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29 Cards in this Set

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The most famous movie star in the world comes to your ER with SOB and chest pain. You order a D Dimer and its elevated. You think she has a pulmonary embolism but she's allergic to contrast die so you cant do a CT angiography and order a V/Q scan instead. It confirms your diagnosis. How will you save this star?
IV heparin right away or low molecular weight heparin like enoxaparin
or leuprirudin or bivaluerudin if she has history of HIT
What are they symptoms of nacrcolepsy
starting sleep with REM
hypnogognic/ hypnopompic hallucinations, cataplexy, daytime sleepiness
Tx for narcolepsy
amphetamines, modafinil for keeping awake and sodium oxybate (GHB for help sleeping)
if your patient is infertile whats the cause of her bicornate uterus?
incomplete fusion of paramesonephric ducts
What do the paramesonephric ducts become in adults?
fallopian tubes, uterus and top 1/3 of vagina
Which T cell regulates humoral response and with which cytokines?
Th2 regulates humoral response with IL-4 and IL-5
What T cell regulate cell mediated response?
Th1= with IL-2 and IFN-gamma
If a baby is born with transposition of the great vessels what do you have to do?
Keep the PDA open with prostaglandin E
If you are examining your male patient while he turns his head and coughs and you feel something what does that mean?
Inguinal Hernia
...don't think dirty this is a professional setting!
what makes up hesselbachs triangle?
inferior epigastric artery
rectus abdominis
inguinal ligament
If you fall on your lateral knee what nerve did you hurt and what will your foot do due to the injury?
you injured your common peroneal/fibular nerve. You will get foot drop steepage gait, foot slap
If someone doesnt want to change and feels they are awesome as is what stage of change are they in?
precontemplation- stage 1
what does partial, complex, simple and generlized mean in regards to seizures?
partial- only one area of brain is effected
complex- consciousness is not intact but its partial class
simple-consiousness is intact and its partial class
generalized means diffuse brain involvement 5 types (myoclonic, tonic, tonic-clonic, absence, atonic)
what does the gubernaculum become in males?
anchors testes to scrotum in males
what does the gubernaculum become in females?
ovarian ligament and round ligament of the uterus
what does the processus vaginalis become? (males only)
tunica vaginalis
what does the foramen ovale become
fossa ovalis
notochord becomes what?
nucleus pulposus in intervertebral disks
what drug do you swish and swallow for oral candidiasis?
nystatin
what antifungal drug has serious nephrotoxicity?
amphotericin B
what antifungal deposits in keratin-containing tissue to kill nail fungus?
griseofluvin
what antifungal is used for crypoccoal meningitis in AIDS?
fluconzaoles because they cross BBB
what antifungals side effects are teratogenic and carcinogenic?
griseofluvin
whats the EF equation and What drugs would you give to someone with a low EF
EF= SV/EDV= EDV-ESV/EDV
ACE inhibitors
loops
B blockers for maintanace
aldosterone antagonists
digoxin
In prolactinoma will GnRH be high or low? What drug would you give?
GnRH would be low from feedback inhibition.
Tx with bromocriptine (dopamine agonist)
LH does what to what cells?
makes leydig cells secrete testosterone
FSH stimulates what in what cells?
producing Androgen Binding Protein and inhibin from sertoli cells
what do you give to a torsades patient?
IV magnesium sulfate
what are the paranasal sinuses?
frontal, ethmoid, maxillary, sphenoid