Test 30 - Created July 26 Flashcards
test to confirm dx of posterior urethral valve
VCUG - dilated bladderk, maybe ureter reflux/dilation, dilated proximal urethra
tx of posterior urethral valve
ablation of the valve during cystoscopy
tx of keratosis pilaris
emollients and topical keratolytics (salicylic acid or urea)
presentation of lactose intolerance
periumbilical abd. pain, flatulence/bloating, and D
dx of lactose intolerance
sxs resolve on lactose-restricted diet or do lactose breath hydrogen test
PE maneuver to test for complete rupture of Achilles tendon
Thompson test - pt lying down, squeeze pt’s calf mm and observe for plantar flexion of foot; not damaged if it happens
tx of RA anemia
anti-TNF-a antibody (infliximab)
associated PE finding with amaurosis fugax
carotid bruit (atherosclerotic dz present in carotid artery)
primordial prevention
prevention of RFs themselves; encourage children to NOT adopt harmful lifestyles
primary prevention
action taken before a pt develops a dz; try to prevent occurrence of dz itself
secondary prevention
action that halts or delays progression of a disease at its initial stage and prevents complications
tertiary prevention
dz has advanced beyond early stages; taking actions to limit impairments and disabilities
quaternary prevention
set of health activities that limit consequences of unnecessary or excessive intervention by health system
prevention of preeclampsia in pt’s who are at high risk (h/o renal dz, DM, HTN, prior PreE)
start aspirin at 12 wks GA
prevention of preterm delivery in pt’s with short cervix
vaginal progesterone
tx of asthma exacerbation in pregnant female
duo-neb -> systemic steroids -> mag or terbutaline; oxygen if need be
tx of acute hepatitis B virus when pt has icterus, elevated LFTs, and stable vitals
close outpt f/u for serial labs
next best step once neuro exam and CT or EEG indicates brain death
apnea test to confirm dx of brain death, plus any local legal requirements
in a pt w/ HIV and PCP Pna, what ABG criteria needs to be met for steroid therapy?
A-a oxygen gradient > 35 mmHg and/or PaO2 tension < 70 mmHg on room air
paranoid personality disorder
pervasive pattern of distrust and suspiciousness in a variety of settings - work, partner; holds grudges, benign comments are threats
paranoid versus borderline personality disorder
both can have suspiciousness and angry reactions; BPD has self-destructive behavior and impulsivity
presentation and locations of lichen planus
discrete, intensely pruritic, polygonal-shaped violaceous papules or plaques on flexural services of arms/legs, buccal mucosa, or external genitalia; mouth may have erosive lesions or lacelike, reticular Wickham striae
screen to do in pt with lichen planus
hepatitis C antibodies (with presence of risk factors)
tx of pediatric pneumonia outpatient
preschool or lobar: amoxi (strep pneumo)
older or bilateral: azithro (mycoplasma)
empiric tx of septic arthritis that’s likely bacterial
vanc; add cefotaxine if < 3 mo. old
lab findings of nonfunctioning pituitary adenoma
low LH and FSH; elevated a-subunit levels; (gonadotrophs is what makes up the tumor and it normally secretes LH and FSH)
tx of nonfunctioning pituitary adenoma
trans-sphenoidal surgery
hint in question stem that will lead you to prolactinoma versus nonfunctioning pituitary adenoma
prolactinoma has prolactin levels >200
what do with new-onset A.fib pt
besides a rate control med… do CHA2DS2-VASc score assessment to determine need for anticoagulation; 2/+ needs it
