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51 Cards in this Set

  • Front
  • Back
Greatest risk for invasive pneumo infection?

- 68yo COPD
- 34yo splenectomy
- 50yo DM2
- 75yo RA c decreased mobility
34 yo splenectomy
Routine HBsAg screening recommended:
- hospital workers
- recipients of HepB vaccine series
- pregnant women
- college students
pregnant women
smallpox vaccine contains:
live variola virus
varicella-zoster IG comes from?
- pooled blood product with excellent profile
18yo male with no primary immunization series documented. For the tetanus vaccine, he needs:
- Td vaccine now and repeat in 1 and 6 months (no need for pertussis?)
corneal reflex is what nerve?
CN V and VII
kernigs and brudzinski's sign, which is which?
kernigs: flexing knee and hip --> back pain
brudzinski: passive flexion of neck --> pain
how many grams for single application of topical cream/ointment on HANDS? ARMS? ENTIRE BODY
- 2 grams
- 3 grams
- 30-60 grams
Tx of impetigo, why can't we use amoxicillin but can use dicloxacillin, cephalexin, cefadroxil?
bc amoxicillin is not stable in presence of beta-lactamses. Dicloxacillin and first-gen cephalosporins are.
Tx for acne vulgaris with:
1) closed comedones
2) inflammatory lesions
3) cystic lesions
closed: benzoyl peroxide
inflammatory: topical antibiotic
cystic: Accutane
Tx acne rosacea?
metronidazole gel
Must monitor what things if pt on Accutane?
- pregnancy
- depression/SI
- AST
- triglycerides
Tzanck smear + for giant multinucleated cells is consistent with?
- herpes virus
excoriated papules on interdigital area
scabies
To be transmitted scabies, you must have close, casual, or both with infected person to contract disease?
- close only
Tx for recalcitrant psoriasis:
cyclosporine, methotrexate, systemic retinoid
Tx for acute and recurrent allergic conjunctivitis
cromolyn ophthalmic drops, oral antihistamines, ophthal. antihistimines
Pathogen in refractory otitis externa.
p. aeruginosa
severe otitis externa Tx
fluoroquinolones
incubation period for s. pyogenes
3-5 days
According to GLORIA guidelines, tx for persistent allergic conjunctivitis?
- topical mast cell stabilizer with topical antihistamine.
therapeutic effect of Atrovent?
bronchodilation
A 50yo male smoker keeps clearing his throat and spitting mucous out onto the sidewalk. Your diagnosis?
- early COPD (one of the early signs is excessive mucus production)
most likely causative organism in acute bronchial suppuration a/w acute bacteria COPD exacerbation.
pseudomonas aeruginosa
Tx of CAP in 69yo male with HF and DM2.
respiratory fluoroquinolone
HTN drug recommended for the condition:
heart failure
all except CCB
HTN drug recommended for the condition:
DM
all except spironolactone
HTN drug recommended for the condition:
chronic renal disease
ACE and ARBs
HTN drug recommended for the condition:
high coronary disease risk
diuretic, BB, CCB, ACEI
HTN drug recommended for the condition:
post-MI
BB, ACEI, spironolactone
HTN drug recommended for the condition:
recurrent stroke
diuretic, ACEI
pectus excavatum a/w what heart condition?
MVP
detrusor overactivity a/w what incontinence?
urge incontinence
pelvic floor weakness a/w what incontinence?
stress incontinence
how does black cohosh affect female hormones?
binds to E receptors (for relief of menopausal Sx)
myocardial ischemia on EKG shows
T wave inversion
ST depression
S4 sound is often a/w?
unstable angina, stiffened ventricle due to ischemia
ST segment deviation (>= 0.05 mV) a/w?
pt with ACS (acute MI or unstable angina)
Which of the following is not seen in the dx of acute cholecystitis?
a) elevated lactic dehydrogenase
b) increased alkaline phosphatase level
c) leukocytosis
d) elevated AST
LDH elevation is NOT seen in acute cholecystitis
Is there rebound tenderness in hepatitis?
no.
where is urobilinogen found?
large intestines --> feces
what can varicocele cause in men?
decreased sperm count
how long does aura in migraine headache LAST?
less than 1 hr
when is corticosteroids not of any use in Bell Palsy?
10 days after onset of sx.
biggest side effects of neuroleptics (seroquel, zyprexa, compazine, phenergan)
- sedating
- extrapyramidal effects
sequela of shingles (2)
- scarring
- post-herpetic neuralgia
strep pathogens that are minimal risk for rheumatic fever or glomerulonephritis?
- Group C and G strep
Tx hordeolum
dicloxacillin, Keflex PO, erythromycin topical
NSAIDs + acute varicella infection
risk for necrotizing fasciitis
difference between angle-closure glaucoma vs. anterior uveitis?
angle-closure: pupil is slightly dilated
anterior uveitis: pupil is constricted and irregular
- what chemical attaches to muscarinic receptors?
- name some meds that block those receptors for bronchodilation
- Ach
- atrovent, spiriva