Topics

Front 1

Tx: Stress Incontinence

Back 1

coughing, sneezing, physical exertion

Tx. Surgery

Front 2

Tx: Urge Incontinence

Back 2

sudden strong desire to urinate because of detrusor muscle instability

can be secondary to UMN lesions, infxns, neoplasms, or stones

Tx: sacral nerve stimulation or
Anticholinergic Meds

AKA oxybutin

Front 3

Tx: Overflow Incontinence

Back 3

continuous leaking of small amounts of urine due to incomplete emptying of bladder secondary to obstruction or failure of detrusor muscle to contract

Tx: intermittent catheterization

Front 4

Screening test for Cushing's Syndrome

Back 4

overnight low dose dexamethasone test

Front 5

Confirmatory test for Cushing's Syndrome

Back 5

24- Hour Urine Free Cortisol

>90 is abnormal pt has cushing's syndrome

Front 6

Test used to differentiate between the cause/ location of Cushing's

Back 6

High Dose Dexamethasone Suppression test

Front 7

No response to High Dose Dexamethasone test means

Next test?

Back 7

ACTH producing tumor

or Adrenal neoplasia

ACTH level ( nml 9-52)

Front 8

High ACTH levels > 52 means

next test?

Back 8

adrenal hyperplasia due to ACTH-producing tumor ( lung )

next test: CT ( chest )

Front 9

Low ACTH levels < 9 means

next test

Back 9

Adrenal neoplasia

Next test: Urinary 17KS

DHEA-S
abdominal CT

Results:

High > 4 cm Adrenal Ca
Nml < 4 cm Adrenal Adenoma

Front 10

4 steps to evaluating Cushing's

Back 10

1. low dose dexamethasone
2. 24 hour urine cortisol
3. high dose dexamethasone
4. ACTH levels

Front 11

Complications of Traumatic Bladder Rupture Untreated

Back 11

ECG changes showing peaked T waves, widened QRS interval, increased PR interval

basically HYPERKALEMIA

Front 12

Tx: Benzodiazepine OD

Back 12

Flumazenil

Front 13

MCC of Conjugated Hyperbilirubinemia

Back 13

Biliary Atresia

Front 14

Tx. Acute Gouty arthritis

Back 14

1. NSAID's
2. Colchicine MOA blocks microtuble assembly by binding tubulin, blocks metaphase
3. Steroid

Front 15

Tx. Chronic overproducers of Uric Acid

Back 15

Allopurinol

MOA xanthine oxidase inhibitor

Front 16

Tx. under-excretors of uric acid < 600

Back 16

probenecid

DOC for elderly pts with HTN and thiazide dependence

Front 17

First step for Heparin Induced Thrombocytopenia

Back 17

Stop Heparin

Add argatroban or lepirudin

Front 18

Characteristic of Amyotrophic Lateral Sclerosis ( ALS )

location?

Back 18

UMN - spasticity, hypereflexia

LMN- flaccidity, fassiculations

location: Anterior Horn Cells

Front 19

Personality Changes in Herpes Encephalitis is due to

Back 19

B/L damage to the Amygdala in the Temporal lobe

Front 20

Next step in evaluating blood at urethral meatus

Back 20

Digital rectal exam followed by retrograde urethrogram

Front 21

MOA bupropion

Back 21

norepinephrine and dopamine reuptake inhibitor

causes seizures

Front 22

Tx. tics

Back 22

pimozide

Front 23

Tx: infantile spasms ( west's syndrome)

Back 23

characteristics: hypsarrhythmia

Tx: ACTH and clonazepam

Front 24

Tx: cerebral palsy

Back 24

diazepam and physical therapy

Front 25

Tx: children > 16 with chickenpox

Back 25

Acyclovir

Front 26

Tx: closed angle gluacoma long term

acute attack

Back 26

peripheral iridectomy

acute: pilocarpine

characteristics mid-dilated pupil, painful

Front 27

Tx:
Post partum endometriosis

Back 27

I.V. clindamycin and gentamicin

Front 28

Paraneoplastic Syndrome assosciated with adenocarcinoma?

Back 28

thrombophlebitis

Front 29

Characteristics of Central Retinal Artery Occlusion

Back 29

* sudden painless unilateral loss of vision

* Fundoscopy: Pale opaque, cherry red spot

Front 30

MCC of CRAO

Back 30

mcc is emboli from carotid plaque or heart

but watch for temporal arteritis

Front 31

Tx: CRAO

Back 31

1. occular massage
2. High flow 02
3. topical B blockers
4. IV acetazolamide

Front 32

Characteristics of Central Retinal Vein Occlusion

Back 32

* sudden w/i a few hours painless, unilateral vision loss

* elderly

Fundoscope: distended tortuous retinal veins, retinal hemorrhages, edematous fundus

Front 33

MCC of CRVO

Back 33

HTN
Diabetes
glaucoma
lukemia

complications are related to neovascularization leads to vision loss and glaucoma

Front 34

Tx. GERD in Pregnancy

Back 34

calcium carbonate
histamine blockers
PPi

Front 35

Prophylaxis for esophageal varices bleeding

Back 35

Nonselective B blocker

Front 36

Risk factors for Suicide

Back 36

Male gender
older age
depression
prior attempts
substance abuse
rational thinking
sickness
organized plan
no spouse
lack of social support

Front 37

Middle Cerebral Artery Storke

MCA

Back 37

aphasia ( dominant hemisphere)
neglect ( nondominant)
contralateral hemiparesis
gaze preference
homonymous hemianopsia

Front 38

Anterior Cerebral Artery Stroke

Back 38

leg paresis, amnesia, personality changes, foot drop, gait dysfunction or cognitive changes

Front 39

Basilar Stroke

Back 39

coma, cranial nerve palsy, apnea, visual symptoms, drop attacks or dysphagia

Front 40

Lacunar Stroke

Back 40

pure motor or sensory deficiet
dysarthria
ataxic hemiparesis

Front 41

posterior cerebral artery stroke

Back 41

homonymous hemianopsia, memory deficits, dyslexia

Front 42

Live Attenuated Viral Vaccines

Back 42

Oral Poliovirus
Measles
Varicella
Mumps
Yellow Fever

Front 43

Tx. BPH and HTN

Back 43

Terazosin

alpha blocker, decreases systemic BP

Front 44

Best Diagnostic Test for Spinal Stenosis

Back 44

MRI

Front 45

MCC of Aortic Dissection

Back 45

HTN!!!