Term
| Who is most likely to get frozen shoulder? |
|
Definition
|
|
Term
|
Definition
| inflammatory contracture of shoulder capsule |
|
|
Term
| XR and PE in frozen shoulder |
|
Definition
XR is neg
PE reveals decreased active and passive ROM |
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|
Term
| frozen shoulervsd rotator cuff tear |
|
Definition
both have neg xr
rot cuff tear doesn't have dec passive ROM |
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|
Term
| XR and PE in locked posterior dislocation of shoulder |
|
Definition
XR +
decreased passive ROM (like frozen shoulder) |
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|
Term
| characteristics of cough and CP in TB |
|
Definition
cough is usually LESS present
pleuritic CP is often retrosternal |
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Term
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Definition
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Term
| risk of atlantoaxial subluxation, and how is that treated |
|
Definition
| risk of spinal cord damage with intubation in surgery. fix with spinal fusion before any elective surgeries |
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|
Term
| what 2 meds in combo put you at increased risk for b12 def |
|
Definition
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Term
| prophy in AIDS when CD4 is less than 200 |
|
Definition
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|
Term
| prophy in aids when CD4 is less than 100 |
|
Definition
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|
Term
| prophy in aids when CD4 is less than 50 |
|
Definition
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Term
|
Definition
| aseptic necrosis of fem head |
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|
Term
| best med in glu intol in PCOS and why |
|
Definition
| metformin, it helps with menstrual irreg and the glu intol |
|
|
Term
| what sx of pcos does spironolactone treat |
|
Definition
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|
Term
| effect of bB and anaphylaxis |
|
Definition
| BB can make epi not work in a pt with anaphylaxis. Use GLUCAGON if epi doesn't work |
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|
Term
| what is the greatest RF for GBS |
|
Definition
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|
Term
|
Definition
only do XR if:
+bony tenderness over possible fracture site AND pain over malleolus
OR
inability to bear weight immediately after in jury AND in ED/Clinic |
|
|
Term
| when are growing pains most obvi |
|
Definition
| 4-6yo, NOT related to puberty |
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|
Term
| what type of delirium is it appropro to use atypical antipsychotics. Who do you NOT use them in |
|
Definition
1. ok in ICU delirium
2. NOT OK in dementia |
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|
Term
| what does drug induced vasculitis present like |
|
Definition
| palpable painless purpura with no change in coags. if more severe they may have some fever/fatigue/flu like sx |
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|
Term
| management of drug induced vasculitis |
|
Definition
if mild just stop the drug
if more severe steroids. NOTHING MORE |
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|
Term
| requirements to start CHF pt on spironolactone |
|
Definition
1. must already be on ACEI and BB
2. must have LVEF <40%
3. Cr must be <2.0 in women and 2.5 in men
4. must have potassium less than 5 |
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|
Term
| when is carboprost tromethamine contraindicated in patients who need a uterotonic agent |
|
Definition
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|
Term
| when do you do the first colonoscopy in a pt with UC. maintenance? |
|
Definition
| 10 yrs after dx, then q2-5 years |
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|
Term
|
Definition
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|
Term
|
Definition
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|
Term
| initial management of thyroid nodule |
|
Definition
first check TSH
if TSH is normal or hi, do FNA if >1cm, if <1cm f/u clinicially
if TSH is low, do uptake scan |
|
|
Term
what are the sx of hyperventilation
what is the acid base status of hyperventilation |
|
Definition
1. paraesthesias, carpopedal spasms, SOB
2. respiratory alkalosis |
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|
Term
| cough suppressants in kids |
|
Definition
cant use the medicated ones, dextromethorphan and diphenhydramine have side effects
buckwheat honey is ok |
|
|
Term
|
Definition
| increased inflammatory cytokines |
|
|
Term
| albumin changes in cachexia vs starvation |
|
Definition
| albumin decreases earlier in cachexia vs starvation |
|
|
Term
| treatment of campylobacter |
|
Definition
| azithromycin or flouroquinolone |
|
|
Term
| treatment of noninvasive travelers diarrhea |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
-amoxicillin if under 5 years old
-give azithro if over 5
-if under 5 and allergic to penicillin, you can do azit |
|
|
Term
| test for cat scratch fever |
|
Definition
| igg for baronella henslae |
|
|
Term
|
Definition
it's nephrotoxic
do not give if gfr is <30 or Cr < 1.5 |
|
|
Term
|
Definition
|
|
Term
| how do you get a Colles fracture |
|
Definition
| falling onto outstretched hand |
|
|
Term
| what bone is broken and where in a Colles fracture |
|
Definition
| distal radius, metaphysis |
|
|
Term
| what are the PE signs of colles fracture |
|
Definition
| dorsal wrist pain and swelling |
|
|
Term
| management of colles fracture |
|
Definition
|
|
Term
| what bp do you start thinking about lowering bp in a pt who just had a non hemorrhagic stroke |
|
Definition
|
|
Term
| electrolyte changes with thiazide diurecics |
|
Definition
-decreased bone loss/osteoporosis (2/2 to increased Ca retention from kidneys causing hypercalcemia
-low K
-low Na
-hi Glu |
|
|
Term
| what form of Ca do you use as a supplement in ppl on PPIs and why |
|
Definition
| calcium citrate, it doesn't depend on stomach acidity for absorption |
|
|
Term
| when do you tx hyponatremia with hypertonic saline? what percentage? @ what rate can Na be slowly increase? |
|
Definition
once you get AMS/coma/seizures
3%
1-2 mEq per hour |
|
|
Term
| whatarethe 3 contraI for bupropion |
|
Definition
| seizures, concomitant MAOI, eating disorder |
|
|
Term
| three tx options for psoriasis |
|
Definition
top steroids
vitD creams
tazarotone |
|
|
Term
| what does US show in epididymitis |
|
Definition
| enlarged heterogeneous teste with increased flow |
|
|
Term
|
Definition
hi fevers
leukopenia, thrombocytopenia
hemorrhagic signs |
|
|
Term
| empiric coverage of sepsis in baby under 1 month |
|
Definition
| ampicillin and gentimicin/cefotaxime |
|
|
Term
|
Definition
|
|
Term
| what does fish oil do to lipid panel |
|
Definition
| dec trigly and VLDL but may inc LDL |
|
|
Term
| what effect does fish oil have on lipid panel |
|
Definition
| dec trigly and dec VLDL but may inc LDL. no effect on cv death |
|
|
Term
| treat of polymyalgia rheumatica |
|
Definition
| prednisone 15mg daily tapered over 1-2 years |
|
|
Term
| what vaccines are contraI in a pt with immunocompromise |
|
Definition
|
|
Term
| when in a newborn do you see chlamydia pneumonia |
|
Definition
|
|
Term
| what are the signs of newborn chlamydia pneumonia |
|
Definition
-eosinophilia
-staccato cough
-no fever |
|
|
Term
| 1st, 2nd, 3rd and 4th line tx for carpal tunnel |
|
Definition
1. splints
2. po steroids
3. steroid inject
4. surg |
|
|
Term
| what pain med prolongs QT |
|
Definition
|
|
Term
| what pain med prolongs QT |
|
Definition
|
|
Term
| what is the only use for atropine in acls |
|
Definition
| symptomatic bradycardia (NOT HEART BLOCKS) |
|
|
Term
| which personality disorder displays magical thinking |
|
Definition
|
|
Term
| POvs IV abx options for c diff |
|
Definition
IV: metronidazole
PO: vancomycin, fidaxomicin |
|
|
Term
| 1st line tx for urge AND stress incontinence |
|
Definition
|
|
Term
| what type of movement is restricted in SCFE |
|
Definition
|
|
Term
| what abx puts you at inc risk for statin toxicity |
|
Definition
| macrolides because 3a4 cyp |
|
|
Term
| what ACLS situation uses adenosine |
|
Definition
|
|
Term
| what ACLS situation uses adenosine |
|
Definition
|
|
Term
| what endocrine d/o causing refractory htn, first test for it? |
|
Definition
primary hyperaldosteronism
renin: aldo level |
|
|
Term
| what endocrine d/o causing refractory htn, first test for it? |
|
Definition
primary hyperaldosteronism
renin: aldo level |
|
|
Term
| which flu vacc is the one that causes probs with the egg allergy |
|
Definition
live--> egg allergy
give inactivated to ppl with egg allergy but watch them anyway |
|
|
Term
| immediately after new dx of diabetes, what vacc should you look into in an otherwise healthy pt |
|
Definition
| make sure they have had hepB |
|
|
Term
| what diet dec hosp stay in pancreatitis |
|
Definition
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