Week 7 Flashcards
minimal change disease is clasically seen in patients with what disease?
lymphoma (HL)
[membranous qglomerulopathy is associated with SOLID cancers]
hit me with 2 adverse effects of oxytocin
hyponatremia
tachysystole
hypotension
burr cells (echinocytes) are seen in what disease? how about spur cells (acanthocytes)
burr= ESRD
spur = liver
what is the name of hemangiomas that appear in the first few weeks of life, grow, and then regress spontaneously?
superficial infantile hemangioma aka strawberry hemangioma
diseases and auto-antibodies:
systemic sclerosis =
______ = PBC
autoimmune hepatitis =
sclerosis = anti-topoisomerase (Scl-70); antimitochondrial = PBC hep = anti smooth muscle
what defect is characteriized as a systolic murmur loudest at the LLSB and a diastolic rumber at the apex?
VSD
___ is the probability of being disease free if a test is negative
NPV
high pretest prob = low NPV
main side effect of hydroxychloroquine?
retinopathy
CSF findings meningitis: high WBCs (PMNs), low glucose, high protein?
elevated WBC, normal gluc, low protein?
bacterial;
viral
post MI, what is characterized by persistent ST elevation with deep Q waves on EKG?>
ventric aneurysym
for MIs, is PCI recommended within 90 minutes of symptom onset or 90 minutes of medical contact?
medical contact
within 12 hours of symptom onset
initial step in patient with suspected urethral injury?
retrograde urethrogram
in down syndrome, beta HCG is ____, AFP is ____, estriol is ____ and inhibin is ______
hcg increased
afp decreased
estriol decreased
inhibin increased
(for trisomy 18, hcg is decreased)
vasospastic or prinzmetal angina is treated with what?
Ca channel blockers ie dilt
rapid strep antigen testing is indicated prior to treatment of GAS pharyngitis in kids or adults?
kids
if + CENTOR, ok to treat empirically when > 14
fetal tachycardia is defined as HR > ______
160 (sustained)
Small for gestational babies can have complications such as hypoxia, polycythemia, ____glycemia, ____thermia, and ____Calcemia
hypo, hypo, hypo
how does one assess cervical length?
Trans Vaginal US
classically, LAD on a neonatal EKG is caused by what?
tricuspid atresia
also with decreased pulm markings
diaphragmatic rupture usually occurs on what side?
left side (r side is protected by liver)
what is the kleihauer-betke test used for?
determines dose of Rhogam needed following delivery or procedure
what should neonates with moms with HBV receive after delivery?
HB Ig and HBV vaccine
initial management frostbite
rapid rewarming in waterbath
first line management diverticulitis with abscess?
ct guided percutaneous drainage
the diagnosis of bronchiectasis is made with what?
high res CT
hyperthyroidism in neonates is caused by what?
transplacental Abs
PAP testing begins at what age?
21
initial 2 steps in management of infant with suspected meningitis
LP –> ABX
kids have open fontanelles and thus dont need CT
2 ways to increase oxygenation in ventilated patients?
increase FiO2; increase PEEP (esp for ARDS)
first line benzo in management of alc withdrawal in patients with liver disease
lorazepam
4 anti-hypertensives in pregnant women
hydralazine
labetalol
nifedipine
methyldopa (not for emergencies)
lung compliance and distensibility are _____ in patients with COPD
increased
first line treatment for lyme disease in patients < 8?
amoxicillin
