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Mixed 2 > UW 8 > Flashcards

UW 8 Flashcards

1
Q

Chondroma

A

Benign cartilaginous tumor

MC location - hands and feet

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2
Q

Do reactive nasal polyps cause bony erosions

A

Not commonly

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3
Q

Crescendo-Decrescendo murmur heart at left sternal border without carotid radiation

A

HOCM = Interventricular septal hypertrophy

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4
Q

Diff b/t HOCM and AS murmur

A

AS radiates to carotid
AS is right second IC space
HOCM does NOT radiate to carotid
HOCM Is at left sternal border

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5
Q

Lung Abscess v Empyema

A

Lung Abscess - discrete abscess cavity typically seen on CXR

Empyema - Loculated, abnormally contoured effusion w adjacent pulmonary consolidation

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6
Q

MCC Empyema

A

Bacterial seeding of parapneumonic effusion in w bacterial pneumonia

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7
Q

Erythema toxic neonatorum Presentation

TX

A 
Asymptomatic 
Blotchy
Erythematous papules and pustules 
Spares palm and soles
TX: Resolves w/in 2 weeks after birth
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8
Q

Nephrotic syndrome ass’d with lymphoma

A

Minimal Change

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9
Q

Nephrotic syndrome ass’d with Hep B

A

Membranous

MembranoProliferative

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10
Q

Nephrotic syndrome ass’d with Adenocarcinoma of lung and breast

A

Membranous

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11
Q

EKG of Ventricular Aneurysm

A

Persistent ST elevation after recent MI

Deep Q waves in same leads

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12
Q

EKG of Pericardial Effusion

A

Low voltage QRS complexes

Electrical alternans = large effusions

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13
Q

CT of Alzheimer’s

A

Cortical and subcortical Atrophy
Temporal and Parietal Lobes
Enlargement of Lateral Ventricles

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14
Q

Presentation of posterior urethral injury

A

Blood at urethral meatus
Inability to void
High-riding prostate on DRE

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15
Q

Assn’s with posterior urethral injury

A

Perineal or scrotal hematoma

Pelvic Fracture

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16
Q

Why are beta blockers used in HOCM

A

Slow the heart and prolong diastole which leads to more time for heart to fill and lessen outflow obstruction

17
Q

What maneuver makes HOCM worse

A

Those that decrease preload since smaller ventricular volumes lead to higher degrees of obstruction

18
Q

What sound is a harsh shrill

A

Stridor

19
Q

MCC of Epiglottis (2)

A

Hib

Strep pyogenes

20
Q

TX for MALT

A
  1. H.pylori tx - if ineffective ->

2. CHOP

21
Q

What is CHOP

A

Cyclophosphamide
Adriamycin
Vincristine
Prednisone

22
Q

When do we NOT treat HTN

A

Immediately after ischemic stroke IF Less than 220/120
OR
If pt has CAD
in order to maintain cerebral perfusion

23
Q

Drugs that cause depression

A

Methyldopa
a-IFN (tx for viral hep)
Haloperidol - 1st G APs
Sedatives: Alcohol, benzos, barbs
Stimulant Withdrawl
Anti-emetics - metoclopromide, prochlorperazine
Glucocorticoids - can cause mania, insomnia

24
Q

Diff bt MDD with psychotic features and Schizoaffective

A

MDD w psychotic features - Mood disorder always present - psychosis develops, may come and go. Never have psychosis w/out mood disorder

Schizoaffective - Psychosis is always present, mood disorder comes and goes. Never have mood disorder w/out psychosis

25
Q

TX for Serotonin Syndrome

A
  1. Withdraw offending agent
  2. Supportive Care
  3. Agitation despite benzo’s = Cyproheptadine = Serotonin Antagonist
26
Q

Do we use phenytoin for TCA OD seizures? Reasoning?

A

No.
Ineffective for toxin induced seizures
Use benzos, barbs, propofol

27
Q

Comorbidities with Dysthmia

A

MDD

Bipolar Disorder

28
Q

TX for Lithium induced NDI?

Reasoning?

A

HCTZ + Amiloride

Amiloride closes the Na+ channels at the collecting tubules where Lithium acts

29
Q

Difference bt MDD and Adjustment Disorder

A

Adjustment disorder

  1. Occurs w/in 3 mo’s of stressor
  2. Disappears w/in 6 mo’s of absence of stressor
  3. Does not meet criteria for MDD
30
Q

Difference bt Bereavement and Adjustment Disorder

A

Bereavement impairs patient’s ability to function normally.

Adjustment - does not impair

31
Q

Assn’s with Panic Disorder

A
  1. MVP

2. Agoraphobia

32
Q

Difference bt Acute stress disorder and PTSD

A

Acute stress < 30 days
- Can progress to:
PTSD > 30 days

33
Q

Which APs have less anticholinergic AE’s: Hi or Low potency

Which are they?

A

Hi Potency
Haloperiodol, Droperidol, Fluphenazine, thiothxene
Good for + sx’s of schizophrenia

34
Q

Presentation of Acute Dystonia

TX?

A

Torticollis, neck spasm
TX: Diphenhydramine, Benztropine
Drugs that have Anticholinergic Activity

35
Q

Presentation of Tardive Dyskinesia

TX?

A

Choreoathetosis, writhing of face, tongue, neck, limbs
TX: D/C or reduce offending agent (Neuroletptic).
Switch to Atypical AP, i.e. risperidone, clozapine

36
Q

Time frame for Parkinsonian SX AEs in pts taking APs

TX?

A

4 days –> 4 months

TX:
Diphenhydramine
Benztropine
Da Agonist = Amantadine

37
Q

Presentation of NMS

A 
AMS
Muscular rigidity 
Hyperthermia - High Fever
Autonomic instability
Rhabdomylosis
Within days of starting AP
38
Q

TX for NMS

A 
Cooling blankets, ice packs in axilla
Reduce HTN - clonidine, nitroprusside
DVT prevention - heparin, Lovenox
Benzos for agitation 
Dantrolene 
Bromocriptine, Amandatine to increase Dopamine
39
Q

DOC for Bipolar in Renal Failure

A

Valproate
Carbamezapine
CI = Lithium

Mixed 2 (9 decks)

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