step 3 Flashcards
interval for FIT testing
3 years
characteristic of male breast cancers
Estrogen +
abx choice for dog bite
augmenting
Abx for epidydimitis in mms
Levo and ceftriaxone
Usual 2 pathogens for epidydimitis
Gc
Favorable bishop score
Greater than 7
1st and 2nd line drugs for pruritis during ESRD. (non-drowsy)
- topical moisturizers
2. gabapentin
agent to reduce prutitis in end stage liver dz
cholestyramine
quick test for ketoacidosis
urine beta-hydroxybutyrate
most common presenting sign of MM
anemia
BRCA associated w/triple negative breast ca and significantly increased ovarian cancers
BRCA1
vancomycin just treats (IV)
MRSA
alternative to vanco (2nd line choice)
linezolid
amp and amox are best for
gram -
to treat gram - , including pseudomonas
piperacillin
pip-tazo is good for
anaerobes, gram - (esp pseudomonas), gram + BUT NOT MRSA
a decent alternative to pip-tazo
carbapenem
4th generation ceph for pseudomonas
cefepime
good quinolone for +, and some -
moxifloxacin
2 lab tests to monitor for lamotrigine
CBC, hepatic
treatment for PFAPA
Periodic Fever with Aphthous Ulcer Pharyngitis and Adenitis
steroids
obesity risk vascular risk with pregnancy (besides macrosomia, DM)
preeclampsia
interval for weeks of pregnancy for steroid administration
24 to 34
preferred treatment for tinea capitis
oral griseofulvin
SE: GI, rash, HA.
2nd line tx tinea capitis
terbinafine (shorter course, cheaper, not effective against some species)
newborn systolic murmur
greater in axillae
PPS
musical murmur
in kid, 3-5 yo
greater lying down than standing up
Still’s murmur
low-pitched murmur in kid
below clavicles.
stops when you have them turn head
venous hum
1st line tx for hemangioma
propranolol
Mongolian spots
dermal melanosis
course of dermal melanosis
most reolve by 1 year
estimating contagion for breakthrough varicella
> 50 papules = equally contagious to wild type/
<50 papules = 1/3 as contagious
lifetime prevalance of zoster if exposed to varicella
33%
best agent for acute severe pain control zoster
tramadol
age cutoff for vaccinating for zoster
60 years
postexposure treatment for varicella/HZ in a nonimmune pregnant woman
variz IG
SENS=
TP/DISEASE
SPEC=
TN/HEALTHY
PPV=
TP/ALL P
NNT=
1/ARR
NPV=
TN/ALL N
NNH=
1/AR
relationship between prevalence and PPV, NPV
prevalence increases
PPV increases
NPV decreases
Likelihood ratio=
sen/1-spec
OR=
ad/bc
RR=
a(a+b)/c(c+d)
abx for fever of unknown origin in infant
ampicillin, cefotaxime
bias if study is not double-blinded
observer bias
joint side effect of cyclosporine
causes gout
treatment of gout if renal failure
intra-articular glucocorticoids
Most common variety of CAH
21 hydroxylase deficiency
Length of DAPT for stable ischemic heart dz and:
Bare metal stents
Des
1month
6months
Length of DAPT if cabg, nstemi or stemi
1yr
1st and 2nd line tx for post infectious cough
Inhaled ipratroprium (atrovent) Inhaled corticosteroid
tx keloids
intralesional steroids
tx of cocaine-induced CP
ativan
tx botulism in infants
human derived IgG
heberden’s vs bouchard’s nodes
heberden = DIP - OA bouchard's = PIP - OA, RA
trastuzumab toxicity (HER2 tx)
reversible cardiotoxicity
PPV=
TP/ALL P
SEN =
TP/All sick
SPEC=
TN/all healthy
What changes with prevalance?
likelihood, sensitivity or specificity
none of the above
what is external validity
generizability
tx of opioid withdrawl (opioid and non-opioid - one each)
methadone
clonidine
Anti Ro, Anti-La
Sjogren’s syndrome
Risk of sjogren’s
B-cell lymphoma
prophylactic tx cluster headaches
verapamil
bilateral deafness
hypopigmented cafe au lait spots
NF2
time to discontinue estrogens or SERMs prior to surgeyr
4 weeks
tx for ABPA allergic bronchogenic pulmonary aspergillosis
oral steroids
tx for PAD, and additional therapy
statins and then antiplatelet therapy
med to add if claudication after exercise therapy
cilostazol
difference between bell’s palsy and stroke
and anatomy
bp = entire half of face affected
stroke - central facial weakness (lower face only)
upper face both hemisphere innervation
lower face contralateral hemisphere only
SAAG > 1.1 means
portal hypertension present
age cutoff for US vs mammo eval of breast mass
30
tx diff cutoff for cdiff
mild/mod = ora metronidazole
severe (WBC 15 or otherwise) = oral vanc
test of choice for diagnosing active TB
sputum microscopy
criteria for TB smears -
noninfectious if three smears negative
follow up study for positive pediatric lead screen
venous lead study
tx (3) for CF PNM
tobra, tic-clav and vanco
OR =
probability event/(1-probability)
delivery in woman with condyloma accuminata (VD vs C/S)
vaginal delivery OK
thyroid ranges in pregnancy
1.5x normal for T3, T4
patient given nitroprusside for hypertension, then AMS and metabolic acidosis
cyanide toxicity
tx for methanol or ethanol poisoning
fomepizole
appropriate steps after a healthcare worker was exposed to TB
PPD now (evaluates current status) and then in 3 months (to diagnose exposure)
Anti histone ab
Drug induced lupus
Side effect hydralazine, procainamide, minocycline
Drug induced lupus
lab test for anaphylaxis
triptase (elevated with anaphylaxis)
patient story like bipolar 1, but with schizophrenia-like sx
schizoaffective disorder
light’s criteria for exudate (2)
protein pleural:serum > .5
LDH pleural:serum > .6
in event of transfusion in pt with shock or hypothermia, administer
10 cc 10% calcium gluconate per unit pRBC
due to high citrate in blood cells
tx for mallory-weisz tear
observation and supportive
CSF protein reduced with narcolepsy
hypocretin-1
tx for cataplexy
SNRIs
administer in TCA overdose (and reason)
bicarb (prevent arrythmias)
treatment for dumping sydrome after a gastrectomy
high protein diet (in small, frequent portions)
tx FUO in infant (2)
amp and cefotaxime
tx Guillain Barre Syndrome (2 options)
plasmapharesis
IVIG
sarcoid MOA for hypercalcemia
Promotes hydroxylation vitamin D
tx (2) of postpartum endometritis
clinda and gent
tx (2) of hepatorenal syndrome
octreotide and midodrine
tx for malignant otitis externa
IV clinda (or other anti-pseudomonal)
management for acute hepatitis B (without severe comorbitities)
supportive only
anti-centromere ab
scleroderma
initial tx for SLE arthralgia (2)
steroids and hydroxychloroquine
tx plantar wart
topical salicylic acid
AIDS patient with cutaneous erythematous papules with centeral umbilication
cutaneous cryptococcus
standard mortality rate (SMR)
deaths/expected deaths
BP goal after tpa
less than 185/105
Elevated tsh, t3, t4
Tsh secreting pituitary adenoma
Cardiac index, def and normal range
Co/body surface area
Normal is 2.6-4.2
2 labs to check if someone has subclinical hypoTH
anti-TPO ab
lipids
virus that presents like RA
parvovirus
abx causing pyloric stenosis in a kid
erythromycin
most common extrarenal manifestation of ADPKD
hepatic cysts
lead level cutoff where a kid should be treated
45
