week of 5/18

Question 1

Tx for icthyosis vulgaris

Answer 1

emollients
keratolytics
topical retinoids

Question 2

HIV nephropathy findings

Answer 2

heavy proteinuria
rapidly progressive renal failure
edema

Question 3

What lab is elevated in upper GI bleed and why?

Answer 3

BUN, increased urea production from breakdown of hemoglobin and increased urea absorption from hypovolemia

Question 4

Fetal contraindication to breast feeding

Answer 4

Galactosemia

Question 5

Maternal contrindications to breast feeding

Answer 5

active, untreated TB
Maternal HIV(in developed countries)
herpetic breast lesions
varicella infection  <5 days prior to or within 2 days of fdelivery
specific medications
chemo or ongoing radiation
active abuse of street drugs of OH

Question 6

tx for long qt syndrome

Answer 6

beta blockers and pace maker

Question 7

what size vessels does HSP effect

Answer 7

small

Question 8

Todd Paralysis

Answer 8

seizer that results in hemiplegia temporarily, will have post ictal state.

Question 9

sx of post step glomerulonephritis

Answer 9

hematuria, HTN, edema, low C3

Question 10

no vit k at birth increases risk for

Answer 10

bleeding, watch out for intracranial hemorrhage

Question 11

clinical features of scarlet fever

Answer 11

fever+pharyngitis 
tonsilar erythema and exudate
strawberry tongue
tender anterior cervical lymph nodes
sandpaper rash

Question 12

Benign metatarsus adductus clinical features and tx

Answer 12

flexible positioning of the feet
medial deviation of the forefoot
neutral position of the hindfoot
reassurance

Question 13

Congenital clubfoot clinical features and tx

Answer 13

Rigid positioning
medial/upward deviation of forefoot and hindfoot
hyper-planter flexion
tx = serial manipulation and casting , surgery if that doesn’t work

Question 14

Jejunal atresia xray sign and risk factorss

Answer 14

triple bubble

cocaine and other vasoconstrictive substances

Question 15

heart thing with muscular dystrophy

Answer 15

dialted cardiomyopathy

Question 16

postop patient with hypotension, jvd, and new onset RBBB dx?

Answer 16

massive PE

Question 17

what is makes struvite stones

Answer 17

increased urine amonia production(magnesium ammonium phosphate stones).

Question 18

who gets syringomyelia

Answer 18

Arnold chari malfomation type 1 and spinal cord injury

Question 19

what tracts are damaged syringomyelia

Answer 19

crossing fibers of spinothalamic(loss of pain and temp)
sometimes ventral horn damage causes flaccid paralysis .
vibration nad proprioception will be preserved