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15 Cards in this Set
- Front
- Back
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10 y/o Boy w/ CF. What are the PFT results? What is the change in the pt?
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-Decreased Total lung capacity
-Restrictive problem -low TLC -Low RV -Decreased compliance -Increased elasticity |
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SIADH is a/w?
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-Small cell cancer
-in SIADH urine osmolarity >>>>serum |
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What are causes of a right shift of the O2 Hgb dissociation curve?
CADETS |
-C: elevated CO2 (acidic)
-A: elevated altitude -D: elevated DPG -E: more excercise -T: Increase temperature -S: Increase in P50s |
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What do you see in obstructive lung disease?
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-More RV
-More TLC -Overall, major decrease in FEV1 and a slighter decrease in FVC the ratio will be LESS than 80% |
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What is the mechanism of amphotercicn B?
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-Binding to ergosterol in the fungal membrane
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What do "AZOLES" do?
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-inhibit ergosterol synthesis
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What two abx block protein synth at 30s Ribosomal subunit
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-Tetracycline and Aminoglycoside
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35 yo complains of cough for several days, what is the best antitussive drug? He has no fever
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-Codeine: opioid antitussive + analgesic properties
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**65 yo M w/ 70 pack year smoking, what would you see on the PFT to evaluate the COPD?
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-Markedly decreased FEV1/FVC ratio
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29 yo smoker, on OCs, acute SOB, also traveled on a long flight...what are the results of the V/P scan?
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-increased ventilation compared to perfusion
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After an hr playing w/ a cat, the 5 yo goes to the ER b/c she is having difficulty breathing. What is the tx of choice?
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-Stimulation of B2 receptors - more specific to lungs
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40 yo male develops fever and cough....cultures grow mycobacterium tuberculosis. Started on multiple drug therapy...which drug turns secretions orange?
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-Rifampin
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If you forget your TB drugs, you'' die and might need a....
PRIEST |
-P: Pyrazinamide
-R: Rifampin --> Orange discharge -I: Isoniazid (INH): Neuropathy and hepatitis -E: Ethambutol--> optic neuritis -S: Streptomycin -> nephrotox and ototox -T: for TB treatment |
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30 yo mane 2 wk fever, chills, h/a, nonproductive cough. Lungs have slight crackles bilat and CXR shows PATCHY INFILTRATES also bilat. COLD AGGLUTININS found in serum. Tx of Choice?
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-Erythromycin*
-mycoplasma PNA b/c of the cold agglutins |
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Fat 12 yo boy, chronically tired, does not sleep, frequent night terrors (ouch ouch you're on my hair).
pH 7.35, arterial pCO2 = 55 mmHg, HCO3 = 29. |
-Pickwickian syndrome and obstructive sleep apnea
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