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Uworld Gaby > Step3 33 > Flashcards

Step3 33 Flashcards

1
Q

Treatment for lead poisoning (4)

A

Succimer

Calcium adetate

BAR/Dimecarpol

D-penicillimine

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2
Q

Genitourinary syndrome of menopause

A

Genital:
Vaginal dryness, burning, irritation,

Sexual:
dyspareunia, lack of lubrication, impaired function, vaginal bleeding

Urinary symptoms:
Urgency, dysuria, recurrent tract infections, incontinence, organ prolapse

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3
Q

Physical findings in Genitourinary syndrome of menopause

A

Narrowed introitus
Pale mucosa, decreased elasticity, and rugae
Petechia, fissures
Loss of labial volume

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4
Q

Etiology, presentation, and treatment of

OVERFLOW INCONTINENCE

A

Decrease detrusor activity (neurogenic, diabetes)
Urethral obstruction

Constant dribbling
Incomplete bladder emptying

Catheterization
Trat underlying cause

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5
Q

Risk factors for Iodine-induce hyperthyroidism

A

Multinodular thyroid

Chronic iodine deficiency

Topical antiseptics

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6
Q

Iodine-induce hyperthyroidism

Presentation (labs, imaging)

A

Symptoms following iodine exposure: contrast, amiodarone

No extra thyroideal disease (eg. ophthalmopathy)

Low TSH, elevated T3/T4
Negative thyrotropin receptor antibody
Elevated vascularization

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7
Q

Management of Iodine-induce hyperthyroidism

A

Start with beta-blocker

Antithyroid drugs if prolonged or severe thyrotoxicosis, or older patients with cardiac disease

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8
Q

Management of stool impaction

A

Manual disimpactation followed be enema or supository

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9
Q

Light criteria for pleural effusion

A

EXUDATES IF:

Protein fluid/serum: >0.5

OR

LDH: fluid/serum: > 0.6

OR

LDH >2/3 upper limit

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10
Q

Etiology of Transudates vs. Exudates

A 
TRANSUDATE
Cirrhosis
Heart failure
Nephrotic sd
Constrictive pericarditis
EXUDATE
Infection
Cancer
Connective tissue disease
Pulmonary embolism
Pancreatitis
Post Coronary artery bypass graft (CABG)
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11
Q

Hepatic hydrothorax

Diagnosis and management

A

Patient with cirrhosis + pleural effusion

Light criteria: transudate (Protein fluid/serum: <0.5, LDH: fluid/serum: <0.6, LDH >2/3 upper limit)

Treat as ascites due to CHF
Furosemide, spirnolactone, Na restriction

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12
Q

EKG in pericarditis

A

Diffuse PR depressions and ST-segment elevation

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13
Q

When do you see pericarditis after an MI?

A

Peri-infarction: <4 days

Dressler: late

Anytime between 1 day to 3 months

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14
Q

Common complication after an MI

Day, artery involved and manifestation

A

pg 37

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15
Q

Treatment for peri-infarction pericarditis

A

High dose aspirin (analgesic and anti-inflammatory effect)

It is thought to interfere less in cardiac healing compared to NSAIDs, also. NSAIDs increase the risk of septal rupture

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16
Q

Lesion to the vagus nerve

A

Palatal and pharyngeal paralysis

17
Q

Nerve that can be damaged during endarterectomy

A

Hypoglossal: tongue deviation toward the side

Vagus: palatal and pharyngeal paralysis

Recurrent laryngeal: vocal cord paralysis

18
Q

Approach to Psychosis in a patient with Parkinson’s

A
  1. Try to reduce the dose
  2. Add antipsychotic: 2ns generation. Olanzapine and quetiapine preferred.
    or
    Pimavanserin (Sertonin 5-H2A receptor inverse agonist)
19
Q

Agranulocytosis meds

A

Can Cause Pretty Major Collapse of Granulocytes

Clozapine
Carbamazepine
Propylthiouracil
Methimazole/Mercaptopurine
Colchicine
Gancyclovir
20
Q

Skin reaction with sulfa drugs

A

Photosensitivity (Stop, use sunscreen, avoid sun)

OR

Generalized dermatitis

21
Q

Drugs associated with Steven-Johnson

A

PCP LAPSE

Phenytoin
Carbamazepine
Phenobarbital
Lamotrigine
Allopurinol
Penicillin
Sulfas
Erythromycin
22
Q

Description of lichen planus

A

6P’s

Planar
Polygonal
Papules
Plaques
Pruritic
Purple

Flexural surface

+/- white lace

23
Q

Common association with Lichen Planus

A

Hep C

Thiazides
Quinines
Beta-blockers

Maybe hx of trauma on the site on lesion

24
Q

Treatment for CROUP

A

Laryngotracheitis

Mild: humidified air +/- inhale corticosteroids

Moderate/Severe: inhaled racemic epinephrine + corticosteroids (oral or IM)

25
Q

Croup vs. Epiglottitis

A

Croup:
Barking cough, inspiratory stridor
Low-grade fever

Epligotitis:
More acute onset
Tripod, drooling
High-grade fever

Treatment:
Croup: humidified air +/- inhale corticosteroids. Inhaled racemic epinephrine + corticosteroids (oral or IM)
Epiglottitis: ABCs, antibiotics, intubation

26
Q

Causes of pseudo resistant hypertension

A 
Medication non-adherance (>40% of medication failure)
Suboptimal medication
Whitecoat hypertension
Non-adherence to lifestyle modifications
Inaccurate medications
27
Q

Indications for cystoscopy

A

Gross hematuria with no evidence of renal disease

Microscopic hematuria with no evidence of renal disease but increased risk of malignancy

Recurrent UTI

Irritative symptoms without infection

Abnormal imaging or cytology

Signs of obstruction

28
Q

Iodine uptake in the different thyroiditis

A

Subacute thyroiditis (hyper): low intake
Painful/tender
Goiter

Painless thyroiditis (hyper): low intake
Painless
Small thyroid

Hashimoto (hypo): variable
Painless
Diffuse goiter

29
Q

UTI in pregnancy

A

Asymptomatic or cystitis:
Amoxiclav
Cephalexin
Fosfomycin

Pyelonephritis:
IV ceftriaxone, cefepime
Once afebrile for 48hrs: switch to orals for 10 to 14 days
Daily suppression therapy: up to 6 weeks postpartum (low dose cephalexin or nitro)

30
Q

Treatment for Raynaud phenomenon

A

CCB

Dyhydropirdine: nifedipine, amlodipine

Non-D: Diltiazem

Verapamil doesn’t work as well

31
Q

Hepatorenal sd when it comes to fluid repletion

A

It does not respond to fluids

Treat with octreotide + midonine

32
Q

Actinic keratosis is a precursor of what type of cancer?

A

SCC

33
Q

Description of Basal cell carcinoma

A

Pearly papule with telangiectasias

if ulceration, think SCC

Uworld Gaby (77 decks)

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