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Mixed > UW 14 > Flashcards

UW 14 Flashcards

1
Q

Managementi for Anorexia

A
  1. CBT
    2 Nutritional Rehab
  2. Olanzapine if unresponsive
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2
Q

Infxn w prosthetic > 3 months

A

Staph Epidermidis
Propion
Enterococci

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3
Q

Prosthetic joint Infxn within 3 mos of primary arthroplasty

A

Stap Aureus
Gram - Rods
Anaerobes

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4
Q

Management of infected prosthesis

A

Removal

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5
Q

Imaging for pancreatic cancer
Head
Tail/Body

A

Head - US

Body/Tail - CT

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6
Q

Administration of anti-D Ig

A
  1. 28 weeks - Standard dose

2. Within 72 hrs of delivery - Kleihauer-Betke test determines higher dose

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7
Q

Diagnostic test for Zenker’s

A

Contrast Esophogram

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8
Q

Criteria for Kawasaki

A

Fever > 5 days + 4/5

  1. Conjunctiviits
  2. Oral mucosal changes
  3. Rash
  4. Extremity changes
  5. Cervical LA
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9
Q

Labs in Kawasaki

A

High CRP, ESR
Leukocytosis w neutrophilia
Reactive thrombocytosis
Sterile pyuria on UA

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10
Q

Intussusception ass’d with

A

HSP

Meckel’s

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11
Q

Diverticulosis v Diverticula

A

Diverticulosis - noninflamed diverticular; painless bleeding

Diverticulitis - Abd pan, infectious sx’s, bleeding uncommon

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12
Q

MCC of lower GI hemorrhage in elderly pt

A

Diverticulosis

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13
Q

MCC sepsis in sickle cell

A

Strep Pneumo

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14
Q

Analgesic Nephropathy

A

Chronic analgesic use
Usually asymptomatic
Chronic tubulointerstitial nephritis

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15
Q

Dx for analgesic nephropathy

A 
High Cr 
UA - hematuria, sterile pyuria
Mild proteinuria
CT - small kidneys w BL renal papillary calcifications
White blood cell casts
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16
Q

Osteomalacia labs

A 
Low/N serum calcium
Low serum phosphate
High serum PTH
Low plasma 25-OH Vit D
High AP
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17
Q

Xray of osteomalacia

A

Decreased bone density
Thinning of cortex
Codfish vertebral bodies
Pseudofractures

18
Q

EKG in hypokalemia

A

Broad flat T waves
U waves
ST depression
PVCs

19
Q

Most sensitive test for disseminated Histoplasmosis

A

Histoplasma Antigen immunoassay of serum or urine

20
Q

Presentation of Histo in HIV pt

A

RES system - pancytopenia, HSM, adenopathy
Pneumonia - Diffuse reticulonodular or cavitary
Mucocutaneous lesions

21
Q

TX of Histo

A

Mild: Oral Itraconazole
Severe: IV Ampho B for 2 weeks, then Itraconazole for 1 year

22
Q

Flucytosine TX for?

A

Cryptococcus

Candida

23
Q

Statins MOA

A

Inhibit HMG-CoA reductase

  • RLE in intracellular biosynthesis of cholesterol
  • Converts cholesterol to mevalonate
  • Increase # of cell membrane LDL receptors
  • decrease coenzyme Q10 synthesis
24
Q

Mycoplasma pneumoniae Skin lesion

A

Erythema Multiforme

25
Q

WHat is erythema multiforme

A

dusky, red target shaped lesions

26
Q

Difference b/t Central and Peripheral precocious puberty

A

Central - Early activation of HPO axis - GnRH activation
FSH and LH HIGH
Peripheral - gonadal or adrenal release of excess sex hormones
FSH and LH are LOW

27
Q

VAccinations for North Africa

A

Hep A
Hep B
Typhoid
Polio booster

28
Q

Who gets yellow fever vaccine

A

Sub-Saharan Africa

South America

29
Q

Smudge cells?

A

CLL

30
Q

CLL - diagnostic test

A

Flow cytometry -prove clonality of abnormal lymphocytes seen on PS

31
Q

JAK2 mutation seen in

A

Myeloproferative disorders

Polycythemia vera

32
Q

Brain death criteria

A
  1. Evaluate corticol and brain stem fncs

2. Prove irreversibility of brain activity loss

33
Q

What functions in brain death

A

Spinal Cord - DTRs may be present

34
Q

Hep B TX

A

Entecavir

Tenofovir

35
Q

Tx for cellulitis w systemic signs

A

IV Nafcillin

Cefazolin

36
Q

Duodenal Hematoma Presentation

A

Post blunt abdominal trauma
Children
Blood b/t submucosal and muscular layers cause obstruction
Epigastric pain and vomiting

37
Q

Management of Duodenal Hematoma

A

Nasograstric suction with parenteral nutrition

Surgery if needed

38
Q

NB w cyanosis aggravated by feeding, relieved by crying? What is seen in management?

A

Choanal Atresia

- Failure to pass a catheter thru nose to oropharynx

39
Q

Pt planning pregnancy on levothyroxine - what to do?

A

Increased during pregnancy according to levels

40
Q

What is the most common MOA of ventricular arrhythmia in immediate post infarct period

A

Reentry

41
Q

MCC sudden cardiac arrest in immediate post infarction period with acute MI

A

Reentrant ventricular arrhythmias

Mixed (19 decks)

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