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13 Cards in this Set
- Front
- Back
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Why is thiamine given in a glucose infusion to alcoholics with hypoglycemia?
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glucose in the absence of thiamine in an alcoholic can worsen wernike's encephalitis
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What are the symptoms of a lacunar stroke?
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5 categories
pure motor hemiparesis pure sensory defect ataxic hemiparesis sensorimotor stroke sx dysarthria clumsy hand syndrome |
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what medications and interventions are used in the treatment of cerebral palsy to alleviate contractures and improve function?
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Dantrolene, baclofen, benzos, botox, nerve blocks
Physical therapy, surgical |
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what are the two MC primary brain tumors in adults? what are the 3 MC primary brain tumors in children?
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adults: Mets, GBM, Meningioma, Schwanoma (MGM Studios)
children: Astrocytoms, Meduloblastoma, Ependymoma |
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What is the ACLS treatment for V. fib?
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CPR, 360 J shock, epi, CPR, shock epi
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Which vasopressor matches the following statement?
theoretically causes renal vasodilation high doses optimize the alpha-1 vasoconstriction ADH analogue best choice for anaphylactic shock best choice for septic shock best choice for cardiogenic shock causes vasoconstriction but with bradycardia |
Dopamine
Epinephrine Vasopressin Epinephrine Norepinephrine Dobutamine Phenylephrine |
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what is the next step in the evaluation of penetrating injuries to the different zones of the neck?
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The zones follow the blood flow, so zone 1 is lowest and zone 3 is highest
zone 1: clavicle to cricoid cartilage: CT angiogram zone 2: from cricoid cartilage to angle of mandible: surgical exploration zone 3: CT angiogram, tripple endoscopy |
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how can the flushing reaction of niacin be prevented?
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give aspirin with it
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what EKG finding is seen in patients with WPW? what causes WPW?
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delta wave on EKG
d/t reentry through an accessory electrical pathway |
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How is the Tx of SVT d/t WPW different from other causes of SVT?
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SVT is treated with adenosine, but if its d/t WPW, then use amioderone and procainimide
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What is the most sensitive and specific lab test for the diagnosis of chronic pancreatitis?
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low fecal elastase levels.
lipase is more specific than amylase, but they may both be low in chronic pancreatitis |
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What supplements should be given to women on anticonvulsants during pregnancy?
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folate, 4 mg
vit K in the last month to augment coaguability during deliverly |
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what is the next step in the mgmt of an AGUS pap smear?
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colposcopy and endocervical curettage.
if they are over 35, or have risk factors for endometrial hyperplasia, then we also do an EMB |
