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Step 3 Smart book day 5 cont
USMLE
85
Medical
Professional
11/14/2017

Additional Medical Flashcards

 


 

Cards

Term
iron def anemia
dysphagia
esophageal web seen on endoscopy
Definition
Plummer Vinson syndrome
Term
intermittent chest pain and dysphagia for solids and liquids
corkscrew esophagus
Tx?
Definition
DES
CCB is tx
assoc with GERD
Term
fever day 14-21
Definition
subphrenic abscess
Term
normal ROM on impingement test
pain on ABduction and external rotation
Definition
RC impingement or tendinopathy
Term
shoulder pain at night
more stiffness than pain
**decreased passive and active ROM**
Definition
Adhesive capsulitis (frozen shoulder)
Term
pts with hx of heavy overhead lifting
ROM passive preserved
Definition
Subacromial bursitis
Term
empiric tx of CAP in OP setting
Definition
Health-->Macrolide or doxy
Co-morb--> FQ or B lac + macrolide
Term
empiric tx of CAP (non icu)
Definition
FQ IV or B lac + macrolide
Term
empiric tx of cap in icu
Definition
b lac + mac or b lac + fq
Term
insidious onset of low grade fevers
non productive cough
dyspnea with PROMINENT hypoxia with mild findings on CXR.

What is found on CXR
Definition
PCP
ground glass BL!

offer bactrim to PREVENT
Term
painful posterior pharyngeal vesicles with fever drooling sore throat
dx? tx?
Definition
Herpangia Cox A

Tx supportive
dx clinical
Term
indications for steroids in resp distress
Definition
A-a >35mmhg
PaO2<70
Term
Dx of Gout?
tx?
Definition
high clinical suspicion BUT ARTHROCENTESIS

Tx NSAIDs
BUT if CKD, CHF, PUD-->Colchicine
Term
likeliehood of event occuring in tx group relative to control group
Definition
hazard ratio
Term
kappa stat measures?
Definition
measure of inter rater reliability
Term
bacterial conjunctivitis can progress to what emergency? tx?
Definition
Keratitis

Pseudomonas
Term
Insomnia w/u first line
Definition
CBT
Term
Asx lead toxicity tx
Definition
5-44- just observe
45-69- DMSA, succimer
>70 Dimercap and EDTA
Term
1st line work up in elderly constipation
Definition
disimpaction.

Assoc with overflow incont
Term
what is sampling bias
Definition
when people are NOT randomized into group
Term
hematuria 2-4 days following URI
Definition
IgA nephropathy
Term
drugs that increase Lithium
Definition
NSAIDS, ACEi, tetras, metro
CCBs Loops
Term
decrease Lithium
Definition
Spironolactone
Term
sudden HA, worst ever
Definition
Subarachnoid hemorrhage
Term
age >40 with headaches
Definition
mass lesion, giant cell arteritis
Term
increase in frequency/severity
Definition
med overuse, subdural mass
Term
HA with exercise/sex
Definition
mass, SAH
Term
focal neuro sx/papilledema HA
Definition
mass, IIH, AVM
Term
Tx of ITP
Definition
mild WITHOUT bleeding OBSERVE

moderate bleeding, PC <30K--> IVIGs
Term
sensory ataxia, neurogenic UI, Argyll robertson pupils
Definition
syphillis
Term
indications for cystoscopy?
Definition
gross hematuria w/o evid of kidn dz
microscopic hematuria
recurrent utis
Term
candida vaginitis
Definition
Fluconazole
Term
eating disorder
more aggressive
voice changes
increase in Hgb/hct
Definition
anabolic steroid abuse
Term
Active TB w/u
Definition
1. CXR
2.Sputum sampling
3. Myco cx and amp testing
Term
major issue of IGRA/TB skin test
Definition
they cannot distinguish b/t active and latent
Term
fx of mycobacterial cx and amp test
Definition
to distinguish btw M. Tb and other tb
Term
what does + skin TB test mean?
Definition
TB exposure
Term
irregular nucleus; "it wraps around cells"

fever, exudative pharyngitis, LAD
*HSM* and rash after Amoxil use

TX?
Definition
EBV

NSAIDs
Term
when is HPV indicated in men/women
Definition
women 11-26
men 11-21 or 26 gay, IC

NO pregnancy
Term
purpose of HPV vaccine
Definition
decr risk of anogenital cancer and warts
Term
SE of chantix
Definition
neuropsych!
Term
what must be done before Isoretinoin use
Definition
2 neg pregnancy tests and concurrent methods of contraception
Term
difficult labored breathing AGMA and suspected poisoning

antidote
Definition
Antifreeze poisoning

Fomepizole
Term
most important prognostic factor of COPD
Definition
FEV<40%
Term
u/l HA w/assoc Horner's

dx?
Definition
Carotid Artery dissection

Angiogram
Term
patients at high risk for influenza needing hospitalization
Definition
age >65
pregnant and 2 wks post partum
IC
Term
Colon ca risks
Definition
etoh, cigarettes, obesity
Term
Asthma exacerbation in Pregnancy
Definition
SABA + Ipratropium and SYSTEMIC steroids
Term
IC calcifications
macrocephaly

risk fx?
tx?
Definition
Toxoplasmosis

unwashed fruits/vegs, cat feces, uncooked meat

tx sulf/pyrim and folate
Term
kid meningitis MCC viral
Definition
Entero/Arbovirus
Term
abd pain, hematochezia, diarrhea, incr wbc/LA

colonic wall thickening/fat stranding

friable mucosa and edema

Mgmt?
Definition
Mesenteric Ischemia

IVF
Term
dysuria, frequency, terminal hematuria
peripheral eosinophilia

dx?
Definition
Schistomisias

urine sediment microscopy
Term
dysuria, frequency, terminal hematuria
peripheral eosinophilia

dx?
Definition
Schistomisias

urine sediment microscopy
Term
dysuria, frequency, terminal hematuria
peripheral eosinophilia

dx?
Definition
Schistomisias

urine sediment microscopy
Term
dysuria, frequency, terminal hematuria
peripheral eosinophilia

dx?
Definition
Schistomisias

urine sediment microscopy
Term
dysuria, frequency, terminal hematuria
peripheral eosinophilia

dx?
Definition
Schistomisias

urine sediment microscopy
Term
this is used in survival or time to event analysis?
Definition
hazard ratio
Term
MYOCLONIC seizure in kids
tx? se of tx?
Definition
Valproate as sx will recur
Term
GTC seizure in kids tx?
Definition
OBSERVE if their first!
Term
croup is caused by?

tx?
Definition
Parainfluenza
steroids and epinephrine
Term
what increases C diff risk?
Definition
gastric acid suppresion
recent abx use
recent hospital stay
increae age
Term
SAH w/u
Definition
1. CT
2. LP to exclude: LOOK FOR XANTHOCHROMIA
Term
Mania in pregnancy
Definition
ECT
Term
centor criteria for Strep throat

confirmatory test?
Definition
tonsillar exudate
tender anterior cervical adenopathy
fever

Rapid strep
Term
painless ulcer development in Neutropenic pt
Definition
ecthymema gangrenosum by Pseudo
Term
patient with Chronic Hep C infex at incr'd risk for what?
Definition
Hep A and Hep B so VACCINATE
Term
what helps detect effect modification
Definition
Stratification
Term
restrictive CM after chemo/radiation
Definition
radiation myocarditis
Term
Anthracycline cardiomyopathy is?
Definition
Dilated CM
Term
how does SLE cause heart issues
Definition
rapid CAD
Term
young F athletes
pain increased with using stairs, squatting
subacute/chronic pain

Tx?
Definition
Patellofemoral syndrome

stretching
Term
athletic jumpers knee

episodic pain and tenderness at inferior patella
Definition
Patellar tendonitis
Term
long term PPI use risk
Definition
incr risk of osteoporosis and hip frax
decr Ca absorption and OC
Term
Acute stress d/o
Definition
<1mo
Term
Hidranetis suppurativia tx?
Definition
mild-->topical Clindamycin
moderate--> oral Doxy (sinus tracts/scars)
severe-->TNF a
Term
causes of post op hypoxemia
Definition
PNA
Atelectasis
Pulmonary embolism
Term
MC trigger of Asthma exac
Definition
viral URI
Term
dizziness following a viral illness
Definition
labrynthitis
Term
Tx of symptomatic Hypo Na <120
Definition
Hypertonic saline to decr risk of cerebral edema
Term
N. meningitis prophylaxis
Definition
Rifampin x 4
Ceftriaxone x 1 IM (in pregnancy)
Cipro x 1
Term
Met Hgb sx? causes?
Definition
Dapsone, Benzocaine and toxins
headaches nausea and CYANOSIS
Term
fluctuant tender nodule on skin

tx?
Definition
S. aureus abscess

I/D then MRSA coverage
Term
CNS lymphoma caused by?

most important fx in treating
Definition
EBV, HIV

watch CD4 counts as it only pops up with CD4<50
Term
GB pancreatitis tx
Definition
1. Tx Pancreatitis first
2. GB taken out ~1 week later
Term
visual loss, encephalopathy, HSM
*suppuration of LNs*
Definition
Cat scratch dz-->Bartonella henslae
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