arterial flow as well

143
Q

WBC on wet prep with fever and pelvic pain

A

TOA/PID

144
Q

in patient PID treatment

A

cefoxitin, doxy and MTZ is preferred

145
Q

stress incontinenece is found only in who

A

women, you need a cardinal ligament for this

146
Q

cystocele is associated with what type of incontinence

A

stress incontinence

147
Q

overflow incontinece is also known as what

A

hypotonic/neurogenic bladder - absent detrusor contractions

148
Q

bethanachol vs oxybutinin used for

A

bethanachol - hypotonic bladder

oxybutinin - hypertonic bladder

149
Q

what to give in an acute bleed of the uterus

A

IV estrogen

150
Q

first diagnostic step in precocious puberty

A

xray of the wrist - if bone age is too great move to GnRH stim test

151
Q

murmur of marfans

A

early diastolic (aortic regurg)

152
Q

alcohol quitting drugs

A

acamprosate for when you’ve already set up camp in the abstinence dept
naltrexone for people still drinking but not opiod users

153
Q

amphetamine vs anticholinergic poisoning

A

anticholinergic will have more consistent delirium not anger and will have dry mucous membranes

154
Q

hormone that regulates periods

A

progesterone

155
Q

absent uterus, normal ovaries

A

Mullerian agenesis

156
Q

absent uterus, ovaries, top part of vagina with cryptorchic testes

A

androgen insensitivity

157
Q

pt with UC and coexisting elevated alk phos

A

PSC

158
Q

differentiate pt with hyperpigmentation of the skin and determine whethere addisons or hemochromotosis

A

hyperglycemia in hemo

hypoglycemia in addisons

159
Q

reentrant ventricular arrhythmia is aka

A

vfib

160
Q

beta quant fails to double after not being seen on u/s

A

ectopic

161
Q

LH/FSH ratio of greater than 3:1

A

PCOS

162
Q

estrogen vs testosterone secreting tumors in women

A

estrogen - germ cell

testosterone - sertoli-leydig

163
Q

bone age is 2 or more years greater than actual age

A

precocious puberty

164
Q

GnRH stim test shows increased LH in 7 year old girl with pubertal onset

A

get an MRI either tumor or constitutional - give leuprolide if constitutional

165
Q

GnRH stim test is LH negative in 7 year old girl with pubertal changes

A

U/S abdomomen, check 17-OH, DHEAS, testosterone

166
Q

FSH and LH elevated in 16 year old girl without menarche

A

hypergonadatropic look at karyotype

167
Q

FSH and LH are not increased in 16 year old girl without menarche

A

look at proloactin, TSH, UPT, CBC, LFT, ESR, MRI - hypogonadatropic

168
Q

LH and FSH very elevated in woman that doesn’t have menarche

A

turners syndrome

169
Q

difference between Mulerian agenesis and AIS

A

Same on the outside, on the inside AIS will have testes that need to be removed

170
Q

increase in proloactin foes what to GnRH

A

shuts it off

171
Q

progesterone challenge causes bleeding

A

PCOS

172
Q

progesterone challenge does not cause bleeding

A

give estrogen and progesterone - if no bleeding - Ashermans

if bleed - signal is missing

173
Q

FSH/LH is increased after negeative progesterone syndrom

A

savage or menopause

174
Q

Pt with chronic pancreatitis and pain in the epigastrum with jaundice

A

U/S - pancreatic cancer in head

175
Q

pt with chronic pancreatitis with pain in epigastrum w/o jaundice

A

CT - pancreatic cancer in body or tail

176
Q

Pertussis prophylaxisis

A

macrolide

177
Q

abx associated with pyloric steonsis

A

erythromycin

178
Q

slow rising weak carotid pulse - murmur?

A

AS

179
Q

single soft S2

A

AS

180
Q

hydatid liver cyst with septations in south american farmer

A

eichinococcus granulosus - dog tape worm from sheep

181
Q

how to decrease calcium stones

A

increase liquid intake and decrease sodium

182
Q

hypoglycemia, doll face, lactic acidosis, seizures in 4 months old child

A

von gierkes

183
Q

mechanism of von gierkes

A

impaired glycogen to glucoseresulting in glycogen accumulatin in organs

184
Q

antipsychotic least likely to cause TD

A

clozapine

185
Q

treatment for early tremor in parkinsons

A

trihexaphenidyl

186
Q

pt sees wavy lines

A

macular degeneration

187
Q

mcc of constrictive pericarditis in developing countries

A

TB

188
Q

pt with recent onset of wheezing and trouble breathing - takes ASA, ACE-i, statin, albuterol, never had wheezing befor

A

ASA induced

189
Q

ASA induced asthma is what kind of reaction

A

non-IgE

190
Q

initial management of PAH

A

ACE-i, loops

191
Q

abdominal radiopgraph with free air under hte diaphragm in someone with abdominal pain

A

ruptured ulcer

192
Q

what is the murmur in ToF

A

stenosis of the pulmonary artery - harsh crescendo decrescendo murmur

193
Q

most common TEF

A

C type

194
Q

fever during the surgery

A

malignant hyperthermia

195
Q

fever right after suregry

A

bacteremia - probably an error in surgery

196
Q

dx bacteremia

A

blood culture

197
Q

fever post op day 1

A

atelectasis - get a CXR

198
Q

fever post op day2

A

pneumonia - HAP

199
Q

fever post op day 3

A

UTI - unless with white cell casts, probably had it before

200
Q

fever post op day 5

A

DVT/PE - particularly ortho

201
Q

treat a DVT/PE in hospital

A

heparin to warfarin bridge

202
Q

post op day 7 fever

A

cellulitis from the wound - check u/s for abscess

203
Q

post op day 10-14 fever

A

abscess - get an u/s or CT - incision and drainage

204
Q

enzyme used for reinfarction for MI 18 hours later

A

CKMB

205
Q

obstructive jaundice with heme positive stool

A

ampullary cancer

206
Q

unilateral bloody nipple breast discharge with no lump

A

intraductal papilloma - usually benign

207
Q

MRCP vs ERCP in choledocholithiasis

A

ERCP for stone removal, MRCP if transaminitis (w/o cholangitis)

208
Q

can’t give which anticoag in antithrombin deficiency or anticardiolipin in pregnancy

A

warfarin

209
Q

soft S2, diminished carotid pulse, mid late systolic murmur

A

AS

210
Q

crescendo decrecendo murmurover L second intercostal with wide split S2

A

pulmonic stenosis

211
Q

best study for incidence

A

cohort

212
Q

increased cap permeability - type of effusion

A

exudative

213
Q

decreased oncotoic pressure or increased hydrostatic pressure - what kind of effusion

A

transudate

214
Q

congenital cataracts day one vs not day one

A

day one - TORCH

not day one - galactosemia

215
Q

white thing at the front of eye vs back of eye

A

front - cataract

back - retinoblastoma

216
Q

dilated nonreactive hard pupil - sudden onset

A

closed glaucoma

give alpha agonist and beta blocker (activate alpha, block beta)

217
Q

orbital cellulitis in DM/DKA

A

give apmphoteriin B for mucor coverage

218
Q

painless unilaterla loss of vision in 75 year old hypertensive man with no other FND

A

retinal artery occlusion

219
Q

loss of central vision

A

macular degeneration

220
Q

best first test for brain cancer suspect

A

MRI with contrast

221
Q

posterior brain tumors

A

meduloblastoma and ependmoma

222
Q

anterior brain tumors

A

glioblastoma and meningioma

223
Q

ring enhancing lesion in bat wing formation in the brain

A

glioblastoma

224
Q

nausea vomiting hearing loss and tinnitis if a brain tumor what is it

A

schwannoma

225
Q

kid with headaches and fetal position relieves them

A

hydrocephalus caused by ependymoma or meduloblastoma

226
Q

child with bent thumbs, WBC of 3000, platelets of 40k, and hypopigmentatioan

A

fanconi anemia

227
Q

reason for increased cancer risk in fanconi anemia

A

DNA chromosomal breaks

228
Q

lumbar step off and back pain in adolescent male child

A

spondylolisthesis

229
Q

studies for first febrile UTI in child <24 months

A

renal and bladder ultrasound

230
Q

metabolic derangement in Addisons disease (acid base)

A

non gap met acid

231
Q

metabolic derangment in TB (acid base)

A

non gap met acidosis becuase of addisons disease

232
Q

alanine is converted to waht during gluconeogenesis

A

pyruvate

233
Q

diagnosis of subclinical hypothyoridism, what next

A

anti TPO ab titer

234
Q

unexplained HF and proteinuria in someone with no HTN hx

A

amyloidosis

235
Q

cause of TD

A

dopamine D2 receptor super sensitivity

236
Q

what hormone is levonorgesterol

A

progesterone

237
Q

best anticoagulant in someone with a low GFR <30

A

unfractionated heparin

238
Q

who is most likely to have RTA 4

A

poorly controlled diabetics

239
Q

low bicarb with hyperk (acid base)

A

metabolic acidosis

240
Q

calc the gap

A

(Nackelbee) Na+Cl+bicarb

241
Q

firm nodular prostate

A

cancer

242
Q

how to bx a prostateq

A

transrectal

243
Q

whole RBCs vs dysmophic RBCs in hematuria

A

whole - somewhere in the GU system after the kidneys

dysmorphic - glomerular

244
Q

X-ray 24 hours after pulmonary trauma with unilateral white out

A

Pulmonary contusion tx with colloids, PEEP

245
Q

Diagnosis for aortic dissection

A

CT a bio maybe TEE or MRI

246
Q

Treatment for flair chest

A

Binders and weights

247
Q

ALT >150 in a woman with pancreatitis

A

gallstone pancreastitis

248
Q

treatment for gallstone pancreatitis

A

cholecystectomy

249
Q

mc disloactaton of the shoulder

A

anterior

250
Q

external abducted shoulder

A

anterior dislocation

251
Q

abducted internally roatated shoulder

A

posterior dislocation

252
Q

dorslly displaced wrist fracture

A

colles

253
Q

ulna breakage and radius dislocation (upward block of a downward blow)

A

monteggia

254
Q

radius break, ulna dislocated (downward block of an upward blow)

A

galezzia

255
Q

factue of the femoral head needs what

A

prosthesis

256
Q

fracture of intrtrochanter needw what

A

plates

257
Q

valgus stress is what

A

laterl injures the MCL

258
Q

knee pain that clicks on extension

A

meniscus

259
Q

tx for anion gap alcohol ingestion

A

fomepizole or etoh

260
Q

anion gap alcohols

A

ethylene alcohol and methanol

261
Q

alcohol with glowing woodlamps

A

ethylene glycol

262
Q

Dilated loops of bowel on infant X-ray

A

Me onion ileum

263
Q

Absent radius

A

Thrombocytopenia absent radius, fanconi anemia, holt oram

264
Q

Bx of erythema toxicum

A

Eosinophils

265
Q

Facial capillary malformation at V1 V2

A

Sturge weber

266
Q

Port wine stain in newborn

A

Capillary malformations

267
Q

Lung cancer screening

A

CT scan

55-80, 30 pack year, quit less than 15 years ago

268
Q

more than a mg of acetaminophen

A

use NAC

269
Q

tx for OD aspitin

A

alkalize the urine

270
Q

pulse ox 100% in someone with n/v and HA after fire

A

carbon monixide poisoning, use ABG to diagnose

271
Q

cherry red skin or cherry red blood after a fire

A

cyanide poisonng

272
Q

treatment diff cyanide poisoning

A

fire - don’t use amyl nitrate

chemical - can use amyl nitrate or thisulfate

273
Q

block organophospathae

A

atropine and praladoxime

274
Q

Nausea vomiting and hypo active or absent bowel sounds

A

Paralytic ileum

275
Q

Basilar predominant COPD

A

Alpha 1 antitrypsin

276
Q

Peripheral edema, increased JVP, prominent a wave, loud s2, right sided heave, pulsatilla liver, tricuspid regurgitate

A

Cor pulmonale

277
Q

Pulmonary hypertension with RBBB, and right axis deviation

A

Cor pulmonale

278
Q

How to diagnose cor pulmonale

A

Right heart cath

279
Q

Mitral problem in HOCM

A

Abnormal mitral leaflet motion from contacting the thickened septum from systolic anterior motion and leads to left ventricular outlet obstruction

280
Q

Someone with fever and confusion after CTA

A

Thyrotoxicosis

281
Q

Male child with antalgic gait

A

Legg calves perthes disease

282
Q

Hematocrit of >65% in newborn with respiratory distress

A

Policy themes

283
Q

When to prescribe a statin to a newcomer

A

> 7.5% 10 year risk of ASCVD aged 40-75

284
Q

Nausea vomiting decreased appetite diarrhea in someone with afib

A

Digoxin toxicity

285
Q

Deceased lung volume, decreased diffusion lung capacity and normal FEV1/FVC ratio

A

Restrictive pattern

286
Q

Pt with slurred speech, unsteady gait, drowsiness with 5mm reactive pupils

A

Benzo tox

287
Q

Treatment for food borne botulism

A

Equine derived antitoxin

STEP 2 (5 decks)

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