Shared Flashcard Set

Details

ITE 2015
A
50
Medical
Post-Graduate
09/10/2016

Additional Medical Flashcards

 


 

Cards

Term
What is a mallet fracture of the finger and how is it corrected?
Definition
hyperflexion at DIP
-splint in extension
-if >30% of intraacticular surface involved needs ortho
Term
what antipsychotics are ok in BPAD and how are they used
Definition
haldo and Seroquel can be used in an acute event

only Seroquel is effective as maintenance
Term
According to AAFP which type of study is best for directing management of an individual pt
Definition
Meta analysis
Term
American Urological Society defines asymptomatic microscopic hematuria as....
Definition
>= 3 rbc/hpf
Term
which two big resp abx cause prolonged qt
Definition
levoquin and the floroquinolones
macrolides
Term
main side effect of inhaled corticosteroids
Definition
increased bruising
Term
according to JNC 8 which med is not cool for first line htn mgmt
Definition
bb
Term
urine osm
serum osm
urine na in siadh
Definition
low serum osm
hi urine osm
hi urine na
Term
#1 cause of unintentional deaths in kids
Definition
MVA
Term
how do you categorize obesity and overweight in kids
Definition
age 0-2 use weight for length
if >95%ile then overweight, if <5%tile then underweight--no such thing as obese

if 2+ use BMI
BMI 85-94% is overweight
BMI >94 is obese
Term
time frame for RSV
Definition
nov-april
Term
management RSV? steroids? abx
Definition
supportive only. no steroids.

no abx, but rarely associated with bacterial coinfection so then you would do abx
Term
statin myopathy vs PMR labs
Definition
statin myopathy: high CPK
PMR: high ESR
Term
do you need to test erythropoietin or bone marrow biopsy when anemia in CKD
Definition
NO
Term
what do you need to check in anemia of CKD
Definition
CBC
reticulocyte
ferritin
B12
Folate
transferrin saturation
Term
after prelim labs, how do you manage Fe def in anemia of CKD
Definition
if any depleted iron noted by ferritin < 25 then start FeSo4 TID 325mg

recheck ferritin @ 1 and 3 months, if no improvement look at IV iron
Term
age range for SCFE, where is the pain
Definition
in girls 11-13
in boys 13-15
knee or hip pain
Term
what vaccine can increase febrile seizure risk
Definition
MMR
Term
Ulnar Collateral Ligament Tear:
activity that most often causes damage?
symptoms/findings?
best test for it?
how do you do that test?
Definition
UCL tear:
-throwing overhead
-immediate pop with pain and medial elbow bruising
-moving valgus stress test
-have pt abduct shoulder 90deg, then externally rotate so their thumb is pointing @ shoulder, then you passively flex and extend at elbow while supporting the elbow, they will have pain 70-120deg in that motion
Term
Medial Epicondylitis:
-activity that causes onset
-findings
-cause
Definition
Medial Epicondylitis
-often with insidious onset with increased recreational activity
-will have weak grip strength and pain 5-10mm distal and anterior to medial epicondyle
-usually actually a tendinopathy
Term
who gets triceps tendinopathy
Definition
weight lifters, 2/2 repeated extension with resistance
Term
Live Attenuated Intranasal Influenza Vaccine
-Who is it more effective in?
-Who is allowed to get it
-Who is it contradicated in?
Definition
-more effective in kids 2-6 yo
-6-49 can use it if they want
-if over 49 need activated vacc
-contraindicated in pregnancy, COPD, asthma
Term
only prelim thing to check in under 21 yo healthy girl who wants to start OCP
Definition
check BP

uncontrolled hypertension is a contraindication
Term
how do you treat serotonin syndrome
Definition
first benzos
then cycloheptadine
Term
two measurements that indicate septic shock
Definition
elevated lactate
hypotension despite IVF resuss
Term
Features of Gilberts Disease
Definition
-Unconjugated hyperbilirubinemia
-asymptomatic
-unconjugated hyperbilirubinemia can increase with stress, infection, activity etc
Term
LDH and haptoglobin in hemolytic anemia
Definition
LDH elevated
haptoglobin low
Term
what can help with pain at the site of injection for lidocaine
Definition
sodium bicarb
Term
prophylaxis abx in asplenia
Definition
-ALL CHILDREN under 5 get penicillin BID
-you MAY use abx prophylaxis up to 2 years after an adult becomes asplenic
-you MAY consider life long prophylaxis after an asplenic pt becomes septic
-ALL fevers in asplenia get abx
Term
pcv vacc in asplenics
Definition
they need it
give 13 then 23 8 weeks apart
Term
finkelsteins test +

how do you treat
Definition
pain at distal radius with wrist flexion

for dequirvains

tx with thumb spica splint
Term
+ grind test
Definition
scaphoid fracture, you put pressure on thenar eminence and push it towards the radius, then have pt abduct at wrist and if pops then there may be scaphoid fx
Term
longterm risks of PPI therapy
Definition
hip, wrist, spine fracture
-b12, iron deficiency
-c diff, other GI infections
-CAP
-low Mg
-heart issues when given with plavis
Term
whats the diff between miralax and senna
Definition
senna is a stimulant
miralax is osmotic agent
Term
which is ok and first line use in kids (before the trauma of suppository)
Definition
miralax or other osmotic agent
Term
after head lice are found on a child when can they go back to school
Definition
immediately, need tx and avoid close contact but can go back to school
Term
what is the first step in work up of a non-massive hemoptysis
Definition
CXR
Term
H1 vs H2 blocker in urticaria
Definition
H1
Term
#1 type of esophageal cancer in US and biggest RFs
Definition
adenocarcinoma
-obesity and reflux
Term
miliary patter on CXR of b.b. sized lesions is found in what 2 conditions
Definition
TB, histoplasmosis
Term
def of ITP
Definition
isolated thrombocytopenia not caused by something else
Term
when do you need to do a bone marrow biopsy in someone with suspected ITP
Definition
only if over 60
Term
when do you treat someone with ITP
Definition
if platelets <50,000 or bleeding
Term
how do you treat ITP?
Definition
steroids, IVIG, rituximab
Term
JNC 8 recs for BP in people over 60+
Definition
150/90 if no comorbidities
140-90 if kidney disease. dm
Term
how do tamoxifen and raloxifen work
Definition
estrogen receptor modulators
Term
who uses tamoxifen/raloxifen for breast cancer preventions?
Definition
women @ high risk with low likelihood of adverse events
Term
side effects of tamoxifen/raloxifen
Definition
endometrial cancer, bladder urgency, hot flashes, vaginal dryness
Term
Light's Criteria
Definition
used to diff between exudative and transudative pleural effusions using LDH and protein levels in blood and pleural fluid

1) protein, Pleural:Serum >.5
2) LDH, Plueral:Serum >.6
3) LDH pleural that is >.67 times upper limit of normal

these indicate exudative fluid
Term
what type of effusion does PE create
Definition
exudate
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