Fitzgerald Book - Mixed Batch 3

Front 1

Virchow's triad helps dx?

Back 1

thrombosis (DVT, PE)

Front 2

How can DM worsen HTN?

Back 2

DM (hyper

Front 3

How does tamoxifen work? What is it used for?

Back 3

- selective E receptor modulator; antagonizes receptors in breast, but not uterus

- prevents breast CA
- but may have small risk for endometrial cancer

Front 4

benzos not to Rx in elderly, or use with extreme caution?

Back 4

clonazepam and valium - long-acting

Front 5

Sxs of SSRI withdrawal

Back 5

jitteriness, nausea, sleep disturbance

Front 6

when does preeclampsia usually occur in pregnancy?

Back 6

20th week

Front 7

HELLP syndrome

Back 7

Hemolysis
Elevated liver enzymes
Low platelets (thrombocytopenia)

Front 8

most common vitamin deficiency in USA

Back 8

folic acid deficiency

Front 9

normal pregnancy beta-hCG at 6-10 weeks

Back 9

>= 40,000 IU/m, increasing

Front 10

ectopic pregnancy beta-hCG at 6-10 weeks

Back 10

only 1000-6000 IU/m, not increasing

Front 11

Quad screen includes

Back 11

AFP
unconjugated estriol
hCG
inhibin-A

Front 12

How is quad screen abnormal in Trisomy 21?

Back 12

AFP low
hCG high
unconjugated estriol low
Inhibin-A high

Front 13

Name some pregnancy category D drugs

Back 13

gentamicin, ACI, ARB, Tekturner, Ibuprofen, tetracycline, minocycline, doxy, paroxetine

Front 14

med to give for abortion

Back 14

methotrexate

Front 15

chemical for satiety

Back 15

serotonin

Front 16

how are BB and vasoconstricting meds pose a risk for heat stroke?

Back 16

decrease adrenergic (sympathetic) activity, thereby decreasing cardiac output

Front 17

causes of elevated lipase that are NOT pancreatic-related.

Back 17

renal failure
perforated duodenal ulcer
bowel obstruction
bowel infarction

Front 18

Someone with very very high TGs and fairly high LDLs. What do you treat?

Back 18

very very high TGs (>500) bc worry about pancreatitis

Front 19

LVH shows what EKG abnormality?

Back 19

high R waves

Front 20

What signs are usually absent in a sick child (but may be present in an adult)?

Back 20

hypotension, cool skin, stiff neck

Front 21

fluid in middle ear, looks noninfected

Back 21

OM c effusion

Front 22

Tx for AOM for pt with PCN-allergy (rash)

Back 22

cefdinir, cefuroxime, cefpodoxime

Front 23

Sick child, feverish, vomitted. Must r/o what?

Back 23

sepsis, which the best indicator of sepsis in children

Front 24

HCTZ-induced electrolyte imbalance

Back 24

low K
low Na
low Mg
High Ca (calcium-sparing)

Front 25

lasix-induced electrolyte imbalance

Back 25

low K
low Na
low Mg
low Ca

Front 26

Leads showing LATERAL MI

Back 26

I, aVL

Front 27

Leads showing INFERIOR MI

Back 27

II, III, aVF

Front 28

Leads showing ANTERIOR MI

Back 28

V leads (precordial leads), or V3 and V4

Front 29

Crohn's disease usually occurs where in bowels?

Back 29

upper bowels (malabsorption syndrome), where rectum is usually spared

Front 30

Rovsing sign

Back 30

rebound tender on other side (lower left quadrant) of appendicitis

Front 31

syphilitic skins lesions may be confused with what other skin disorder?

Back 31

pityriasis rosea (with herald patch)

Front 32

Lachman's test

Back 32

Stabilize thigh with one hand, and other hand grasp tibia and pull anteriorly (while pt lies supine with knee bent 30 degrees).

Tests for knee instability is positive (indicating a torn ACL) when the lower leg slides farther forward from the femur (thighbone) than it is supposed to.

Front 33

How do synovial aspirate differ in OA vs. RA?

Back 33

OA - normal clear yellow
RA - WBCs present, inflammatory changes

Front 34

Tx for syphilis, allergy to PCN.

Back 34

Doxy or tetracycline

Front 35

Tx for PID

Back 35

ofloxacin (or levaquin) with metronidazole

Front 36

strawberry patches on cervix and vagina

Back 36

trichomonas

Front 37

believed cause of prostate CA

Back 37

high fat diet

Front 38

UTI antibiotics for pregnant women

Back 38

nitrofurantoin, amoxicillin

Front 39

labs for unknown cause of uterine bleeding

Back 39

CBC, UA, TSH, prolactine, hCG, pap, STD testing

Front 40

folic acid is vitamin B__?

Back 40

B9

Front 41

active TB tx regimen.

Back 41

RIPE:
Rifampin
Isoniazid
Pyrazinamide
Ethambutol

Front 42

high WBC
high bilirubin
high AST, ALT
high LDH
high amylase
abdominal pain

Back 42

diverticulitis

Front 43

IBD

Back 43

inflam bowel dz = contains ulcerative colitis and Crohn's disease

Front 44

which part of bowels does ulcerative colitis affect?

Back 44

always the rectum then extends upward

Front 45

barium enema xray shows loss of haustra ("lead pipe" appearance).

Back 45

ulcerative colitis

Front 46

Tx for ulcerative colitis and Crohn's disease

Back 46

same treatment:

- 5-ASA / MESALAMINE
- SULFASALAZINE (a derivative of mesalamine)
- CORTICOSTEROIDS
- immunosuppressants for refractory cases.

Front 47

Hypertensive urgency

Back 47

SBP>220
DBP>120

Front 48

Hypertensive emergency

Back 48

DBP>130

Front 49

First-line anti-hypertensive in African Americans, recommended by JNC7 and influenced by ALLHAT study.

Back 49

thiazide diuretic

Front 50

acute inflammatory reaction secondary to knee injury. how do you prevent deformity and maintain function of knee?

Back 50

total immobilization of joint and performance of isometric exercises

Front 51

normal auscultation sounds of abdominal pulsation is high or low pitch?

Back 51

low pitch

Front 52

early signs of glomerulonephritis in child

Back 52

periorbital edema and hematuria

Front 53

sleep walking in children is a/w

Back 53

immaturity of CNS

Front 54

Harlequin sign

Back 54

sharp line of demarcation dividing upper and lower parts of body while infant lying on side (dependent half is pink, and superior half is pale).

- immature autonomic regulatory system

Front 55

8 yo boy with constipation. Tell mom to increase diet with fiber and decrease consumption of what?

Back 55

dairy products

Front 56

cholesterol guidelines suggests cholesterol testing for a child if?

Back 56

if either biological parents has cholesterol level of 240 mg/dl or higher.