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14 Cards in this Set

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A 50 y/o M with a 25 year pack hx presents woth his second bout of pneumonia in the last 6 mo. CXR reveals a lobar consolidation in the same location as the previous pneumonia. What is the next step in the mgmt of this pt?
tx pneumonia
CT the chest (recurrent pneumonia in the same location is a reg flag for CA)
What imaging study is used to Dx a DVT?
Compressive venous ultrasound
What radiographic study is used to Dx injury to the urethra?
RCUG

retrograde cysto-urethrogram
What are the symptoms of a basilar skull fx?
battle sign, racoon eyes, bleeding behind the TM, CSF leakage from nose or ears
What is the drug of choice for trigeminal neuralgia?
its a TCA....

Carbamazepine
What is the tx for NPH?

What is the Tx for pseudomotor cererbi?
VP shunt

Weight loss, Acetozolamide


What is the Tx for Guillain Barre syndrome?
Plasmophoresis OR IVIg

supportive care
How do you distinguish Somogyi effect from Dawn Phenomenon?
Check 3am glucose

somogyi will have low 3am glucose
What type of immunodeficiency increases the risk of anaphylactic transfusion rxn?
IgA deficiency

these pts have allergy sxs, lots of URIs
What are the HACEK bacteria
Culter Negative bacteria that cause infective endocarditis

H.inlfuenza
Actinobacter
Cardiobacter
Eikenella
Kingella
Which antihypertensive is first line in...

No comorbidities
Diabetes
Heart Failure
BPH
LVH
Thiazide
ACE-I
ACE-I/ARB, Beta Blocker Spironolactone
Alpha blocker
ACE-I/ ARB
Hydrochlorothiazide
Lisinopril
Lisinopril/Losartan, Carvadilol, Spironolactone
Prazosin
Lisinopril/ Losartan
Which antihypertensive is first line in...

Hyperthyroid
Osteoperosis
Benign Essential Tremmor
Post-menopausal Female
Migranes
Beta Blocker
Thiazide
Beta Blocker
Thiazide to reduce osteoperosis
Beta Blocker
Propanolol
HCTZ
Metoprolol
HCTZ
Propanolol
At what point do patients with chronic COPD qualify for home O2
O2<88%

pulmonary HTN, peripheral edema, polycythemia

What is Dx of pulm htn?
Pulmonary pressure >/= 25% of systolic. Should be 1/8th
What is the initial Tx of a localized non-small cell lung CA?
Surgical Resection and chemo