Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Medicine > step 3 31 > Flashcards

step 3 31 Flashcards

1
Q

preventative care for SCD kids

A

1) transcranial doppler US for stroke prevention. If reduced velocity found, patients sould undergo chronic transfusion therapy.
2) routine vaccines + pneumovax, early meningococcal
3) penicillin for ppx against encapsulated bacteria

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

measles presentation

A
  • prodrome of fever, cough, coryza, conjuctivitis then dark-red maculopapular rash that progress cephalocaudally
  • spares palms/soles
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

measles treatment

A

supportive

vitamin A

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

complications of monochorionic diamnotic twin gestations

A

increased risk for twin-twin transfusion syndrome (arteries and veins on placenta anastomose)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

complications of monochorionic monoamniotic gestations

A

cord entanglement (since the grow in the same sac, cords can become entangled)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

risk of multiple gestations

A

increased risk of preterm delivery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

complications of OSA

A

HTN, CAD, arrhythmias, heart failure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

indications for CT scan after minor head trauma

A 
Age over 65
Coagulopathy
Drug or alcohol intoxication
High risk injury mechanism
High risk symptoms (amnesia, vomiting, seizure, HA, AMS, neuro deficits)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

ARDS pathophys

A

lung injury leads to inflammation leads to increased pulmonary vascular permeability leads to fluid leakage into alveoli

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

ARDS clinical features

A

Patient with infection, trauma, massive transfusion, acute pancreatitis with acute onset respiratory distress and pulmonary edema not explained by HF
- also hypoxemia and bilateral lung opacities on imaging

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

ARDS ventilator management

A

Low TV (6-8 mL/kg) + high PEEP (10-20) + high FiO2 (maintain FiO2 less than 60% to avoid oxygen toxicity)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

how to wean someone off ventilator

A
  • Once oxygenating on low levels of PEEP, then decrease FiO2 to less than 40% before spontaneous breathing trial and extubation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

other treatments for bipolar disorder

A

alternatives to lithium = lamotrigine, valproate

antipsychotics = quetiapine, lurasidone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

HIT workup

A

Platelet factor 4 (HIT) antibody testing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

unique features of postpartum depression

A
  • inability to enjoy the infant

- persistently depressed mood

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

treatment of patient’s in respiratory failure who are DNR/DNI

A

opiates (MORPHINE). Opiates treat the sensation of dyspnea and air hunger that people feel at the end of life. Even though they cause respiratory depression.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

acalculous cholecystitis clinical features

A

critically ill/ICU patient with unexplained fever + leukocytosis + jaundice

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

acalculous cholecystitis on imaging

A

gallbladder wall thickening without choleliths

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

acalculous cholecystitis management

A

percutaneous cholecystostomy (drainage)

20
Q

nonreactive fetal NST suggests

A

fetal acidemia

21
Q

other clinical relevance of anti-CCP antibodies

A
  • associated with a more aggressive course (increased risk of rapidly progressive RA with joint erosions)
  • also true for RF
22
Q

neonatal polycythemia management

A

Monitor blood glucose + bilirubin (at risk for hypoglycemia and hyperbilirubinemia)
IV fluids
Glucose
Partial exchange transfusion

23
Q

complications of sickle cell trait

A
  • hematuria/papillary necrosis, hyposthenuria
  • splenic infarction (at high altitudes, low oxygen tension can precipitate sickling), VTE, priapism
  • exertional rhabdo
  • overall risk is low
24
Q

treatment of hydatiform mole

A

suction curettage

25
Q

complications of hydatidiform mole

A

amenorrhea, hyperthyroidism, enlarged uterus

26
Q

complications of intrauterine fetal demise

A

increased risk for DIC (placenta releases thromboplastin (tissue factor) into the maternal circulation, which triggers maternal coagulation pathway.

27
Q

athlete’s heart vs HOCM

A

LVH (with increased QRS voltage and inverted T waves) can be seen in both, but presyncope/chest pain/palpitations requires workup for HOCM with echo

28
Q

other features of otitis externa

A
  • discharge + pruritus + possible hearing loss + debris in canal
29
Q

most common pathogens in otitis externa + management

A

pseudomonas (thus explaining why quinolones often used)
staph aureus
- IF ear canal is inflamed, may receive combined topical glucorticoid

30
Q

Management of depressed phase of bipolar illness

A

lamotrigine, second generation antipsychotis (quetiapine, lurasidone)

31
Q

complications of NPPV

A
  • people with underlying lung disease (COPD) can develop pulmonary barotrauma , including pneumos, pneumoperitoneum, pneumomediastinum, and subcutaneous emphysema
32
Q

subcutaneous emphysema presentation

A

sudden, painless soft tissue swelling in the upper chest, neck, and-or face

  • crepitus on exam
  • self-limiting, not a big deal
33
Q

initial assessment of BPH

A

DRE
UA
PSA

34
Q

postterm delivery

A

later than 42 weeks

35
Q

early deceleration suggests

A

fetal head compression

36
Q

common cause of variable decels

A

umbilical cord compression

37
Q

late decels common cause

A

fetal distress, fetal hypoxia

38
Q

threatened miscarriage

A

closed cervix + fetal heart tones

39
Q

inevitable miscarriage

A

dilated cervix + painful contractions

40
Q

missed miscarriage

A

nonviable intrauterine pregnancy

41
Q

incomplete miscarriage

A

nonviable pregnancy with some tissue still in uterus

42
Q

complete miscarriage

A

empty uterine cavity following spontaneous abortion

43
Q

most common fetal causes of IUGR

A

Chromosomal abnormalities
CMV infection
Placental abnormalities

44
Q

most common maternal causes of IUGR

A

HTN
Cigarettes
SLE

45
Q

fetal malpresentation management

A
  • follow (usually self-limiting)

- ECV at 37 weeks

46
Q

neonatal sepsis management

A

ampicillin + cefotaxime

47
Q

complicated UTI’s

A

Man
Diabetic
Underlying urologic abnormalities (kidney stones, strictures, stents)

Medicine (71 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions