Term
| What can be changed with intensive glycemic control |
|
Definition
| Nephropathy and retinopathy |
|
|
Term
| Hyperthyroid permanent tx. How to assess tx? |
|
Definition
Ablation with Prednisone
check T3/4 level to assessment |
|
|
Term
| Tourette syndrome association |
|
Definition
|
|
Term
|
Definition
MONA-B
Statin ASAP
DUAL anti platelet tx |
|
|
Term
inguinal perineal, genital axillary or inframammary rash.
Cause |
|
Definition
|
|
Term
|
Definition
respiratory depression
miosis
AMS
decr BS |
|
|
Term
| when is genetic counseling warranted in recurrent miscarriages? |
|
Definition
| >3 spont abortions (not incl ectopic) |
|
|
Term
| Acute ischemic stroke w/u |
|
Definition
1. CT scan
2. tpa up to 4.5
3. Observe in ICU/stroke unit
4. IV labetalol, nicardipine sodium pruss if BP severely elevated |
|
|
Term
| complication of untreated Appendicitis |
|
Definition
| Pylephlebitis, infective PV thrombus |
|
|
Term
conjunctivits 2-5 days.
Tx
Prevention |
|
Definition
Gonococcal
Tx is one dose of IM Ceftriaxone
Prevention is Erythromicin ointment |
|
|
Term
|
Definition
1. LMWH/unfrac hep
2. start Warfarin afterwards and early for a minimum of 5 days until INR >2.0 |
|
|
Term
| when to offer thrombolysis in PE |
|
Definition
|
|
Term
| Severe malnutrition tx algorithm |
|
Definition
Oral rehydration first
NGT if unsuccessful
IVF only if SHOCK |
|
|
Term
|
Definition
| consider combo therapy (esp if lithium maxed out) |
|
|
Term
| Parkinson's associated depression tx? |
|
Definition
| add SSRI and continue parkinson's tx |
|
|
Term
| new pulmonary infiltrate on CXR with incr WOB, cough, chest pain, hypoxemia |
|
Definition
| Sickle cell acute chest syndrome |
|
|
Term
| tx for acute chest syndrome |
|
Definition
| Ceftriaxone and Azithromicin, IVF and pain control |
|
|
Term
| Multifocal Atrial Tachycardia |
|
Definition
common in elderly pts hospitalized with COPD
DIFFERENT p wave modalities
correct elctrolytes first |
|
|
Term
|
Definition
| tx as Alzheimer and Parkinsons with overlapping tx |
|
|
Term
| when do you screen for Endometrial cancer on Tamoxifen? |
|
Definition
| asx pts do NOT require routine screening |
|
|
Term
>3mos of dysuria, GU pain, pain during ejaculation.
Dx workup |
|
Definition
UA/UC before and after prostate massage
UC will be ASEPTIC |
|
|
Term
| tx for Chronic Prostatitis |
|
Definition
Alpha blockers
Abx
anti-inflammatory |
|
|
Term
| when to perform cystoscopy |
|
Definition
| hematuria beyond week or painless hematuria |
|
|
Term
| tx for pelvic organ prolapse |
|
Definition
wt loss pelvic floor exercises
vaginal pessary
surgical repair as most definitive |
|
|
Term
retracted TM with yellow fluid and decreased mobility.
tx |
|
Definition
Serous Otitis Media
may persist for up to 3 mos after tx otitis media.
tx is watchful observation |
|
|
Term
pain and itching
partial/complete occlusion from edema
Tx? |
|
Definition
severe otitis externa, mcc Staph/Pseudo
Tx: wire loop, topical abx, wick placement |
|
|
Term
purulent otorrhea in external auditory canal
fever and pain |
|
Definition
|
|
Term
|
Definition
| risk in unexposed-risk in exposed/risk in unexposed |
|
|
Term
| hypo Ca following PTHectomy causes |
|
Definition
| decr PTH or Hungry bone syndrome |
|
|
Term
| 2-4 d following pth removal causing an incr'd reflux of Ca into bone |
|
Definition
|
|
Term
| how to treat Sarcoid related hyper Ca |
|
Definition
|
|
Term
|
Definition
p24 and HIV 1/2 abx
make sure to retest bc titers usually too low in first 1-4 weeks |
|
|
Term
B12 sx's + Abdominal problems
Dx w/u
Assoc |
|
Definition
Pernicious Anemia
Intrinsic factor
autoimmune |
|
|
Term
|
Definition
| mitral stenosis- opening snap and mid diastolic rumble |
|
|
Term
unexplained HF d/t LVEF decr.
Next step to perform |
|
Definition
| Stress test as CAD is MCC of secondary CM |
|
|
Term
| recall bias could be a problem in what study? |
|
Definition
| case control d/t overestimation |
|
|
Term
| small rough erythematous, keratotic papules |
|
Definition
|
|
Term
| sarcoidosis biopsy location |
|
Definition
any palpable LN
enlarged parotid
lung |
|
|
Term
|
Definition
| 5th ICS to the lower left sternal border |
|
|
Term
|
Definition
| 5th ICS at the mid clavicular line |
|
|
Term
soft single S2 sound
parvus et tardus
loud late peaking systolic murmur |
|
Definition
|
|
Term
contraceptive device best for people with APA coag disorders
Added benefit |
|
Definition
Progestin iud.
decreasing menstrual flow on anticoagulation |
|
|
Term
|
Definition
HIV
recent contact with TB pt
organ transplant recipient
immunocompromised |
|
|
Term
|
Definition
recent immigrant from high prevalence
IV drug
prisons
homeless shelters
health care facilities |
|
|
Term
| preeclampsia with severe features |
|
Definition
BP>160/110
proteinuria
end organ damage (visual HA) |
|
|
Term
| algorithm for preeclampsia with severe features |
|
Definition
Labetalol/Hydralazine for BP
MgSO4 for seizure proph
DELIVERY |
|
|
Term
| best evidence for borderline personality d/o |
|
Definition
|
|
Term
| when to use IGRA in TB screening |
|
Definition
| pts with previous Bcg vaccine as they will have false pos skin test |
|
|
Term
wide and fixed splitting of second heart sound.
mid systolic ejection murmur over LUSB |
|
Definition
|
|
Term
| palpable thrill with harsh holosystolic murmur |
|
Definition
|
|
Term
hypopigmented macules, angiofibromas, CNS lesions
assoc of rhabdomyoma |
|
Definition
|
|
Term
| primary w/u for tuberous sclerosis |
|
Definition
| fundoscopy, brain MRI, EEG |
|
|
Term
| lymphocyte predominant exudative effusion in a patient with HIV |
|
Definition
| active TB which requires pleural biopsy |
|
|
Term
pediatric sepsis-->fever, poor appetite
MCC <28 days
MCC >28 days |
|
Definition
E. coli/GBS--> Amp/Gent or Ceftriaxone
S.pneumo/N. menin--> Ceftriaxone/Cefotaxime with Vanc if meningeal involvement |
|
|
Term
non scarring hair loss with well demarcated round area of complete hair loss
associations and incr risk |
|
Definition
Alopecia areata
associated with nail pitting and inc risk for autoimmune |
|
|
Term
| absolute contra in transplant surgery |
|
Definition
| active substance/etoh abuse |
|
|
Term
| BL hydronephrosis, dilated thickened bladder, oligohydramnios |
|
Definition
|
|
Term
| colon cancer screening with relative <60 |
|
Definition
start at age 40 OR 10 yrs before ca dx in relative
monitor every 3-5 years |
|
|
Term
| sudden onset of hyperglycemia on TPN use |
|
Definition
|
|
Term
| measuring EF in patient using chemo |
|
Definition
| radionuclide ventriculography |
|
|
Term
| alteration of fat deposition without change in muscle mass. dx of HIV |
|
Definition
| lipodystrophy, use statin |
|
|
Term
| fever LAD exudative pharyngitis and HSM |
|
Definition
|
|
Term
|
Definition
Mild/moderate- high potent steroid cream
severe- phototherapy/mtx
facial- tacrolimus |
|
|
Term
|
Definition
1. wash thorughly soap/water
2. lab testing and COMBO therapy x 4wks
3. repeat at 6 wks and 4 mos |
|
|
