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Step 3 33 Flashcards

1
Q

Lower GI bleed therapy

A 
fluids
NPO
Transfuse
SCDs
GI consult
colonoscopy
polyethylene glycol for bowel prep
biopsy
high-fiber diet
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2
Q

trauma patient hypotensive workup

A 
EKG 
CXR
C-spine x-ray
CBC
BMP
co-ags
troponin
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3
Q

trauma patient therapy

A

IV fentanyl

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4
Q

complete heart block therapy

A

atropine IV
transcutaneous pacemaker
Consult cardiology

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5
Q

rhabdo workup

A 
CPK
Ionized calcium
Serum mag
serum phos
serum uric acid
urine myoglobin
coags
I-O's
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6
Q

TB workup

A 
CBC
BMP
CXR
Sputum gram stain, AFB, culture, and sensitivity
ESR
ECG
LFT's (INH is hepatotoxic)
Optho consult (before starting ethambutol)
Serum uric acid (pyrazinamide)
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7
Q

TB therapy

A 
INH
pyridoxine
Rifampin
pyrazinamide
ethambutol
Counseling (smoking cessation, no alcohol, regular diet)
Notify public health department
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8
Q

TB monitoring and timeframe

A

Repeat AFB until 3 consecutive smears are negative

Followup q1 month with LFTs

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9
Q

prostatitis workup

A 
Admit
CBC
BMP
UA
gram stain, culture, sensitivity
BCX
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10
Q

SLE workup

A 
CBC
BMP
CXR
EKG
ANA
UA
ESR
anti-Ds DNA
complement
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11
Q

SLE therapy

A

Rheum consult
prednisone
Counseling

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12
Q

respiratory infection in SCD kid therapy

A 
D51/2 nS
IV morphine 
IV cefuroxime and IV azithro
IS
Albuterol nebulization
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13
Q

anaphylaxis therapy

A 
Epi (repeat if no response)
Albuterol neb
hydrocortisone IV
Diphenhydramine IV
Ranitidine IV
IF still hypotensive, dopamine 
Allergy consult
OP radioallergosorbent test (RAST)
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14
Q

anaphylaxis workup

A 
ABG
CXR
12-lead
CBC
BMP
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15
Q

orders for EKG with peaked T waves

A

Calcium gluconate
D50 and insulin
Sodium bicarb
Kayexalate

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16
Q

ADPKD therapy

A

Counsel
EPO
BP control
Nephrology consult

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17
Q

back pain workup

A 
CBC
BMP
serum calcium
ESR
Spine x-ray
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18
Q

back therapy

A

toradol if severe

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19
Q

fracture in old lady workup

A

SPEP
TSH
Dexa at follow-up

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20
Q

fracture in old lady therapy

A 
naproxen
calcium carbonate
vitamin D
alendronate
diet
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21
Q

megaloblastic anemia workup

A

serum folate
serum b12
LFT
Retic count

22
Q

megaloblastic anemia treatment

A 
folic acid therapy
b12 therapy
thiamine
multivitamin
iron
patient counseling
23
Q

hypothyroidism workup

A 
CBC
BMP
FOBT
serum TSH
12 lead
IF TSH elevated, confirm with T4
lipid panel
24
Q

urosepsis workup

A 
monitor
UA
Uculture
BCX
CBC
BMP
25
urosepsis therapy
DC foley CTX acetaminophen UOP
26
duodenal ulcer management
``` clarithromycin amoxicillin iron PPI vitamin C No aspirin iron-enriched diet patient counseling ```
27
migraine workup
CT-head CBC BMP ESR
28
migraine management
antiemetic NSAID IM sumatriptan if no response to NSAID
29
temporal arteritis workup
``` CBC chem 8 MRA CXR ESR CRP ```
30
temporal arteritis location + therapy
optho consult temporal artery biopsy ESR qAM Follow-up, ESR at follow-up
31
STAT meningitis orders
``` IVF BCX CT-head CTX, Vanc LP IV dexamethasone ```
32
STAT hypertensive crisis orders
``` O2 IV labetalol CT head ECG CXR UA Troponin ```
33
dementia workup
``` CBC BMP TSH B12 Folic acid RPR CT-head ```
34
NPH treatment
``` Neurosurgery consult Neurology consult VP shunt LP Advance directive ```
35
other workup for unresponsive patient
fingerstick blood glucose | serum acetaminophen
36
STAT stroke orders
O2 Blood glucose NS CT-head
37
mono workup
``` CBC BMP Peripheral smear Monospot Serum EBV titer ```
38
hypothyroid workup
``` CBC BMP TSH T4 ECG Lipids Depression index ```
39
depression workup
CBC BMP TSH Utox
40
PE workup
``` CBC BMP ABG CXR CT-PA ECG DVT-US ```
41
PE therapy-monitoring
pulm consult coags heparin warfarin
42
Other TB workup
HIV testing
43
other TB therapy
respiratory isolation Social work consult Family PPD placement Family education
44
Tension pneumo therapy
O2 Needle thoracostomy morphine IV
45
other pericarditis workup
ESR | troponin
46
STAT dissection orders
``` O2 CXR IV labetalol ECG morphine iV ```
47
dissection other order
TEE
48
panic attack workup
``` CBC BMP UA Utox ECG CXR ```
49
SVT location
ICU
50
SVT workup
``` O2 CBC BMP ECG CXR Echo ```
51
pyelo location
if stable, then office | if HD unstable, then admit

Medicine (71 decks)

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