Test 47 - Created Aug 12 Flashcards
labs findings in pseudohypoparathyroidism
chronic hypoCa, hyperPhos, elevated PTH
presentation of pseudohypoparathyroidism
seizures, muscle cramping, hyperreflexia, basal ganglia calcifications, cataracts
tx fo pseudohypoparathyroidism
calcium and vitamin D
location in pain with anserine burisitis
medial knee joint distal to joint line
location in pain with Osgood-Schlatter syndrome
tenderness at tibial tubercle
location in pain with Patellar tendonitis
tender at inferior margin of patella
location in pain with prepatellar
pain and swelling anterior to patella
location in pain with patellofemoral syndrome
pain with extension of knee with anterior pressure on patella
what do nonoverlapping confidence intervals imply
statistically significant difference between groups; opposite may not be true
risk with interpreting multiple outcome measures without adjusting significant level
invalid conclusions
tx for protracted active phase of labor (dilation < 1 cm/2 hr)
oxytocin and amniotomy
med that can be used for cervical ripening and labor induction
misoprostol
active error
actions of frontline personnel; occurs at interface of provider with patient or system
latent error
involves organizational vulnerabilities that influence actions of frontline personnel; occurs at level of system, process, and policy
complication from licorice root
inhibits conversion of cortisol to cortisone -> HTN, hypoK, metabolic alkalosis
what does strict blood glucose control do
- decr. risk of developing neuropathy, nephropathy, retinopathy
- slows progression of current neuropathy; does not reverse it
tx of strep pharyngitis and why
10 days of PCN (or 5 days azithro) to decr. sxs severity, duration of illness, prevention of spread to others, and prevention of acute rheumatic fever; NO effect on PSGN
when to suspect thyroid storm
fever, recent anorexia and loose stools, high-output heart failure (warm, elev pulse P, high EF, edema, S3, dilated ventricles, elevated cardiac index); get TSH level
Eisenmenger syndrome; problem with it in a female
when VSD goes unrepaired -> pulm. HTN, R to L shunt, cyanosis, heart failure; high mom mortality - terminate pregnancy
when is intubation recommended on the Glasgow Coma Scale?
score of 8 or less
who needs antimicrobial prophylaxis following Neisseria meningitidis exposure
household, roommates or gf/bf, child care center workers, persons directly exposed to resp/oral secretions, person seated next to an affected person for 8/+ hrs
chronic primary MR
mitral valve insuff. resulting from intrinsic defect of mitral valve apparatus (leaflet, chordae tendineae); have impaired systolic function if LVEF < 60%
acute mitral regurg
comes from acute MI (or something that causes rupture of chordae or papillary muscle); no dilated LV or LA on echo
chronic secondary MR
diseased LV -> bad M valve
ruptured ectopic pregnancy
hemodynamically unstable, rigid abdomen w/ rebound and guarding, adnexal tenderness, (+)UPT -> take them to surgery
presentation of polymyalgia rheumatica
age > 50, >1 mo. pain in shoulder and hip girdles, morning stiffness >1 hr, B sxs, elev ESR
tx of polymyalgia rheumatica
low dose prednisone (give high-dose if giant cell arteritis also suspected)
MC adverse rxn within 1-6h of transfusion, what it looks like, and how to prevent it
- febrile nonhemolytic transfusion rxn
- fever/chills, malaise
- leukoreduction
mgt of acute cervicitis
don’t remove IUD, get NAAT for chla/gono, empiric tx with CTX + doxy (don’t wait for results)
how to evaluate skeletal system of patients with multiple myeloma
whole-body low-dose CT scan
