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Step 3 Smart book day 5 pt 3
USMLE
81
Medical
Professional
11/14/2017

Additional Medical Flashcards

 


 

Cards

Term
compares intervention groups in randomized trial by including ALL subs as INITIALLY ALLOCATED AFTER RANDOMIZATION

why is this done?
Definition
intention to treat analysis

to avoid crossover and attrition
Term
drugs that cause orthostatic hypotension
Definition
diuretics
a-blockers
nitrates
Term
pituitary enlargement and hyperpigmentation AFTER b/l adrenal surgery
Definition
Nelson's syndrome
Term
in treating HIT, when to switch over to Warfarin?
Definition
PC>150k
Term
bilious vomiting, abd distention, mass on R side of abdomen

Assoc
Definition
Meconium ileus

CF
Term
chronic lung infections with periodic acute exacerbations.

MCC?
Tx?
Definition
CF pulm dz
Pseudomonas and S. aureus
Tx 2 agents for pseudo
Term
HPV plantar warts tx?
Definition
salicylic acid for 2-3 days
Term
severe C. diff guidelines
Definition
fever, WBC >15k, Cr.>1.5 baseline
Term
assoc with anxiety d/o

rash occurring in arms legs and neck
Definition
lichen simplex chronicus
Term
recurrent UTI's in F definition?

Tx?
Definition
2 UTIs/6 mos or 3 in one year

give Abx prophylaxis
Term
what should happen to viral load after INITIAL tx of HIV starts
Definition
viral load <50 copies in 6 mos
Term
B12 has what hematologic complications
Definition
hemolytic anemia leading ineffective epo

also causes erythroid hyperplasia
Term
repeating primary calculations after modifying certain criteria or variable ranges

why?
Definition
sensitivity analysis

to determine whether modifications affect results
Term
weighing different variables across both groups
Definition
propensity scoring
Term
what increases PPV?
Definition
Specficity
Prevalence
Term
Zoster tx?

is it contagious?

post herpetic neuralgia
Definition
1. Valcyclovir x 7d

No. only if you are NOT IMMUNIZED

post herpetic neuralgia is TCAs Gabapentin
Term
Tx of MS and long term mgmt

pregnancy complications?
Definition
Oral steroids (IV if OPTIC NEURITIS)
long term with interferon beta

incr in C section and assisted delivery
Term
fat malabsorption, steatorrhea
pain decr by sitting up or leaning forward
NORMAL labs

w/u? mgmt?
Definition
Chronic Pancreatitis

MRCP to show pancreatic calcifications
Term
how to treat akathisia?
Definition
try reducing dose of antipsychotic first
B blockers 2nd
Term
MM evaluation of bone involvement
Definition
skeletal survey to look for LYTIC lesions
Term
NF-1 complications
Definition
neurofibromas and hamartomas

cafe au lait spots, freckles
Term
MM complications
Definition
Infections in first 3-4 mos
skeletal - give bisphosphonates
hyperviscosity syndrome
Term
nasal and oral bleeding
blurry vision
confusion
HA

tx?
Definition
Hyperviscosity syndrome

plasmapheresis
Term
f/u Colonoscopy after polypectomy
Definition
>2cm sessile 2-6 mos

>10 adenomas- 3 yrs

3-10 adenomas and VILLOUS- 3 yrs
Term
peritonitis (lying flat and motionless)
hx of GERD

w/u
MCC
Definition
Bowel perf

preop for surgery! IVF and abx, IV PPI

PUD mcc
Term
hypothermia hypotension and leukocytosis in elderly
Definition
consider SEPSIS
Term
complcations of bronchiolitis
Definition
Apnea and respir fail.
Term
erythema in central face with telangiectasias

tx?
risk fx?
Definition
Rosacea

1. erythasma and telang--> topical brimonidine

2. papular/pustular- topical Metro/Azelaic acid

recurrent chalaizons
Term
HIV tx in pregnancy Antepartum
Definition
1. hiv rna load at 2-4 wks
2. cd4 q 3-6 mos
3. <1K viral load is goal
Term
HIV intrapartum tx
Definition
<1K copies- ART and vaginal delivery

>1k copies- ART + ZDV + C section
Term
HIV tx post partum
Definition
Mother- ART
Infant- maternal load <1K give ZDV
>1K multi drug ART
Term
contras to breast feeding
Definition
active TB
HIV
herpetic lesion
active varicella
chemo/radiation
active substance abuse
Term
normocytic anemia decr'd retic count
Definition
leukemia, aplastic anemia, infection, med SE
Term
normocytic anemia with increased retic count
Definition
hemorrhage and hemolysis
Term
compares risk fx frequency btw groups

investigates?
Definition
Case control

outbreak of an acute infx dz
Term
compares dz incidence using records
Definition
retrospective cohort
Term
determines prevalence
Definition
cross sectional study
Term
acute TPN monitor
Definition
Phosphate
Term
ITP <30K and bleed
Definition
IVIG or GCs
Term
TTP HUS tx
Definition
plasmapheresis
Term
isolated ALP with slightly elevated LFTs
pathophys?

tx?
risk fx?
Definition
Primary biliary cirrhosis

T lymphs on intrahep bile ducts

ursodeoxy
OSTEOPENIA/porosis
Term
post exposure mgmt for Hep B in negative source needlestick
Definition
not immunized- give Vaccine
Term
post exposure mgmt for Hep B in + source needlestick
Definition
1. NOT immune- Ig + vaccine

2. immune- NO tx
Term
vaccines for adults ~65
Definition
tdap/td
PPSV 13 followed by 23 at later time
Term
how to manage HIV crypt meningitis?

When to start hiv tx?
Definition
Induction with Amp/Flu >2wk
Consolidation incr Flu dose 8 wks

start ART 2-10 after beginning tx
Term
how to tx cryoglobulinemia
Definition
1. immunosuppresive therapy
2. underlying dz tx (antivirals)
Term
what is the time frame for lyme dz to move to tick's salivary gland?

what if tick if not engorged?
rash appears when?
Definition
36-48 hrs after attachment

decr'd risk with being unengorged

rash shows up >3 days
Term
diseased person testing positive
Definition
sensitivity
Term
non diseased person testing negative
Definition
Specificity
Term
disease present given a positive RESULT
Definition
PPV
Term
disease is absent given a NEG result
Definition
NPV
Term
gastrectomy post diet
Definition
high protein and smaller portions
Term
when should cleft lip be repaired
Definition
3 mos, 10lbs, 10g hgb
Term
underlying Asthma/CF
recurrent fevers, malaise, cough with brown sputum

dx? tx?
Definition
ABPA

eosinophilia skin test
total IgE

tx Systemic GC's and Vori/itra
Term
CANNOT actively extend knee and cant raise leg against gravity
Definition
PT tendon tear
Term
tourette syndrome tx
Definition
Second gen AP
clonidine 2.
Term
dyspepsia w/u in pt <55 from endemic area
Definition
H pylori
Term
complication of acute otitis media
fever protrusion of auricle, swelling
Definition
Acute mastoiditis
Term
post market surveillance reason
Definition
to test a larger sample for power
Term
sx hyperglycemia and abnx DM labs. next step?

Asx?
Definition
Diagnose DM!

repeat labs
Term
nocturnal enuresis w/u >5y
Definition
1. UA
2. lifestyle changes
3. enuresis alarm
4. desmopressin
Term
most important modifiable risk fx of ischemic stroke
Definition
HTN
Term
choking <1 or >1
Definition
<1 turn child face down

>1 abd thrusts
Term
Saw palmetto se
Definition
incr'd bleeding
Term
Garlic tx
Definition
cholesterol
Term
SJW tx
Definition
depression
Term
focal glistening, white mound like lesion
vitreous haze
Definition
candida endopthalmitis
Term
Bone density btw fhh and hyper pth
urinary calcium
Definition
bone density norm in fhh
urinary calc low in fhh

offer reassurance
Term
recent viral illness or rotavirus vaccination

currant jelly stools, sausage shaped abdominal mass, ams

tx
risk fx
complication
Definition
Intussuception

meckel's, hsp, celiac, polyps

air/saline enema
can cause intestinal perf
Term
how are scabies dx'd? tx?
Definition
dx of skin scraping under light microscopy

tx 5% permithrin
Term
RLS causes
Definition
Iron def. anemia
uremia
DM
Pregnancy
Term
cough>5 days to 3 weeks
ABSENT systemic findings
RHONCHI
Definition
bronchitis
Term
slit lamp shows leuks in anterior chamber
constricted and irregular pupil
Definition
Anterior uveitis/iritis

tx: abx/virals and steroids
Term
how to confirm acute glaucoma
Definition
high intraocular pressure
Term
how to dx conjunctivitis
Definition
clinical
Term
severe photophobia and difficulty keeping eye open
Definition
Infectious keratitis
Term
decrease effect size causes?
Definition
decr'd power of study.

you need more ppl to increase effect size
Term
tx of chronic urticaria? dx?
Definition
Acute <6wk
1. 1st/2nd gen H1 blocker
2. severe steroids

Chronic >6 wk
1. second gen H1 blocker
Term
malignant otitis externa tx
Definition
IV pseudo tx
Term
strong predictor for CAD.
Definition
ED
Term
when and what should be performed prior to giving viagra?
Definition
3 or more atherosclerotic risk fx-->stress test
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