Micro- Comlex (Tx) And Random

Front 1

Treatment for Serratia marcescens

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Aminoglycoside + piperacillin

Front 2

HcG should do what in a normal, healthy pregnancy

Back 2

double! Ectopic= <66% incr

Front 3

Anything that can scar the tubes can cause an ectopic pregnancy such as?

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endometriosis, PID, previous ectopic preg, & surgery

Front 4

Use injectable form of indomethacin to do what?

Back 4

Close a PDA

Front 5

SE of Zodivudine?

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impair DNA synthesis = BM supression, anemia

Front 6

Asperigillus tx.

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amp B or voriconazole

Front 7

Drugs causing pulmonary fibrosis

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bleomycin, busulftan, methotrextae, nitrosureas

Front 8

-tadine H2 inhibitors also cause 2 people kind of SE

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gynecomastia= male
hirsutism= fm

Front 9

Mittelschmerz

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ruptures follicle giving off blood and follicular enlargment= peritoneal irritation, can mimic appendicitis

Front 10

HHAVOC

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hirsutism, hot flashes, atrophy of vagina, osteopersosis, CAD

CAD: bc estrogen incr HDL:LDL

Front 11

verenicicline

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partial nAchR agonist (stops smoking) same agonist as nicotine= same feeling

Front 12

55yo postmenopausal woman with re bleeding whats the first step?

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endometrial biopsy- EC is it till proven otherwise :(

Front 13

Meigs syndrome

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ovarian fibroma, ascits, and right side pleural effusion (take the ovary out it goes away)

Front 14

Choriocarcinoma loves going to the ...

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lungs

Front 15

What is the malignant tissue of choriocarcinoma?

Back 15

ONLY ctrophoblastic NO chorionic villi present

Front 16

What is sacralization?

Back 16

When transverse processes L5 ar elong and articulate with the sacrum, can alter structure-function with lumbosacral junction= early disc degeneration

Front 17

ILS

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I like sex, are the spinal erector muscles (iliocostalis, Spinalis, Longissmus)

Front 18

pelvic side shift to contralat side , a + thomas test, and SD in the upper lumbar indicates what dysfunction

Back 18

illiopsoas

Front 19

facet trophism

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asymmetry of facet joint angles, normally ther in sagittal plane in this their more coronal plane--> most common anomaly in lumbar--> early degenrative changes

Front 20

lubarization

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failure of fusion of S1 w other sacral segments, much less common than sacralization

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thoracic you think

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rotation

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lumbar motion

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flex/ext

Front 23

most of the herniations occu btwn which vertebraese

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L4 and L5 / L5 & S1, nerve effected on the one below (L3 and L4 hurts L4)

Front 24

gold standard for herniated nucleus pulposus

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MRI

Front 25

psoas syndrom

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precipipated from prolonged position that shorten the psoas, maybe through viscero-somatic or somato-somatic reflexes

Front 26

organic causes of psoas syndrome

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appendicits, sigmoid colon dysfunction, ureteral calculi, ureter dysfunction, metastatic carcinoma of the prostate, salpingits

Front 27

spinal stenosis causes

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hypertrophy of facet joints, calcium deposits within the ligamentum flavum and posterior longtudinal ligamenet, loss of intervertebral disc height

Front 28

incr pain with extension based activites, tight hamstrings bilaterally, stiff-leg short stride, waddling type gait= no neuro defects

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spondylolisthesis

Front 29

worsened w extension as when standing, walking or lying supine

Back 29

spinal stenosis

Front 30

collar neck of the scotty dog, oblique show fracture of the pars..without anterior displacement

Back 30

spondylolysis

Front 31

Spondylosis shows what

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radiographical term for degenerative changes within intervertebral disc and ankylosing of adjacent vertebral bodies

Front 32

Lateral x-ray show

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spondylolisthesis

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oblique x-ray show

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spondylolysis

Front 34

loss of bladder and bladder control, saddle anesthesia, decr DTR, decr rectal sphincter

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cauda equina syndrome

Front 35

Curve sidebent to the left has scoliosis to the

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RIGHT (dextroscoliosis)

Front 36

curve sidebent to the right

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Left scoliosis (levoscoliosis)

Front 37

whats the cobb method

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draw horizontal lines fromvertebral bodies of extereme ends of curve, perpendicular line from horizontal= cobb

Front 38

what is a moderate severity of scoliosis

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20-45

Front 39

severe scoliosis?

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> 50

Front 40

respiratory fx i compromised if thoracic is

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>50 degrees

Front 41

CV function is compromised if thoracic curve

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>75

Front 42

short leg syndrome can have 3 tihngs happen

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1. sacral base unleveling
2. vertebral SB and rotation
3. innominate rotation

Front 43

anterior innominate happens on the side

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of short leg

Front 44

posterior innominate rotation on side of

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long leg

Front 45

lumbar spine sidebened away and rotate toward side of

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short leg

Front 46

fragile pts getting heel lift start with

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1/16--> incr 1/16 every 2 weeks

Front 47

flexible pt gets how much heel lift

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1/8--> 1/8 ever 2 weeks

Front 48

max heel lift

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1/2 inch , max of 1/4 in the shoe

Front 49

Danazol

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partial agonist at androgen receptors, used for endometriosis and hereditary angioedema--> can cause wt gain, edema, acne, hirsutism, masculinization, decr HDL, hepatotoxicity

progestin like effects, break the endometrium

Front 50

Terbutaline

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beta-2 agonist, reduces preamture uterine contractions

Front 51

MIfepristone + misoprostol

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PgE and competitive inhibition of progestins at PR, terminate pregnancy--> heavy bleeding or Gi, abdominal pain SE

Front 52

Cryptococcus neoformans tx.

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amp B + flucytosine (meningitis)

Front 53

vulvovaginal candidiasis tx?

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fluconazole

Front 54

2 common causes of sterile pyuria?

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chlymdia and Tb

Front 55

MCC of exudative tonsilitis

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Viruses #1= EBV

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Rhinitis

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Rhinovirus

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Acute sinusitis

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viruses, strep pneumoniae

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Otitis media

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strep pneumoniae, H. influenzae, moraxella cataralis

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Malignant otitis externa

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Psuedomonar aeruiginosa, staph epi, staph areus

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Acute bronchitis

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rhinovirus

Front 61

Nosocomial pneumonia

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staphlococcus, e. coli

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Nursing home pneumoniae

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Kleb pneumoniae

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ICU pneumoniae

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Pseudomona aeruginosa

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Atypical pneumonia

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Mycoplasma pneumonia

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CAP

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strep pneumoniae

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UTI

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e.coli

Front 67

Infection of burn

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psuedomona aeruiginosa

Front 68

Bacterial meningiits neonate

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e.coli, strep agalactiae (grp B0, listeria monocytogenes

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Child & young adult meningitidis

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neisseria meningitidis

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Adult meningitis

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strep pneumoniae, nneisseria meningitidis, h. influenzae type B, enteroviruses

Front 71

immunocompromised meningitis

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strep pneumonia

Front 72

Aseptic meningitis summer

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enterovirus (echo)

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aseptic meningitis winter/srping

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mumps virus

Front 74

Diarrhea acute Adult

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norwalk virus

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diarhea acute kids

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rotavirus

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diarrhea bloody acute

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C. jejuni, salmonella, shigella, EHEC, EIEC, yersinia entercolitica, entamoeba histolytica

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Diarrhea parasitic acute

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e. histolytica (US)

Front 78

chronic diarrhea

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giardia lamblia

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chronis + WBC

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C. jejuni

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Chronic - WBC

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norovirus/rotavirus

Front 81

Food-assoc

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salmonella enteritidis (in US)

Front 82

MC mesenteric adenititis:

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yersinia entercolitics- mimics appendicitis

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watery diarrhea

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Adults #1= norwalk, but e.coli, v. cholera, c. dificili, c. perfingens, giardia, cyrposporidium in IC

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MC protozoan diarrhea

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giardia, cyrptosporidium

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neonate pneumonia

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Group B strep, e.coli

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children pneumonia

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RSV, mycoplasma chlaymdia trachomatis, c. pneumoniae, strep pneumonia

Front 87

Adults pneumonia (18-40)

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mycoplasma, c. pneumoniae, s. pneumoniae

Front 88

Adults: 40-65

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s. pneumonia, h. influenzae, anaerobes, viruses mycoplasma

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Elderly pneumonia

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S. pneumonia, influenza, anaerobes, h. influenzae, gram- rods

Front 90

Immunocompromised pneumonia

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staph, enteric gram - , fungi, viruses, PCP (HIV)

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aspiration

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anaerobes

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alcoholic/IV user pneumonia

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s. pneumonia, kleb, staph

Front 93

Cystic fibrosis pneum

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psuedomonas, s. areus, s. pnuemonia

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Post viral pneum

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staph, h. influenzae, s. pneumonia

Front 95

60 yr + meningitis

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s. pneumonia, gram - rods, listeria

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tx for meningitis:

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ceftriaxone and vancomycin add ampicillin if listeris is suspected

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in HIV meningitis

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cryptococcus, CMV, toxoplasmosis, JC virus

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MC cause of achalasia

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chagas dz.

Front 99

ascending cholangitis

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e.coli > kleb> enterococcus faecalis

Front 100

osteomylitisi in SC

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salmonella> staph areus > e. coli

Front 101

vertebral disease (osteomylitis)

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M. tuberculosis

Front 102

Osteomylitis in sexually active

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aspetic arthritis- more common
n. gonorrhea rare

Front 103

Diabetics and IV drug users osteomylitis

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pseuodomonas and serratia

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prosthetic replacement osteomylitis

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s. aurea and s. epidermis

Front 105

cat and dog bits osteomylitis

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pasteurella multicodia

Front 106

+ leukocyte esterase test for UTI=

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bacterial UTI

Front 107

+ nitrite test for UTI =

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gram - UTI