test questions Flashcards
carvedilol
carvedilol and labetalol block peripheral alpha 1 , beta 1 and beta 2 receptors
atenolol and metoprolol - CARDIOSELECTIVE beta blockers- affect the beta 1 receptors ONLY
propranolol and nadlol- non selective beta blockers- both beta 1 and beta 2
lateral epicodnyltisi
EXTENSOR carpi RADIALIS BREVIS muscle!!
tumor lysis syndrome
allopurinol AS TX
condition in which large amonts of cancer cells are destroyed in short period of time by chemo - leads to hyperuricemia
systolic heart failure
cannot use ccb in it
iliotibial band syndrome
LATERAL pain!
schlling test
to diagnose pernicious anemia
osmotic fragility test
spherecytosis - increased fragility
ejection click
mitral valve prolapse
aortic stenosis
a weak, delayed peripheral pulse
metformin
can cause megaloblastic anemia
proto n pump inhibitors
se: macrocytic anemia
hep c tx
alpha 2 interferon plus ribavirin
interferon BETA 1- TX for multiple sclerosis not for hep c
sickle cell trait
is not a bad thing as sickle disease: they might see episodic hematuria as a common sign
mixed study
mix good blood with bad blood- if its still bad- it means antiphospholipid
legg-calve perthes disease
loss of abduction and internal rotation
bleomycin
chemo agent- can be used intrapleurally for pleurodesis in patient with recurrent malig pleural effusion
conn syndrome tx
spironolactone
ITP
refractory treatment: do a splenectomy because it is the spleen that keeps killing the platelets
prolactin
prolactin suppresses FH and LH release- leading to decrease in menstruation and decrease in libido from the testoterone reduction.
prolactonima first line: cabergoline or bromocriptine
polycythemia vera
overproduction of the myeloid cel lines- increases in the red blood cell line but may also include platelet and white blood cells.
lymphocyte line is UnafFECTED!!!
tetanus
first sign: pain and paresthessia at site of inoculation
then local muscle spasms- neck and jaw stiffness, dysphagia and hyperirritability
late symptoms: trismus, increase DTR, increase muscle rigidtiy
sickle cell
first line management;: iv fluids and hydration
NOT hydroxyurea- thats for severe pain criss and long term management
mmr vaccine
safe to adminstier for hiv patients only if count is more than 200
rubella
lasts 3 days- can cause transiet photosensitivty and arthritis!
congetive heart failure
after diuretics: use calcium channel blockers if someone has chest pain and htn!- lessens the load of the heart
quinidine and procainadmide
class is sodium channel blockers
single loud S2, blue skin, clubbing of fingers and toes, poor feeding, tachypnea without respiratory distress
transposition of the great vessels
wpw
do not use ABCD : adenosine, beta, caclium or digoxine - that is used for afib.
wpw- use procainamide
anybody with unstable wide QRS will get
lidocaine
procainamide
amiodarone
polyarteritis nodosa
inflammation of msall to medium arteries of ski, kidney, peripehral nerves and muscles!!!
fever, anorxia, weight loss, muscle aches, peripheral neuropathy
increased C-reactive protein and ESR
urinalysis shows protineuria
body dysmorphic
treat with SSRI
parietal lobe is affected in
alzheimers
exanetide
Exenatide is effective
in lowering blood glucose levels due to the fact
that it decreases gastric emptying, stimulating pancreatic insulin response to glucose and preventing
glucagon rele
subacute thyroiditis
aspirin is tx
pneumococcal
The pneumococcal
polysaccharide vaccine is indicated for individuals
over the age of 65 who have a chronic illness
that puts them at increased risk of communityacquired pneumonia. This vaccine is also indicated
in children aged 2-5 years of age who have not
previously been immunized.
