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PANCE Prep > Things I Dont Remember > Flashcards

Things I Dont Remember Flashcards

1
Q

Associations with A fib?

A

pericarditis, mitral valve dz, Thyroid dz

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2
Q

Treatment for Afib:
Stable?
How long do you need to anticoagulate after CV?

A

Cardio version

3 weeks

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3
Q

Which second degree will you often have more Bradycardia?

A

Type 2, pacemaker

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4
Q

How do you treat long QT?

A

Beta blocker then pacemaker or ICD

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5
Q

What are the class 1 antiarthymics?

A

Sodium channel blockers

Procainamide
Lidocaine
Flecainide

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6
Q

Class 3 antiarythmics?

A

Potassium channel blockers

Amiodarone and Sotalol

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7
Q

What can you not give amniodarone with ?

A

Simvastatin, dig and coumadin

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8
Q

Initial monotherapy for HTN?

Black pts?

A

Thiazides, Ace- for nephropathy or heart failure, CCB

Black pts- thiazides or CCB

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9
Q

ACE can cause what electrolyte disturbance?

A

Hyperkallemia

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10
Q

Which coronary artery only has to be 50% closed to warrant a stent?

A

Left main coronary artery

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11
Q

What will you get more on EKG with vasospastic angina?

Big risk factor?

A

St elevation

Smoking

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12
Q

Which areas of the EKG are associated with the following arteries:
LAD?
Circumflex?
RCA?

A

Septal and anterior
Lateral
Inferior

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13
Q

When is tactile fremitus increased?

Decreased?

A

Pneumonia or tumor

Effusion/pneumothorax

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14
Q

What is the normal FEV1?

A

80% or more

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15
Q

Asthma dx severity?

A

Look at medcomics

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16
Q

Which additional medicine is good for exercise induced asthma?

A

Mast cell stabilizers

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17
Q

What is the main symptoms for emphysema?

A

Exertional dyspnea

18
Q

What is the pathophysiology behind chronic bronchitis?

A

Excessive mucus secretion in the bronchial tree

19
Q

First line medication for COPD?

A

Anticholinergics. The tropiums
Albuterol

O2

20
Q

COPD with acute exacerbation?

Complicated?

A

Doxy, Bactrim or macrolide

Levoquin

21
Q

What kind SE with tamiflu should you watch out for?

A

Neurological

22
Q

Community Acquired pneumonia outpatient?
Inpatient - non-ICU?
Inpatient - ICU?

A
  1. Azithro, Doxy
  2. Flouroquinolone
  3. Azithro, FQ plus Beta Lactam
23
Q

Clamydia pneumo?

A

Tetracycline

24
Q

Hospital Acquired Pneumonia has to occur when to be considered HAP?

Most common bugs? 2

A

More than after 48 hours of hospital admission

Staph, Pseudmonas

25
Q

Klebsiella pneumonia TX?

A

One of the penems

26
Q

Legionella?

A

Macrolides, levo

27
Q

Association and TX:

Aspergillosis?
Histoplasmosis?
Coccidiomycosis?
CMV?
Cryptococcosis?
A
  1. Waterfowl, any antifungal
  2. Bird or bat droppings, Amphotericin B
  3. Fluconazole, valley fever dz, New Mexico
  4. Retinitis, HIV CD4 50, ganciclovir
  5. Opportunistic in AIDS, IV Amph B
28
Q

Rabbit exposure dz? 3

A

Tularemia
Francisella
Tularensis

29
Q

What will ARDS ABG show?

A

Respiratory acidosis

30
Q

What are the silicosis associations?

A

Playground powder, talcum powder, gymnast/athletic powder

31
Q

Pneumoconiosis associated with what job?

A

Coal miner

32
Q

Initial test for pulmonary embolism?

A

Helical CT

33
Q

TX of PE?

A

Heparin then warfarin

34
Q

Interstitial lung dz is associated with which CT findings?

A

Honeycomb lung, biopsy, steroids

35
Q

Association with sarcoidosis? 8

A 
Erythema no do sum
Parotid enlargement
HSM
LAD
Arthritis
Cardiomyopathy
Uveitis
Renal stones
36
Q

Good pastures dz TX?

A

Plasmapheresis and corticosteroids

37
Q

Classic triad for wegener’s granulomatosis? 3

Lab?
TX?

A

Upper respiratory vasculitis
Lower respiratory vasculitis
Glomerulonephritis

+ANcA
Cyclophosphamide

38
Q

What is associated with a popcorn lesion?

A

Hamartoma, MC cause of all benign lung tumors

39
Q

Where are these lung cancers found:

  1. Adeno?
  2. Squamous?
  3. Small cell?
  4. Large cell?
  5. Carcinoid?
A
  1. Peripheral- amylase
  2. Central- hypercalcemia
  3. SIADH and paraneoplastic
  4. Central or peripheral
  5. Central
40
Q

Treatment for carcinoid syndrome?

A

Octreotide

PANCE Prep (6 decks)

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