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test 2 Flashcards

1
Q

greasy, foul-smelling diarrhea with flatus

A

giardia

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2
Q

management of small pleural effusion after cardiac surgery

A

observe

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3
Q

setting fires/destroying property and stealing more indicative of oppositional defiant d/o or conduct d/o

A

conduct

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4
Q

management of developmental dysplasia of the hip

A

consult ortho for pelvic harness

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5
Q

side effect of intranasal glucocorticoid (for allergic rhinitis)

A

epistaxis

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6
Q

inspiratory stridor due to what disease and which virus

A

croup- parainfluenza

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7
Q

acute rhinosinusiits with purulent draining management

A

supportive - no abx cuz most likely viral even tho purulent

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8
Q

can you just add a survey to IRB already approved project or resubmit protocol to IRB?

A

always resubmit new addition to study

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9
Q

routine colonoscopies end after what age

A

75

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10
Q

can you take spironolactone during pregnancy?

A

no

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11
Q

erythema infectiousum refers to

A

parvovirus b19

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12
Q

can celiac disease delay puberty?

A

apparently yes- FTT

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13
Q

does fetus have complications in lupus mother?

A

yes- congenital complete heart block, and others

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14
Q

spontaneous pneumomediastinum managmenet

A

observe, oxygen, analgeiscs- resolves

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15
Q

side effect of stimulant ADHD meds

A

increase in BP and HR (not arrhythmia)

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16
Q

does Cr increase when starting ACEI?

A

yes- up to 30%

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17
Q

many round small opacities in upper lobes

A

chronic silicosis

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18
Q

can you take estrogen therapy with a history of DVT?

A

no

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19
Q

treatment for hot flashes when you cant take estrogen?

A

SSRI

20
Q

is it normal for your platelets and Hgb to decrease in pregnancy and bleed from your gums?

A

ya, woof

21
Q

can you have some bm’s with hiscrprung?

A

yes

22
Q

modality for joint effusion dx in kids

A

ultrasound

23
Q

hip pain after viral illness with joint effusion

A

transient synovitis

24
Q

pH of BV

A

pH>4.5

25
Q

teen collapses and found to have coronary aneurysm and calcification

A

old kawasaki from childhood

26
Q

mgmt of pregnant woman with herpes

A

acyclovir at 36 weeks

c-section if active sxs

27
Q

increased cusp:disk on retina exam

A

open angle glaucoma

28
Q

management of suspicion for ovarian cancer

A

surgical exploration- don’t do biopsy

29
Q

2 weeks of abdominal pain and N after lap choley

A

retained common bile duct stone

30
Q

prodrome of syncope (N, diaphoresis, warmth) happens with vasovagal or cardiac etiologies

A

vasovagal

31
Q

measles spread how

A

airborne

32
Q

monochorionic diamniotic fetuses at risk of

A

twin twin transfusion syndrome

33
Q

next step if patients pos for TB screen

A

CXR- latent or active TB

34
Q

can you keep taking heparin if you have a mild reduction in platelets?

A

yes, type 1 is immediate and mild whereas type 2 is later (4-5 days after) and life threatening

35
Q

what distinguishes postpartum blues from depression besides timeframe?

A

anhedonia

36
Q

hiking in NE + AV block

A

lyme

37
Q

when do you need abdominal imaging for cdif infection

A

WBC>15K
Cr>1.5
septic shock
severe abdominal pian

r/o toxic megacolon

38
Q

acalculus cholecystitis management

A

abx, cholecystostomy tube for drainage

39
Q

next step with abnormal fetus non stress test

A

BPP

40
Q

management of uterine inversion after labor

A

shove it back in, stop oxytocin

41
Q

ileus vs SBO feature

A

ileus- decreased or absent bowel sounds, air in colon

SBO: high pitched active, no air in colon

42
Q

ileus mangament

A

bowel rest- NG tube

43
Q

how does chronic constipation lead to fecal incontinence

A

constant dilation –> weaken anal sphincter

44
Q

amenorrhea, hyperthyroid sxs, abdominal mass

A

hyatidform mole

45
Q

pt with hx/o heavy alcohol use get hospitalized then discharged and develop weakness, diminished reflexes, paresthesias, ileus, +/- encephalotpahy, why?

A

hypophosphatemia

46
Q

risk of waiting till spontaneous delivery of still birth

A

coagulopathy- DIC

47
Q

do patients with lower urinary tract sxs need to get UA or can you start finasteride?

A

get UA dummy

Step 3 (26 decks)

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