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GK PANCE > Things I always forget > Flashcards

Things I always forget Flashcards

1
Q

What electrolyte abnormalities do you see in Primary adrenal insufficiency (Addison’s Disease)?

A

Hyponatremia, Hyperkalemia

Addison eats a lot of Kale

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2
Q

Diverticulitis Tx

A

Metronidazole + Cipro

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3
Q

Toxic Megacolon Tx

A

Metronidazole + Vanco

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4
Q

+ anti-SCL 70

+ anti-RNA polymerase III (ARA)

+ anticentromere (ACA)

A

Scleroderma

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5
Q

CREST Syndrome

A

Calcinosis Cutis

Raynaud’s Phenomenon (1st sign) W,B,R

Esophageal Dysmotility

Sclerodactyly

Telangiectasias

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6
Q

Reactive Arthritis Tx

A

NSAIDS

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7
Q

this vasculitis is associated with Hepatitis B

A

Polyarteritis Nodosa

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8
Q

Clinical Manifestations of Polyarteritis Nodosa

A
  1. HTN, renal failure
  2. fever myalgias, arthritis
  3. neuropathy, mononeuritis multiplex
  4. livedo reticularis, purpura
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9
Q

Dx for PAN

A

Increased ESR

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10
Q

Definitive Dx for PAN

A

renal/mesenteric angiography: microaneurysms with abrupt cut off of small arteries (blood vessel Bx)

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11
Q

Transient Synovitis CPx, Dx, Tx

A

limp + hip pain post viral URI

clinical

NSAIDS

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12
Q

evening joint stiffness, decreases w/rest, worsens throughout the day & with changes in weather

A

OA

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13
Q

MC radiographic finding in OA

A

Asymmetric joint space narrowing

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14
Q

lytic lesions

A

multiple myeloma

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15
Q

moth eaten bone destruction

A

osteomyelitis

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16
Q

weight bearing joints affected

A

OA

17
Q

small joints affecred

A

RA

18
Q

MC site affected by OA

A

knee

19
Q

MC site affected by RA

A

hand

20
Q

Unhappy Triad

A

ACL

MCL

medial meniscus

these three structures are commonly injured when foot is planted, knee is slightly flexed and there is lateral impact

21
Q

what do you never want to do in subacromial impingement?

A

immobilization, can lead to adhesive capsulitis

22
Q

MC side effect with hydroxycholorquine

A

impaired night vision

23
Q

falling on tip of shoulder w/arm tucked

A

ac joint separation

24
Q

Increased JVP + crackles/rales

A

CHF

25
Q

Increased JVP + normal pulm exam

A

Pericardial (tamponade or constrictive pericarditis)

26
Q

Increased JVP + decreased breath sounds on pulm exam

A

Tension Pneumothorax

27
Q

ST depression indicates

A

ischemia

28
Q

ST elevation Convex down

A

ischemia (MI)

29
Q

ST elevation concave

A

Usually benign

30
Q

TIMI Risk Stratification (assess risk of death and ischemic events in pts w/ UA or NSTEMI to determine benefit of invasive angio to reduce mortality)

A

Age ≥ 65y

≥3 CAD Risk Factors (FHx, DM, smoking, Inc Chol)

Known CAD

ASA use in 7 days

Recent Severe Angina

Inc. Cardiac Markers

ST elevation 0.5mm

31
Q

Score ≥ 3 TIMI

A

high risk of death, should do invasive angio

32
Q
A

GK PANCE (26 decks)

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