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100 Cards in this Set
- Front
- Back
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Drug of choice for HIT 2
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Lepirudin
Agatroban |
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Most common complications of parenteral nutrition 3
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Cath related thrombosis/sepsis
Hyperglc Hepatobiliary dysfxn |
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Immune thrombocytopenia is Dx of exclusion requiring what workup
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bone marrow Bx
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Surgery that's corrective for ITP
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splenectomy
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Antifungal prophylaxis of choice for BMT or Leukemia Tx? What are they trying to avoid?
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Fluconazole to prevent disseminated candida
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Lab tests for pt in severe CAP
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BCx x 2, induced sputum c gram stain & Cx, urinary pneumococcal and legionella Ag
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Add on lab for new anemia
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peripheral smear
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Most common cause male infertility
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Varicocele
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RTA that is assoc c heavy metal poisoning, impaired HCO3 resorption in prox tubule, Fanconi
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Type II
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Smudge cells on PBS suggest
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CLL
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most common extra-articular manifestation of spondylo-arthropathies
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uveitis
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common analegics that incr risk of death in pt c CHF
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NSAIDs
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General causes of sideroblastic anemia 5
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Pb - impairs synthesis of heme
Chloramphenicol INH EtOH B6 def |
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what is a sideroblast
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Have Fe precipitates
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most common cause UGIB in non-cirrhotic pt
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bleeding peptic ulcer
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most common cause UGIB in cirrhotic pt
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varice
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Classes of medications that disrupt RAA axis 5
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Azides
ARB Beta-blocker K-sparing alpha-2 adrenergic agonists |
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Parotitis & pancreatitis has?
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Mumps
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Dx of elderly pt c pruritis x months and new onset bullae after sun expo
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bullous pemphigoid: Non mucosal
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Staph aureus line sepsis req what cardiac w/u
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EKG; 25% risk of endocarditis
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SAAG > 1.1 suggest
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portal HTN
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top 2 causes portal HTN
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cirrhosis, RHF
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pressor of choice for septic shock
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norepi or dopa
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quinckes = palpable/visible pulsation of capillaries in nailbed
+ water-hammer carotid |
aortic insufficiency
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Water-hammer pulse from
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wide pulse pressure
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Electrolyte supplement for refractory hypoCa or hypoK
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Mg
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Test of choice for acute HIV inf
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Viral load
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Test of choice for acute HCV inf
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Viral load
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Antinucleolar Ab suggest
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Scleroderma
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Anticentromere Ab suggest
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CREST
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Anti-SCL70 Ab suggest? What are they Ab to?
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Diffuse scleroderma
Topoisomerase |
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ARDS have what finding on pulm art cath
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NL wedge pressure
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Elevated pulm art cath pressure assoc c
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HF
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Placement of internal defibrillator for pt c EF <?
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<30%
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EKG findings for acute pericarditis? 2
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PR depression
Diffuse STE |
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Drug of choice for Mg tox
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Ca
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First Sx of Mg tox
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Blunting reflexes
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Dig poisoning would accept what K level
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High K
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Dig toxicity therapy
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Dig-Ab; Tx hyperK
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Elevated BUN/Cr due to 3
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- Prerenal azotemia
- High blood burden <- GIB, resorbtion of large hematoma - Catabolic state: steroids |
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Top 3 causes acute aortic insufficiency
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- Inf endocarditits
- Dissection of thoracic aorta - Marfan's |
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Hallmarks of diastolic HF on echo
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Systolic fxn NL -> near normal EF
Impaired LV relaxation Decrease vent wall compliance -> higher diastolic filling pressure |
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Main etio factor for Charcot's joint
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Long-standing neuropathy: DM, B12
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Lofgren's syndrome for sarcoidosis 3
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B/l hilar LAD
Polyarthralgia Erythema nodosum |
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Most common cause of nephrotic syndrome in AA adults
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FSGS
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FHx of easy bruising/bleeding c NL plt ct, NL PT, NL PTT, incr BT, and dec factor VIII suggest
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von Willebrand's dz
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Cardiac condition assoc c Sx of HF, high pitched diastolic knock, Kussmaul's Sx for JVD
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Constrictive pericarditis
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What is Kussmaul's Sx
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JVD goes up c inspiration not down
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opiod-R antagonist for opiod and EtOH addiction
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Naltrexone
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Poisoning c NL pulse ox but tissue hypoxia
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CO, CN
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p-ANCA + in which IBD
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UC
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Red flag Sx of GERD that warrant endoscopy 7
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Anemia
Wt loss Anorexia Vomitting Dysphagia Age > 50 Refract to acid suppression |
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Target LDL for SLE pt
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100 (CAD equivalent)
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Afib, F, HTN, age compatible with which HF
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Diastolic
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Inf wall MI from what art occlusion
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RCA
10% L circumflex |
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Most common cause acute panc
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EtOH
Gallstone Hyper-TG |
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Bacteremia is highly specific for endocarditis 4
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S. viridans - alpha-hemolytic
HACEK enterococci community acq staph/strep |
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Septic shock Tx that improve survival
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FLuid resus c CVP of 8-12 mm Hg
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most common site asp PNA in lungs
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RLL
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Med mgmt for acromegaly
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somatostatin
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Preferred mgmt for acromegaly
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Surgery
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Abx that cover atypical + typical in CAP
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resp quinolones: levo/moxi
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medication for PCP prophylaxis
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TMP-SMX
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Tx of acute inf of PCP
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IV TMP-SMX or IV pentamidine
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Tx of choice for polymyalgia rheumatica
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Prednisone
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Polymylagia rheumatica presentation
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Prox muscle soreness and mild weakness s CK elevation
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Demographic for Polymylagia rheumatica
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Old F
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HA + vision loss + Polymylagia rheumatica suggest
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Temporal arteritis
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CHADS2 score of 0 need what PPx?
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2 - Warfarin
1- ASA or warfarin 0 - ASA |
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Medistinal LAD, pk incidence in young men, single node inv suggest which lymphoma
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Hodgkin's
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Age distribution for NHL
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Bimodal: 3rd & 6th decade
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LAD for NHL presents as 2
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Disseminated, non-contiguous
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Drug of choice for chemo-related emesis
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Ondansetron
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2 types of CA most likely to mets to adrenals
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Lung, breast
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Bone dz characterized by deafness and high outpt HF
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Paget's dz
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Characteristic lab for paget's dz of bone 3
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Elevated alk phos; no change Ca or PO4
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Tx of choice for mets melanoma
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Surg resection
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Chemo that kind of works for melanoma
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IL-2, IFN-alpha, dacarbazine
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Class of immunosuppressive Rx for RA and Chron's; incr risk TB
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Anti-TNF-alpha ->
Itanercept: soluble TNF-R Infliximab: Ab |
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Primary chemokine in CA and TB that cause cachexia
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TNF-alpha
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Tests to r/in renal artery stenosis
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serum renin (high), Captopril-stim renin, renal vein sampling, renal U/S, angiography
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Dx procedure of choice for unstable known LGIB
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Lap
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role of tagged RBC in LGIB
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only used in stable pt
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Tx of choice for temporal arteritis
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prednisone
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U/l blindness in temporal arteritis req
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high dose prednisone
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hemolytic anemia need what supplement
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folate
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Med that is Ab to CD20; Tx CLL
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Rituximab
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Condition assoc c maltese cross crystals in urine
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nephrotic
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CP of typical angina has highest PPV for AMI in this set of pt
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M > 60
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type I RTA is assoc c 4
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Autoimmune: SLE, Sjorgren, RA
Stones Sickle cell |
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role of compression stocking in preventing DVT in non-surg pt
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none -> SCD and heparin better
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non microbial to aid for PCP PNA if pt hypoxia
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steroids
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Tx of choice for flash pulm edema
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Loop diuretics
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Top 3 causes of serofibrinous pericarditis
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post-MI -> Dressler's
Rheumatic fever Uremia |
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5 Jones criteria for rheumatic fever
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Carditis
Erythema marginatum SC nodules Infl arthritis Syndeham's chorea |
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Test to order if pt shows non-anion gap metabolic acidosis
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Urinary chem/UA
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Role of tamoxifen in Tx of breast CA
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Not for DCIS
Early stage -> ER+ CA Breast CA mets -> 1st line Post-menopausal -> 2nd line |
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Preferred test for toxogenic c. dif
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Stool for toxin A, toxin B
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Pulsus paradoxus is
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Exaggeration of normal response of dec BP during inspiration
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Pulsus paradoxus is assoc c
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Nonfibrotic pericardial effusion
Cardiac tamponade |
