Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Mixed > UW 1 > Flashcards

UW 1 Flashcards

1
Q

What exam should be done w/Clavicular Fx and why?

A

Neurovascular to R/O damage to vessels

- Close proximity of Subclavian artery and brachial plexux

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

Pt with clavicular fx and bruit heard by clavicle?

A

Do angiogram to check vessel damage

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

How does shoulder appear in clavicular fx?

A

Shoulder is displaced inferiorly and posteriorly

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

Post op cardiac surgical pt w/fever, tachycardia, chest pain, leukocytosis, sternal would drainage?

A

Acute Mediastinitis

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

How does Acute mediastinitis occur?

A

Complication of cardiac surgery due to intraoperative wound contamination
- w/in 14 days post op

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

How does CXR look for acute mediastinitis?

A

Widened mediastinum

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

Tx for acute mediastinitis?

A

Surgical debridement
Drainage
Abx

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

What murmur is common post CABG?

A

A-fib
Tx w/rate control
Anticoagulate if > 24 hrs

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

Septal Perforation

A 
Self-inflicted (nose picking)
rhinoplasty
Syphillis
TB
Cocaine
Sarcoidosis
Wegener's
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Whistling noise heard during respiration?

A

Nasal septum perforation b/c of sepal hematoma thru septal abscess (post op)

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

When do we surgically treat Aortic stenosis?

A

SAD
Syncope
Angina
Dyspnea (CHF)

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

What is surgery for Aortic stenosis?

A

Aortic valve replacement

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

Indications for Aortic valve replacement?

A

Symptomatic pts
Pts w/severe AS undergoing CABG/valvular surgery
Asymptomatic pt with severe AS - poor LV fnc, LVH >15mmHg, valve area < 0.6 cm or abnormal response to exercise

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

Placenta previa?

A

Painless 3rd trimeter bleeding, bleeding w/out ctx

Risk factors: C-section (previous), prior PP, multiparity, advanced age

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

Dx for placenta previa?

A

Transabdominal sonography

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

Sudden onset abdominal pain and bleeding, hyperventilation, agitation, tachycardia?

A

Uterine Rupture - most common during labor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Painless antepartum hemorrhage + rapid deterioration of fetal heart tracing?

A

Vasa previa

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What thyroid cancer ass’d with Hashimoto’s?

A

Lymphoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What characteristics ass’d with benign cardiac murmur in child?

A

If no ass’n with structural heart dz:

  • Grade II/VI or less - intensity
  • early or mid-systolic
  • decrease w/standing or Valsalva
  • normal S2
  • no sx’s
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What sx’s are seen in a pathologic cardiac murmur in child?

A

Sx’s:
Infants -Diaphoresis or tiring w/feeds, poor weight gain
Children - chest pain, dizziness, syncope, SOB, fatigue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What PE findings are seen in pathologic cardiac murmur in child?

A 
Harsh or Holosystolic 
Diastolic
Grade III/VI intensity or higher
Increased w/standing or Valsalva
Abnormal S2
Decreased absent femoral pulses
22
Q

What is the workup for child w/pathologic cardiac murmur?

A

CXR for cardiomegaly
EKG for hypertrophy
Echo - structural
Cardiac referral

23
Q

What liver changes seen in HELLP?

A 
Centrilobar necrosis
Hematoma formation
Thrombi in portal capillary system 
- Cause liver swelling w/distension of hepatic (Glisson's capsule)
RUQ pain
Epigastric pain
N/V
24
Q

Schisotocytes on PS, high BR, low haptoglobin,

A

Microangiopathic Hemolytic Anemia

25
Q

When does amniotic fluid embolism usually occur?

A

Labor

Delivery

26
Q

What puts pregnant women at risk for CAP?

A

Decreased cell mediated immunity

27
Q

What puts pregnant women at risk for Aspiration pneumonia?

A

Increased intra abdominal pressure

Relaxed LES

28
Q

Choriamnionitis (intramniotic infxn) Risk factors?

A

PROM >24 Hours
Prolonged labor
Internal fetal/uterine monitoring devices
Genital tract pathogens

29
Q

Choriamnionitis Dx?

A 
Maternal fever >100.4 + One of these: 
- Maternal Tachycardia (>100)
- Uterine tenderness
- Malodorous/purulent amniotic fluid/vaginal d/c
- WBCs > 15,000
OR 
Fetal Tachycardia >160
30
Q

When does PROM occur?

A

Can happen anytime throughout pregnancy

31
Q

When is PROM a problem?

A

When it becomes PPROM - Prolonged

32
Q

What can occur as a result of PROM?

A

Preterm labor
Cord Prolapse
Placental Abruption
Chorioamnionitis

33
Q

What is the management for chorioamnionitis?

A

Get cervical cultures
Start IV Abx
Deliver immediately -schedule

34
Q

TX for preterm fetus w/out chorioamnionitis?

A

Tx w/betamethasone
Tocolytics = decrease ctx
Amp/gent - decrease risk of chorioamnionitis

35
Q

What is uterine indicative of?

A

Upper genital tract infxn

36
Q

How does acute cervicitis present?

A

Purulent vaginal discharge

MCC Trichomonas, Chlamidya, Gonorrhea

37
Q

What is the MC risk factor for PROM?

A

Ascending infxn from lower genital tract

38
Q

What is seen on US with PROM?

A

Oligohydramnios

39
Q

Maternal complications w/choriamnionitis?

A

Uterine atony
Postpartum Hemorrhage
Endometritis

40
Q

Fetal complications with chorioamnionitis?

A 
Preterm birth
Serious bacterial Infxn
Perinatal asphyxia
Cerebral Palsy
Death
41
Q

Indications for C-section?

A

Breech
Fetal distress
Multiple previous c-sections

42
Q

Defensive mechanism where IVDA contracts HCV and blames community lack of control of HCV?

A

Distortion

43
Q

Tx of choice OCD?

A

SSRI

44
Q

Tx of choice Tourette disorder?

A

Dopamine Antagonists - AP’s like Risperidone (2nd G)

45
Q

Defense mechanism where woman is angry at husband and throws his baseball card collection away?

A

Displacement

46
Q

Defense mechanism where woman agrees with abuse husband that she is worthless

A

Introjection

47
Q

Defense mechanism where person was rescued from burning building and now denies any memory of event?

A

Dissociation

48
Q

Defense mechanism where person expression aggression with person by repeated passive failures to meet their needs

A

Passive aggressive

49
Q

Eye conditions where patients see halos around lights?

A

Acute angle-closure glaucoma

50
Q

Painful loss of vision

A

Acute angle-closure glaucoma

Optic neuritis

51
Q

What is blood and thunder fundoscopy changes?

When do we see it?

A 
Optic disc swelling 
Retinal hemorrhages
Cotton wool spots 
Dilated veins
Central Vein Occlusion

Mixed (19 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions