Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Mixed > UW 7 > Flashcards

UW 7 Flashcards

1
Q

Most common source of symptomatic pulmonary emobolism

A

Proximal deep veins - iliac, femoral, popliteal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

When is dystonia seen with AP tx?

A

4 hours - 4 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is dystonia?

A

Muscle spasms or stiffness
Tongue protrusion/twisting
opisthotonus/oculogyric crisis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Tx for dystonia?

A

Diphenhydramine

Benztropine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Tx for Slipped capital femoral epiphysis

A

Surgical Pinning of slipped epiphysis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Placental abruptio Management

A

2 large bore IV lines
Urethral catheter
Ensure blood products available
Proceed with vaginal delivery if both mother and fetus are stable

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

MCC of acute unilateral cervical lymphadenitis in children

A

Staph aureus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Mallory-Weiss is rupture of?

A

Submucosal arteries of distal esophagus and proximal stomatch

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Esophageal varices

A

Dilated submucosal veins at GE Junction that can rupture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Common cause of non traumatic avascular necrosis of femoral head

A

Chronic steroid use

- Progressive hip or groin pain w/out ROM, normal films

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Dx test for avascular necrosis of hip

A

MRI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Acute onset dyspnea w wheezing and prolonged expiration

A

Bronchoconstriction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Triggers for bronchoconstriction in asthma patient

A

ASA

Beta Blocker

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Complication of compartment syndrome?

A

Volkmann’s ischemic contracture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is Volkmann’s contracture?

A

dead muscle has been replaced with fibrous tissue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Dull tympanic membrane that is hypomobile in an HIV pt?

A

Non-infectious effusion

  • serous OM
  • auditory tube dysfunction from HIV LA or lymphoma
  • Conductive hearing loss
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Otosclerosis

A

Conductive hearing loss
bony overgrowth of stapes
Middle aged individuals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Cherry red macula

A

Neimann Picks

Tay Sachs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Neimann-Pick’s Presentation

Deficiency

A 
Hypotonia
HSM
Cervical LA
Protruding abdomen
Cherry red spot
Def of spingomyelinase
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Tay Sachs Presentation

Deficiency

A 
Hyperacusis
Mental retardation 
Seizures
Cherry red macula 
NO HSM or Cervical LA
Def - Hexosaminidase A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Gaucher’s Presentation?

Deficiency

A 
HSM
Anemia
Leucopenia
Thrombocytopenia
Def in glucocerebrosidase
22
Q

Krabbe’s Presentation

Deficiency

A

Hyperacusis
Irritability
Seizures
Def galactocerebrosidase

23
Q

GBS PPX for unknown GBS status

A

Delivery < 37 weeks
Duration of membrane rupture > 18 hours
Prior Hx of delivery of infant w GBS sepsis

24
Q

Best next step if decreased fetal movements?

A

Non-stress test

Suspect fetal compromise

25
Q

When is NST done in pregnancy?

A

High-risk pregnancies starting at 32-34 weeks

Loss of perception of fetal movements in any pregnancy

26
Q

What is a reactive NST?

A 
In 20 minutes
- at least 2 accelerations of fetal HR
- at least 15 beats/min above baseline
- Lasting 15 secs each
20-2-15-15
27
Q

MCC of non reactive NST

A

Fetal sleep cycle

28
Q

Next step if non reactive NST

A

Vibroacoustic stimulation

29
Q

Next step if late deceleration on each contraction in contraction stress test

A

Delivery

30
Q

What is Intrauterine fetal demise?

A

Death of fetus in utero after 20 weeks gestation and before onset of labor

31
Q

IUFD presentation

A

Disappearance of fetal movements
Decrease/stagnation in uterine size
Fetal heart sounds not heard

32
Q

Next step in management if IUFD suspected

A

Real Time US

Coagulation studies

33
Q

Causes of IUFD

A 
Hypertensive disorders
DM
Placental/cord complications
Antiphospholipid syndrome
Congenital anomalies
Fetal Infxn - TORCH, Listeria
34
Q

When do we do serial b-HCG monitoring

A

Molar Pregnancy

35
Q

What should be done in stillbirths?

A

Autopsy of fetus and placenta w/parental permission

36
Q

Trichomonas v. Bacterial vaginosis

A

Trich - green/yellow d/c and pH > 4.5, vaginal and vulvar inflammation
BV - off white d/c w/fishy odor
pH > 4.5, absent vaginal inflammation
Candida - thick cottage cheese dc, vaginal inflammation
Normal pH 3.8-4.2

37
Q

Enoxaparin (LMW Heparin), fondaparinux, Rivaroxaban CI in what group?

A

Renal Insufficiency (GFR < 30mL/min/1.73m2)

38
Q

Which pts should metformin be avoided in and why?

A

Acute renal failure
Hepatic failure
Sepsis
Increase risk of developing lactic acidosis

39
Q

MCC of Infective endocarditis in IVDA

A

Staph aureus

40
Q

MCC of infective endocarditis in prosthetic valves, intravascular shunts, prosthetic joints

A

Staph epidermidis

41
Q

Red eye with leukocytes in anterior chamber

A

Anterior uveitis

42
Q

Child abuse management

A
  1. Complete exam w/ removal of clothes
  2. Secure child’s safety - hospitalization
  3. Report to child protective services
43
Q

Eikenella corrodens Presentation

A

Gram - anaerobe
Normal human oral flora
IE w/poor dentition/periodontal

44
Q

Streptococcus gallolyticus

A

Strep bovis biotype I

Colonic neoplasia and IE

45
Q

Enterococcus faecalis

A

IE w/ nosocomial UTIs

46
Q

Mets to brain - Incidence

A 
LBMC
Lung
Breast 
Melanoma 
Colon
47
Q

Multiple brain lesions in both hemispheres with edema surrounding

A

Mets to brain from
Lung
Melanoma

48
Q

Brain mets that present w solitary lesion

A

Breast
Colon
Renal cell

49
Q

Presentation of Gliobastoma multiforme

A

Solitary mass w central necrosis and vasogenic edema

Arises from w/in brain parenchyma

50
Q

When is atheroembolism commonly seen

A

Complication of cardiac cath and other vascular procedures

51
Q

MC complication of atheroembolism

A

Skin

  • Blue toe syndrome
  • Livedo reticularis
  • Gangrene, ulcers

Mixed (19 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions