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Mixed 2 > UW > Flashcards

UW Flashcards

1
Q

Presentation of Benzo OD

A 
Slurred speech
Unsteady gait
Drowsiness
Normal pupils
Mild resp depression
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2
Q

Phenytoin toxicity presentaiotn

A

Horizontal nystagmus
Cerebellar Ataxia
Confusion

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3
Q

Presentation of opiod intoxication

A

Resp depression
Miosis
Sedation

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4
Q

Presentation of Lithium toxicity

A

Tremor
Hyperreflexia
Ataxia
Seizures

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5
Q

TX for pneumothorax

A

Needle thoracostomy

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6
Q

Presentation of pneumothorax

A 
Rapid onset SOB
Tachycardia
Tachypnea
HypoTN
Neck vein distension = SVC compression
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7
Q

Presentation of Rotor syndrome

A

Jaundice, dark urine
Normal LFTs
Defect of hepatic storage
Conjugated Hyperbilirubinemia

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8
Q

95% of Circulating BR is what?

A

Unconjugated = insoluable in water
Tightly bound to albumin
Cannot be filtered by glomerulus so not excreted in urine

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9
Q

Gilbert syndrome presentation

A

Icterus
Mild UNconjugated HyperBR
malaise, fever, fatigue, abd discomfrot
Stress induced

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10
Q

Diphenhydramine toxicity Presentation

A 
Drowsiness, confusion
Dry mouth
Dilated pupils
Blurred vision
Reduced bowel sounds
Urinary retention
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11
Q

TX for diphenhydramine toxicity

A

Physostigmine

= Cholinesterase inhibitor

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12
Q

DOC for delirium in elderly

A

Low dose Haloperidol

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13
Q

Management of mechanical ventilation in ARDS

A
  1. FiO2 should be < 40%

2. Add PEEP

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14
Q

What are ways to improve oxygenation

A
  1. Increase FiO2

2. Add PEEP

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15
Q

What does PEEP do

A

Prevents alveolar collapse

Can reopen some alveoli that are collapsed

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16
Q

Long term neuro sequelae of Bacterial Meningitis

A
  1. Hearing loss
  2. Loss of cognitive fnc
  3. Seizures
  4. MR
  5. Spasticity of paresis
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17
Q

Anemia in chronic phenytoin use

A

Mild megaloblastic anemia
- others; primidone, phenobarb
MOA: impaired absorption of folic acid in SI

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18
Q

Drugs that cause folic acid deficiency

A 
Phenytoin 
Phenobarb
Primidone
Trimethoprim
MTX
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19
Q

Renal colic w no stones Id’d

A
  1. Radiolucent stones - uric acid, xanthine stones
  2. Calcium stones < 1-3mm
  3. Non-stone urethral obstruction - blood clot/tumor
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20
Q

TX for uric acid stones

A
  1. Hydration
  2. Alkalinize urine to 6-6.5 w Oral Potassium citrate
  3. Low purine diet
21
Q

MC Peripheral Neuropathy in diabetics

A

Symmetrical Distal Polyneuropathy

22
Q

Shoulder pain w No response to lidocaine injection

A

Rotator Cuff injury

23
Q

TX for hoarding disorder

A

SSRI

DBS if refractory

24
Q

Imaging modality for splenic rupture

A

CT w contrast

25
Q

Next step in management of hemodynamically stable splenic rupture

A

CT w contrast

26
Q

Next step in management of hemodynamically UNstable pt w splenic rupture

A

Urgent Laparotomy

27
Q

Bite wound TX

A

Amoxicillin-clavulanate

28
Q

DOC dog bites

A

Amoxicillin-clavulanate

29
Q

Active uncontrolled bleeding and Placenta Previa management

A

Emergency C section

30
Q

Presentation of ovarian and adnexal torsion

A

Sudden onset
mod-severe pelvic pain (R»L)
N/V
Abnormal vag bleeding - less common

31
Q

TX for ovarian/adnexal torsion

A

Immediate detorsion w emergency laparoscopic surgery

32
Q

Labs for G6PD

A 
Low hemoglobin
Low Haptoglobin
High Indirect BR
High LDH
Coombs negative
33
Q

Presentation ischemic hepatic injury/shock liver

A

Septic shock

High LFTs - AST/ALT in thousands

34
Q

Neurofibromatosis w cafe au lait spots, macrocephaly, feeding probs

A

NF 1

35
Q

NF with BL acoustic neuromas and cataracts

A

NF 2

36
Q

Acanthosis Nigracans Presentation

A

Symmetrical
Hyperpigmented
Velvety plaques
Axilla, groin, neck

37
Q

Acanthosis Nigricans ass’d with

A

Insulin resistance - DM, PCOS

GI Malignancy

38
Q

Waldenstrom’s macroglobinemia

A
  1. IgM spike

2. Hyperviscosity

39
Q

Pseudomonas aerg TX

A

Cefepime

Pipercillin-tazobactam

40
Q

What does hepatojugular reflex indicate

A

Failing RV that cannot accomodate an increase in venours return w abdominal compression

41
Q

Cardiac findings in Down Syndrome

A
  1. Complete AV septal defect
  2. VSD
  3. ASD
42
Q

Narrow QRS complex tachycardia Mangement

A

IV Adenosine

43
Q

MOA Adenosine

A

Slows sinus rate
Increases AV nodal conduction delay
Transient block in AV node conduction

44
Q

Mammogram Screening - how often

A

Every 2 years in women 50-75

45
Q

Hyperlipidemia Screening

A

Every 5 years for Men 35+

46
Q

Anovulation due to morbid obestiy labs

A

Normal FSH and LH

47
Q

Premature ovarian failure labs

A

High FSH and LH

48
Q

Most common origin for ectopic foci that cause A fib

A

Pulmonary veins

Mixed 2 (9 decks)

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