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Mixed 2 > UW 1 > Flashcards

UW 1 Flashcards

1
Q

After DX of GBS, what is most important next step in management

A

Assess Pulmonary Fnc with Serial Spirometry

Gold std = FVC to assess ventilation

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2
Q

GBS pt with declining FVC

A

Impending Respiratory Arrest - may require endotracheal intubation

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3
Q

WHen do we do Spinal MRI w GAD

A

Acute Transverse myelitis suspected

  • Spinal cord inflammation involving thorax
  • LE Diplegia
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4
Q

Enlargement of central canal of SC due to CSF Retention

A

Syringomyelia

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5
Q

Presentation of Syringomyelia

A

Impaired strength

Pain/Temp sensation in UE

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6
Q

When is Brachial Artery injured

Si/Sx’s

A

Supra condylar Fx of humerus - children

Ischemia Si/Sx’s

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7
Q

Radial Nerve injury - MC location

A

Midshaft humerus FX

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8
Q

Pathophys and causes of anserine bursitis

A

Anserine bursa - location is anteromedially over tibial plateau just below joint line of knee
Causes of Inflammation = Abnormal gait
Overuse
Trauma

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9
Q

Presentation of anserine bursitis

A

Localized pain over anteromedial tibia
Present overnight
PE: Tenderness over medial tibial plateau

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10
Q

TX for Anserine Bursitis

A

Rest
Ice
Maneuvers to reduce pressure
Steroid injections

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11
Q

Presentation of prepatellar bursitis

A

Pain and swelling directly over patella caused by trauma

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12
Q

MCL Strain presentation

A

Pain along medial joint line
Aggravated by walking
Caused by valgus stress applied to lateral knee partially flexed

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13
Q

Management of decreased fetal movements - testing

A
  1. NST
  2. CST
  3. BPP if NST nonreactive
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14
Q

Management of pt with normal CST in pt of 36 wks

A

Repeat antepartum Fetal testing in 1 wk

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15
Q

Uterine Rupture Presentation

A 
Vaginal bleeding
Intrabdominal bleeding
Fetal heart decelerations
Loss of fetal station
Palpation of fetal parts
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16
Q

Painless antepartum hemorrhage ass’d with rapid deterioration of fetal heart tracings

A

Vasa Previa

17
Q

Fetal hydantoin syndrome

A

Hypoplastic fingers/nails
Cleft lip/palate
Phenytoin

18
Q

ST elevation in leads II, III, aVF is what and what part of heart involved

A

Inferior MI

1/3 = RV

19
Q

ST depression in leads I and AVL indicates ?

A

STEMI right side heart

20
Q

JVD + Kussmaul’s + clear lung fields =

A

RV Failure

21
Q

Kussmaul’s sign is

A

Increase in JVD w Inspiration

22
Q

RV Failure does what to preload, CO, BP?

A

Decreases Preload
Decreases CO
HypoTN

23
Q

Which drugs avoided in RV Failure

A

Preload Reducing

  • Nitroglycerine
  • Diuretics
24
Q

Labs in Paget Disease

A

Normal serum calcium, phosphate
Increased
- Alk Phosph
- urinary hydroxyproline, deoxypyridnoline, N-telopeptide, C-telopeptide

25
Q

Factor that determines need for chest tube in parapneumonic effusion

A

Pleural fluid pH < 7.2 indicates empyema and must remove fluid w thoracostomy
OR
Glucose < 60mg/dL

26
Q

Why are nephrotic syndrome pts at risk for stroke/MI

A

Nephrotic syndrome - alters lipid metabolism = Dyslipidemia causes increased risk for accelerated atherosclerosis

27
Q

Wiskott-Aldrich syndrome pathophys

A

Thrombocytopenia - decreased platelet production

28
Q

PE of pleural effusion

A

Decreased tactile fremitus
Dullness to percussion
Decreased breath sounds over effusion

29
Q

Presentation of Central cord syndrome

A

Hyperextension injuries in elderly patients
Central portions of CS tracts and decussating fibers of Lateral ST tract
Weakness greater in UE»LE

30
Q

Pathophys of osteomyelitis in diabetic patient w foot ulcer

A

Contiguous spread of infxn

31
Q

Pathophys of flushing and pruritis w Niacin

A

Peripheral vasodilation = Prostaglandin-related RXN

32
Q

Recurrent bacterial infxn in adult indicative of what type of defect

A

Humoral Immunity

33
Q

VW Dz labs

A 
Increased BT, PTT
Platelet count = Normal
34
Q

ITP Presentation

A 
Severe thrombocytopenia < 30,000
Megakaryocytes on PS
Bleeding episodes
Other labs - Normal
Platelet destruction - AI
35
Q

TX of COPD acute exacerbation

A

Supplemental Oxygen
Inhaled bronchodilators = Beta 2 agonist, anticholinergics
Abx
Systemic glucocorticoids

36
Q

Management of Wide complex tachycardia w AV dissociation or fusion/capture beats

A

Stable V-tach = IV Amiodarone

Unstable V-tach = Synchronized cardioversion

Mixed 2 (9 decks)

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