Shared Flashcard Set

Details

ITE 2016
B
102
Medical
Post-Graduate
09/12/2017

Additional Medical Flashcards

 


 

Cards

Term
when to tx osteoporosis based on national osteoporosis foundation
Definition
1. personal hx of hip or vert fx
2. t score less than -2.5
3. osteopenia and 10 yr risk of hip fx over 3% OR any fx over 20% by the frax calculator
Term
function of values stress test
Definition
MCL
Term
best test for meniscus tear
Definition
thessaly>mcmurray
Term
type of trauma with meniscus tear
Definition
twist at knee with foot planted
Term
when would an adolescent need a dexa
Definition
anorexia
Term
meningococcal vaccine time for kids
Definition
11-12 yo
Term
what are the 11-12 yo vaccine
Definition
tdap, hpv, meningococcal, flu
Term
what vasculitis can cause orchitis
Definition
hsp
Term
criteria for acute bacterial sinusitis
Definition
-double sickening
-7-10days
-severe onset with fever and purulent drainage x 3 day
Term
1st line anti hen in lack w/ and w/o dm
Definition
regardless of dm status, give thiazide or ccb, per jnc8
Term
temporal features of ankylosing spondy
Definition
improves with moving, worse at night and in morning, loosens up during the day
Term
how much more rad do you get from CT vs XR
Definition
400
Term
RF for altitude sickeness
Definition
-fast ascent
-female
-hx of altitude sick
-under 46 yo
Term
pressor in sepsis
Definition
norepinephrine
Term
65 yo healthy person pneumonia vaccine schedule
Definition
13 then 23 1 yr later
Term
when do you do colonoscopy in person with a 1st deg relative with colon cancer
Definition
10yr before dx of relative
Term
#1 cause of hearing loss in kids
Definition
genetics
Term
does tx genital wards prevent transmission during L&D
Definition
no
Term
whats more effective for tx genital warts, cryo or meds
Definition
same
Term
post partum thyroididtis vs subacute thyroididits
Definition
subacute is painful and s/p uri
Term
tx subacute thyroididits
Definition
steroids, said
Term
labs in subacute thyroiditis
Definition
t4 hi and tsh low
Term
typical pathogenesis for retinal detachment
Definition
-usually starts with posterior vitreous detachment--floaters
-then a week later light flashes as the retina tears
Term
visual defect in retinal detachement
Definition
dec peripheral acuity
Term
RFs for retinal detach
Definition
-occular trauma
-cataract surg
-50-75 yo
Term
central retinal artery occlusion
Definition
painless and complete LOV
Term
do you always need to doppler a teste suspicious for torsion in order to dx it?
Definition
no, DO NOT delay surg for a doppler
Term
teste location in torsion
Definition
rides high
Term
howcan you manually untwist a torsioned teste?
Definition
like opening a book
Term
what do employers of greater than 50ppl have to provide for breast feeding moms
Definition
reasonable unpaid break time and a non-bathroom place to do it, do not need to provide fridge
Term
cutaneous horn aka
Definition
hypertrophic actinic keratosis
Term
manage hypertrophic actinic keratosis
Definition
remove to prevent SCC or ca in situ
Term
ddx hypertrophic actinic keratosis
Definition
keratoacnthoma, this is usally on face and ore nodular with a pit
Term
low vit D and hi Alk Phos
Definition
secondary hyperparathyroidism 2/2 low vit D
Term
lab to test vitD level
Definition
25 OH vit D
Term
who would get vit D replacement with 1-25 vit D
Definition
renal failure pts, this is aka calcitriol
Term
physiology of tx vit D in seconday hyperparathyroidism
Definition
vit d causes dec in pth which decareses bone turnover which decreases alk phos
Term
GERD tx that inc risk of osteoporosis and fx
Definition
ppi, not h2
Term
when do you use raloxifene for osteoporosis
Definition
2nd line to bis
Term
what is the down side to raloxifene
Definition
no evidence to support the idea that it decreases risks for any NON vertebral fx
Term
in a pt with blood tinged sputum and no rf for lung canger, ,what is your mgmt
Definition
cxr, if wnl, obs 2-6 wk
Term
what falsely inc A1c
Definition
IDA, trigly, bilrubinemia, splenectomy, renal failure, aplastic anemia
Term
what falsely lowers a1c
Definition
antiviral tx for HIV, liver dz, pregnancy, vit C and E, acute blood loss
Term
when do you start asa in women
Definition
50
Term
what doe s + tuberculin skin test and IGRA (quant gold) show
Definition
latent TB
Term
how long before igra and tuberculin skin test turn positive
Definition
8-12 wks post exposure
Term
benefit to igra
Definition
no need for f/u for test results, less false + in vaccinate individuals
Term
Xpert MTB/RIF
Definition
tb test that also checks rifampin resistance
Term
benefit of bariatric surg
Definition
dec all cause mortatlity, mostly by dec mortality from MI in morbidly obese ppl
Term
test to dx pseudosz
Definition
videoEEG overnight
Term
acute IV tx for intractable migrains
Definition
IV metclopramide
Term
what peds get hypertonic saline neb
Definition
bronchiolitis kids who are in the hospital
Term
american uro assocaition def of micro hematruia
Definition
over 3 rbc
Term
work up micro hematuria
Definition
UA, Cr, CT uro, Cystoscopy
Term
tx VTE in preggo
Definition
LMWH
Term
CAM for pain
Definition
a-adenosyl L methionine, but need to use 2 mo for effect
Term
curb 65
Definition
conusion, bun over 19, rr over 30, sbp less than 90 or dbp less than 60, age over 65

2+consider inpt
3+ consider icu
Term
aap rec on peanut intro in peds
Definition
under 12 mo
Term
antidepressant that can prolong qt
Definition
citralopram
Term
abx for traverlers diarrhea depending on geography
Definition
asia-azit
sa/africa-cipro
Term
skin manifestation of sarcoid
Definition
erythema nodosum
Term
best psych med for fibro
Definition
tca
Term
hen to supplement iron in breast feeding baby
Definition
4 mo
Term
goal fast flu in preggo
Definition
less than 95
Term
psych meds for somatization d/o
Definition
ssri, tca
Term
tx rosacea
Definition
metonidazole, azelic, sulfa, ivermectin, brimodine
Term
bacteria to consider in puncture wound
Definition
pseudomonas
Term
ear deformities in newborn
Definition
cupear, periauricular skin tag, ear pits

all seen with GDM, make sure to screen for renal issues with renal u/s
Term
dx test for CLL
Definition
flow cytometry andimmunophenotyping of peripheral blood
Term
what lymph count with cll
Definition
absoluate lymphocytosis over 5000 cells
Term
sx of CLL
Definition
most are asx at dx
Term
benign appearing lung nodule
Definition
less than 5mm
central calc
smooth border
solid appearance
Term
malignant appearing lung nodule
Definition
over 10mm
uppper lobe
irrec/spic borders
no calc
ground glass
Term
tx of acute hyperkalemia to dec K
Definition
insulin and glucose
Term
tx of acute hyperkalemia to prevent arrythmia
Definition
ca gluconate
Term
antiplatelet 1st line after DES
Definition
asa 81mg and plavix for 6mo to 1yr
Term
what class of drug is plavix
Definition
p2y12/adp inhib
Term
2nd line antiplatelet if DES
Definition
prasugral, and asa
Term
what is asa/dipyrdamole for? aka
Definition
secondary stroke prevent, aggrenox
Term
1st line tx for adhd based on age
Definition
over 6 meds, under 6 therapy
Term
tx of provoked PE
Definition
3mo if provoked, any anticoagulant
Term
function of procalcitonin level
Definition
marker of infection
Term
type of splint used in carpal tunnel
Definition
cock up
Term
sx of porphyria cutanea tarda
Definition
blisters, non painful, over sun exposed skin
Term
rf for prophyria cutanea tarda
Definition
-etoh
-hepc
-smoke
-estrogen
-hiv
-hfe
Term
necrobiosis lipoidica diabetica
Definition
red brown plaque wiht central yellow deposits in the pretibial area
Term
tx impetigo, cause
Definition
cephalexin, strep pyo mSSA
Term
litte league shoulder
Definition
proximal humeral epiphysitis
pitchers 11-16 yo
Term
USPSTF rec on flouride
Definition
all kids at 6mo if not present in drinking water
Term
palivizumab
Definition
prevents rsv
rec for newborn premies born at less than 29 wk
Term
meds that dec vitD
Definition
phenobarb, phenytoin
Term
stepwise tx narrow complex tachy
Definition
vagal, adenosin, verapamil//diltiazem, dc conversion if unstable
Term
meds for wide complex tachy
Definition
amio, procain, sotalol
Term
age of osteonecrosis, aka
Definition
2-12, legg calve perthe
Term
onset of legg calve perth vs transient synovitis
Definition
LCP is insidious, TS is acute
Term
passive ROM in LCP vs TS
Definition
LCP dec, TS wnl
Term
sudden onset w/in hours of bad food with vomit/diarrhea
Definition
s aureus, and b cereus
Term
1st line med for fxnal constip
Definition
miralax
Term
recs to dec bp w/o meds
Definition
less than 2400mg/day salt or less than 1500mg (stricter
home bp monitor
fruit/veg/whole grain
less than 2 drink/day men, 1 women
Term
generalized anxiety d/o vs panic d/o
Definition
GAD is more vauge, constant (fatigue, worriers)
PD is acute bursts with more adrenergic sx
Term
mgmt of molluscum if lesions are very bothersome
Definition
curette
Term
abs contraI to OCP
Definition
over35 yo & over 15 cig/day
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