USMLE spaghetti night Flashcards
constrictive pericarditis s/s
pericardial calcifications
RV failure
mid diastolic pericardial knock
Pneumococcal vaccine before age 65
before 65- PPSV23
After 65
PCV 13, then repeat PPSV23
Renal failure and cocaine
20% cocaine OD has rhabdo
Rhabdo –> ↑ CPK –> ATN
Hepatorenal syndrome
in end stage liver disease
↑ RAS –> ↓↓ GFR from splanchnic arterial dilation
Stress induced cardiomyopathy
caused by emotional/ physical stress
s/s: CP, SOB
ECG abnormal w/ ↑ cardiac enzymes
Prego w/ lyme disease rx
amoxicillin
Waldenstrom macroglobulinemia
plasma cell neoplasm
monoclonal IgM
neuropathy, neuro findings, and anemia
M spike in multiple myeloma
light chains (IgG or IgA)
Hep C kidney problem
membranoproliferative glomerulonephritis
dymorphic red cells, RBC casts
Crystals in pseudogout
Calcium pyrophosphate dihydrate crystals
miotic means?
TINY pupil
little word little pupil
Tolerance rarely reduces the miotic effects of narcotic medications.
Kitty bite bug
Pasteurella species are isolated from up to 50% of dog bite wounds and up to 75% of cat bite wounds
PPD test size for positive test
normal peeps 15 mm
10 mm in high risk patients
HIV 5 mm
The routine tests for a newly diagnosed hypertensive patient include:
CBC potassium, calcium creatinine fasting glucose a fasting lipid profile urinalysis, resting electrocardiogram
renal artery stenosis test
A captopril renal scan or renal magnetic resonance angiography would evaluate this.
When to observe a pneumothorax
An initial pneumothorax of <20% may be monitored if the patient has few symptoms.
Follow-up should include a chest radiograph to assess stability at 24–48 hours.
The cardiac toxicity of methadone is primarily related to _________
QT prolongation and torsades de pointes.
Shingles RX
antivirals
drug resistant CMV rx
foscarnet
Initial step of cushing’s work up
Any of the 3
- late night salivary cortisol
- 24 hours urine cortisol
- overnight low dose dex suppression
Cancer in pernicious anemia
2X risk of gastric cancer
Pain- aginal equivalent
An aginal equivalent occurs when a patient has no chest pain, but has other symptoms of cardiac ischemia (e.g., dyspnea) that is predictably precipitated by exertion and relieved by rest
Atypical angina
Atypical angina occurs when:
the patient experiences pain that has the quality and characteristics of angina
- or -
occurs with exertion
*but not both.
DEXA stands for?
Dual energy x-ray absorptiometry (DEXA) scanning is most precise and is the test of choice for osteoporosis
A T-score more than ____ standard deviations below the mean indicates osteoporosis.
2.5
aka a score of –2.5 or lower= osteoporosis.
________ is the leading cause of cancer-related deaths in the United States
Lung cancer
When do you add steroids in PCP
Adjunctive corticosteroids should also be started in any patient whose initial pO2 on room air is <70 mm Hg.
Qualifying for hospice
life expectancy of less than 6 months to qualify for hospice services.
The black box warning for thiazolidinediones (ex pioglitazone) specifically addresses __________
heart failure
Otitis media rx
Amoxicillin, 80–90 mg/kg/day in two divided doses, which increases the concentration of amoxicillin in the middle ear fluid to help with resistant Pneumococcus.
1st line allergy treatment
In multiple studies, intranasal corticosteroid sprays have proven to be more efficacious than the other options listed, even for ocular symptoms.
Hypertensive emergencies, defined as severe blood pressure elevations to _________ warrant emergent treatment.
> 180/120 mm Hg
with evidence of impending or worsening target organ dysfunction,
diagnostic imaging procedure for superior mesenteric artery embolization
celiac and mesenteric arteriography
The threshold for prophylactic platelet transfusion is ________-
10,000/μL
in pts not bleeding and not undergoing surgery
First-line agents for ovulation induction and treatment of infertility in patients with PCOS include __________
metformin and clomiphene
