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103 Cards in this Set

  • Front
  • Back
diagnosis/tx for urethritis without purulent discharge
chlamydia
azithro
diagnosis/tx for urethritis with purulent discharge
gonorrhea
ceftriazone
nonpurulent urethritis that is not chlamydia.
diagnosis? treatment?
trich
mycoplasma genitaleum
Ureaplasma
treatment for trich
flagyl
why do mono patients often get a maculopapular rash
ampicillin related immune complexes circulating
tx for mono
supportive, NSAIDS, rest
9 months, wheezing, palpable liver edge, hyper inflated lungs... diagnosis?
bronchiolitis
first step for bronchiolitis
respiratory isolation
trial of bronchodilators
diagnosis for RSV
repid detection in nasal secretions by ELISA
LT side effect of RSV
asthma
if a doctor does not want to treat a patient, what to do?
get another doctor to take on the case
insulin regimen around surgery
normal the night before
drip and D5NS/KCL infusion
elevated risk of seizure after childhood febrile seizure
some risk of seizure
significant risk of febrile seizure
complication of myelomeningocele
GU because of lumbar involvement

if S2-S3 then GI/fecal incontinence (more rare!)
diagnosis:
pulse 172
no P waves
regular, narrow QRS
PSVT
completely irregular rhythm
absent p waves
a fib
wide QRS, tachy
v tach
saw tooth pattern
a flutter
arrhythmia in WPW
paroxysmal SVT
tx during delivery if mom has HPV
normal labour without intervention
hyperthyroid plus increased uptake on scan?
toxic nodule
rx for htn in opiate w/d
clonidine
thyroid disorder that can happen after angiography

tx?
iodine-induced thyrotoxicosis

have to wait it out and it can take months
standard tx for h pylori
PPI
amox
clarithro

substitute flagyl if amp allergic
tx for tx refractory h pylori
PPI
tetra and flagyl
bismuth
after diagnosis, next step in tx for gout joint attack
NSADIS

BUT if renal failure,
intraarticular steroids
test for spondyloarthropathies
Schober
normal = 15cm or more between two marked points 10cm apart starting at 5th spinous process.. If that distance elongates appropriately on bending forward then normal
next step after diagnosing SLE in a patient with renal involvement
biopsy!! it's needed to guide tx
1st step when NF1 is suspected
optho
cafe au lait spots
NF 1
most likely complication in bacterial conjunctivitis
keratitis
rx for bacterial conjuctivitis
eryrthromicin drops
dx for recent joint injury with local burning pain, edema, skin changes, decreased range of motion
complex regional pain syndrome
herbal remedy leading to spontaneous bleeding in combo with aspirin/warfarin
ginkgo and horse chestnut
herbal remedy that can aggravate hypertension
licorice
herbal remedy that can cause excess drowsiness/disorientation along with etch or benzos
kava
herbal remedy that can cause hypotension
black cohosh used for PMS
what are renal scintigraphy and IV pyelography useful for
detecting acute pyelo
tx for mania in pregnancy
ECT
ppx tx for cluster headaches
verapamil
tx for cluster headaches
100% oxygen
painful urination that doesn't resolve over months

immigrant from Africa
low hemoglobin
elevated whites

next step?
schisto

next step is urine micro to find eggs or stool in urine
adult with recurrent bacterial infections

what to test for?
serum Ig levels
what med has to be stopped prior to cath
metformin because of contrast
allergy that is contradiction for MMR
gelatin
neomycin
can you get MMR with recent administration of immunoglobulins
no
can you get MMR when pregnant
no
can you get MMR when breastfeeding
yes
can you get MMR with positive PPD
yes
can you get MMR with anaphylaxis to eggs
yes
can you get MMR with immunodeficient family member
yes
can you get MMR with HIV without severe immunosuppression
yes
treatment for HSV esophagitis
predinsone
dx for gian ulcers on esophagoscopy and HIV+
esophagitis
tx for CMV
ganciclovir
what is ranitidine used for
GERD
ppx for nurse pricked by HIV + pt with no VL?

high VL?
2 NRTIs for 4 weeks
2N for Nurse/rN

3 drugs, 2Ns plus Protease inhibitor

in both cases 4 weeks
first step after HIV exposure
wash skin
is HIV pix necessary if source has 0 viral load
yes
antibiotic that can cause seizures
beta lactams:
penicillins
cephalosprorins
monobactams
carbapenems (imipenem)
fluoroquinolones
gentamicin side effects
vertigo
ataxia
ototoxicity
hypoxemia, confusion, petechial rash in patient with a fracture
fat embolism
most common life-threatening complication of compartment syndrome
rhabdo
tx for toxic megacolon
glucocorticoids IF not 2/2 cliff

Toxic Megacolon was a band on steroids
first step in treating cocaine-related chest pain
benzos
BP meds to use in cocaine users

not to use?
phentolamine (alpha blocker). Can also use nitroprusside and nitroglycerine

beta blockers
BP medthadone can decrease coronary artery vasospasm in cocaine users
phentolamine
how to establish a definitie diagnosis of PCP
fiberoptic bronchoscopy with lavage
rx for PCP if bacterium not ok
pentamidine
when to add steroids to PCP tx
Aa gradient >=35
or
arterial oxygen tension <=70
dietary recommendation for 9 year old w 10 episodes of watery diarrhea over 36 hours with no NV, dehydration
normal (limit fats and sugars)
is loperamide ok to use in kids?
NONONO

in kids its' linked to paralytic ileum, toxic megacolon, CNS depression, coma, death
is BRAT diet good for kids
NO

and neither are BRATS
RF for mesothelioma
als asbestos
dx for:
HTN, hyperglycemia, osteoporosis, mood swings, hypkalemia, metabolic alkalosis
Cushings
test for Cushings
dexamethasone suppression test
tx for PMDD (severe PMS)
1) fluoxetine
2nd line) alprazolam
does PMS/PMDD increase risk for depression
yes
how to diagnose rotator cuff impingement
painful arc test
most comon, conservative tx for carpal tunnel
nighttime splinting
what is a crescent shaped hypo echoic region adjacent to gestational sac

what can it cause
subchorionic hematoma

first trimester bleeding
first step when subchorionic hematoma noted on 1st trimester u/s
repeat us 1 week later
test to measure fetal cells in maternal circulation?

why is it done?
Kleihauer-Betke

large antepartum bleed in Rh neg mother
most troubling complication of subchorionic hematoma
spontaneous abortion
cause of transverse limb anomal
Adams-Oliver syndrome
dorsal feet and hands edema
short webbed neck
cardiac murmur
Turners
monosomy of X
Turners
increased risk of further affected kids in:
Turner
Down
Klinefelter
Down and Klinefelter only

risk is the opposite of DOWN and KLEIN
do monthly breast exams reduce mortality
no
does chronic bronchitis increase risk of lung cancer?
no
do current guidelines recommend screening asymptomatic individuals at higher risk for lung cancer?
no
does quitting smoking reduce risk of worsening COPD
yes!
dx for:
- sudden increasing dementia
- difficulty walking/lowering into chair
- seizure
PML
is intracranial pressure increased in PML
no
tx for PML
not necessarily a cure, but get on HAART (2 year survival extended)
hypo pigmented spots with bilateral deafness
NF2

got 2 ears!
unilateral acoustic neuroma, axillary freckling
NF1

1 acoustic neuroma
dx for:
- congenital hypopigmented macule (ash-leaf)
- glial proliferation
several organi hamartomas
Tuberous sclerosis
facial port wine
Sturge Weber

Port-Wine... Sturge-Weber
multiple telagnectasiasn and vascular lesions of CNS
ORW
risk of having prostate cancer with elevated PSA of 5-10d (normal <'=4)
25%
multiple telagnectasiasn and vascular lesions of CNS
ORW
risk of having prostate cancer with elevated PSA of 5-10d (normal <'=4)
25%