UW 10 Flashcards
What is a test that gives similar results on repeat measures
Reliable
Maximum error is minimal
What does A fib look like
Irregularly Irregular
Varying R-R intervals
No discernible P waves
Narrow complex tachycardia
If alcohol intake among individuals w breast cancer is compared with individuals w/out breast cancer - what kind of study
Case-Control Study
What does relative risk measure
Strength of assn bt exposure and disease
What is the equation for relative risk
Incidence in exposed divided by incidence in unexposed
What is measurement bias
When measurement or data-gathering methods different groups
Example: one group is assessed by CT and another MRI
What kind of gait is ass’d with Parkinsonism
Hypokinetic
Festinating
Where do we see waddling gait?
Muscular dystrophy = weakness of gluteal muscles
What to consider with BPH and acute kidney injury
Bladder outlet obstruction
What is bladder outlet obstruction and what is workup
BL obstruction causing elevated Cr
Imaging = Renal US
What is the management for bladder outlet obstruction
Urinary catheter placement w hydronephrosis
Alpha blockers (Tamsulosin)
5-Alpha reductase inhibitors (Finasteride)
Refractory cases - TURP
Risk factors for Polyhydramnios
Fetal malformations Genetic disorders Maternal DM Multiple gestation Fetal anemia
What test is done to evaluate the cervix for cervical incompetence
TV US
What is flail chest
Multiple contiguous ribs are fractured in 2+ locations
Presentation of flail chest
Pts take shallow breaths b/c of pain - compensate w hypoxemia w hyperventilation
Paradoxical inward motion on inspiration, outward movement on expiration
Management of flail chest
Pain control
Supplemental Oxygen
Intubation w mechanical positive pressure ventilation
What coag finding seen in hemophilia
Increased PTT
How does VWF deficiency present
MC sx in women is menorrhagia
VWF deficiency pathophys
Platelet plug formation problem leads to prolonged mucosal bleeding
When do we see melena
Black, tarry stool seen in Upper GI bleeding
WHen do we see hematochezia
Bright red stool seen in lower GI bleeds
When do we see red papules over the trunk and lips
Cutaneous AV malformations
What are causes of acquired torticollis in children
URI
Minor trauma
Cervical LA
Retropharyngeal Abscess
Next step of management in torticollis
X-ray of neck (C-spine)
Lab tests in Hereditary Spherocytosis
Increased MCHC
Negative Coombs
Spherocytes on PS
Complications of Hereditary spherocytosis
Pigment stones
Aplastic crisis from Parvo B19
What heart defects are seen in Turner syndrome
Bicuspid aortic valve
Coarctation of the aorta
Aortic root dilation - increased risk of aortic dissection
What is the cause of impaired fat absorption in Zollinger-Ellison syndrome?
Pancreatic enzyme inactivation
What is Zollinger-Ellison syndrome and pathophys?
MCC = gastrin producing pancreatic tumor
- Parietal cell hyperplasia -> stomach acid production increased
How does Z-E syndrome present?
Multiple duodenal ulcers
Jejunal ulcer = pathognomic
Steatorrhea
Best tx for frost bites
Rapid re-warming with warm water
Never debride until rewarming has been completed
Tx for PAD
Low dose ASA
Statin
Exercise
Smoking cessation
When do pts undergo desensitization with PCN
Pregnancy with syphilis b/c doxycycline CI.
Tx for severe lithium toxicity
Hemodialysis
Presentation of lead poisoning children
Irritability Poor appetite HA Abd pain Anemia
Presentation of iron poisoning in children
Abd pain
Hematemesis
Shock
Met Acidosis
How do iron pills appear on x-ray
Radiopaque
MC AE of ECT
Amnesia
Retrograde and Anterograde
Tx of Acute DVT
Combination of warfarin and heparin for first 5 days
Continue Warfarin for 6 mos
New DVTs = compression stockings to prevent post-phlebitic syndrome
How is propagating clot in a pt with therapeutic warfarin level treated
Same as new, unstable clot: heparin + warfarin
What does risk measure?
Incidence
Tx for Raynaud Phenomenon
DHP CCBs
Amlodipine
Nifedipine
Survival rate for pts with sudden cardiac arrest - most critical factor that determines pt survival
Elapsed time to effective resuscitation
- effective bystander CPR
- prompt rhythm analysis
- early defibrillation