UWSA1 Flashcards
what is the most common risk associated with parenteral nutrition?
blood stream infection
parenteral nutrition is given through a…,
central venous catheter
cholestasis is a common complication of parenteral nutrition when a patient receives it longer than…
2 weeks
is hypoglycemia likely in a patient receiving parenteral nutrition?
no - more likely hyPERglycemia
ecythma gangrenosum is caused by…
pseudomonas aurugenosa
ecythma gangrenosum is seen in …
immunocompromised patients
what type of cancer most commonly casues the paraneoplastic cushing syndrome?
small cell lung cancer
what type of hormone is ACTH?
polypeptide hormone
can you give the live attenuated flu vaccine to a patient with HIV and stable CD4 count?
NOOOOO - doesnt matter about CD4 coutn they can get only the inactivated flu vaccine
do you give the BCG vaccine to patients with HIV ?
NO
do you give the pneomococcal vaccine to patients with HIV?
YES- all patients with HIV
which HIV patients can receive the pneumococcal vaccine?
ALL
babies born to moms who had diabetes int he second/third trimester are at highest risk for which complication?
respiratory distress - hyperinsulinemia in baby leads to delayed pneumocyte maturation
Why do patients who undergo gastric bypass have high risk of gallstones?
rapid weight loss -> increased gallstone formation f
what can you admister as prophylaxis for gallstones after gastric bypass?
ursodeoxycholic acid
what causes metabolic acidosis in septic shock?
tissue hypermetabolic state -> high lactic acid
what colour is the diarrhea in iron overdose?
green/black
clinical features of iron poisoning?
- abdominal pain
- hemetemesis
- diarrhea
- shock
- liver necrosis
the BCR:ABL translocation is seen in…
CML
rituximab is first line treatment for…
CLL
rituximab MOA?
targets CD20 on B lymphocytes
does a patient with valvular disease with a heart murmur and no history of IE need prophylaxis for a DENTAL procedure ?
no
does choriocarcinoma occur in postmenopausal women?
no - its associated with gestational trophoblastic disease
most common cause of ovarian cancer in postmenopausal women?
epithelial ovarian cancer
fragile X syndrome is a cause of..
autism
a 63 year old women with RA gets septic arthritis. Most likely pathogen?
GRAM POSITIVE (staph aureus)
A very old person or IV Drug user gets septic arthritis. Most likely organism?
GRAM NEGATIVE (e coli, pseudomonas)
what is the most common coagulopathy with patients with cancer?
DIC
how often should a woman aged 50-74 receive a mammogram ?
every 2 years
is focal segmental glomerulosclerosis a nephrotic or nephritic syndrome?
nephrotic
why are nitrates helpful in treating MI?
they cause venodilation - > decreased preload to the heart
what is albuminocytologic dissociation?
-elevated protein count with normal white blood cell count
herpangina is caused by…
cocksackie A virus
where are the ulcers seen in herpangina
uvula/soft palate/tonsils
treatment of herpangina?
supportive
skin findings in granulomatos with polyangitis?
non healing ulcers
livedo reticularis
treatment of hyperkalemic heart block?
calcium gluconate
Magnesium sulfate treats with arrhythmia?
torsades de pointes
A patient has a diabetic foot ulcer and youre worried its caused underlying osteomyeletis. Best next step?
bone biopsy and culture
are patients who experience shoulder dislocation at increased risk of it recurrring ?
yes
presentation of copper deficiency?
- brittle hair
- skin depigmentation
- neurological disturbance
- anemia
- osteoporosis
