U World 2 Flashcards

1
Q

1st line rx for PCP

A

TMP-SMX and steroids

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2
Q

1st line for hospital acquired pneumonia

A

Vanc and pip-tazo

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3
Q

1st line for community acquired pneumonia

A

ceftriaxone and azithromycin

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4
Q

Are hypo or hyper functioning thyroid nodules more likely to be malignant

A

hypo/ cold nodule are more likely to be malignant

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5
Q

What renal disease is common in Hodgkins lymphoma

A

minimal change disease

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6
Q

Test for zeinker diverticulum

A

contrast esophogram

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7
Q

Changes to the kidney with HTN

A

arteriosclerotic lesions of renal arterioles

glomerular capillary tufts

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8
Q

changes to kidney in DM renal disease in first 5 years

A

basement membrane thickening
mesangial expansion
fibrosis

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9
Q

Renal damage from multiple myloma

A

bence jones proteins obstruct collecting tubes

amyloid deposition

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10
Q

changes to kidney in DM in first year

A

renal hyperperfusion/ hypertrophy

↑ GFR

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11
Q

How long does it take for microalbuminuria to manifest in DM

A

within 5-10 years

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12
Q

rx for beta thalassemia

A

no rx needed

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13
Q

Blue toe syndrome

A

common cutaneous finding of cholesterol embolism

rx: statin

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14
Q

In general, how do you improve oxygenation on a vent

A

↑ PEEP or FiO2

↑ FiO2 can lead to O2 toxicity, so usually fix the PEEP

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15
Q

What causes the outflow obstruction in HCM

A

abnormal mitral movement

mitral contacts interventricular septum

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16
Q

Mitral stenosis murmur

A

diastolic rumble at the apex

17
Q

Mitral regurg murmur

A

holosystolic at apex radiating to the left axilla

18
Q

In what type of MI would you not use nitroglycerine?

A

right ventricular infarction

19
Q

EKG inferior leads

A

II
III
aVF

MI here has 50% chance of involving the RV

20
Q

mycophenolate

A

immunosuppressant

s/e= bone marrow suppression

very high yield

21
Q

most common causes of acute viral arthritis

A

Parvo
Heo B and C
HIV
Rubella

22
Q

Azathioprine

A

immunosuppressant

s/e= diarrhea, leukopenia, hepatotoxicity

very high yield

23
Q

Clinical signs of an AV fistula

A

heart failure

strong pulses/ wide pulse pressure
flushed extremities
systolic flow murmur
tachy

24
Q

Why do AV fistulas cause heart failure

A

increases cardiac preload

normal output

25
Q

Inhibits IL-2 common immunosuppressant

A

Cyclosporine / tacrolimus

26
Q

Causes of aquired AVF

A

trauma, iatrogenic, atherosclerosis, cancer

27
Q

Most common side effect of cyclosporin

A

nephrotoxicity

also HTN, neurotox, hyperkalemia, gingival hyperplasia, NVD

28
Q

Trichinellosis

A

from undercooked meat

periorbital edema, myositis, eosinophilia

29
Q

Worm that obstructs bowel

A

ascariasis

30
Q

Typhoid fever

A

fever
salmon colored rash
GI bleeding

31
Q

Dengue fever

A

fever, headache, eye pain, rash, myalgias, arthralgias

can hemorrhage into skin/ nose

32
Q

Most common cause of community acquired bacterial meningitis

A

pneumococcal meningitis

33
Q

When you have a high suspicion for PE in a patient with severe distress you should?

A

start anti-coag before more testing

34
Q

Digoxin is used when?

A

inotropic- LV systolic dysfunction

35
Q

Ranolazine

A

anti-anginal for stable patients refractory to nitor, BB, CCBs

36
Q

Isolated systolic htn

A

systolic > 140 and diastolic < 90

caused by stiff arteries in old people