UwOrLd 1/22/15 Flashcards

1
Q

Mech of paralytic ileus w/ loop diuretic use?

A

hypokalemia

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2
Q

What drug blocks mu-receptors in the gut –Tx for ileus 2/2 opioids – w/o interfering w/ analgesic effect?

A

methylnaltrexone

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3
Q

Tx for pts w/ obstructing ureteral stone + infection, AKI, or severe pain who do not respond to initial medical intervention.

A

percutaneous nephrostomy (or retrograde ureteral stent)

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4
Q

Adverse effect of Ginkgo biloba

A

bleeding (antiplatelet activity)

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5
Q

What condition can exercise-induced amenorrhea lead to?

A

osteoporosis, breast/vaginal atrophy, mild hypercholesterolemia, and infertility

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6
Q

Anatomical factor that predisposes to Mallory-Weiss tears

A

hiatal hernia

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7
Q

equation for number needed to treat (NNT)

A

1/ARR (absolute risk reduction)

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8
Q

Absolute risk reduction (ARR) =

A

risk in Tx group - risk in placebo group

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9
Q

Pts w/ high cardiac risk or underlying heart failure should proceed directly to _______.

A

cath

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10
Q

In which pts is non-invasive positive pressure ventilation (NIPPV) contraindicated?

A

impaired consciousness/risk of aspiration

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11
Q

Which sedative agents (3) may be used for rapid-sequence intubation?

A

etomidate, propofol, midazolam

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12
Q

RBBB, atrial arrhythmias, and inferior Q-waves can all be signs of what?

A

acute pulm htn / RV strain

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13
Q

What is the treatment for mod-severe croup?

A

dexamethasone + nebulized epinephrine

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14
Q

If hr. after 50g of glucose, a pregnant woman’s blood glucose is less than ___, she does not have gestational diabetes.

A

140 mg/dL

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15
Q

At how many weeks should a pregnant woman undergo testing for gestational diabetes?

A

24-28 wks

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16
Q

What is the Tx for a “hot” thyroid nodule?

A

treat hyperthyroidism

17
Q

What is the next step for a “cold” thyroid nodule?

A

FNA

18
Q

What is the most effective agent for controlling the cardiotoxic effects of TCA overdose?

A

sodium bicarb

19
Q

What is the effect of increased serum pH on TCAs?

A

neutralizes to non-ionized form

20
Q

What is the effect of extra sodium in TCA toxicity?

A

increases gradient across cardiomyocyte membranes