U world sticks and stones Flashcards

1
Q

ethylene glycol ingestion

A

Calcium oxalate crystals
anion gap acidosis
flank pain, tetany

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

ethylene glycol poisoning rx

A

fomepizole
or
ethanol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

wells criteria

A
PE eval 
DVT
HR > 100
recent immobilization 
hemoptysis 
cancer
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Resp Alk and calcium

A

resp alk–> ↓ Ca via ↑ albumin binding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Type 4 RTA

A

non-anion gap acidosis
hyperkalemia
renal insufficiency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

sildenafil does not play well with?

A

alpha blocker

nitrates

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Cor pulmonale

A

↓RV fxn from ↑ pulm htn –> RV failure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

labs in DIC

A

↑ PT and PTT
schistocytes
thrombocytopenia
↓ Fibrinogen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

This should be suspected in pts with hard to correct hypokalemia

A

hypomagnesmia

common in alcoholics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What test would you never do to evaluate a foreign body

A

MRI

in case foreign body is magnetic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Manifestations of hairy b cell leukemia

A

pancytopenia (marrow fibrosis)
splenomegaly
“hairy” lymph cells

pts > 50 yo

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Smudge cells

A

may indicate CLL

pts usually have leukocytosis, b symptoms, and LAD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Hodgkin s/s

A

painless large lymph node

mediastinal mass

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Myelodysplastic syndrome

A

are a group of cancers in which immature blood cells in the bone marrow do not mature and become healthy blood cells. Early on there are typically no symptoms. Later symptoms may include feeling tired, shortness of breath, easy bleeding, or frequent infections. Some types may develop into acute myeloid leukemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Echinococcus granulosus

A

dogs are the host
cystic hepatic lesion w/ eggshell calcifications
rx: surgical excision

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

hepatojugular reflex

A

apply pressure to upper abdomen
+= sustained JVP > 3cm
indicates RV cannot accommodated ↑ venous return–> cardiac failure (vs hepatic)

17
Q

solitary pulm nodule

A

round
< 3 cm
surrounded by lung
no LAD

18
Q

what to do about solitary pulm nodule

A

↑ Malig risk (> 60 yo, smoker)= surgical excision

Meh risk= serial CT (5-7 mm)

↓ risk= no follow up (4 mm)

19
Q

unilateral varicocele that does not empty when laying down

A

suspicious for Renal cell carcinoma

20
Q

Sensitive indicator for hypovolemia / dehydration

A

↓ urine sodium

21
Q

Stuck on skin lesion

A

seborrheic keratosis

22
Q

scaly oily red rash on nose, eyebrows, ears, and scalp

A

seborrheic dermatitis

23
Q

Initial management of frostbite

A

rapid rewarming with warm water

24
Q

Actinic keratosis

A

scaly papule/ plaques
chronic sun= risk factor
can progress to SCC

25
Q

Unstable pt in torsades. Rx?

A

immediate defibrillation

26
Q

Stable pt in torsades. Rx?

A

IV mag

27
Q

What causes HIT

A

conformational change in plt –> autoantibody vs plt–> thrombocytopenia

28
Q

Acute limb ischemia after MI

A
LV thrombus (usually ↓ EF)
rx: immediate anti-coag 
do an echo to confirm
29
Q

Metabolic alkolosis classification

A

saline responsive- ↓ ua cl/ volume contraction

saline unresponsive- ua cl > 20

30
Q

causes of metabolic alkolosis

A

saline-
vomiting / diuretics

no saline-
 hyperaldosteronism 
cushing 
gitelman 
bartter
31
Q

Diagnostic criteria for Acute liver failure

A

ALT, AST > 1000
hepatic encephalopathy
INR > 1.5

32
Q

Most common type of kidney stone

A

calcium oxalate

33
Q

primary hyperparathyroidism kidney stones

A

calcium phosphate

Aso in RTA

34
Q

Hypothyroid myopathy

A

myalgias
proximal muscle weakness
↑ creatinine kinase

35
Q

amiloride is?

A

K sparing diuretic