Study your flashcards anywhere!

Download the official Cram app for free >

  • Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off
Reading...
Front

How to study your flashcards.

Right/Left arrow keys: Navigate between flashcards.right arrow keyleft arrow key

Up/Down arrow keys: Flip the card between the front and back.down keyup key

H key: Show hint (3rd side).h key

A key: Read text to speech.a key

image

Play button

image

Play button

image

Progress

1/98

Click to flip

98 Cards in this Set

  • Front
  • Back
Rat bite fever Rx
Penicillin G or tetracycline
Post chemo fever Rx
hospitalize --->
broad spectrum atbtcs
->if no response: antifungal
Bacteremia in a baby

1) Rx
2) Bugs you are trying to cover
Rx = ampicillin + cefotaxime

Coverage: Group B strep, Listeria, E. coli
Hep. B window period, what do you check?
Core Ag and IgM Ab +

Note surface antigen and surface antibody cancel each other out and can not be used for detection in window period
Which generation of antibiotic is cefaDROXIL
First Generation Cephalosporin
Which generation of antibiotic is cefaLEXIN
First Generation Cephalosporin
Which generation of antibiotic is cefaLOTIN
First Generation Cephalosporin
Which generation of antibiotic is cefaZOLIN
First Generation Cephalosporin
Which generation of cephalosporin?
cefaDROXIL
cefaLEXIN
cefaLOTIN
cefaZOLIN
First generation
Second generation antibiotics w/o anerobic coverage
ceFALCOR
ceFUROXIMINE
cefoTETAN
ceFOXITIN
Second generation Cephalosporin with anerobic coverage
Which generation of antibiotic is cefoTETAN
Second generation antibiotics with anterobic coverage
Which generation of antibiotic is ceFOXITIN
Second generation antibiotics with anerobic coverage
ceFIXIME
cefoTAXIME
Third generation cephalosporin w/o psuedomonal coverage
Thrid generation cephalosporins(2) w/ antipseudomonal coverage
cefoPERAZONE
cefTAZIDIME
Methylene chloride (paint remover) intox. can cause?

How do you detect it?
carbon monoxide poisoning

Use co-oxymeter
CD4 < 200...Next Step?
PCP prophylaxis

TMP/SMX, dapsone or
CD4 < 50 ...Next Step?
MAI prophylaxis = azithromycin weekly
Toxo Ig G + and CD4 < 100 ... Next Step
TMP/SMX OR dapsone + pyrimethamine + leucovorin
TB contact OR PPD > 5 mm + HIV
INH + vit B6 for 9 m
Vaccines to give HIV patient
Pneumococcal 2 dose
Influenza q 1 y.
Hepatitis B
Mefloquine S.E.
Bradycardia
Neuropsychiatric symptoms
Prolonged QT
Causes(6) of avascular necrosis of femoral head and how to dx?
Causes:
Pancreatitis
Alcoholism
Fat embolus
Sickle cell anemia
Air emboli
Steroids

Dx = MRI, SPECT
Pyogenic granuloma Rx
shave, electrodesiccate base, send it to pathology evaluation
Osler-Weber-Wendu

aka Hereditary Hemorrhagic Telangiectasia
Epistaxis

+ GI bleeding,

+ Polycystic kydneys
Von-Hippel-Lindau dis.
Cavernous hemangiomas

+ Hemangioblastomas in CNS & retina,

+ Renal cell ca
Sturge Weber Syndrome Symptoms(3)
facial port wine stain

+seizure

+ocular changes
Caplan syndrome
Rheumatoid nodules in the lungs
Felty syndrome
splenomegaly

+neutropenia

+severe R.A.
Ash leaf macules (hypopigmented), calcified intracranial nodules,
epilepsy, low inteligence, adenoma sebaceum
Tuberous sclerosis
Cronic pruritic papulovesicular lesions on extensor surfaces, post.
hairline

Name?

Treatment?
Dermatitis herpetiformis

Rx = Dapsone
Pemphigus vulgaris Rx
Rx = immediate high dose corticosteroid
Vitiligo Rx
Topical Steroids and Phototherapy
Blistering in a sun
exposed area + milia

Name?
Dx?
Porphyria cutanea tarda

Dx = urine prophirin level + hepatitis panel
Hypert. urg. in pregnancy Rx
Hydralazine & Labetalol
Aortic dissection rx?
Nitroprusside + labetalol/metoprolol
Achantosis nigricans causes (4)
DM
hypOthyroidism
Cushing's
Addison's
Malignancy
Vascular tumor, purplish lesions, extravasation of erythrocytes
Kaposi Sarcoma
Pseudoclaudication + worse with hyperextending movements + better with leaning forward + normal ankle-brachial index

Name?
How to Dx?
Lumbar stenosis

Dx = MRI of the lumbar spine
Knee ligament injury Dx
MRI
Erythema Nodosum rx
NSAID
Melanoma suspicion, next step?
Excisional biopsy
Miliaria is?
Heat rash
Name of disease?

Cause?

Treatment?
Erythema multiforme minor

Herpes Simplex

Rx: Acyclovir
Indinavir (HIV drug) S.E.
Kidney Stones
Painless, beefy-red lesion

Diagnoses?

Rx?
Granuloma inguinale

Rx: TMP/SMX
In pheochromocytoma, serotonin syndrome, cocaine Rx?
IV phentolamine
Doxorubicin (Adriamycin) S.E.
cardiac toxicity, myelosuppression
Vincristine S.E.
motor, sensory and autonomic neuropathy
Bleomycin S.E.
pulmonary fibrosis
Nephritic syndrome + eosinophilia + asthma, p-anca

Disease Name?

Rx?
Chrug-Strauss

Rx = steroids, cyclophosphamide, azathioprine
Nephritis + Nasal/sinus problems, C-ANCA

Name?

Rx?
Wegener granulomatosis

Steroids, Cyclophosphamide, Azathioprine
Sarcoidosis Dx =
Skin, Transbronchial lung biopsy
How do you decrease risk of aspiration risk during intubation?
Cricoid pressure
Community acquired pneumonia Rx =
Azithromycin OR Levofloxacin
Sup. vena cava syndr due to ca Rx
radiation therapy
Foreign body aspiration in children Rx?
Rigid bronchoscopy
Methylprednisolone
CefaZOLIN
Gout Rx
-Over Producers
-Undersecreters?
Overproducers = allopurinol

Underexcreters = probenecid
Cauda equina syndr. suspicion =
MRI ASAP!
Rash + Joint Pain + 7th Nerve Palsy.... Treatment?
Deoxycycline or Amoxicillin
Cardiac Manifestations or Meningitis or Encephilitis Rx?
IV Ceftriaxone
Weeping, crusting, oozing and draining of skin Rx?

MRSA Rx?
Regular Rx: Topic Mucoporin / Bactrin

MRSA: Clindamycin or TMP/SMZ or Deoxycycline
Leukocytosis, fever, chills, red hot swollen tender on face.

Diagnosis?

Rx?
Diagnosis: Erysipelas

Treatment:
Oxacillin, CLOX, Dicloxacillin, Naficillin
Red hot swollen tender on legs

Diagnosis?
Rx?
Diagnosis: Cellulitis

Rx: Oxacillin, CLOX, Dicloxacillin, Naficillin
Abscess rx?
Oxacillin, CLOX, Dicloxacillin, Naficillin
MRSA patients with Erysipelas, Cellulitis or Folliculitis Rx?
Vancomycin
Linezolid
Daptomycin
Tigecycline
NO MUCUS Involvement! Caused by drugs. Diagnosis?

What do you rule out?

Rx?
Diagnosis: Erythema Multiforme

R/o Herpes and mycoplasma

Rx: Prednisone
Drugs(5) that cause rash
Penecillin

Sulfa Drugs

Allopurinol

Phenytoin

Lamotrigine

NSAID
Involves mucus membrane. Drug induced.

Diagnosis?
Rx?
Steve-Johnson Syndrome

Rx? IVIG
S.E of Cyclophosphamide
Hemorrhagic Cystitis
S.E of Cisplatin
Ototoxicity, Nephrotoxicity
Bleomycin S.E
Pulmonary Fibrosis
Vincristine S.E
Peripheral Neuropathy
MEN I
Pancreatic Tumor
Pituitary Adenoma
HyperParatyhroidism
MEN IIa
Medullary Thyroid Cancer
Adrenal(Phechromocytoma)
Parathyroid Hyperplasia
MEN IIb
Medulary Thyroid Cancer
Adrenal Pheochromocytoma
Neuroma Mucosal/ Marfanoid
PPPirates MAP MAN

MEN I, MEN IIa, MENIIb
Pancreatic Tumor
Pituitary Adenoma
HyperParatyhroidism

Medullary Thyroid Cancer
Adrenal Phechromocytoma
Parathyroid Hyperplasia

Medulary Thyroid Cancer
Adrenal Pheochromocytoma
Neuroma Mucosal/ Marfanoid
S.E of Statins?

What must you regular check
Myositis, Elevated Transaminases

Must constantly check AST/ALT, NOT CPK!
S.E of NIACIN?
Glucose Intolerance

Elevated Uric Acid

Puritis
Gemfibrozil S.E and must be careful co-prescribing with?
Increased risk of Myositis when combined with Statin
Eiosinophil Casts
Allergic Interstetial Nephritis
White Casts
Pyelonephritis
Red Casts
Glomerulonephritis
Granular Muddy Brown Cast
Acute Tubular Necrosis
Hyaline Cast
Dehydration
Broad/Waxy Cast
Chronic Renal Disease
Mortality Benefit Drugs in CAD
B-Blocker
Aspiring
Nitroglycerine
Mortality Benefit Drugs in Systolic Dysfunction CHF
ACE/ARB
B-Blocker
Spirnolactone
Hydralazine/Nitrates
Implantable Defibrillators
Mortality Benefit Drugs in Diastolic Dysfunction CHF
B-Blocker
Diuretics
CHF Defibrillators Indications

Implatable?

Biventricular?
Implanatable: EF<35%

Biventricular: EF<355 & QRS>120ms
Diagnosis?

Treatment?
Myelofibrosis

Thalidomide/Lenalidomide
Angioedema treatment
1) Intubate


2) Fresh Frozen Plasma

3) Danzol or Stanzol

Note: Glucocorticoids DONT work
Rx for Staph Aures endocarditis?
Oxacillin, Nafacillin, Cefazolin
Viridans Endocarditis Rx?
Ceftriaxxone
HACEK Endocarditis Rx?
Ceftriaxone
Enterococci Endocarditis Rx?
Ampicillin & Gentamycin
Pear shaped CXR
Pericardial effusion
Boot shaped heart CXR
Tetralogy of Fallot