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Mixed > UW 6 > Flashcards

UW 6 Flashcards

1
Q

Post-exposure prophylaxis for animal bites (rabies)

A

Unvaccinated bitten by animal that could have rabies - PEP with active and passive immunization

Exposure to healthy appearing animals - observe animal 10 days w/out PEP

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2
Q

Screening for children 0-5

A

Vision exam to id strabismus, amblyopia, refractive errors

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3
Q

Rotavirus - when

A

B/t 2-8 months
1st dose: 6-14 wks
Do not initiate for > 15 wks
Final dose not given after 8 months

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4
Q

Presentation of androgen secreting neoplasm of ovary or adrenal

A

Rapid development of androgenic sx’s w virilization - excess muscle development, clitoral enlargement

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5
Q

Screening test for androgen screening neoplasm

A

Testosterone and DHEAS

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6
Q

Risk factors for RDS

A 
Prematurity
Male sex
Perinatal asphyxia
Maternal DM
C-section w/out labor
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7
Q

CXR of RDS

A

Diffuse reticulogranular pattern (ground glass opacities)

Air bronchograms

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8
Q

Achalasia workup

A

CXR - widened mediastinum
Barium Swallow - bird’s beak
Manometry - confirm Dx
Endoscopy to r/o esophageal cancer

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9
Q

Tx for achalasia

A

Pneumatic dilatation

Surgical myotomy

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10
Q

What can mimic achalasia and what is workup to differentiate?

A

Esophageal cancer at Esophageal - gastric Jnc

R/O with endoscopy

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11
Q

CML presentation

A 
Leukocytosis
Anemia
Increased mature granulocytes 
Fatigue, malaise, low grade fever, anorexia, bone pains, night sweats
Phil chromosome
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12
Q

What are mature granulocytes

A

Segmented neutrophils

Band forms

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13
Q

LAP score in CML

A

LOW

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14
Q

LAP score in Leukomoid Rxn

A

High

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15
Q

Absence of measurable EPO in urine

A

Polycythemia vera

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16
Q

When do adults receive td booster?

A

Every 10 years

1x Tdap booster

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17
Q

MCC of secondary clubbing

A

Lung malignancies
Cystic Fibrosis
R to Left shunt

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18
Q

How does Cerebellar hemorrhage present

A

Evolves over a few hours

Acute occipital HA, repetitive vomiting, gait ataxia, 6th CN palsy, conjugate deviation

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19
Q

Tx for cerebellar hemorrhage

A

Immediate evacuation of hematoma

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20
Q

How does PCA occlusion present?

A

Ipsilateral sensory face, 9th, 10th CNs
Contralateral sensory loss of limbs
Limb ataxia

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21
Q

What does PCA supply

A 
Midbrain
Basal nuclei
Thalamus
Mesial inferior temporal lobe
Occipital and occipitoparietal cortices
22
Q

What is vestibular neuonitis

A

Acute onset of vertigo and nystagmus w/out any other neuro deficit

23
Q

What is Meniere dz? Presentation?

A

Labrinthine dysfnc
Increased pressure of endolymph
Recurrent vertigo,tinnitus, hearing problems
Vomiting NOT common

24
Q

MOA of metoclopromide and prochlorperazine

A

Dopamine antagonists

25
Q

Hepatic Encephalopathy management

A 
1. Supportive - IVF, electrolytes
Esp K
2. Nutrition
3. Tx precipitating cause
4. Lower serum ammonia
26
Q

Tx of patient with hepatic encephalopathy and hypokalemia

A

K replacement

Hypokalemia increases renal ammonia production

27
Q

How to lower serum ammonia

A

Lactulose orally or enema if cannot take oral

Rifaximin oral -If no improvement in 48 hours w/lactulose

28
Q

Heme manifestations of SLE?

A

Anemia
Leukopenia
Thrombocytopenia
Antiphospholipid syndrome

29
Q

SLE + panctyopenia

A

Concurrent peripheral immune mediated destruction of all 3 cell lines
Do bone marrow BX

30
Q

Drugs Ass’d with drug induced pancreatitis

A 
Anti-seizure - Valproic Acid
Diuretics - Furesomide, thiazides
IBD - sulfsalazine, 5-ASA
Immunosuppressive - Azathioprine
HIV meds - Didanosine, pentamidine
Abx - metronidazole, tetracycline
31
Q

Rheumatoid arthritis + hepatomegaly + proteinuria

A

Amyloidosis - deposits revealed under polarized light

32
Q

Crescent formation on light microscopy

A

Rapid Progressive GN

33
Q

Granular deposits seen on immunofluorescence

A

Immune complex GN - lupus nephritis or poststreptococcoal

34
Q

Major cause of morbidity and moratlity in SAH

A

Cerebral infarction
Rebleeding w/in first 24 hrs
Vasospasm days 3-10

35
Q

Prevent vasospasm in SAH with

A

Nimodipine

36
Q

MCC Brain abscess after neurosurgery, penetrating trauma

A

Staph aureus

37
Q

MCC brain abscess w sinusitis

A

Viridans strep

Head and neck anaerobes

38
Q

Tx for brain abscess

A

Prolonged Abx - 4-8 wks

Aspiration/drainage when possible

39
Q

What are ankylosing spondylitis pts for 2+ decades at risk for?

A

Vertebral Fx

  • decreased bone mineral density
  • minimal trauma
40
Q

Spinal root compression pain

A

Dermatomal distribution
Sensory loss
Paresthesias
Muscle weakness

41
Q

Candida esophagitis presentation

A

Oral thrush

odynophagia - mild to moderate

42
Q

Viral esophagitis

A

Severe odynophagia
HSV - circular, ovoid vesicular ulcerated lesions
CMV - large, linear ulcers

43
Q

Pill esophagitis presentation Meds that cause

A 
Acute odynophagia
Meds: 
Potassium Chloride
Tetracyclines
Bisphosphonates
NSAIDs
44
Q

TX for Cryptococcal meningoencephalitis

A

Induction: 2 wks IV Ampho B + flucytosine
then
Consolidation: 8 wks Fluconazole
Maintenance: tx for 1 year
If HIV + start antiretroviarls at least 2-8 wks after completing induction tx

45
Q

What is the tx for cerebral toxoplasmosis

A

Sulfadiazine-pyrimethamine

46
Q

When is thymoma visualized on CXR

A

Children < 3yoa

Sail sign - triangular shape, scalloped border, uniform density

47
Q

Electron microscopy shows alternating areas of thinned and thickened capillary loops w GBM splitting

A

Alport’s syndrome

48
Q

Tx for stress incontinence

A
  1. Kegel exercises

2. Urethropexy

49
Q

Tx for urge incontinence

A

Oxybutynin

Urge incontinence = detrusor hyperactivity

50
Q

Overflow incontinence Tx

A

Bethanechol

Alpha blockers

Mixed (19 decks)

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