Things I forget 2 Flashcards
1
Q
what are the 4 conditions that are associated with neohritic syndrome
A
- igA nephropathy
- post infections
- goodpastures (anti GBM)
- wagners (C- anca)
2
Q
endocarditis tx
native
subacute
PV
A
nafcillin + gent
ampcillin + gent
Vaco + Rifampin + Gent
3
Q
JNC 8 what is the goal HTN
A
- <140/90
2. If > 60 yo: 150> 90
4
Q
tx for esophageal verices
A
- endoscopic ligation
- octreotide
5
Q
meningitis tx
1m - 50 year
A
Ceftriaxone + Vanco 398
6
Q
meningitis tx
> 50 year
A
Ceftriaxone + ampcillin 398
7
Q
meningitis tx
< 1 m
A
Cefotaxime + ampcillin 398
8
Q
tx of osteomyelitis in adults
A
nafcillin + Vanco
9
Q
tx of osteomyelitis in sickle cell
A
ceftriaxone + cipro
10
Q
what is the gold standard for osteomyelitis
A
bone aspiration
11
Q
tx septic arthritis 2 +
A
Nafcillin + Vanco
12
Q
CAP OP 2 CAP IP CAP ICU 2 HAP aspiration
A
- azithro OR Doxcy
- (azithro + Doxcy) OR Levo
- Ceftriaxone + Levo
- Zozyn + Levo
- Clinda
13
Q
what condition is associated with erythema multiform
A
herpes
14
Q
what is the Tx for diverticulitis
A
cipro+Flagyl
15
Q
what labs are associated with CUC
A
P anca
16
Q
rice water stools
A
vibro choleare
17
Q
vibro choleare tx
A
supportive
tetracycline
18
Q
enterotoxogenic e coli tx 2
A
fluids
fluorquinolones
19
Q
Campylobactor enteritis tx
A
erythromycin
20
Q
salmonella diarrhea tx
A
cipro
21
Q
enterohemorragic ecoli E 0157H7
primary transmission
A
undercooked beef
22
Q
frothy greasy diarrhea
A
Giardia lamblia
23
Q
enterotoxogenic e coli tx 2
A
fluids
fluorquinolones
24
Q
what is travelers diarrhea that is trasmitted via water
A
enterotoxogenic e coli
25
what type of vision loss with DM
central
26
what are the three tx for acute closed angle glaucoma
- acetazalamide
- Beta blocker
- cholinergics (pilocarpine)
27
precancerous hyperkeratosis due to chronic irritation of the mouth, cannot be scraped off
oral leukoplakia
28
- Flashing lights
- floaters
- curtain coming down
- loss of central vision
retinal detachment
29
redness
poor vision
pain increased with EOM
orbital cellulitis
30
Small yellow white spots around the rim
| - Drusen
macular degeneration
31
oral hairy leukoplakia cause
EBV
32
bacterial conjunctivitis tx contact lens use
- cipro
33
what is the subjective / popcorn with amaurosis fugax
curtain coming down
34
prearicular lymphadenopathy
viral conjuntivitis
35
ages for AOM
- 6 - 18 months
36
what causes oral hairy leukoplakia
EBV
37
painless white plaque on lateral tongue
oral hairy leukoplakia
38
oral hairy leukoplakia TX
none
39
how often is erythroplakia cancer
often 90%
40
what duct is stensens duct
parotid
41
how do you tx sailithiasis
hard candies
42
lacy leukopnakia of the oral mucosa
oral lichen planus
43
oral lichen planus tx
steroids
44
swelling of the upper neck with pus on the floor of the mouth
ludwigs angina
45
causes of bacterial meningitis
- < 1 month
- 1mo - 18 years
- 18-50 years
- > 50
- < 1 month: strep agalanctate
- 1mo - 18 years: N. Meningitidis
- 18-50 years: strep pneumo
- > 50: strep pneumo
46
TX for of bacterial meningitis
- < 1 month
- 1mo - 18 years
- 18-50 years
- > 50
- < 1 month: ampcillin + cefotiaxieme
- 1mo - 18 years: Ceftriaxone + Vancomycin
- 18-50 years: Ceftriaxone + Vancomycin
- > 50: Ceftriaxone + ampcillin
47
lip smaking what type of seizure
complex partial
48
what are the three components of the GCS
- eyes
- verbal
- motor
49
what type of DTR with HYPO thyroid
decreased DTR
50
what is cushing reflex 3
- irregular respiration
- HTN
- Bradycardia
51
```
SCI
- Motor: Loss Lower
- pain, temo, light touch: Lower
- bladder dysfunction
(what region)
```
- anterior
52
```
SCI
- Motor: Loss upper
- pain, temo, light touch: upper
- shawl distribution
(what region)
```
- central
53
SCI
- Loss of vibratory sense only
(what region)
- posterior
54
what side of the the brain is a stroke that is dominated by aphasia
- left
55
how to manage TIA 2 meds
- asprin
| - plavix
56
if you think it is bacterial meningitis what should you do
- start ABX
57
How is crypotcoccius transmitted
pigeon / bat droppings
58
Bird / Bat droppings
cave exploring
mississippi ohio
histoplasmosis
59
crypotcoccius tx (2 + 1 )
(amphotericin B + flucytosine) 2X weeks
| followed by oral Fluconazole
60
what pathogen is associated with the india ink strain
cryptococcosis
61
what ts the tx for tetanus
- metronidazole + tetnus IG
62
what is the most sn and specific for HSV -1 and HSV - 2 Dx
PCR
63
what are the two aids illnesses at < 100
- toxoplasmosis
| - cryptococcius
64
what are the two aids illnesses at < 50
MAC
| CMV
65
Screening Breast cancer
- no history
- history
- 50-75 every 2 years
- 40 every 2 years
(282)
66
screening for CRC
- age risk
- 1st degree < 60
- 1st degree > 60
- age risk: 50 Q-10
- 1st degree > 60: 40 Q 10
- 1st degree < 60: 40 Q 5
67
what is the triad for adult PCKD
- flank pain
- palpable mass
- HTN
68
what block has a progressively longer PR with drop beats
II-A
69
bronchial carcinoid tumor tx 2
octreotide
| resection
70
what are the 4 types of pulmonary HTN
1. idiopathic
2. due to left heart disease
3. due to COPD
4. due to PE
71
"thumb sign"
acute epiglottis
72
barking cough
croup
73
how do you tx ARDS
PEEP
74
cornerstone of tx for bronchiectasis
bacrium
75
what two abx are big for psudomonas coverage
- Bactium
| - cipro
76
bronchial carcinoid tumor tx
- surgical excision
| - octriotide
77
what breathing pattern is a resonse to hypercarnea
cheyne stokes
78
what is the acronym for metabolic acidosis
MUDPILERS
79
what test for scleroderma AB
anti centromere AB
80
what fat pad is always abnormal
posterior
81
how do you you tx scleroderma
DMARDS
82
what is the test for a DVT manual
homans
83
what is the test for achilles ruputre
thompson
84
what are the 5 types of invasive infectious diarrhea
- Campylobactor enteritis
- shigella
- salmonella
- enterohemorragic ecoli E 0157H7
85
how do you tx growth hormone producing tumors
octreotide
86
endoscopy is AKA
EGD
87
what is quad therapy for PUD
- PPI
- Bismuth subsalicyalate
- tetracycline
- metronightazole
88
what is the only hereditary syndrome that increased direct Bili
Dubin Johnson
89
what comes first Ig- G or Ig- M
IG- M
90
what is the ROME criteria 4
dx for IBS 1 day a week for the past 3 months
- related to defication
- change in frequency
- chnage is stool form
91
how do you dx CUC
flex sig
92
what is erythyma multiform
it's a type IV hypersensitibvy skin reaction
93
3 MC triggers for erythema multiformin
- sulfonamides
- penicillin
- phenbarbital
94
what are the two MC drugs to cause SJS
- sulfa
| - anticonvulsants
95
target lesion
Erythema multiformin
96
Erythema multiformin TX
steroids
97
what are the DTR with HYPERcalcemia
decreased DTR
98
what is the DTR with GBS
hypo
99
DTR with Hyperthyroid
increased
100
```
what are
- trousseau's
- chvosteks
- Increased DTR
associated with
```
HYPOcalcemia
101
3 tx for HYPERcalcemia
- Fluids
- fursemide
- bisphosphenates
102
Flat T waves
| U waved
HYPOkalemia
103
peaked T waved
HYPERkalemia
104
what are the 3 tx for HYPER-Kalemia
- calcium gluconate (stabilized the membrane)
- Insulin
- albuterol
105
test for adisons
ACTH stimulation test
106
test for cushings
dexamenasone supression
107
aldoderone is what type of corticoid
mineral
108
what are the two subjective reports for prolactin tumor
- amenorrhea
| - galactorrhea
109
prolactin tumor tx 2
carbogaline
| bromocriptine
110
what has mental status changes DKA or HUS
HUS
111
3 DKA Tx
- fluids
- insulin
- postassium
112
what P is most affected with MEN
parathyroid
113
Antistreptolysin O antibody tests what
Poststreptococcal Glomerulonephritis
114
what is group A strep
strep pyogenys
115
what type of kidney stone cannot be scene on KUB
- uric acid
| that is why the test of choice is a CT
116
consists of maladaptive behavioral or emotional symptoms. These follow a stressful life event and occur within three months and end within six months.
adjustment disorder
117
first step in tx HYPERkalemia
Calcium gluconate
| - stabilize the membraine
118
what meds do you want to avoid with WPW syndrome
- Adenosine
- Beta blocker
- CCB
- Dige
119
how do you tell a functional rhythm
no P waves (16)
120
how long betaeen nitro
5 min
121
shayne stokes breathing associated with
CHF
122
most useful test for CHF
Echo
123
3 tests for CHF
- echo
- CXR
- B NP
124
what is the PCWP that is consistent with CHF
> 18
125
what is a non infectious condition that can cause pericarditis
SLE
126
what position is best to hear a pericardial friction rub
expiration leaning forward
127
tx for dresslers 2
- aspirin
| - cholachasine
128
- muffled heart sounds
- low voltage QRS
- electrical alternans
- pericardial effution
129
what is pulses paridoxis
> 10mm hg systolic increase with inspiration
130
what pathology requires an immedate pericardial centesis
- tampanode
131
opening snap
Mitral stenosis
132
what are the 2 major criteria for endocarditis
- echo
| - clutures
133
what is the major and minor break down
2 major
1 major 3 minor
5 minor
