Test 23 - Created July 22 Flashcards

1
Q

timing of echo in kids with Kawasaki disease

A

time of dx, 2 wks after tx, 6 wks after tx

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2
Q

important fact about IVIg

A

delay all live vaccines for 11 months after administration

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3
Q

prognosis of Kawasaki

A

risk of future cardiac events are NOT increased if baseline echo normal

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4
Q

common cause of balanitis and what to do next

A

if thick, white d/c present, think Candid; check blood glucose for DM especially if nocturnal enuresis is present

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5
Q

tests to do if you suspect Duchenne’s muscular dystrophy

A

CK first; genetics to confirm

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6
Q

leading cause of death in young women with SLE and why

A

cardiovascular events due to premature coronary atherosclerosis and coronary artery disease

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7
Q

mgt of cocaine induced MI

A
  1. oxygen, ASA, diazepam, nitroglycerin
  2. CCBs for persistent CP
  3. phentolamine for persistent HTN
  4. PCI if ST elevation continues despite tx #1
  5. alteplase if PCI isn’t available
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8
Q

initial drug of choice for RA once joint destruction found on xray and NSAIDs already started

A

methotrexate

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9
Q

examples of DMARDs to use in tx of RA

A

MTX, hydroxychloroquine, sulfasalazine, leflunomide, azathioprine

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10
Q

tx of cyanide toxicity

A

stop nitroprusside and give sodium thiosulfate

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11
Q

when to suspect cyanide toxicity

A

renal failure, prolonged nitroprusside use, unexplained metabolic acidosis, AMS, seizures, flush, arrhythmias, tachypnea

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12
Q

complications of untreated hyperthyroidism

A

arrhythmia, CMP, osteoporosis

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13
Q

hyperthyroidism in a child

A

may look like ADHD but also may have wt loss, goiter, lid lag, tachycardia, tremor, hyperreflexia, and warm/sweaty skin

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14
Q

tx of insomnia

A

CBT first; then zolpidem

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15
Q

what to do if you suspect Guillain-Barre and pt having significant respiratory sxs

A

check vital capacity at bedside; LP can wait

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16
Q

when supracondylar fractures occur

A

fall on outstretched hand

17
Q

when to suspect occult, nondisplaced fracture at elbow

A

elbow pain/swelling, limited ROM; fat-pad displacement on Xray; tx = splint

18
Q

next step when pt is suspected of having ankylosing spondylitis

A

xray of sacroiliac joint

19
Q

what can be used to monitor disease progression in patients with ankylosing spondylitis

A

radiographs (L and C spine; pelvis) and ESR

20
Q

MC extraarticular manifestations of ankylosing spondylitis

A

acute ant. unveitis, AR, apical pulmonary fibrosis, IgA nephropathy, restrictive lung dz

21
Q

what can help with disease course of ankylosing spondylitis

A

regular aerobic exercise

22
Q

prognosis of ankylosing spondylitis

A

no disabilities and no increased overall mortality

23
Q

prophylaxis that is indicated for pt hospitalized for variceal bleed

A

antibiotics for SBP; ceftriaxone -> TMP-SMX or FQN

24
Q

when to suspect scoliosis in young teen

A

thoracic or lumbar prominence on forward bend test

25
Q

when is xray indicated if (+) forward bend test

A

spinal rotation 7* or more

26
Q

tx of scoliosis based on Cobb angle

A

< 10: observe
10-39
: observe or back brace
40*+: surgical eval

27
Q

what to do with pt who has painless vaginal bleed and >20 wks

A

TVUS to rule out previa