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111 Cards in this Set
- Front
- Back
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Hip fracture: role for external traction?
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No
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MELD Score:
-better or worse than Childs? -based on what 3 labs? |
Best
1. INR 2. Cr 3. Bili |
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FAP or HPNCC:
100+ polyps |
FAP
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If FAP dx'd on colo --> need to get upper EGD?
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Yes; assoc gastric & duo ca
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FAP: gold standard tx
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Proctocolectomy <20yo
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IV diltiazem: how long until effect?
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5min
(contrast digoxin: 5h) |
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A-fib w/RVR: which is better tx:
IV dilt or IV dig |
IV dilt (5min)
(contrast dig 5h) |
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#1 congenital heart malform?
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VSD
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What murmur:
Holosyst at LSB & diastol at apex |
VSD
Diast murmur is 2/2 increased flow across MV |
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If suspect VSD --> order what dx test?
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ECHO w/bubble
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Paget's disease: how affect:
-Alk phos -Ca |
Alk phos: increased
Ca: normal |
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Paget's disease: what is mxn of hearing loss?
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Growth of cochlea
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Riluzole: tx what dz?
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ALS
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What type of dementia:
Mutism, echolalia, irritable, hyper-oral |
frontotemporal = Picks
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What type of murmur:
Systolic at apex; increases w/grip, decreases w/Valsalva |
MR
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What dz:
Acute MR + flash pulm edema |
Ruptured chordinae
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What dz:
purple cigarette scars + myx degen chordae (MR) + scoliosis + pes planus |
Ehlers Danos
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Platelet transfusion:
-1 unit --> increase ___ count -how long after transfusion do you check CBC? |
1 unit --> increase 5k
check 10-60min s/p transfuse |
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Diabetic neuropathy: tx w/SSRI or TCA?
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TCA (NOT SSRI)
Best: duloxetine (SNRI) |
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Graves disease: tx?
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Radio iodine ablate + steroids
NOT if retrosternal goiter (swelling will compromisme aw) |
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Thyroid storm: how tx?
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STEROIDS
(prevent conversion T4,T3) do NOT give iodine |
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Retrosternal goiter: how tx?
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Surg
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PCP PNA: how tx?
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IV Bactrim
If allergy: Pentamidine Add steroids if looks crappy |
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Pentamidine: tx what dz?
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PCP
(used if allergy to Bactrim) |
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What dz:
URI --> gross hematuria |
IgA nephropathy
(no defin tx) |
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What dz:
URI/skin infection --> (10d) --> HTN + decreased complement |
Post-strep glomerulonephritis
(NOT see gross hematuria) |
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HypoCa:
Increased or decreased reflex? |
INCREASED
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What lyte imbalance:
Increased DTRs + cramps + convulsions |
HYPO calcemia
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Hypo or hyper calcemia:
Increased reflexes? |
Hypo
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Hypo or hyper Mg:
Decreased DTRs |
hyper Mg
(also hyper Ca) |
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CVA: #1 modifiable risk
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HTN
(not smoking, ASA) |
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Prostate cancer mets: tx w/what med(s)?
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Flutamide 1w --> add leuprolide
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Urine tox: immuno assay or gas chromo?
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Immune assay
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SLE: what is #1 mxn of premature MI?
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Premature atheroplaq
(not steroid use) |
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Rectocele: how tx?
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Pessary --> surgery
NOT pelvic floor exercise |
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TCA overdose: admin what meds?
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Sodium bicarb (prevent cardiotox) & lidocaine (prevent dysrhyth)
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What herb:
plt dysfxn --> bleeds |
Ginko
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What dz:
Bilat adrenalectomy (e.g. Cushing) --> pit tumor w/hemianopsia & hyperpig |
Nelson's syndrome
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Pituitary microadenoma: low or high ACTH?
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High
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Dumping synd s/p gastrx: recommend what type of diet?
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High protein, low carb
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Unhappy Triad =
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ACL
MCL MM |
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Hemochromatosis: how tx?
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Phleb
(NOT defurox) |
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Chronic HCV:
-admin what vaccine? -when tx? |
HAV (prevents decomp)
Only tx if elevated ALT or mod fibrosis (give IFN, ribavarin) |
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Breast mass: next dx step
-<30yo ->30yo |
<30: U/S only
>30yo: US + mammo |
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Terbinafine: tx what dz?
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Nail infection
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Nail infection: tx what med? for how long if finger, toe?
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Terbinafine
Finger: 6w Toe: 12w Better than griseofulvin |
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HEENT SCC: tx w/chemo? XRT?
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BOTH
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S/P TURP: risk what lyte imbalance?
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Hypo Na (flush capsule w/isotonic saline)
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PCT: assoc w/infection? painful or painless blisters?
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HCV
Painless blisters |
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Porph cut tarda: how dx
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Urine uroporh
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Porph cut tarda: how tx?
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Phleb
Hydroxychloroquine |
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Pancoast tumor: is inv of brachial plexus an emergency?
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No
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Turner synd: assoc w/AMA? Increased risk recurrence?
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No & no (spont mutation, not inh)
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What dz:
Plt-specific autoAbs |
ITP
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ITP:
-when tx? (what plt #) -how tx? |
plt <30k
IvIG + pred |
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Pericarditis s/p MI: how many days after MI?
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3d
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Pericarditis s/p MI: how tx?
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ASPIRIN
(NOT STEROIDS) |
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Chordae rupture: how long s/p MI?
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2-7d
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Dressler's syndrome: how long after MI?
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wks - mos
CP w/rub |
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Subclinical hypothyroid: low or high:
TSH T4 |
High TSH
Normal T4 |
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Name for: high TSH, normal T4
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Subclinical hypothyroid
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Sarcoidosis: how appear PFTs?
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Restrictive
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Sarcoidosis: can bx any lesion EXCEPT ___
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E nodosum
Other skin nodules OK to bx |
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Sarcoidosis: how tx?
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Pred + IVF
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Sarcoidosis: see low or high Ca?
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High (2/2 increased GI abs Ca)
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What dz:
Bronze + DM + OA 3-4th digits |
Hemochromotosis
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Gout: how appear crystals?
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Needle neg bifring
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Acute gout:
1st line 2nd line |
Indomethacin
Colchicine NEVER MTX |
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Stroke:
-how many hrs to initiate lytics -if initiate lytics --> continue for how long? -when add other anticoag? |
3-4h
Cont 24h; do NOT add any other anticoag until >24h |
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CVA >4h:
-when initiate ASA? -when initiate LMWH? |
swallow study --> po ASA immediately
LMWH immed (DVT-PE is #1 death) |
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What type of dermal tumor: abd wall/mesentery; high recurrence s/p surgery
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Desmoid tumor
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What type of dermal tumor: hyperpig, extremities
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Dermatofibroma
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Chronic hypoparathyroid: add what 2 meds?
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Vitamin D + calcium
If measure a high urine Ca: add a thiazide (increases serum Ca) |
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What dz & how tx:
Diarrhea + eosinophilia |
Helminthes --> albendazole
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Albendazole: tx what dz?
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Worms (helminthes)
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Cushing's triad =
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brady + HTN + slow rr
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Renal failure: safe to give colchicine?
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No
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Multiple transfusions --> develop what TYPE of Abs
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ALLO
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If renal failure & bleeding --> give what med?
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Desmopressin
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Sildenafil & doxazosin: OK to take together?
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NO -- hypoT
Take 4h apart |
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What 2 vaccines contraindicated w/egg allergy?
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Influenza
Yellow fever |
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How tx isoniazid O/D?
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Pyridoxine (B6)
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How tx organophosphate O/D?
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Atropine
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What dz:
Exclamation point hairs |
Alopecia
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Alopecia: well-demarcated?
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YES
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Alopecia: tx w/topical OR intra-lesional steroid?
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BOTH
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#1 steering wheel death?
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Ao injury
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TB in pregnancy: how tx?
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R, I, E
(no P in preg) |
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Glyburide O/D: give what med?
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Octreotide
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Breast milk OR breastfeeding jaundice: decreased po --> dehyd --> jaundice
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Breastfeeding jaundice
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Thyroid cancer in remission: goal TSH?
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0.1-0.3 (want to suppress, even if pt euthyroid)
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Diabetes: tight glycemic control prevent MICRO and/or MACRO vascular comps?
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Micro, not macro
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Undescended testes: at what age do you proceed with surgery?
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6mos
(even s/p surgery: increased risk malig) |
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If start OCP --> need to de/increase dose of Synthroid?
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Increase dose
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What infection:
Undercooked game --> microcephaly |
Toxo
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If ISOLATED gastric varices --> suspect what dz?
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SPLENIC VEIN THROMBOSIS
(usu 2/2 chronic panc) |
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Obese pt dx'd with DM: start what med?
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METFORMIN (leads to wt loss)
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HIV post-expos ppx: how many meds? for how long?
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2 meds x 1mo
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If initiate cardiotoxic chemotx (e.g. -rubicin) --> baseline & serial imaging?
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Radionuclide ventriculography (MUGA)
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Catatonia: how tx?
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benzo
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Achalasia: difficulty w/solids or liquids?
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Both
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Hypo or hyperthyroid: assoc w/HLD?
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Hypo
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Name for:
Eczema/scale on bilateral knuckles Assoc w/what? |
Gottron's
Assoc w/SOLID tumors |
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How tx UTI in preg? (3)
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Keflex, macrobid, amox
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What med: tendon rupture in kids?
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Cipro
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If preg woman develops Eisenmonger (VSD -> pulm HTN) --> how tx?
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Advise preg termination
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What causes BILAT facial weak/numb?
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s/p parathyroidectomy
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Burning in anterolateral thigh:
-what dz? -what nerve? -how tx? |
Meralgia paresthetica
Lateral femoral cutaneous Wt loss |
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T1DM risk of transmission to fetus (%) if:
-mother w/T1DM -father |
Mother: 3%
Father: 6% |
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Next step:
PSA>4 but normal digital |
Bx
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How does isoretinoin lead to pancreatitis? (mxn)
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Hyper TG
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