uworld5 Flashcards
urine positive for prussian blue. think..
hemosiderin present- found in urine during hemolytic episodes
3 tests to initially test for cushings
24 hr cortisol test
late night salivary cortisol test
low dose dex suppression test
known adverse effect of trastuzumab and baseline test you should do before taking it
cardiotoxicity
echo
fluid choices for severe vs mild hypovolemic hypernatremia
severe: Normal Saline
mild: 5% dextrose .45% saline
aspiration appearance of gout vs pseudogout
gout: needle shaped, yellow parallel, blue perpendicular
pseudo: rhomboid shaped, yellow perp, blue parallel
what is Aa gradient and PaCO2 in PE?
Aa gradient increased- VQ mismatch
paCO2 is low from hyperventilation
hard, nontender lymph nodes in submanidbular region are concerning for
head and neck cancer- primarily squamous cell carc
most common causes of DIC
trauma
infection
malignancy
labs in bulimia
hypokalemic
alkalosis
also can lead to hypochloremia
initial treatment for someone with SVT who is hemodynamically unstable?
synchronized cardioversion
which antibodies present in sjogren
anti-Ro (SSA) and anti-La (SSB)
insulin can be given subq or IV in DKA vs hyperosmolar hyperglycemic state?
DKA- either
HHS- IV
vibrio vulnificus-
marine bacterium
causes:
- food bourne illness (oysters)
- wound inf.- nec fasc
common in pts with liver dz, hemochromatosis
can bedbugs bit hands/soles?
unlikely due to thickness of skin
if someone has early lyme dz (erythema migrans), do you test for serology or treat?
treat, cuz its too early for serology
diagnostic test for hx of initiating swallowing with cough, choking, nasal regurg
videofluroscopic modified barium swallow
acute management of acute decompensated HF
supp O2, IV loop diuretics (avoid beta blockers in acute setting)
diagnosis for ADPKD
renal US
IV adenosine can help with what
diagnosis and management of narrow QRS tachycardia (SVT)
slows rate, increases AV delay, cause transient block in AV conduction
identifies hidden p waves to clarify diagnosis of atrial flutter or atrial tachycardia
SVT definition
any tachycardia above His-bundle system
types: afib, atrial flutter, atrial tachy, sinus tachy, AVNRT< AVRT
SVT on EKG
narrow QRS tachycardia
no regular p waves (buried within QRS), but retrograde p waves can occur (spikes on QRS complexes)
can a patient with negative VLDR test have syphilis?
yes, high false neg rate
ages of cherry vs strawberry angiomas?
cherry-elderly
strawberry-kids
test to decipher between asthma and COPD
spirometry before and after bronchodilator
