Term
| Major difference btw Meniere and BPV? |
|
Definition
| Menires has additional HEARING LOSS |
|
|
Term
| Abx tx in asx bacturia in pregnancy? Cystitis? |
|
Definition
Keflex, Augmentin, Fosfomycin for 3-7 d
Same tx |
|
|
Term
| MC pathogens in cystitis? |
|
Definition
| E coli, Klebsiella, Proteus |
|
|
Term
| Abx NOT to use in Pregnancy |
|
Definition
Cipro- fetal cartilage
Tetracycline- bone growth and teeth stain
TMP-SMX- decr folic acid, kernicterus |
|
|
Term
|
Definition
| Amoxicillin not Augmentin |
|
|
Term
| recent joint injury with local burning pain, edema, decr ROM |
|
Definition
| Complex regional pain syndrome |
|
|
Term
| pelvicalyceal dilation found on CT scan. What causes this? |
|
Definition
R ureteric colic.
acute urinary obstruction d/t stones, tumors or sloughed papillae |
|
|
Term
pyuria with sterile UCx
hematuria |
|
Definition
| Analgesic Nephropathy, which can cause colic and sloughing of papillae |
|
|
Term
|
Definition
Central hypothyroidism
suggests Pituitary function so check other hormone function at this time |
|
|
Term
| btw Analgesic nephropathy and Renal stones, which causes actual kidney injury |
|
Definition
|
|
Term
|
Definition
| hospitalized pt to distinguish euthyroid (incr) sick syndrome from central hypo |
|
|
Term
| what lab value helps to measure if thyrotoxicosis is real? |
|
Definition
| Thyroglobulin. Also helps to differentiate thyroid cancer |
|
|
Term
| complications of IVC placement |
|
Definition
| recurrent DVTs and thromboses |
|
|
Term
| Evaluate myelopathy WITH bowel/bladder or sensory issues |
|
Definition
MRI of spine next to look for struc abnx
Y = Give steroids and make surgical call
N= perform LP |
|
|
Term
| myelopathy without bowel bladder issues? |
|
Definition
| consider GBS in this case |
|
|
Term
| purpose of nerve conduction studies? |
|
Definition
| evaluate peripheral nerves with d/o such as GBS or carp tunnel |
|
|
Term
| TSH and Cancer recurrence relationship? |
|
Definition
suppression with Levo decreases risk
Large aggressive= <.1
Intermediate= .1-.5
small low risk= .1-.5 for 6mos then keep low normal |
|
|
Term
| This deadly arrhythmia can occur in setting of congenital QT syndrome |
|
Definition
| Torsades de pointes- give MgSo4 |
|
|
Term
| What can provoke Torsades? |
|
Definition
| PVBs and Bradyarrhythmias |
|
|
Term
| contaminated food and drink diarrheal illness |
|
Definition
|
|
Term
| abdominal pain, bloody diarrhea and psuedo appendicitis |
|
Definition
|
|
Term
| fever, bloody diarrhea, abd pain |
|
Definition
|
|
Term
| wilderness and rural area of US drinking contaminated water |
|
Definition
|
|
Term
| influenza active or inactive |
|
Definition
|
|
Term
| what responds first in iron deficiency tx? |
|
Definition
|
|
Term
| universal iron screening age |
|
Definition
|
|
Term
dysphagia starting witwh solids followed by liquids.
pt with prior hx of GERD |
|
Definition
|
|
Term
|
Definition
|
|
Term
increase stool osmotic gap
decrease stool ph |
|
Definition
|
|
Term
increase stool osmotic gap
micro anemia
villous ATROPHY |
|
Definition
|
|
Term
macrocytic anemia
pos lactulose breath test |
|
Definition
|
|
Term
| dressing apraxia and constructional center |
|
Definition
| Non dominant parietal lobe |
|
|
Term
| acalculia, finger agnosia, L/R side of body |
|
Definition
|
|
Term
adolescents and adults with leg length discrepancy.
pathophys? painful? |
|
Definition
DDH- abnx acetabular development (shallow hip socket)
Asx |
|
|
Term
| place NOT to biopsy for Sarcoid? |
|
Definition
|
|
Term
decrease in urethral sphincter tone
urethral hypermobility |
|
Definition
|
|
Term
|
Definition
|
|
Term
| decr in detrusor contractility |
|
Definition
|
|
Term
|
Definition
| INH for 9 mos or Rifampin 4-6 mos |
|
|
Term
| characteristic B9 pulm nodules |
|
Definition
Popcorn (hamartoma)
concentric or laminated
central and diffuse homog calcif |
|
|
Term
| what are 3 things that can cause Serum sickness? |
|
Definition
immune complex formation
using B lacs and SULFAS
Acute Hep B |
|
|
Term
| heavy vaginal bleeding and soft enlarged uterus above umbilicus |
|
Definition
|
|
Term
|
Definition
Massage and Oxytocin
2nd Prostaglandins |
|
|
Term
CTD causeing acute MR?
what's the cause of MR? |
|
Definition
Ehlers Danlos
MVP from a ruptured chordae tendinae |
|
|
Term
|
Definition
|
|
Term
| Ehlers danlos skin manifestations |
|
Definition
hyper extensible joints
velvety/atrophic skin |
|
|
Term
|
Definition
| MVP and AORTIC ROOT DILATION |
|
|
Term
| major finding of PCA aneurysm |
|
Definition
|
|
Term
| Cause of Acute otitis media? |
|
Definition
Strep pneumo
NON-type H. flu
Moroxella
Primary tx is Amoxicillin! |
|
|
Term
|
Definition
|
|
Term
| fever, malaise, chills HA and myalgias 24hrs after tx of spirochetal infection |
|
Definition
Jarisch Hexeimer rxn
NO prevention |
|
|
Term
| risk factor for pyloric stenosis |
|
Definition
| Erythromicin, bottle feeding |
|
|
Term
| Mechanical Valve anti-coagulation |
|
Definition
ASA in ALL pts
AVR w/no risk fx: Warfarin 2-3 INR
MVR and AVR w/fx: Warfarin 2.5-3.5 |
|
|
Term
| who to screen for Lung cancer? |
|
Definition
| Age 55-80 with smoking hx of >30 pack years and quit <15yrs ago |
|
|
Term
|
Definition
Age <21= no screening
21-29= cytology q 3yr
30-65 cytology q 3yr or cyto + HPV q 5yr |
|
|
Term
| Immunized person with clean wound tetanus prophylaxis? dirty wound? |
|
Definition
Give TOXOID ONLY if doses >10yrs
toxoid if >5 years |
|
|
Term
| unimmunized (<3 doses) or uncertain about last dose. Clean? Dirty? |
|
Definition
Clean toxoid
Dirty toxoid + IGs |
|
|
Term
L parasternal lift
Prominent R vent heave
Loud P2 with TR |
|
Definition
|
|
Term
young middle aged woman with hepatomegaly and
incr LFTs, norm ALP and bili |
|
Definition
|
|
