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Mixed > UW 5 > Flashcards

UW 5 Flashcards

1
Q

Pt returns from developing country w/sx’s of malabsorption

A

Giardiasis

Empiric tx w/Metronidazole

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2
Q

Maintenance tx of pts with Bipolar Disorder

A
  1. Post first episode - at least 1 year from time of remission
  2. Pts w/2+ episodes = long term/lifetime tx, esp with FHx
  3. Pts w/hx of 3+ relapses = lifetime
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3
Q

Single episode of major depression tx

A

Antidepressant for 6 months

Monitor pt’s response

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4
Q

Complicated Diverticulitis and Tx

A

Diverticulitis + Abscess, perforation, obstruction, or fistula formation

  • Fluid < 3cm = IV Abx and observation
  • Surgery if sx’s worsen
  • Fluid > 3cm = CT-guided drainage
  • if not controlled by 5th day - surgery for drainage and debridement
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5
Q

Dx for leprosy

A

Skin Bx shows acid fast bacilli

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6
Q

What do blood cultures show in leprosy?

A

Nothing. they are negative

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7
Q

Asian patient, insensate, hypopigmented patch of skin

A

Leprosoy = affects peripheral nerves and skin

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8
Q

Fetal Hydantoin syndrome

A 
Anticonvulsant exposure - phenytoin, carbamezapine
Small body size
Microcephaly
Digital/Nail hypoplasia
Midfacial hypoplasia
Hirsutism
Cleft palate and lip
Rib abnormalites
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9
Q

Fetal Alcohol Syndrome

A 
Midfacial hypoplasia
Microcephaly
Stunted growth
CNS - hyperactivity, MR, learning disability
NO cleft palate/excess hair
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10
Q

Electrolyte derangements in loops?

A

HypoKalemia

HypoMaGnesemia

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11
Q

Cardiac patient develops v tach - what to consider

A
  1. Assess stability

2. Measure serum electrolytes

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12
Q

Missed Abortion

A

Fetal loss with retained POC
Closed cervix
IU fetal death < 20 wks

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13
Q

Presentation of missed abortion

A

Minimal sx’s
Light vaginal bleeding
Decreased preg s’s - nausea, breast tenderness

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14
Q

Management of missed abortion

A
  1. Asses fetal heart tones
  2. Pelvic exam for cervix and vaginal bleeding
  3. Dx w TV US
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15
Q

Tx for Missed abortion

A

Hemodynamically unstable, heavy bleeding: D&C

Hemodynamically stable, mild bleeding: expectant management, PGs or D&C

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16
Q

Presentation of placental abruption

A

Sudden onset bleeding
Abd Pain
Hypertonic/tender uterus

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17
Q

US of placental abruption

A

Retroplacental hemorrhage

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18
Q

Presentation of uterine rupture

A 
Sudden onset bleeding
Constant abd pain
Cessation of CTX 
Palpable fetal parts
Fetal deterioration
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19
Q

Uterine Atony

A

Postpartum complication
MCC of painless hemorrhage post delivery
Poor uterine tone

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20
Q

Manifestations of hyperestrogenism in Cirrhosis

A 
Gynecomastia
Palmer Erythema
Spider angiomas
Testicular atrophy
Decreased body hair - males
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21
Q

Manifestations of portal HTN in Cirrhosis

A

Caput medusae
Esophageal varices
Hemorrhoids

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22
Q

Pt presents with double vision, jaw pain after eating and change in voice after talking for long period of time? Best next test?

A

Myasthenia Gravis

CT of chest - check for thymoma

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23
Q

First line tx for specific phobia

A

Behavioral thearpy

Systemic desensitization

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24
Q

Neonate with delayed passage of meconium

A
  1. Hirschsprung

2. Meconium ileus

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25
Q

Meconium ileus: level of obstruction and meconium consistency

A

Ileum

Inspissated

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26
Q

Free air above liver

A

Intestinal perforation

Emergency surgery

27
Q

What dz is ass’d with meconium ileus

A

Cystic Fibrosis

28
Q

Hirschsrpung: level of obstruction and meconium consistency

A

Rectosigmoid

Normal

29
Q

Complications seen with CF

A

Opacification of all sinuses
Recurrent sinopulmonary infxn
Bronchiecstasis
Sensorineural hearing loss from frequent aminoglycoside tx

30
Q

Dz ass’d with hirschsrung

A

Down’s

Hypothyroidism

31
Q

SIADH

A

Hypotonic
Hyponatremia
Euvolemia

32
Q

Plasma and urine osmolality with SIADH

A

Low plasma osmolality < 280

High urine osmolality > 100-150

33
Q

NSAIDs impact on ADH

A

Potentiates action of ADH, causing SIADH

34
Q

WHy is pain decreased with eating in duodenal ulcer?

A

Pain worse on empty stomach b/c of unopposed acidic fluid emptying into duodenum

35
Q

Best long-term sx relief for duodenal ulcer

A

H.Pylori eradication

36
Q

Ascertainment bias is a type of what kind of bias?

A

Selection bias

37
Q

Types of Bias occur with inappropriate selection or poor retention of subjects

A

Ascertainment/Sampling bias
Nonresponsive bias
Berkson bias - hospital based subjects only
Prevalance/Neyman bias - diseased pts die early/recover
Attrition bias

38
Q

What is reporting bias

A

Subject is reluctant to report exposure due to stigma about exposure - sexual behavior, drug use

39
Q

Eye lesion seen w NF Type I

A

Optic glioma - slowly progressive unilateral visual loss, dyschromatopsia, esophthalmos

40
Q

MC glomerular dz in Hodgkins

A

Minimal Change Dz

41
Q

MC glomerular dz in solid cancers

A

Membranous

Lung, colon, prostate, breasts

42
Q

Glomerular dz ass’d with Hep B and Hep C

A

Membranoproliferative

43
Q

Glomerular dz ass’d with NSAIDs

A

Minimal change

44
Q

Who gets a Pneumococcal polysaccharide vaccine (PPSV)

A 
All adults >65 = 1X
Adults < 65 w:
Chronic lung dz
Chronic Cardiovascular dz
DM
Chronic liver dz
Smoker
Alcoholic
Cochlear implant
CSF leak
Immunocompromised
Asplenia
45
Q

Diabetic pts get what vaccines

A

Influenza
Td booster or TdaP
Pneumococcal

46
Q

When is tetanus-diptheira toxoid booster given?

A

Every 10 yrs after 18

47
Q

Do Adults get TdaP?

A

Yes. 1x for all adults

48
Q

What is pilonidal dz?

A

Acute pain and swelling of midline sacrococcygeal skin and subcutaneous tissue = infxn of pilonidal cyst

49
Q

Perianal Abscess

A

Anal pain

Tender, erythematous bulge at anal verge

50
Q

Where is coccyx in relation to anus

A

At least 5 cm above anus

51
Q

Presentation of suppurative hidradenitis

A

Multiple painful nodules and pustules of axilla and groin

52
Q

Presentation of Kawasaki dz

A 
Fever >5 days and
- BL nonexudative conjunctivitis
- Mucositis - injected lips, pharynx, strawberry tongue
- Erythematous polymorphous rash
- Extremity changes
- Cervical LA, one > 1.5 cm
Irritability
53
Q

Tx for Kawasaki

A

ASA
IVIG
Baseline Echo, repeat in 6-8 wks

54
Q

Fever and Rash in peds DDX

A

Scarlet fever

Kawasaki

55
Q

Tx for acute bacterial rhinosinusitis

A

Amoxicillin-Clavulanic acid

56
Q

Seborrheic dermatitis

A

Chronic, inflammatory papulosquamous dz
Transparent to yellow papules
scaling plaques

57
Q

MC areas affected in seborrheic dermatitis

A

Eyebrows
Nasolabial folds
Bases of eyelashes
Paranasal skin

58
Q

Infants with scaly scalp that improves with baby shampoo

A

Seborrheic dermatitis

also called cradle cap

59
Q

Atopic dermatitis

A

Recurrent, pruritic, eczematous eruption
Flexural and extensor surfaces affected
Scaling red papules

60
Q

What is ass’d with pseudogout?

A

Chondrocalcinosis

61
Q

PTs w dysphagia w/liquids and solids at onset

A

Motility disorder

62
Q

Dx test for motility disorder

A
  1. Barium swallow

2. Manometry

63
Q

Which pancreatic cancer is ass’d with steatorrhea

A

Pancreatic head tumors

Mixed (19 decks)

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