Term
| What is a mallet fracture of the finger and how is it corrected? |
|
Definition
hyperflexion at DIP
-splint in extension
-if >30% of intraacticular surface involved needs ortho |
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Term
| what antipsychotics are ok in BPAD and how are they used |
|
Definition
haldo and Seroquel can be used in an acute event
only Seroquel is effective as maintenance |
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|
Term
| According to AAFP which type of study is best for directing management of an individual pt |
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Definition
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|
Term
| American Urological Society defines asymptomatic microscopic hematuria as.... |
|
Definition
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|
Term
| which two big resp abx cause prolonged qt |
|
Definition
levoquin and the floroquinolones
macrolides |
|
|
Term
| main side effect of inhaled corticosteroids |
|
Definition
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|
Term
| according to JNC 8 which med is not cool for first line htn mgmt |
|
Definition
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|
Term
urine osm
serum osm
urine na in siadh |
|
Definition
low serum osm
hi urine osm
hi urine na |
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|
Term
| #1 cause of unintentional deaths in kids |
|
Definition
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Term
| how do you categorize obesity and overweight in kids |
|
Definition
age 0-2 use weight for length
if >95%ile then overweight, if <5%tile then underweight--no such thing as obese
if 2+ use BMI
BMI 85-94% is overweight
BMI >94 is obese |
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|
Term
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Definition
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|
Term
| management RSV? steroids? abx |
|
Definition
supportive only. no steroids.
no abx, but rarely associated with bacterial coinfection so then you would do abx |
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|
Term
| statin myopathy vs PMR labs |
|
Definition
statin myopathy: high CPK
PMR: high ESR |
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|
Term
| do you need to test erythropoietin or bone marrow biopsy when anemia in CKD |
|
Definition
|
|
Term
| what do you need to check in anemia of CKD |
|
Definition
CBC
reticulocyte
ferritin
B12
Folate
transferrin saturation |
|
|
Term
| after prelim labs, how do you manage Fe def in anemia of CKD |
|
Definition
if any depleted iron noted by ferritin < 25 then start FeSo4 TID 325mg
recheck ferritin @ 1 and 3 months, if no improvement look at IV iron |
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|
Term
| age range for SCFE, where is the pain |
|
Definition
in girls 11-13
in boys 13-15
knee or hip pain |
|
|
Term
| what vaccine can increase febrile seizure risk |
|
Definition
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|
Term
Ulnar Collateral Ligament Tear:
activity that most often causes damage?
symptoms/findings?
best test for it?
how do you do that test? |
|
Definition
UCL tear:
-throwing overhead
-immediate pop with pain and medial elbow bruising
-moving valgus stress test
-have pt abduct shoulder 90deg, then externally rotate so their thumb is pointing @ shoulder, then you passively flex and extend at elbow while supporting the elbow, they will have pain 70-120deg in that motion |
|
|
Term
Medial Epicondylitis:
-activity that causes onset
-findings
-cause |
|
Definition
Medial Epicondylitis
-often with insidious onset with increased recreational activity
-will have weak grip strength and pain 5-10mm distal and anterior to medial epicondyle
-usually actually a tendinopathy |
|
|
Term
| who gets triceps tendinopathy |
|
Definition
| weight lifters, 2/2 repeated extension with resistance |
|
|
Term
Live Attenuated Intranasal Influenza Vaccine
-Who is it more effective in?
-Who is allowed to get it
-Who is it contradicated in? |
|
Definition
-more effective in kids 2-6 yo
-6-49 can use it if they want
-if over 49 need activated vacc
-contraindicated in pregnancy, COPD, asthma |
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|
Term
| only prelim thing to check in under 21 yo healthy girl who wants to start OCP |
|
Definition
check BP
uncontrolled hypertension is a contraindication |
|
|
Term
| how do you treat serotonin syndrome |
|
Definition
first benzos
then cycloheptadine |
|
|
Term
| two measurements that indicate septic shock |
|
Definition
elevated lactate
hypotension despite IVF resuss |
|
|
Term
| Features of Gilberts Disease |
|
Definition
-Unconjugated hyperbilirubinemia
-asymptomatic
-unconjugated hyperbilirubinemia can increase with stress, infection, activity etc |
|
|
Term
| LDH and haptoglobin in hemolytic anemia |
|
Definition
LDH elevated
haptoglobin low |
|
|
Term
| what can help with pain at the site of injection for lidocaine |
|
Definition
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|
Term
| prophylaxis abx in asplenia |
|
Definition
-ALL CHILDREN under 5 get penicillin BID
-you MAY use abx prophylaxis up to 2 years after an adult becomes asplenic
-you MAY consider life long prophylaxis after an asplenic pt becomes septic
-ALL fevers in asplenia get abx |
|
|
Term
|
Definition
they need it
give 13 then 23 8 weeks apart |
|
|
Term
finkelsteins test +
how do you treat |
|
Definition
pain at distal radius with wrist flexion
for dequirvains
tx with thumb spica splint |
|
|
Term
|
Definition
| scaphoid fracture, you put pressure on thenar eminence and push it towards the radius, then have pt abduct at wrist and if pops then there may be scaphoid fx |
|
|
Term
| longterm risks of PPI therapy |
|
Definition
hip, wrist, spine fracture
-b12, iron deficiency
-c diff, other GI infections
-CAP
-low Mg
-heart issues when given with plavis |
|
|
Term
| whats the diff between miralax and senna |
|
Definition
senna is a stimulant
miralax is osmotic agent |
|
|
Term
| which is ok and first line use in kids (before the trauma of suppository) |
|
Definition
| miralax or other osmotic agent |
|
|
Term
| after head lice are found on a child when can they go back to school |
|
Definition
| immediately, need tx and avoid close contact but can go back to school |
|
|
Term
| what is the first step in work up of a non-massive hemoptysis |
|
Definition
|
|
Term
| H1 vs H2 blocker in urticaria |
|
Definition
|
|
Term
| #1 type of esophageal cancer in US and biggest RFs |
|
Definition
adenocarcinoma
-obesity and reflux |
|
|
Term
| miliary patter on CXR of b.b. sized lesions is found in what 2 conditions |
|
Definition
|
|
Term
|
Definition
| isolated thrombocytopenia not caused by something else |
|
|
Term
| when do you need to do a bone marrow biopsy in someone with suspected ITP |
|
Definition
|
|
Term
| when do you treat someone with ITP |
|
Definition
| if platelets <50,000 or bleeding |
|
|
Term
|
Definition
| steroids, IVIG, rituximab |
|
|
Term
| JNC 8 recs for BP in people over 60+ |
|
Definition
150/90 if no comorbidities
140-90 if kidney disease. dm |
|
|
Term
| how do tamoxifen and raloxifen work |
|
Definition
| estrogen receptor modulators |
|
|
Term
| who uses tamoxifen/raloxifen for breast cancer preventions? |
|
Definition
| women @ high risk with low likelihood of adverse events |
|
|
Term
| side effects of tamoxifen/raloxifen |
|
Definition
| endometrial cancer, bladder urgency, hot flashes, vaginal dryness |
|
|
Term
|
Definition
used to diff between exudative and transudative pleural effusions using LDH and protein levels in blood and pleural fluid
1) protein, Pleural:Serum >.5
2) LDH, Plueral:Serum >.6
3) LDH pleural that is >.67 times upper limit of normal
these indicate exudative fluid |
|
|
Term
| what type of effusion does PE create |
|
Definition
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