True Learn Assessment Flashcards by Emily Damba

Organophosphate poisoning initial tx and definitive tx

Atropine then Pralidoxime

How well did you know this?

Not at all

Perfectly

Cocaine-induced chest pain tx

BZD

How well did you know this?

Not at all

Perfectly

Next step in COPD exacerbation where patient is in respiratory failure? After that?

Noninvasive positive pressure ventilation (the mask)

Then intubate

How well did you know this?

Not at all

Perfectly

MCC of infectious endocarditis

Staph aureus

How well did you know this?

Not at all

Perfectly

Can giant cell arteritis causes fever of unknown origin?

Yes

How well did you know this?

Not at all

Perfectly

What is temporal arteritis associated with?

Polymyalgia rheumatica

How well did you know this?

Not at all

Perfectly

Tx for CO poisoning

100% O2

Not hyperbaric

How well did you know this?

Not at all

Perfectly

Pregnant women with HSIL what to do?

Colposcopy next

Then depends on grade, will defer management postpartum 6 weeks unless invasive

How well did you know this?

Not at all

Perfectly

Tx and duration of whipped disease

12 months of TMPSMX or ceftriaxone

How well did you know this?

Not at all

Perfectly

Confirmatory test for ascending cholangtitis

ERCP

How well did you know this?

Not at all

Perfectly

Radon

Lung cancer

How well did you know this?

Not at all

Perfectly

Benzene

AML

How well did you know this?

Not at all

Perfectly

Wood dust

Nasopharyngeal cancer

How well did you know this?

Not at all

Perfectly

Thorium

Liver cancer

How well did you know this?

Not at all

Perfectly

WBC casts, WBCs, eosinophils

Acute interstitial nephritis

How well did you know this?

Not at all

Perfectly

Chronic bronchitis definition

At least 3 months in a year for 2 consecutive years

How well did you know this?

Not at all

Perfectly

Iliopsoas counterstrain

Bilateral hi fleet ion with sidebending towards

How well did you know this?

Not at all

Perfectly

Spinal infarct leads to

Anterior spinal artery syndrome

How well did you know this?

Not at all

Perfectly

Anterior spinal artery syndrome

Loss of pain and temp below lesion
Complete motor paralysis below lesion
Autonomic dysfunction depending on lever

Retained proprioception and vibration

How well did you know this?

Not at all

Perfectly

Focal segmental glomerulosclerosis lab association and why?

Hyperlipidemia

As protein is lost by the kidneys, decrease oncotic pressure. Liver responds by increasing lipoproteins

How well did you know this?

Not at all

Perfectly

When to do amniocentesis

15-20 weeks

How well did you know this?

Not at all

Perfectly

When to do chorionic vilest sampling

10-12 weeks

How well did you know this?

Not at all

Perfectly

Under periosteum, limited by suture lines in a newborn

Cephalohematoma

How well did you know this?

Not at all

Perfectly

Under periosteum, not limited by suture lines in newborn

Caput succedaneum

How well did you know this?

Not at all

Perfectly

Unlateral pure motor hemiparesis, what kind of stroke? What vessel

Lacunar infarct; lenticulostraite branches

Granulomatosis with polyangiitis tx

Cyclophosphamide and corticosteroids

Trigger finger fancy name

Stenosing flexor tenosynovitis

Dura mater attachments

``` Cranium Foramen magnum C2 C3 S2 ```

NMS tx

Bromocriptine or dantrolene

Acute dystonia to

Diphenhydramine or benztropine

Akathisia tx

Propranolol

Serotonin syndrome tx

Cyproheptadine

Initial eval of hypertension

``` Fasting blood glucose CBC Lipid panel BMP TSH UA EKG Urinary albumin-creatinine ration if CKD or DM ```

Pt has a hx of cervical insufficiency, now has vaginal spotting Cervix is short for 19 weeks, tx?

Cerclage

RA drugs that reactivate TB

TNF alpha inhibitor | Etanercept and infliximab

Stable angina tx?

Beta blockers

Contraindications to MTX for ectopic pregnancy

``` HCG >5000 <4 cm Fetal cardiac activity Breastfeeding Allergy Active pulmonary disease PUD ```

Tx for lead and mercury toxicity Or arsenic

Dimercaprol or succimer

Tx of posterior epistaxis

Posterior packing, admit to hospital, ENT consult

WAGR syndrome

Wilms tumor Aniridia GU abnorm Retardation

Hyperaldosteronism pH disturbance

Metabolic alkalosis

Etiology of PML What does it affect

JC virus Oligodendrocytes

Postpartum endometriosis tx in breastfeeding mom

Clindamycin, ampicillin, gentamicin Can’t use metronidazole when breastfeeding

Best tx for diabetic retinopathy

Laser photocoagulation

Tx for azole resistant candida

Echinocandin or micafungin

Drugs that cause SJS

Lamotrigine, allopurinol, NSAIDS, antibiotics, anticonvulants

``` Patient has multiple myeloma K 3.1 Cr 2.1 Bicarbonate 12 Urine pH 5.2 ``` Dx? Pathophys

Type II RTA Decreased reabsorption of bicarbonate by PCT

Type I RTA Pathophys Features

Deficiency in H+ secretion in distal collecting tubule Hypokalemia, non-anion gap acidosis, urine pH >5.5

Temporary treatment for increased ICP

Hyperventilating patient

Multiple myeloma diagnosis

Bone marrow biopsy plus end-organ damage

Prophylactic therapy for migraines

Propranolol, CCB, TCA, valproate, SNRIs, topiramate

What closes PDA

Indomethacin, ibuprofen

What opens PDA

PGE1

Acute epiglottitis tx

Vancomycin and ceftriaxone

When to start subQ insulin after insulin drip is stopped

2 hours before

At what Cobb angle is there decreased pulmonary vital capacity

60 degrees

At what Cobb angle is there increased risk of cor pulmonale and cardiac failure

>100 degrees

What produces AFP

Yolk sac and liver

Schiller-Duval bodies

Yolk sac tumor

Confirmatory test for PAN

Tissue biopsy

Migratory thrombophlebitis

Pancreatic Adenocarcinoma

A typical glandular cells,w hat next

Colposcopy and endometrial biopsy

50 y//o female, rash for. A few months, now plaque like on arms and legs. Biopsy shows Pautrier’s microabscesses Dx?

Mycosis fungoides

Most sensitive test for muscular dystrophy

Serum creatine kinase