Test 36 - Created Aug 2 Flashcards
damage to nondominant parietal lobe
construction apraxia, dressing apraxia, confusion
damage to dominant parietal lobe
Gerstmann syndrome - acalculia, finger agnosia, agraphia, R/L confusion
damage to nondominant temporal lobe
visual disorders and auditory agnosia
damage to dominant temporal lobe
visual disorders; Wernicke’s aphasia - impaired comprehension of spoken or written language; difficulty with expressing their thoughts in a meaningful manner
PE description of congenital clubfoot (talipes equinovarus)
plantar flexed, adducted, and inverted feet
which bone is deformed in clubfoot
talus bone
tx of clubfoot
stretches and serial casting first; then bracing for a few years; surgery is last resort
tx of bipolar mania in pregnant patients
- haloperidol 1st line
- lithium
- 2nd gen antipsychotics
- ECT as last resort
manifestations of superior pulmonary sulcus (Pancoast) tumor
shoulder pain, Horner syndrome, weakness/atrophy of intrinsic hand mm, pain/paresthesia of 4th/5th digits and medial arm/forearm, supraclavicular LAP, wt loss
sign that Pancoast tumor has spread to spinal cord
asymmetric leg DTR’s in setting of back pain; need urgent intervention!!!
why vitamin D needs to be checked in pt who is going to be put on bisphosphonate
vitamin D deficiency and bisphosphates can cause hypocalcemia
tx of torsades
magnesium; 2nd line = temporary transvenous pacing
RF in Mom of baby with suspected pyloric stenosis
maternal macrolide use
antidote for ethylene glycol (antifreeze) or methanol ingestion
fomepizole
MCC of sudden death after a steering wheel injury from a crash
aortic injury
presentation of infective endocarditis in IV drug user
high fever, pleuritic CP, cough; xray w/ nodular opacities; cardiac murmur (tricuspid)
presentation of chronic pancreatitis
wt loss, bulky/foul smelling stools, abdominal pain relieved by sitting up or leaning forward, pain made worse by meals
how to confirm chronic pancreatitis
MRCP or abdominal CT scan
presentation of PE after recent surgery
elder person w/ agitation, decreased breath sounds, and tachycardia
what test to do to check for PE in pt w/ compromised renal function
ventilation/perfusion scan
1st line choice for psoriatic arthritis
methotrexate
what to monitor while a pt is on doxo- or daunorubicin
ejection fraction with radionuclide ventriculography
