Summer 2018 Flashcards
A farmer comes in from the field and is bradycardic and has diarrhea. What do you do/what’s going on?
Wear personal protection , pt has cholinergic toxicity from organophosphates
Which diagnostic tool is most helpful for determining acetaminophen toxicity
plot on Rumack-Matthew nomogram
Pt has cherry red lips what should you think of? Too vague? Here’s a hint: flame-shaped retinal hemorrhages, AMS, tachypnea, tachycardia, pulse ox 100%
carbon monoxide poisoning
seatbelt sign think of injury to:
small bowel
bicycle injury to epigastric area with abdominal pain think of what kind of injury
pancreatic injury
What is the lethal triad?
Coagulopathy, acidosis, hypothermia
SIRS criteria
2+ of: temp <96.8 or >100.4; HR>90; RR>20; WBC>12x10^9 or <4x10^9 or >10% immature forms or bands
Newborn is pink when crying and blue when quiet. What does pt have? How to check?
choanal atresia: pass feeding tube to check
4 mo pt has “sausage” in LUQ what do you think it is?
intussusception
4 mo pt has olive-shaped mass in RUQ immediately after vomiting what do you think it is?
pyloric stenosis
A child tries to stand up by propping themselves up and walking themselves to a standing position. What is this sign and what are you suspicious of?
Gower’s sign (generalized muscle weakness); muscular dystrophy
Bitot spots and night blindness indicate what
vitamin a deficiency
Ground glass appearance of bones and pencil-thin cortex on radiographic suggest what? Hint: also have swelling of gums and petechial hemorrhages
Vitamin c deficiency
What causes Beri Beri
vitamin B1 deficiency
Niacin deficiency causes what
pellegra
Vit B12 deficiency causes what
megaloblastic anemia pellagra
Vit K coagulopathy factors are:
factors 2, 7, 9, 10
How do OCs prevent pregnancy (main way)
prevent growth of a dominant follicle and ovulation
Transvaginal U/S reveals well-defined, solid mass with whorled appearance, what is it?
leiomyoma (sonohysterography can be done to see submucosa myoma better)
Chocolate cysts on ovary suggest what and what does it first look like
Endometriosis (first appears red, petechial lesion that grows to dark brown, black or blue powder burn)
What is Chloasma gravidarum/Melasma
Darkening of central face and malar area during pregnancy (use sunscreen, suppl folic acid, make-up, NO bleaching); usually temporary (delivery or end of breastfeeding resolves)
What is Ebstein’s Anomaly
downward displaced leaflets of tricuspid valve seen in fetus/newborns who were exposed to Lithium during pregnancy
What is the MC cause of fever in first 48 hrs post-partum
atelectasis
What is Hegar’s Sign
non-sensitive indication of pregnancy; softening uterus, and the uterus and cervix seem to be two separate regions.
What is a short term complication of cesarean section
Endometritis (also ileus, wound, etc)
Describe symptoms of hypercalcemia
Stones, bones (bone pain), groans(bowel dismotility), psychiatric moans
What is the adverse effect/risk of bisphosphonates
Osteonecrosis of the jaw
