UVA Quiz Flashcards

1
Q

LDL goal for diabetics

A

Less than 100

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2
Q

tx for bacterial meningitis

A

ceftriaxone and vanc

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3
Q

first and second line treatment for enterobiasis, and what scenario would you use the second line

A

mebendazole

pyrantel pamoate - use if pregnant

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4
Q

kidney disease 5 days vs 10+ days after URI

A

5 days: IgA nephropathy

10+ days: PSGN, also has cola colored urine, periorbital edema

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5
Q

indications for using sodium polystyrene sulfate (kayexalate) for hyperkalemia

A

all other meds failed

constant leakage of potassium from damaged cells (myonecrosis)

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6
Q

indications for using sodium polystyrene sulfate (kayexalate) for hyperkalemia

A

all other meds failed

constant leakage of potassium from damaged cells (myonecrosis)

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7
Q

episodic headache
sweating
tachycardia

A

pheochromocytoma

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8
Q

indications for biventricular pacemaker placement

A

symptomatic bradyarrhythmias

sinus or AV node dysfunction

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9
Q

2 classic groups of people with myasthenia gravis

A

20s - 30s females with autoimmune disorders

men in 70s or 80s

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10
Q

when is splitting of S2 normal

A

during inspiration

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11
Q

low pitched, harsh holosystolic murmur at LLSB

A

VSD

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12
Q

microcytic anemias

A
Thalassemia
Anemia of chronic disease
Iron deficiency anemia (sometimes normocytic)
Lead poisoning
Sideroblastic anemia
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13
Q

tx autoimmune hemolytic anemia

A

corticosteroids

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14
Q

tx autoimmune hemolytic anemia

A

corticosteroids

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15
Q

LDL goal for people with no risk factors

A

less than 160

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16
Q

increased HVA and VMA. Differential, and how to distinguish between the two

A

neuroblastoma vs pheochromocytoma (also increased metanephrine and normetanephrine)

17
Q

increased HVA and VMA. Differential, and how to distinguish between the two

A

neuroblastoma vs pheochromocytoma (also increased metanephrine and normetanephrine)

18
Q

fever, anemic, thrombocytopenic, renal dysfunction, neuro abn - dx and tx

A

TTP

plasmapheresis

19
Q

tx of vWD

A

mild: desmopressin (incr prod and release of vWF)
severe: cryoprecipitate

20
Q

familial short stature vs constitutional growth delay

A

FSS: bone age = chronological age
CGD: bone age less than chronological age

21
Q

elevated AFP in pregnant

A

multiple gestations
NTDs
and wall defects

22
Q

why TMP SMX CI in last trimester

A

causes hyperbilirubinemia of newborn

23
Q

workup before starting a prophylactic med for gout

A

24 hour uric acid urinary excretion

  • if less than 600 mg uric acid, under secreter, so use probenecid
  • if more than 600 mg uric acid, over producer, so use allopurinol
24
Q

first line tx for scabies

A

permethrin cream or oral ivermectin

25
Q

first line tx for scabies

A

permethrin cream or oral ivermectin

26
Q

low AFP in pregnant

A

trisomy 18 and 21

27
Q

dipstick UA shows blood
microscopic UA doesn’t
dx?
tx?

A

rhabdo - myoglobinuria

IVF

28
Q

first line for acute bacterial sinusitis

A

amox/clav

29
Q

hypertensive urgency vs emergency

  • definition
  • management
A

urgency >220/120 - PO labetalol

emergency - IV agents

30
Q

CD4 count below 50, start prophylaxis with __ for what bug?

A

azithromycin or clarithromycin

mycoplasma avium complex (MAC)

31
Q

HIV patient vaccines

A

pneumococcal

flu