Term
| why do you not combine and acei and an arb in a pt with uncontrolled htn |
|
Definition
| increases risk of dialysis |
|
|
Term
| first line tx for mild allergic rhinitis, 2nd line? |
|
Definition
start with Flonase
-if it doesn't work then use antihists |
|
|
Term
| what opiate is not seen in urine drug screen |
|
Definition
|
|
Term
| potassium changes in hyperaldosteronism |
|
Definition
|
|
Term
| what antipsychotic causes agranulocytosis |
|
Definition
| carbemazepime, monitor cbc in pts on this rx |
|
|
Term
| initial tx of alzhiemers, next step? |
|
Definition
start with the ACHEI like donezapil
if mod/severe add NMDA recept antag like nemenda |
|
|
Term
| signs of subacromial bursistis |
|
Definition
| no hx of trauma, local tenderness, pain on abduction & NO weakness |
|
|
Term
| pathology of subacromial bursitis |
|
Definition
|
|
Term
| lachman test vs anterior drawer test vs posterior drawer test |
|
Definition
+post drawer = pcl tear
+lachman/anterior drawer = acl
lachman is superior test to ant drawer |
|
|
Term
| how do you preform lachman test |
|
Definition
| pt is supine. leg flexed at 20-30deg. then pull on leg right post to knee as you would in anterior drawer test |
|
|
Term
| initial and f/u lab tests in pts who are on testosterone |
|
Definition
| cbc because testosterone can cause polycythemia, recheck q6mo |
|
|
Term
| antiepileptics and birth control |
|
Definition
| many antiepileptics like carbamazepine exp induce metabolism of estro. a best bc choice would be mirena or paragard |
|
|
Term
| clopidigrel and aspirin management pre op |
|
Definition
stop clop 5 days presurg
cont asa |
|
|
Term
| what are the dihydropyramidine vs nondihydro ccbs |
|
Definition
dihydro =amlodipine + nifedipine
NONdihy= verapamil |
|
|
Term
|
Definition
1. Lopressor
2. non-dihydro ccb (verapamil) |
|
|
Term
| sx of Wiscott Aldrich syndrome |
|
Definition
-thrombocytopenia: bloody noses+diarrhea
-eczema |
|
|
Term
| signs of patellofemoral pain syndrome |
|
Definition
-medial knee pain
-worse running downhill |
|
|
Term
| management of patellofemoral pain syndrome |
|
Definition
-quad & hip stretch
-knee sleeve with donut hole |
|
|
Term
| how would you manage incidentally finding sarcoid in an asymptomatic pt |
|
Definition
|
|
Term
|
Definition
-most common immunodeficiency
-low IgG, IgA & IgM
-recurrent sinusitis, AOM, bronchitis, GI complaints |
|
|
Term
| what is the role of vitD in the elderly |
|
Definition
|
|
Term
| when do you consider surg for undescended testes |
|
Definition
|
|
Term
| cae and sx of 5ths disease |
|
Definition
| parvovirus b19, arthralgias, aplastic anemia, fever, slapped cheek rash |
|
|
Term
| most common cause of stillbirth? what is the timeframe to consider an abortion a stillbirth |
|
Definition
20 wks+ = stillbirth
placental probs or obstetrical complications are the most common causes |
|
|
Term
| signs of essential tremor vs parkinsons |
|
Definition
essential =
1. bilateral sx initially
2. difficulty with normal hand activities like eating
3. voice change
4. head bob |
|
|
Term
| first line tx of essential tremor |
|
Definition
|
|
Term
| tx septic high risk pt for all types of pneumonia |
|
Definition
| ostelmavir + azithro + ceftriaxone + vancomycin |
|
|
Term
|
Definition
-vertigo
-hearing loss esp in low freq
-aural fullness
-can be worsened by caff |
|
|
Term
| managing severe CAD in pts with DM |
|
Definition
they do better with bypass vs stents
however inc risk of strokes in first 30 days |
|
|
Term
| when do you worry about lft changes in pts on statins |
|
Definition
| only once over 3x upper limit |
|
|
Term
management of acute svt
management of reccurent |
|
Definition
-vagal, adenosine
-ablation |
|
|
Term
| 1st line tx for peripheral neuropathy |
|
Definition
|
|
Term
| best imaging for hip osteonecrosis |
|
Definition
|
|
Term
| when would you consider doing a prophylactic cholecystectomy in someone with asymptomatic gallstones |
|
Definition
| someone with a hemoglobinopathy |
|
|
Term
| vent settings in someone with ards |
|
Definition
| keep tv low at 6 instead of near 12 |
|
|
Term
| what antihypertensive can cause a lupus like reaction |
|
Definition
|
|
Term
| what labs help differentiate between lupus drug rxn and lupus |
|
Definition
both have +ANA
true lupus will also have +dsDNA |
|
|
Term
| if a kid has been exposed to hepA do you give them the vaccine if they have not been vaccinated in the past? |
|
Definition
yes, if older than 1 yr old
if under 1, give igG |
|
|
Term
| what abx used in prophy during joint replacement |
|
Definition
|
|
Term
| preop clearance in cataract surgery |
|
Definition
|
|
Term
| what is Thessaly test? how do you do it |
|
Definition
test + for medial meniscus tear
flex knee 20 deg, lean on unaffected leg, internally and externally rotate knee --> pain |
|
|
Term
| how do you check orthostatic bp |
|
Definition
supine for 5 minutes
check bp
stand for 3 min
check bp
drop >10 = intol |
|
|
Term
|
Definition
|
|
Term
| pathogen that causes erysipelas |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
signs/sx of PE = 3
PE is no 1 dx = 3
HR > 100 = 1.5
recent surg/immobility = 1.5
pmh of dvt/pe = 1.5
hemoptysis = 1
malignancy = 1
1 is LOW
2-6 MOD
6+ HI |
|
|
Term
| how do you manage low med and hi wells criteria for PE |
|
Definition
low: do the PE rule out criteria
mod: d dimer
hi: image |
|
|
Term
| if you have a low wells, but your PE rule out criteria doesn't rule out the PE, what do you do? |
|
Definition
|
|
Term
| medical management of anal fissure |
|
Definition
|
|
Term
| when do you use nitrates to tx htn |
|
Definition
| only with concommitent CAD |
|
|
Term
| what sign signifies severe alcohol w/d (DTs) opposed to milder wd |
|
Definition
|
|
Term
| peripheral smear signs of G6PDH |
|
Definition
| keratocytes, blister cells, polychromatic rbcs |
|
|
Term
| what med combo may help a pt with repetitive hospitalizations from chf exacerbation already on basic tx |
|
Definition
| combo of hydralazine and isosorbide dinitrate, esp in AAs |
|
|
Term
| manifestation of resp depression in opiate od |
|
Definition
|
|
Term
|
Definition
|
|
Term
| tx mild/mod relapse of c. diff |
|
Definition
1. metronidazole x 14 weeks if mild
2. vanco x 14 weeks if mild |
|
|
Term
| tx the second relapse of c. diff |
|
Definition
| vancomycin taper x 15 weeks |
|
|
Term
| what pco2 and fev indicate a life threatening asthma attack |
|
Definition
|
|
Term
| jersey finger? management? |
|
Definition
forced hyperextension at DIP when finger was in flexed position
hand surg |
|
|
Term
| manage a pt exposed to pertussis |
|
Definition
|
|
Term
| what 3 medications can cause vitB12 def |
|
Definition
|
|
Term
| when can you not give analgesic/decongestant combos in kids |
|
Definition
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