Wrong Flashcards
Cognitive decline with disinhibition
Frontotemporal dementia
Pt with early satiety and pain with eating (dx)
Paraesophageal hernia
A test that can look for hemoglobinopathy like thalassemia
Hemoglobin electrophoresis
Most common longterm crohns complication
Bowel stricture
Are anal skin tags more common in crohns or colitis?
Crohns
Dx of patient with gradual onset pelvic and abdo pain and low grade fever
PID
Dx of pt with tender arm, fever and increase ESR
Osteomyelitis
A drug to stop bed wetting
Desmopressin
How to calculate osmolar gap
Osmolality = (2xNa) + glucose + urea
Gap = given Osmolality - calculated
Female athlete triad
Amenorrhea, disordered eating, low bone mass
Testicular cancer spreads to what lymph nodes
Para-aortic
New breast lump
Biopsy right away
Bowed legs and diet deficiency
Ricketts
Dx of pt with cytoplasmic antineutrophil antibodies, proteinuria, hematuria, CXR infiltrates bilat
Granulomatosis with polyangitis
Varicocoele is associated with
Infertility
Antibiotics that cause QT prolongation
Macrolides
Nurse had pertussis exposure
Give postexposure prophylaxis Abx
Signs of hyperaldosteronism
HTN and low K
Most common cause of fever 48 hours post op
Atelectasis
Where are bile acids reabsorbed
Terminal ileum
Where are fats reabsorbed
Jejunum
Tetanus exposure
Tetanus immune globulin and vaccine
Jaundice and anemia post new drug exposure
Autoimmune hemolytic anemia
Tremor treatment
Propanolol
Antipsychotic side effects
Impaired glucose tolerance and lipid disorders
Dx of pt with mild liver inflammation and malaise
Mono
Food poisoning within hours to 1 day of eating
Staph aureus
Signs of magnesium toxicity
Decreased patellar reflexes and resp depression
How to dx giant cell arteritis
Temporal artery biopsy
Looks like vitiligo but is scaly
Tinea versicolor
Worsens psychosis
Stimulants
Infant with jaundice and pale stool
Biliary atresia
Normal central venous pressure
8-12
Increased central venous pressure after surgery
Cardiogenic shock
Treatment for prostate ca
Antiandrogen therapy
Not chemo even with Mets
Neonate with no meconium in 72 hours and no vomiting
Congenital aganglionic megacolon (hirshsprungs)
Tx of polymyalgia rheumatica
Prednisone
Delusional disorder vs somatic symptom disorder
Delusional doesn’t affect day to day life and usually short term
Test for bladder, renal, prostate etc ca
Urine cytology
Associated with Tourette’s
OCD and adhd
Determining baby’s Rh status in utero
Cell free DNA /NIPT
Is valproate okay in pregnancy
No
Is carbamazepine okay in pregnancy
Yes
Dx of pt with pruritus, fatigue, mild hepatomegaly and increased ALP
Primary biliary cholangitis
Blood test for primary biliary cholangitis
Antimitochondrial antibodies
Generalized thickening and inflammation of colon with bloody diarrhea
Ischemic colitis
Rare side effect of molar pregnancy
Hyperthyroidism
Type of biopsy for BCC
Excisional. Not punch or shave
Appearance of klinefelter
Tall
How long after Zika country to conceive
3 months
Mechanism for quad tendon rupture
Going down stairs
Mechanism for meniscus tear
Trauma
Mechanism for ACL tear
Pivoting
Mechanism for PCL tear
Severe trauma. Rarely happens
Dx of pt with gait disturbance, urinary incontinence and cognitive impairment
Normal pressure hydrocephalus
Dx of pt with cog impairment, gait disturbance and psychiatric symptoms
Lewy body dementia
Pt is stiff 15 mins in the morning
OA
CT shows ?bronchogenic ca
Do broncoscopy next not Bx
Lithium side effects
Sedation, tremor, dry mouth, polyuria, hypothyroidism, increased WBC
Potential cause of recurrent SA
Lupus
Indication for urgent laparoscopy
Free air
Change in bowel habits
Colonoscopy
How soon before IUD works
1 week
Kids with tantrums
Ignore them
How many people can be at a delivery?
As many as mom wants
Gentamicin and kidney disease
Decrease the dose
Newborn with seizures - what tests to order
Blood Glucose and calcium
Gastric ulcer not improved with PPI
Go gastroscopy and bx
Tx for infectious diarrhea
Don’t give Abx until after stool sample
Choledoco/cholangitis tx
Admit and give IV Abx and order endoscopic sphincterotomy
Child depression tx
CBT before meds
Stridor after intubation
Laryngospasm
Rib # tx
Encourage normal ADLs
When you need to know the blood type write
Type and cross match
Info needed for colon ca screening
FH of polyps and adenomatous polyposis and cancer, and personal hx of colitis
Bradycardia and hypotension tx
External pacer pads
Dystonia tx
Benztropine IM or diphenhydramine IM
Preventing dystonia in future
Anticholinergics
Tb meds - oral or IV
Oral
Upper arm weakness dx
Spinal cord injury
Tests for ?esophageal cancer
OGD and barium swallow
Rotator cuff tendinopathy dx and tx
No investigations needed
Tx is nsaids and physio
Tests needed with cocaine use
EKG
Is warfarin okay in pregnancy
No
Is low molecular weight heparin okay in pregnancy
Yes
Pt with meningococcal meningitis
Treat family with rifampin