world form 2 deck 4

Question 1

lithium thyroid effect

Answer 1

hypo

Question 2

VSD murmur

Answer 2

holosytolic with max intensity over 3-4 intercostal space with thrill

Question 3

colonoscopy results for microscopic colitis

Answer 3

monocytic predominant infiltrate, will have normal inflammatory markers

Question 4

prochlorperazine, promethazine, metoclopramide side effect

Answer 4

akathisia

or any of the extra pyramidal side effects

Question 5

abx for legionella

Answer 5

levofloxacin or newer macrolide

Question 6

what do you need to do f taking isotreinoin

Answer 6

2 forms of highly effective contraception

Question 7

what causes testicular torsion

Answer 7

inadequate fixation of the testis to the tunica vaginalis

Question 8

SIADH lab values

Answer 8

hYponatremia
serum osmolarity <275
urine osmolarity >100
Urine sodium > 40

Question 9

Leiomyoata arise from what

Answer 9

myometrium

Question 10

How can chronic diarrhea cause kidney stones

Answer 10

chronic bicarb loss

Question 11

Sx and treatment for waldenstroms

Answer 11

vision changes, HA, dizziness, confusion, ataxia- will have high IGM and hepatosplenomegaly
tx: plasma exchange

Question 12

What heart thing do PE’s cause if they are real big

Answer 12

RV dysfunction bc rapid increase in pulmonary vasculature resistance

Question 13

paraphimosis tx

Answer 13

emergent retraction

Question 14

x-ray finding for squamous cell carcinoma of the lungs

Answer 14

single cavitary lesion

Question 15

first line tx for panic disorder

Answer 15

SSRI or SNRI can use Benzes for short term relief

Question 16

how does pregnancy alter thyroid function

Answer 16

thyroid hormone production increases to cope with metabolic demands
estrogen causes an increase in thyroxine binding globulin, causing an increase in production of thyroid hormones

Question 17

where are direct inguinal hernias

Answer 17

medial to inferior epigastric into hasoselbach triangle, no direct route to scrotum caused by weakness of transversals fascia.

Question 18

indirect hernia stuff

Answer 18

male infants, lateral to inferior epigastric goes through deep inguinal ring into canal may go to scrotum, caused by patent processes vaginalis