test 2 Flashcards
greasy, foul-smelling diarrhea with flatus
giardia
management of small pleural effusion after cardiac surgery
observe
setting fires/destroying property and stealing more indicative of oppositional defiant d/o or conduct d/o
conduct
management of developmental dysplasia of the hip
consult ortho for pelvic harness
side effect of intranasal glucocorticoid (for allergic rhinitis)
epistaxis
inspiratory stridor due to what disease and which virus
croup- parainfluenza
acute rhinosinusiits with purulent draining management
supportive - no abx cuz most likely viral even tho purulent
can you just add a survey to IRB already approved project or resubmit protocol to IRB?
always resubmit new addition to study
routine colonoscopies end after what age
75
can you take spironolactone during pregnancy?
no
erythema infectiousum refers to
parvovirus b19
can celiac disease delay puberty?
apparently yes- FTT
does fetus have complications in lupus mother?
yes- congenital complete heart block, and others
spontaneous pneumomediastinum managmenet
observe, oxygen, analgeiscs- resolves
side effect of stimulant ADHD meds
increase in BP and HR (not arrhythmia)
does Cr increase when starting ACEI?
yes- up to 30%
many round small opacities in upper lobes
chronic silicosis
can you take estrogen therapy with a history of DVT?
no
treatment for hot flashes when you cant take estrogen?
SSRI
is it normal for your platelets and Hgb to decrease in pregnancy and bleed from your gums?
ya, woof
can you have some bm’s with hiscrprung?
yes
modality for joint effusion dx in kids
ultrasound
hip pain after viral illness with joint effusion
transient synovitis
pH of BV
pH>4.5
teen collapses and found to have coronary aneurysm and calcification
old kawasaki from childhood
mgmt of pregnant woman with herpes
acyclovir at 36 weeks
c-section if active sxs
increased cusp:disk on retina exam
open angle glaucoma
management of suspicion for ovarian cancer
surgical exploration- don’t do biopsy
2 weeks of abdominal pain and N after lap choley
retained common bile duct stone
prodrome of syncope (N, diaphoresis, warmth) happens with vasovagal or cardiac etiologies
vasovagal
measles spread how
airborne
monochorionic diamniotic fetuses at risk of
twin twin transfusion syndrome
next step if patients pos for TB screen
CXR- latent or active TB
can you keep taking heparin if you have a mild reduction in platelets?
yes, type 1 is immediate and mild whereas type 2 is later (4-5 days after) and life threatening
what distinguishes postpartum blues from depression besides timeframe?
anhedonia
hiking in NE + AV block
lyme
when do you need abdominal imaging for cdif infection
WBC>15K
Cr>1.5
septic shock
severe abdominal pian
r/o toxic megacolon
acalculus cholecystitis management
abx, cholecystostomy tube for drainage
next step with abnormal fetus non stress test
BPP
management of uterine inversion after labor
shove it back in, stop oxytocin
ileus vs SBO feature
ileus- decreased or absent bowel sounds, air in colon
SBO: high pitched active, no air in colon
ileus mangament
bowel rest- NG tube
how does chronic constipation lead to fecal incontinence
constant dilation –> weaken anal sphincter
amenorrhea, hyperthyroid sxs, abdominal mass
hyatidform mole
pt with hx/o heavy alcohol use get hospitalized then discharged and develop weakness, diminished reflexes, paresthesias, ileus, +/- encephalotpahy, why?
hypophosphatemia
risk of waiting till spontaneous delivery of still birth
coagulopathy- DIC
do patients with lower urinary tract sxs need to get UA or can you start finasteride?
get UA dummy
