Term
how does botulism work?
how does one get botulism?
presentation? |
|
Definition
toxin that decr pre synaptic Ach at NMJ
ingestion of spores
constipation, oculobulbar weakness, flaccid paralysis, absent gag reflex |
|
|
Term
pathophys of MG
major diff btw this and Botulism |
|
Definition
Ach receptors ab's at NMJ
does NOT cause constipation |
|
|
Term
| what does overlapping SEM mean? |
|
Definition
| non statistical significance |
|
|
Term
| pt with rapidly progressive form of disease less likely to be detected by screening |
|
Definition
|
|
Term
lab values for post extubation stridor
Tx? |
|
Definition
pH<7.35, CO2>45, RR>25 x2d
re intubate |
|
|
Term
migratory arthritis
myocarditis
nodules on hands
erythema marginatum
syndenham chorea (irregular rapid movmnts)
Dx? |
|
Definition
Acute Rh fever (JONES criteria)
prevented by giving Peniccilin in GAS pharyngitis |
|
|
Term
hematuria, erythrocytosis, +smoking
flank pain, palpable abd mass
CT showing irregular septa |
|
Definition
Renal Cell Carcinoma
Tx: nephrectomy |
|
|
Term
| preferred Ortho surgery prophylaxis coag |
|
Definition
|
|
Term
|
Definition
active bleeding
PC<100k
IC surgery in last 3 mos
BP>185/110 |
|
|
Term
tinnitus, AMS, fever
tachypnea, pulm edema, n/v, met acidosis |
|
Definition
ASA toxicity
tx with Sodium bicarb |
|
|
Term
| major presenting sx in 5-HT syndrome? |
|
Definition
|
|
Term
pt in sniffing position "drooling"
Dx? tx? |
|
Definition
Epiglotittis caused by H. ib
INTUBATE |
|
|
Term
grey patches with pseudo membrane (bleeds upon scraping)
Dx? Tx? Assoc? |
|
Definition
C. diptheria
Myocarditis, neuritis, kidney dz
Dx: resp. secr culture
Tx: Ery/Pen G |
|
|
Term
| painless hematochezia in kid MCC |
|
Definition
Meckel's (RLQ mass)
use Tech 99 scan! |
|
|
Term
| w/u for stress incontinence |
|
Definition
|
|
Term
| Overflow incontinence w/u |
|
Definition
|
|
Term
| a screening test is said to be highly what? |
|
Definition
|
|
Term
cough, pleuritic chest pain, HEMOPTYSIS
CT showing ground glass opacity (cavitations) |
|
Definition
Aspergilliosis
Voriconazole |
|
|
Term
| absolute contra's to live donations |
|
Definition
less than 18
intell disability
psych dz
BMI>35
DM/HTN |
|
|
Term
|
Definition
| cryotherapy, electrosurgery or radiation therapy |
|
|
Term
| what is the the whipples triad of hypoglycemia? |
|
Definition
| hypoglycemia, low blood glucose and sx resolution after Glu given |
|
|
Term
| causes of Iron deficiency in neonate? |
|
Definition
prolonged breastfeeding past 6 months
decr MCV and RBC |
|
|
Term
|
Definition
Emergency (unstable vitals)- needle compression
Stable- Chest tube |
|
|
Term
nasal congestion, rhinorrhea, coarse breath sounds and wheezing w/o crackles!
mostly in winters. DX? recurrence |
|
Definition
RSV- bronchiolitis
Clinical dx
30% wheezing |
|
|
Term
decrease motor milestones
abnx tone
hyperreflexia
intell disability
Dx? Mgmt? risk fx? |
|
Definition
CP
Dx: MRI/EEG
Mgmt: diff therapies |
|
|
Term
| time of effic for Oseltamivir |
|
Definition
|
|
Term
| how does Estrogen work on thyroid? hcG |
|
Definition
it increases TBG synthesis
incr TSH receptors |
|
|
Term
+central tendency
where is the tail? mode, median, mean? |
|
Definition
tail will be on right
mode |
|
|
Term
| sleep terrors in what type of sleep? |
|
Definition
| non REM sleep. don't REMember |
|
|
Term
| acute trauma dx of pneumothorax? |
|
Definition
|
|
Term
| fairness in scarce resources |
|
Definition
|
|
Term
| doing good things for people |
|
Definition
|
|
Term
| primary dx of muscular dystrophy |
|
Definition
serology CPK
confirmed by Genetic testing |
|
|
Term
|
Definition
urgent surgical exploration
Zosyn, Carbapenem
Vanc
Clindamycin |
|
|
Term
|
Definition
Healthy- S. aureus
-Nafcillin or cefazolin low risk
SS
-Salmonella/S. aureus
-NAF plus tertiary Ceph |
|
|
Term
| latent tb pt asx after tx w/u? |
|
Definition
|
|
Term
| when do you use metro in h pylori tx? |
|
Definition
| when they are allergic to penicillin |
|
|
Term
| refeeding syndrome lab abnx? |
|
Definition
decr PO4, K, Mg and Thiamine
incr Na and water retention, insulin |
|
|
Term
surgery >2h
>750ml IVF
decr UOP, Abd distention |
|
Definition
| post op urinary retention |
|
|
Term
|
Definition
| surgical pinning to prevent avascular necrosis |
|
|
Term
| tx of HELLP in post partum |
|
Definition
| MgSO4, the same as intrapartum |
|
|
Term
| a special finding for rabies |
|
Definition
| hydrophobia, spasms on drinking water |
|
|
Term
|
Definition
D/C meds
supportive, sedation with benzos
last resort- cyproheptadine |
|
|
Term
|
Definition
|
|
Term
chronic non productive cough
cough triggered by exercise and cold air
also by forced expirations
ABSENT WHEEZING |
|
Definition
|
|
Term
|
Definition
terbinafine OR itraconazole
KOH, PAS stain |
|
|
Term
| when do you perform leukapheresis? |
|
Definition
|
|
Term
| vit def causing dementia/delirium in elderly |
|
Definition
|
|
Term
|
Definition
Clinical
emoilents then STEROID |
|
|
Term
| how to decrease spread of Giardiasis |
|
Definition
| only SX ppl! avoid drinking water from public sources |
|
|
Term
| sec causes of Pseudotumor Cerebri |
|
Definition
Isoretinoin, ATRA
minocycline, tetras |
|
|
Term
| drug induced pancreatitis causes |
|
Definition
analgesics
INH,tetras Metro, bactrim
epilleptics
thizides, enalipril |
|
|
Term
|
Definition
|
|
Term
jaundice/anemia on day 2-3
acute hemolytic episode
dark urine abd/back pain |
|
Definition
|
|
Term
|
Definition
| rh neg mother and rh pos father |
|
|
Term
n/v early satiety bloating
succussion splash
dx? |
|
Definition
Gastroparesis
gastric emptying study |
|
|
Term
| ingestion of improperly stored seafood |
|
Definition
|
|
Term
| most important risk fx of osteoporosis in man |
|
Definition
|
|
Term
| how to let bite wound heal? |
|
Definition
|
|
Term
| primary tx of heat stroke |
|
Definition
|
|
Term
incr ALP, Ca
hilar adenopathy
Tx |
|
Definition
Hepatic sarcoidosis
steroids |
|
|
Term
| night sweats, arthralgias, and pleuritis/effusion |
|
Definition
Drug Induced Lupus
HYDRALAZINE, procainamide, minocycline |
|
|
Term
| TRALI recovery complication |
|
Definition
Neuro decline
a decr in muscle strength and lung function |
|
|
Term
|
Definition
|
|
Term
| corneal foreign body infection? |
|
Definition
| coag neg Staph give abx eye drops |
|
|
Term
rash that spares PALMS/SOLES
conjunctivitis, URI
tx? |
|
Definition
Measles (rubeola)
supportive/Vit A |
|
|
Term
| test to run after newly dx'd MTC? |
|
Definition
|
|
Term
|
Definition
|
|
Term
| hashimotos has increased risk of? |
|
Definition
|
|
Term
|
Definition
| surgical debridement and Amp B |
|
|
Term
| no improvement in Diverticulitis w/u? |
|
Definition
| repeat CT scan to check for Abscess |
|
|
Term
|
Definition
| screen for SI and complete psych eval |
|
|
Term
| primary amenorrhea w/u in pt with uterus |
|
Definition
1. Pelvic exam/ u/s
2. FSH
-incr-->karyotype
-decr-->cranial MRI |
|
|
Term
| primary amenorrhea w/u in pt with absent uterus |
|
Definition
karyotype and testosterone
-46 xy but pheno F--> AIS
-46 xx pheno F--> mull agenesis |
|
|
Term
cremasteric reflex is at what level?
a loss means? |
|
Definition
L1/2
decreased or lost 2/2 DM |
|
|
Term
| patient with paradoxical worsening after primary treatment of ART |
|
Definition
immune reconstitution inflammatory syndrome
self limited tx |
|
|
Term
major difference in alpha vs beta thal?
lab value wise |
|
Definition
both have INCR'd ferritin/iron
BUT Beta thal will have INCR'd HgA2 |
|
|
Term
| major diff btw mortality rate and case fatality |
|
Definition
| mort rate is the PROBABILITY where the other measures actual deaths |
|
|
Term
| lichen planus is caused by? assoc? |
|
Definition
excessive scratching
Hep C |
|
|
Term
| what are indications to remove catheter |
|
Definition
severe sepsis
unstable vitals
NO improvement after 72 hours of antibiotics |
|
|
Term
|
Definition
|
|
Term
recurrent infections
daily cough
mucopurulent sputum
patho of hemopty |
|
Definition
Bronchiectasis
rupture of superficial blood blood vessels |
|
|
Term
|
Definition
abx coverage
ERCP w/i 24/48 hrs
Bilary drainage |
|
|
Term
| children w depression w/u |
|
Definition
|
|
Term
| post cholecystectomy diarrhea tx |
|
Definition
| cholecstyramine to decr bind salts |
|
|
