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Medicine > step 3 14 > Flashcards

step 3 14 Flashcards

1
Q

cardiovascular risk of SLE

A

significant risk factor for the development of premature coronary atherosclerosis and coronary artery disease in young women. Cardiovascular events are the leading cause of mortality in patients with SLE.

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2
Q

conservative measures to prevent acute otitis media

A

Cessation of smoking, continuation of breastfeeding, avoidance of day care, and discontinuation of pacifier use

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3
Q

primary complication of intussusception reduction

A

intestinal perforation (get radiograph)

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4
Q

tPA window

A

4.5 hours

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5
Q

target BP ranges in acute stroke

A

Target BP (Permissive HTN)
220, 180, 140
no tPA, tPA, hemorrhagic

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6
Q

CLL presentation

A

lymphadenopathy, organomegaly, and anemia/thrombocytopenia

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7
Q

fastest acting ace-i, also easy to titrate

A

enalapril

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8
Q

bad prognostic findings in CLL

A

anemia/thrombocytopenia

HSM

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9
Q

strep throat treatment duration

A

penicillin x 10 days

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10
Q

cocaine toxicity management

A 
Benzodiazepines & nitroglycerin
Beta blockers contraindicated
CCBs for persistent chest pain
Phentolamine for persistent hypertension
± PCI for myocardial infarction
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11
Q

hypercalcemia system

A

adjust for albumin → PTH + repeat calcium to confirm

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12
Q

mortality risk with elderly dementia patients

A

elevated

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13
Q

JME presentation

A

upper extremity morning myoclonus and subsequent generalized tonic-clonic seizures.

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14
Q

JME treatment

A

valproic acid

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15
Q

MMR contraindications

A

(LIVE)
Anaphylaxis to prior MMR vaccination, neomycin, or gelatin
Immunodeficiency (eg, HIV with CD4 <200/mm3, leukemia)
Pregnancy

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16
Q

standard composition for enteral feeds

A

30 kcal/kg/day and 1 g/kg/day of protein

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17
Q

transverse myelitis presentation

A

Rapidly progressive weakness of the lower extremities following an upper respiratory infection, accompanied by sensory loss and urinary retention.

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18
Q

bacterial conjunctivitis treatment

A

erythromycin ointment or polymyxin-trimethoprim drops. However, fluoroquinolones are preferred for contact wearers due to higher risk for pseudomonal infection

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19
Q

most common complication of bacterial conjunctivitis in patients who wear contacts

A

Keratitis, or inflammation of the cornea

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20
Q

comorbidity of all spina bifida

A

neurogenic bladder

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21
Q

poor antidepressant response usually due to…

A

substance use

22
Q

latency period in research

A

period before which effect becomes noticeable

23
Q

RCA steps

A

1) Collect data
2) Create causal factor flow chart
3) Identify root causes
4) Generate recommendations & implement changes
5) Measure success of changes

24
Q

A good screening test is one with..

A

high sensitivity + high specificity

25
Effects of licorice root
inhibit the conversion of cortisol to cortisone. This leads to increased activation of mineralocorticoid receptors. Clinical manifestations include hypertension, hypokalemia, and metabolic alkalosis.
26
antihypertensive with photosensitivity side effect
thiazides (any sulfonamide can cause photosensitivity)
27
difference between squamous cell carcinoma and esophageal adenocarcinoma
Esophageal adenocarcinoma is found primarily in the lower esophagus and is associated with chronic gastroesophageal reflux and Barrett's esophagus. Squamous cell carcinoma is often seen in patients who use alcohol and tobacco chronically and is usually located in the upper esophagus.
28
most common anaerobe in human bites
Eikenella corrodens
29
first line for warts
Topical salicylic acid
30
meds that can interact with digoxin and cause digoxin toxicity
quinidine, amiodarone, and spironolactone.
31
treatment of photoaging
tretinoin (reduces wrinkles, brown spots, AKs)
32
complicated UTI treatment
ciprofloxacin x 7-14 days
33
acute uncomplicated UTI treatment
Nitrofurantoin for 5 days (avoid in suspected pyelonephritis or creatinine clearance <60 mL/min) Trimethoprim-sulfamethoxazole for 3 days (avoid if local resistance rate >20%) Fosfomycin single dose
34
abx contraindicated in pregnancy
Tetracyclines Fluoroquinolones Trimethoprim-sulfamethoxazole
35
UTI abx for pregnant patients
fosfomycin, and amoxicillin-clavulanate
36
kawasaki presentation
conjunctivitis, mucous membrane changes, rash, lymphadenopathy, and extremity edema/erythema
37
kawasaki treatment
IVIG + aspirin
38
problem with IVIG
composed of pooled antibodies and can alter a person's normal immune response to live vaccines. Because of this, live vaccines should not be administered for 11 months after treatment of Kawasaki disease.
39
hypothyroidism and surgery eval
proceed with surgery
40
impt SE of levo
increases myocardial ischemia
41
staging of medullary thyroid cancer
CT scan of the neck and chest
42
when you can fire a patient
- have to take care of patient until patient finds another provider - have to provide patient with options for finding another provider
43
colonoscopy recommendations based on polyps
- Patients with >3 polyps, large polyps (1-2 cm), villous adenomas, or adenomas with high- grade dysplasia should have repeat colonoscopy in 3 years. - Patients with very large polyps (>2 cm) or carcinoma in-situ should have a second-look colonoscopy in 2-6 months to verify complete excision. - Patients with familial adenomatous polyposis are at especially high risk and should have annual colonoscopy.
44
management of Absent or reversed umbilical artery end-diastolic flow
induce labor
45
fibromyalgia workup
complete blood count, erythrocyte sedimentation rate, TSH
46
acutes stress disorder vs PTSD
ASD is the start of PTSD but lasts for less than a month
47
kappa statistic meaning
extent to which inter-rater agreement is an improvement on chance agreement alone. It is a quantitative measure of inter-rater reliability.
48
manage of patients with intellectual disability
assess for guardianship
49
saw palmetto use
BPH
50
garlic use
hypercholesterolemia

Medicine (71 decks)

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