Step 3 Flashcards
Radioactive iodine uptake of Subacute thyroiditis, iodine exposure, exogenous use
low
Trich features
Pear shaped, ph greater than 4.5
Number needed to treat
NNT= 1/control group event rate-experimental group rate
Treat TB pregnancy
INH, ridampin and ethambutol for 2 months then inh and rifampin for 7 months
Case control
Participants into groups based on WHO HAS DISEASE!!!. Then assessed for risk factors
Factorial study design
Study type that utilizes 2+ interventions and all combos of the interventions
Cushing syndrome sx
Hypertension, hyperglycemia, mood swings, osteopenia, hypokalemia and metabolic alkalosis
Screen for Cushing
Overnight dexamethasone suppression test or measurement of 24 hour urinary free cortisol
Ssri for adolescent
Fluoxetine
Sx for craniopharyngioma in adult vs child
Adult is sex dysfx and just is growth failure
Ppx for pertussis in household
Everyone even if vaxed. Azithro
Follow up for Barrett esophagus
No dysplasia 3-5 years, low grade dysplasia 6-12 mo. High grade eradication therapy
Polycythemia in newborns risk factors
Post term, SGA, infant of DM, monochorionic twins, and chromosome abnormalities
Primary hyperparathyroid labs
High calcium and low phosphate
PCA aneurysm findings
CN 3 palsy. Ptosis and anusocoria.
Erysipelas def and tx.
Caused by strep pyogenes. Fever with rapid erythema well demarcated borders. Tx with a penicillin
Treat tet spell
Increase SVR, Knee to chest position
VACTERL
vertebrae, anal, cardiac, trachea esophageal, renal, radial bone, limb defects
Treat tic paralysis
Remove tic
Previously vaccinated person exposed to rabies
Only a 2 dose booster of vaccine.
Complications of MRSA bacteremia
Metastatic infections: heart valves, lungs, osteoarticilar, particularly vertebral osteomyelitis
Indications for thrombolysis in Pe
Hemodynamic instability, severe right ventricular dysfx, large clot burden, free right side cardiac thrombus
Management of partial Kawasaki, fever for 5+ days and <=3 sx
Get CRP and ibuprofen and re examine next day
How long no live vaccines after tax Kawasaki
11 months
Scrombroid poisening def, sx, tx
Def: ingestion improperly stored seafood. Sx: flush, abdominal cramps, HA, palpitations, diarrhea. Tx: self limit
Hypoglycemia s/e diabetes Med
Sulfonureas and meglitinides
Rheumatic fever, good pasture, ITP, myasthenia gravis, graves, pemphigud vulgaris
Type II hypersensitivity
Transient erytheoblastopenia of childhood
Normocytic, normochromic anemia in healthy toddler. Tx supportive unless Hgb 5>
Size concerning for melanoma
6 mm
First step in eval hypercalcemia
PTH even if suspect malignancy
Initial test to determine if patient has excess androgen production due to adrenal neoplasm
DHEAS
What use prostaglandin E1 for and s/e
Used to keep PDA open in ductus dependent heart diseases. S/e apnea, bradycardia, hypotension
Prsentation of Guillian Barre
Ascending weakness and arreflexia
SAAG Formula and causes
SAAG=Serum albumin-ascitc albumin. Greater than 1.1: portal HTN: CHF, cirrhosis, alcoholic heptitis
Less than 1.1: no PH: peritonial carcinomastosis, peritoneal TB, nephrotic syndrome, pancreatitis
Age to refer for orchiopexy for indescended testes
6 mo
Tx optic neuritis
IV steroids, oral has risk of recurrence
Tx muscle spacity in MS
Baclofen or tizanidine
Def and eval of delayed puberty in boys
Lack of testes enlargment by age 14; bone age and FSH, LH, Testosterone
Histrionic personality disorder
Excessive superficial emotion, attention seeking, secual behavior
Define second atage labor arrest
No fetal descent after nulli pushes for 3+ without or 4+ with epidural
Tx latent syphillis
3x weekyl pennicillin G
Tx of asymptomatic lead
5-44: nothing
45-69: meso-2,3-dime (DMSA)
70+: dimercaprol + EDTA
LH in central vs perioheral precocious puberty
High in central low in peripheral
Relative risk equation
Risk of outcome in exposed group/risk of outcome in nonexposed
SIADH assoc with which lung cancer
Small cell
Calcium-albumin correction
Calcium decrease 0.8 for every 1 decrease in albumin
Complications of hyperthyroid
Arrhythmia, cardiomyopathy, osteoporosis
Treat BV
Clinda or metro
What is raloxifene
Selective estrogen modulator for breast cancer chemo and osteoporosis
Treat mastitis
Dickoxacillin or cephalexin
Tx first line fir breast abscess
Fine needle aspiration
Positive predictive value equation
PPV= TP/(TP+FP)
Length time bias
When survival benefits of screening test are overstated cause of detection of lots of slowly progressive benign cases
Suspect PJP and Sputum negative
BAL
Abx for PPROM
Amp + azithro
Migrating polyarthalgia, tenosynovitis, dermatitis (pustular lesions)
Disseminated gonnococcal infection
Dyspepsia without other sx
H pylori testing
Proximal muscle weakness, high CK and inflammatory markers
Polymyositis
Pulm complications of polymyositis
Interstitial lung disease, infection, drug induced pneumonitis, resp muscle weakness
Abdominal pain, fat malabsorption, alcohol intake
Chronic pancreatitis, confirm with MRCP
Dx urethral diverticulum
MRI or tranvag Us
FOOSH fxs
Colles (distal radial)(deformity)
Scaphoid (pain in snuffbox)
When tx asymptomatic subclinical hypothyroid besides AB?
Abnormal lipids, sx, or menstrual dysfx
Relative risk reduction
(Risk in unexposed- risk in exposed)/ (risk in unexposed)
Eval gynecomastia
Look at photo
Mechanism of organophosphate poisening
Cholinergic tox by acetylcholinesterase inhib
Dialectal Behavioral therapy for…
Borderline
When get carotid endarterectomy
70+%, >5 yr life, symptomatic
Relative risk
Incidence in exposed/incidence in nonexposed
Cover for in CF
Pseudomonas
Complications of multiple myeloma
Hypercalcemia, renal insuff, infections, lytic lesions, thrombosis, hyoervoscity (rare)
Hypothyroid in pregnancy and tx
See pic
Midline neck mass moves with swallowing
Thyroglossal duct cyst
Parhophys and tx renal osteodystrophy from secondary hyperparathyroid
CKD cause less phos filtration and elevated phos snd low calcium, then elevated PTh. Tx wtih phos restrict
Analgesic nephropathy sx
Hematuria, pyuria, proteinuria, renal colic
Normal caloric response
Deviation of eye to side of stimulus, saccadic correction to midline
Risk for reactive arthritis
Greater in HLA B27 And also salmonella and chlamydia
Management if NSTEMI/Unstable angina
See photo
bilateral polyspike and slow wave activity
juvenile myclonic epilepsy
sx of endometriosis
pelvic pain, DEEP dyspareunia, dysmennorrhea, dyschezia
when do c/s for HIV
viral load >1000
define allergic bronchopulm aspergillosis
hypersensitivity disorder in asthma and CF; reccurent fleeting infiltrates and central bronchiectasis