UW 10 Flashcards

1
Q

What is a test that gives similar results on repeat measures

A

Reliable

Maximum error is minimal

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2
Q

What does A fib look like

A

Irregularly Irregular
Varying R-R intervals
No discernible P waves
Narrow complex tachycardia

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3
Q

If alcohol intake among individuals w breast cancer is compared with individuals w/out breast cancer - what kind of study

A

Case-Control Study

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4
Q

What does relative risk measure

A

Strength of assn bt exposure and disease

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5
Q

What is the equation for relative risk

A

Incidence in exposed divided by incidence in unexposed

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6
Q

What is measurement bias

A

When measurement or data-gathering methods different groups

Example: one group is assessed by CT and another MRI

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7
Q

What kind of gait is ass’d with Parkinsonism

A

Hypokinetic

Festinating

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8
Q

Where do we see waddling gait?

A

Muscular dystrophy = weakness of gluteal muscles

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9
Q

What to consider with BPH and acute kidney injury

A

Bladder outlet obstruction

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10
Q

What is bladder outlet obstruction and what is workup

A

BL obstruction causing elevated Cr

Imaging = Renal US

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11
Q

What is the management for bladder outlet obstruction

A

Urinary catheter placement w hydronephrosis
Alpha blockers (Tamsulosin)
5-Alpha reductase inhibitors (Finasteride)
Refractory cases - TURP

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12
Q

Risk factors for Polyhydramnios

A
Fetal malformations
Genetic disorders
Maternal DM
Multiple gestation
Fetal anemia
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13
Q

What test is done to evaluate the cervix for cervical incompetence

A

TV US

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14
Q

What is flail chest

A

Multiple contiguous ribs are fractured in 2+ locations

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15
Q

Presentation of flail chest

A

Pts take shallow breaths b/c of pain - compensate w hypoxemia w hyperventilation
Paradoxical inward motion on inspiration, outward movement on expiration

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16
Q

Management of flail chest

A

Pain control
Supplemental Oxygen
Intubation w mechanical positive pressure ventilation

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17
Q

What coag finding seen in hemophilia

A

Increased PTT

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18
Q

How does VWF deficiency present

A

MC sx in women is menorrhagia

19
Q

VWF deficiency pathophys

A

Platelet plug formation problem leads to prolonged mucosal bleeding

20
Q

When do we see melena

A

Black, tarry stool seen in Upper GI bleeding

21
Q

WHen do we see hematochezia

A

Bright red stool seen in lower GI bleeds

22
Q

When do we see red papules over the trunk and lips

A

Cutaneous AV malformations

23
Q

What are causes of acquired torticollis in children

A

URI
Minor trauma
Cervical LA
Retropharyngeal Abscess

24
Q

Next step of management in torticollis

A

X-ray of neck (C-spine)

25
Q

Lab tests in Hereditary Spherocytosis

A

Increased MCHC
Negative Coombs
Spherocytes on PS

26
Q

Complications of Hereditary spherocytosis

A

Pigment stones

Aplastic crisis from Parvo B19

27
Q

What heart defects are seen in Turner syndrome

A

Bicuspid aortic valve
Coarctation of the aorta
Aortic root dilation - increased risk of aortic dissection

28
Q

What is the cause of impaired fat absorption in Zollinger-Ellison syndrome?

A

Pancreatic enzyme inactivation

29
Q

What is Zollinger-Ellison syndrome and pathophys?

A

MCC = gastrin producing pancreatic tumor

- Parietal cell hyperplasia -> stomach acid production increased

30
Q

How does Z-E syndrome present?

A

Multiple duodenal ulcers
Jejunal ulcer = pathognomic
Steatorrhea

31
Q

Best tx for frost bites

A

Rapid re-warming with warm water

Never debride until rewarming has been completed

32
Q

Tx for PAD

A

Low dose ASA
Statin
Exercise
Smoking cessation

33
Q

When do pts undergo desensitization with PCN

A

Pregnancy with syphilis b/c doxycycline CI.

34
Q

Tx for severe lithium toxicity

A

Hemodialysis

35
Q

Presentation of lead poisoning children

A
Irritability
Poor appetite 
HA
Abd pain
Anemia
36
Q

Presentation of iron poisoning in children

A

Abd pain
Hematemesis
Shock
Met Acidosis

37
Q

How do iron pills appear on x-ray

A

Radiopaque

38
Q

MC AE of ECT

A

Amnesia

Retrograde and Anterograde

39
Q

Tx of Acute DVT

A

Combination of warfarin and heparin for first 5 days
Continue Warfarin for 6 mos
New DVTs = compression stockings to prevent post-phlebitic syndrome

40
Q

How is propagating clot in a pt with therapeutic warfarin level treated

A

Same as new, unstable clot: heparin + warfarin

41
Q

What does risk measure?

A

Incidence

42
Q

Tx for Raynaud Phenomenon

A

DHP CCBs
Amlodipine
Nifedipine

43
Q

Survival rate for pts with sudden cardiac arrest - most critical factor that determines pt survival

A

Elapsed time to effective resuscitation

  • effective bystander CPR
  • prompt rhythm analysis
  • early defibrillation