Fitzgerald Book - Mixed Batch 2

Front 1

GERD-enhancing foods

Back 1

tomato-based products, alcohol, citric juices, chocolate, peppermint, alcohol, colas

Front 2

COX1 vs. COX2 enzyme

Back 2

COX1 --> maintains protective gastric mucosa, perfusion of kidneys

COX2 --> prostaglandins production causing inflammatory response and pain

Front 3

Celebrex which selective of which enzyme?

Back 3

COX2

Front 4

H2 blockers for what type of ulcer?

Back 4

duodenal ulcer

Front 5

AST high
ALT normal

Back 5

long-standing Alcohol abuse
Statin
Tylenol

Front 6

how does excess bilirubin affect drugs?

Back 6

displaces drugs with high propensity for protein albumin binding, thus increasing free drug --> toxicity of drug

Front 7

how does sildenafil work?

Back 7

enhances effects of nitric oxide, which relaxes smooth muscles in penis during sexual stimulation and allows for increased blood flow.

Avoid drugs with nitrates because nitrates can cause hypotension while pt is on sildenafil.

Front 8

Reiter Syndrome

Back 8

reactive arthritis
classic tetrad: urethritis, conjunctivitis, mucocutaneous lesions, arthritis

Front 9

what hepatic enzymes elevated in cholecystitis?

Back 9

- GGT and ALP

Front 10

ALT > AST

Back 10

- viral hepatitis
- drug or industrial-chemical induced hepatitis

Front 11

L abd pain, flatus, constipation alternating with diarrhea, cramping

Back 11

diverticuLOSIS

Front 12

diarrhea, high fever, pain, leukocytosis

Back 12

diverticuLITIS (no constipation)

Front 13

You suspect H. pylori. What diagnostic testing do you order?

Back 13

stool antigen test (or serum titers)

Front 14

Why is serologic titers for H. pylori not desired?

Back 14

- may take years to decline even after effective tx

- undetectable titers takes as long as 12-18 months

Front 15

drug supplements to reduce colorectal CA risk?

Back 15

ASA
Ca2+
antioxidants

Front 16

prerenal azotemia causes

Back 16

DECREASED CIRCULATING BLOOD VOLUME

CHF
dehydration
blood loss

Front 17

BUN is breakdown of?
Cr is breakdown of?

Back 17

BUN - food
Cr - muscles

Front 18

common gram (-) UTI infections.

Back 18

e. coli
proteus mirabilis
klebsiella pneumoniae

Front 19

common gram (+) UTI infection

Back 19

Staph saprophyticus

Front 20

+ leukocyte esterases in UA microscopic means...?

Back 20

UTI with common urea-splitting bacteria:
proteus, klebsiella, staph.

E.coli is NOT urea-splitting.

Front 21

Tx of chancroid

Back 21

azithro
cipro
ceftriaxone

Front 22

Tx uncomplicated gonococcal proctitis (inflammation of lining of rectum)

Back 22

ceftriaxone 125mg IM x1

Front 23

pathogens causing bacterial prostatitis in older men.

Back 23

e. coli
pseudomonas species
enterococci (+)

Front 24

PSA > 10ng/ml makes you suspect?

Back 24

prostate CA

Front 25

sequelae of genital HPV in a man

Back 25

anorectal carcinoma

Front 26

earliest sign of osteoporosis

Back 26

back pain

Front 27

pt can't squat or kneel and has pain, suspect?

Back 27

meniscal tear (large, complete, bucket-handle)

Front 28

biggest side effect of SSRIs

Back 28

sexual dysfunction

Front 29

glucosamine does what?

Back 29

- rebuilds damaged joint cartilage

Front 30

intervention for osteoporosis with joint effusion

Back 30

corticosteroid injection

Front 31

type of exercise to stabilize knee joint with meniscal tear

Back 31

straight-leg raising to strengthen quadriceps

Front 32

pain during straight-leg test --> which nerves affected

Back 32

L5-S1

Front 33

cauda equina syndrome

Back 33

- compression of lower portion of nerve root inferior to spinal cord, secondary to disk herniation

- rectal or perineal pain, disturbance in bowel and bladder function

Front 34

teenager c/o excessive SOB with increasing activity (running)

Back 34

aortic stenosis due to leaflet fusion of a 3-cusp valve, which becomes a congential BIcuspid (instead of TRIcuspid)

Front 35

what nerve?

loss of posterior tibial reflex

Back 35

L5

Front 36

what nerve?

loss of achilles tendon?

Back 36

L5-S1

Front 37

Spurling test is elicited how?

It diagnoses?

Back 37

- apply pressure to top of head with neck bending forward producing pain or numbness in upper extremities while pt lying supine

- acute cervical radiculopathy

Front 38

common cervical disk lesion site

Back 38

C5-C6

Front 39

pt on coumadin still clots, next step?

Back 39

IVC filter

Front 40

how long does it take for onset of warfarin's action?

Back 40

3-5 days

Front 41

what test must be ordered before going to surgery of LE occlusive disease?

Back 41

angiography

Front 42

How long does Troponin I last?

What is the difference between Troponin I and C?

Back 42

Troponin increases rapidly during MI, and lasts for 198 hrs after MI

Troponin I is more cardiac specific and sensitive to a small-volume myocardial damage

Troponin I results are also quickly available

Front 43

uncomplicated UTI, resistant to Bactrim and cipro, Rx:

Back 43

Nitrofurantoin x 7 days and Pyridium

Front 44

What are medications to add in each COPD stage?

Back 44

Stage 1: albuterol + flu vaccine
Stage 2: tiotroprium, atrovent (or some long-acting bronchodilator)
Stage 3: ICS
Stage 4: O2 therapy

Front 45

holosystolic murmur

Back 45

mitral regurg

Front 46

crescendo-decrescendo heart murmur

Back 46

aortic stenosis

Front 47

late systolic click

Back 47

MVP

Front 48

mid-late diastolic low rumble

Back 48

mitral stenosis

Front 49

blowing high pitch heart murmur

Back 49

aortic regurg

Front 50

diastolic decrescendo

Back 50

aortic regurg

Front 51

Heart murmur grade with a thrill

Back 51

Grade III and up

Front 52

direct vasodilators for HTN

Back 52

hydralazine
minoxidil

Front 53

emphysema definition

Back 53

PERMANENT ENLARGEMENT of air spaces that are distal to the terminal bronchiole WITHOUT FIBROSIS

Front 54

When is CK-MB useful?

Back 54

- limited in detect MI because increases rapidly during first 6-12 hours post-MI

- decreases 24-48 hrs after MI and returns to normal after 60 hrs
- lots of false + and false -

Front 55

cTnI is consistently high. What will happen to the pt?

Back 55

increased mortality within 42 hrs

Front 56

What is raloxifene (Evista)

Back 56

E receptor modulator

(doesn't not attach to E sites of breast or uterus)