Step 2 Dit: Hemonc 05

Front 1

drugs a/w elevated prolactin levels

Back 1

METHYLDOPA

PSYCHIATRIC DRUGS (DA agonists)
phenothiazines
haloperidol
risperidone

Front 2

what substances cause hemolysis in px with G6PD def

Back 2

primaquin
dapsone
sulfonamides
fava beans
isoniazid
nitrofurantoin
high-dose ASA

Front 3

when would you expect eosinophillic casts in urine

Back 3

acute interstitial nephritis, AIN
(i.e. allergic interstitial nephritis)

Front 4

differential dx for eosinophilia

Back 4

"DNAAACP"

D = drugs (e.g. NSAIDS, PCN's/Ceph's)
N = neoplasms
A = allergies/asthma (churg-strauss), allergic bronchopulmonary aspergillosis

A = adrenal insufficiency (Addison's)
A = AIN (allergy-induced)
C = CVD's (e.g. PAN, dermatomyositis)
P = parasites (e.g. strongyloides, Ascaris --> Loeffler's eosinophilic pneumonitis)

Front 5

what is the management in a px with febrile neutropenia due to chemo

Back 5

admit
culture
start broad-spectrum antibiotics
(e.g. cefepime/ceftazidine)

Front 6

what type of infection causes eosiniphilia

Back 6

parasitic

Front 7

immunoglobulin a/w eosinophilia

Back 7

IgE

Front 8

what type of hypersensitivity is good pasture

Back 8

type II HSN

Front 9

what is the treatment for type II hypersensitivity

Back 9

anti-inflammatories

immunosuppressives (e.g. corticosteroids)

possibly plasmaphoresis

Front 10

most important medication for anaphylaxis

Back 10

epinephrine

Front 11

Tx for anaphylaxis

Back 11

ABC's
stop offending agent
epinephrine IM or IV (for AW obstruction)
H1/H2 blockers (for cutaneous sx's)
bronchodilators
steroids
IVF's (for hypotension)