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arlete
Forum Junior Topics: 60 Posts: 4208 |
1. Gastroparesis (DM) Rx = metoclopramide, erythromycin; symptoms: post-prandial fullness, hypoglycemia, sweating, dizziness, constipation 2. Drugs that lead to hypercalcemia = thiazides, lithium 3. Calcium greater than 12 or symptoms = NSS IV 3-6 l in 24 h, furosemide if necessary 4. Hungry bones syndrome = hypocalcemia post op removal of parathyroid adenoma 5. Sarcoidosis = increase in vit D levels 6. Familial hypocalciuric hypercalcemia = low 24 h urine calcium 7. Chronic thyroiditis (Hashimoto) = antimicrosomal antibodies 8. Drugs that lead to hypothyroidism = lithium, ASA 9. Large nodule (cold) in multinodular goiter (hot) = FNA; if follicular elements = excision 10. Psammoma bodies = papillary carcinoma of thyroid = MC type of thyroid cancer, RF radiation exposure, lymphatic spread 11. Thyroid cancer types = papillary, follicular (hematogenic spread), anaplastic, medullary (MEN); painful, low uptake, increased ESR 12. Graves disease Rx = bring the patient to euthyroid stae, then: radioactive iodine, steroids for ophtalmopathy 13. Plummer disease = long-standing multinodular goiters that become thyrotoxic later 14. Thyroiditis = low 24 h radioactive iodine uptake 15. Graves disease Dx = increased thyroid, "hot", proptosis, positive TSH Ig 16. Nitroblue tetrazolium test = chronic granulomatous disease; tets phagocyte fuction, oxidative burst 17. Cellular deficiency disease = fatal infections after receiving live viral vaccines (MMR, varicella) 18. Ab deficiency disease = encapsulated organisms, sino=pulmonary bacterian infections, sepsis 19. Phagocytic deficiency disease = recurrent abcesses, lymphadenitis, periodontal infections, Gram negatives, catalase positives, e.g. CGD, Chédiak-Higashi 20. Complement deficiency dis = C2-C4: autoimmune dis; terminal: Neisseria; C3: encapsulated, unusual strains 21. Severe combined immunodeficiency = first year of life, decrease in T and B cells 22. Ig A deficiency = MC primary immune deficiency, major anaphylatic reaction to blood products 23. X-linked hypogammaglobulinemia Rx = IV Ig; defect in tyrosine kinase Edited by arlete on Jun 27, 2008 - 11:34 AM
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arlete
| Forum Junior Topics: 60 Posts: 4208
24. X-linked lymphoproliferative disease = catastrophic after EBV infection 25. Chronic granulomatous disease = decreased intracelular and fungal killing; S. aureus, Aspergillus; Rx: prophylatic antibiotics (TMP/SMX, doxycycline), interferon gamma; vaccinate: Haemophilus, Pneumoccocus, Neisseria, viral vaccines 26. T-cell deficiency Rx = bone marrow transplant 27. Transfusion in cellular deficient patient = irradiated, leukodepleted, virus free product 28. C3 deficiency = increased number of pyogenic infections 29. Properidin and C5 deficiency = increased Neisseria infections 30. C1 inhibitor deficiency = hereditary angioedema 31. Decay accelerating factor deficiency = paroxysmal nocturnal hemoglobinuria 32. Clomiphene citrate use = ovulation induction (for patients with good estrogen production, such as in OPCD) 33. Pregnancy = increase in alkaline phosphatase does not indicate disease necessarily, may be normal finding 34. Primary hypothyroidism = may lead to increase in pituitary, amenorrhea, galactorrhea 35. Meconium ileus suspicion = barium enema 36. Cystic fibrosis tests = sweat test, nasal potential testing 37. Hepatitis B mother = breastfeed is OK! 38. Graves in pregnancy Rx = propylthiouracil 39. Cocaine use in pregnancy = placental abruption 40. Clue cells = bacterial vaginosis; Rx = metronidazole - counsel not to drink alcohol because of disulfiram-like reaction 41. Pruritic urticarial papules and plaques of pregnancy = third trimester 42. RF for ectopic pregnancy = age, PID, salpingitis, more than 3 pregnancies 43. Testicular feminization = dysfunction or absence of testosterone receptors; patient is XY, normal breast development, scant pubic and axilar hair, blind vagina, undescendent testicles, may be felt on the groin. 44. fever greater than 38 C in less than 4 m.o. = admission, IV antibiotics, full evaluation, multiple cultures 45. Pyloric stenosis = non-bilious emesis, midepigastric olive: Dx = USG; RF = erythromycin use 46. MCC of jaundice in pregnancy = viral hepatitis
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arlete
| Forum Junior Topics: 60 Posts: 4208
47. Symptomatic biliary stones = pregnancy Rx = laparoscopic cholecystectomy 48. Asymptomatic biliary stones Rx = none 49. N. gonorrhea = Gram negative diplococci; Rx = ceftriaxone + azithromycin (to cover Chlamydia, which generally is there too); notify publc health authorities 50. Trichomonas vaginalis = motile flagellated microorganisms in vaginal wet mount 51. Low grade squamous intraepithelial lesion (cervix) = CIN I; Rx = rescreen in 4-6 months 52. Abnormal vaginal bleeding in woman older than 35 yo next step = office endometrial pipelle biopsy 53. Small subchorionic henorrhage Rx = clinical and USG observation 54. Menorrhagis, anovulatory bleeding = order a TSH! 55. Group B strep prophylaxis = penicillin or ampicillin to mother during active labor, CBC and blood culture on the newborn 56. Low plasma bicarbonate causes = diarthea, renal tubular acidosis 57. Erythema infectiosum = not contagiuos during the rash (slapped face, lacy), only before it 58. Bleeding in pregnancy = order bood type, Rh, atypical antibodies 59. Bilious vomiting in infant = think malrotation with volvulus; if no peritoneal signs, flexible sigmoidoscopy is diagnostic and treatment at the same time 60. Bilious vomiting in newborn = remember the 3 Ds: duodenal atresia, double bubble on abd XR, greater incidence in Down's syndrome 61. Side effects of MgSo4 use for the NB: meconium plug syndrome; in this case, contrast enema is both diagnostic and curative 62. Polythelia = accessory nipple 63. Polymastia = extraglandular breast tissue 64. Hugh grade intraepithelial lesion (cervix) management = colposcopy + endocervical curetage + biopsy 65. Following a molar pregnancy = contraceptives for 1 year, monitor beta HCG, if it goes up, it could be choriocarcinoma 66. Fetal alcohol syndrome = cardiac malformation (VSD), CNS abnormalities, face deformities 67. Tuboovarian abscess Rx = IV atbtcs; surgery only if necessary - it's one of the few cases of abscess that are cured without incision! 68. Prostate cancer Dx = USG guided needle biopsy with 6-12 specimens 69. Metastatic prostate cancer Rx = GnRh agonists (flutamide), orchiectomy + chemo 70. Staging for testicular cancer = serum LDH, AFP, beta HCG, CT chest/abd/pelvis; Rx = radical inguinal orchiectomy + spermatic cord ligation 71. MC sites of melanoma = trunk for men, legs for women 72. Basophilic palisiding cells, pearl apperance, upper 1/3 of the face = basal cell ca (the MC skin ca) 73. Moh's micrographic surgery = for squamous cell ca (lower 1/3 of the face), makes 1-2 mm margins
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arlete
| Forum Junior Topics: 60 Posts: 4208
74. MCC of encephalitis in adults = HSV; meningeal signs + focal neurological signs, temporal lobe changes on CT; Rx = IV Acyclovir 14-21 days 75. Listeria monocytogenes meningitis Rx = ampicillin; NB, elderly 76. Chronic sinusitis = longer than 3 months; clinical Dx, but if something is going to be ordered = CT sinus; Rx = amoxicillin +/- clavulanate +/- clindamycin for 21 days, nasal steroid sprays, endoscopic surgery if necessary 77. Otitis media, ac. sinusitis Rx = TMP/SMX or amoxicillin +/- clavulanate 78. Otitis externa Rx = topical ofloxacin with steroids; remember to clean the ear before applying the Rx; Pseudomonas, swimmers 79. Chr carriers of group A strep Rx = clindamycin 80. Smoker with pneumonia, diarrhea, increased LDH = think Legionella; Dx = urine Ag; Rx = doxycycline 81. Cystic fibrosis pneumonia Rx = IV ceftazidime + IV levofloxacine = IV aminoglycoside; MCC = Pseudomonas 82. Aspiration pneumonia Rx = IV ceftriaxone + IV azythromycin + IV clindamycin; chronic, not presentiated, RF positive 83. Aspiration pneumonitis = acute event, presentiated by somebody, no need for atbtcs 84. PCP pneumonia Dx = silver stain of sputum, bronchial lavage; Rx = IV TMP/SMX or inhaled pentamidine, add prednisone if: PaO2 less than 70 or A-a gradient more than 35 85. TB Rx = RIPE for 8 w., then INH + rifampin for 16 w. more 86. Add vit. B6 for INH 87. Keep an eye on uric acid for Pyrazinamide 88. Order ophtalmologic avaliation for Ethambutol 89. Latent TB Rx = nine months of INH (+ B6) 90. TB + HIV = use Rifabutin instead of Rifampin because of possible drug interaction 91. Ac. prostatitis Rx = TMP/SMX or fluoroquinolone for 14 d 92. Chr prostatitis Rx = fluoroquinolone 1 m. or TMP/SMX 3 m. 93. Primary/secondary syphilis Rx = Penicillin G 2.4 million U IM; if disease present for more than 1 year = three doses with 1 w. intervals; notify health department 94. Neurosyphilis Rx = Penicillin G IV for 14 days 95. DM Dx = random glucose test >200 + symptoms OR twice fasting glucose > 126 OR 75 GTT > 200 at 2 h. OR 50 g GTT > 146 at 2 h 96. Annual influenza vaccine = patients older than 50 yo, healthcare workers 97. OCPs = decrease risk for gonococcal PID 98. Osteoporosis Rx with drugs, not only calcium is indicated when = T-score < 1.5 OR < 2.5 + RF 99. Dual X-ray absorptiometry (DEXA) T-score = compared to young adults 100. DEXA z-score = compared to age and race matched population 101. Elderly + fall = do a home safety evaluation, avoid narcotics 102. Woman sexually active, younger than 25 yo or with RF = screen for Chlamydia 103. HTN Dx = 3 separate readings with increased BP 104. Post exposure TB prophylaxis = 2 drugs chosen according to bug susceptibility 105. Smallpox Rx = Cidofovir 106. Anthrax Rx and prophylaxis = ciprofloxacin (adults), penicillin (children) 107. Household with children = water heater < 120-130 F 108. Pneumococcal vaccine = q5 y for >50 yo with chr disease 109. Td vaccine = q10 y or once at age 50 yo 110. woman with relative with breast ca = mammogram 10 y before the affected person age + self breast examination 111. Men with relative with prostate cancer = annual PSA + DRE after 40 yo 112. Bipolar I = Hx of mania; major depression + or - 113. Bipolar II = Hx of hypomania + major depression; NO mania 114. Autism suspicion = order a hearing test before saying it is! 115. Gingko biloba + warfarin = increased risk of bleeding 116. 1 yo vaccines = Hib, MMR, varicella, PCV 117. Adopted foreign child = serology hep B, C, HIV, syphilis, PPD, stool tests 118. HIV + CD4 , 200 = TMP/SMX prophylatic for PCP pneumonia 119. Pediculosis, scabies Rx = permethrin lotion; in scabies: treat all household members 120. Necrotizing infection + DM Rx = X-ray, OR for debridement, amputation if needed 121. Infection in CRF + indwelling catheter Rx = vancomycin + gentamycin 122. Tinea versicolor Rx = topical ketoconazole 123. Waterhouse-Friderichsen syndrome = adrenal infarction after/during meningococcal meningits, decreased cortisol level 124. Postherpetic neuralgia Rx = amitriptiline 125. Mononucleosis = leukopenia with atypical lymphocytes, heterophile Abs
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arlete
| Forum Junior Topics: 60 Posts: 4208
126. Bacteremia in a baby Rx = ampicillin + cefotaxime; covering group B strep, Listeria, E. coli 127. Hep. B window period = surface Ag and Ab negative (they cancel each other), Dx may be made through core Ag IgM Ab + 128. Rat bite fever Rx = penicillin G or tetracycline 129. HUS = ac. renal failure + anemia + thrombocytopenia; E. coli 0157:H7, raw meat 130. Tinea pedis Rx = topical antifungal for 2-3 w, if not gone = oral griseofulvin 6-8 w 131. Invasive aspergillosis = multiple bilateral lung nodules with surrounding hemorrhages 132. Post chemo fever Rx = hospitalize, broad spectrum atbtcs, antifungal if no response 133. HPV infection Dx when lesions not apparent = apply vinegar to the region 134. Cat scratch disease Dx = lymph node biopsy; treat only if = bact superinfection (S. aureus), encephalitis 135. Ac. post-infectious cerebellar ataxia = post varicella infection or vaccine; differential = poisoning 136. Fever + neutropenia Rx = antipseudomonal third generation cephalosporin OR antipseudomonal penicillin + aminoglycoside 137. First generation cephalosporin = cefadroxil, cefalexin, cefalotin, cefazolin 138. Second generation = cefaclor, cefuroxime; antianaerobe: cefotetan, cefoxitin 139. Thrid generation = cefixime, cefotaxime; antipseudomonal: cefoperazone, ceftazidime 140. Herpes zoster Rx = acyclovir
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arlete
| Forum Junior Topics: 60 Posts: 4208
141. Crush injuries Rx = copious alkalinized IV crystaloid (for renal protection) 142. Exertional heat stroke = may lead to DIC and rhabdomyolysis; Rx = ice water, cold wet sheets + fan 143. Ecstasy intoxication = may lead to rhabdomyolisis 144. Ac. ethanol withdrawal Rx = chlordiazepoxide 145. Edrophonium = acetylcholinesterase inhibitor 146. Organophosphate poisoning Rx = atropine, pralidomide 147. Ac. tubular necrosis due to contrast prophylaxis = hidration, acetylcysteine 148. Avoid/suspend metformin use before tests with IV contrast (for renal protection) 149. Opioid intoxication = miosis, resp. depression, coma, hypotension, bradycardia; Rx = naloxone 150. Severe dehydration in elderly = may lead to ac. suppurative parotitis by S. aureus; Rx = IV hidration, sialogogues, atbtcs; surgical drainage if not better in 12 h 151. Intoxicated patient = impossible to clear cervical spine because you need to have patient communicating symptoms to do it 152. Priapism causes = TPN, sickle cell disease, crack/cocaine, trauma, spinal or general anesthesia, trazodone, leukemia 153. Alcohol withdrawal = happens in hours to 10 days 154. Urinary retention causes = BPH, prostate ca, prostatitis, urethral stricture, meds, blood clots 155. Cyanide toxicity (nitroprusside) Rx = sodium thiosulfate 156. Gallbladder rupture suspicion = exploratory laparotomy 157. Compartment syndrome signs = most sensitive is loss of DTRs, most ominous is loss of pulse; 6 Ps = pallor, pain, paralysis, paresthesia, pulselessness, poikilothermia 158. Hyperkalemia + EKG changes Rx = calcium gluconate 159. Motor vehicle accident with seat belt in place = may cause pancreatic fracture = order a CT scan with IV contrast 160. Carboxy hemoglobin level > 40% (>15% in pregnancy) Rx = hyperbaric O2 therapy
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caduceus
| Forum Guru  Topics: 123 Posts: 940
great....
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coolmavs
| Forum Guru  Topics: 47 Posts: 787
Arlete, thank you so much............:-)
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doc1981
| Forum Elite  Topics: 12 Posts: 240
This is awesome! Thank you Arlete...
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ganesha123
| Forum Guru  Topics: 42 Posts: 616
thanx arlete..u r awesome as usual..!!!! 
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yendor
| Forum Elite  Topics: 28 Posts: 246
nice! 
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arlete
| Forum Junior Topics: 60 Posts: 4208
161. Methylene chloride (paint remover) intox. = carbon monoxide poisoning; use co-oxymeter 162. Methemoglobinemia Rx = Methylene blue 163. IV epinephrine = Rx of pulseless VT or VF (post eletric cardioversion try), not for hypovolemia 164. PCP intoxication = aggression, ac. psychosis, ataxia, violence, nystagmus, suicide, fever, hypersalivation, hyperacusis 165. QRS amplitude alternance = cardiac tamponade 166. ERCP complications = ac. pancreatitis, infected pancreatic pseudocyst formation, cholangitis, perforation 167. Disrupted/transected urethra suspicion next step = retrograde urethrogram; blood at meatus + high riding prostate 168. Leaking CSF (ears) = cribiform fracture = blind nasogastric or nasal intubations are contraindicated! 169. Femoral canal = NAVEL from lat. to medial 170. Radial head fracture (outstretched hand, Cole's fracture) Rx = sling 2-3 days, early exercises 171. Wound dehiscence = new onset serous discharge 172. CXR in pneumothorax = at maximal expiration 173. Compartment syndrome suspicion = measure compartment pressures, emergent fasciotomy if confirmed 174. In burn patients, succinylcholine use is contraindicated due to the risk of hyperkalemia 175. Thioridazine S. E. = prolonged QT 176. Diuretic for sulfa alergic patients = etacrinic acid 177. Anabolic steroids S. E. testicular atrophy, liver disease, gynecomastia, impotence 178. Concussion = head trauma + transient LOC + short amnesia, may have not serious late symptoms up to 6 m. later 179. Increased ICP first steps in management = intubation + hyperventilation 180. Lumbar puncture headache = positional, within 24 h. 181. Anterior spinal arterial occlusion = decreased motor function, decreased sensation, decreased pinprick, preserved proprioception 182. AST = less specific for liver than ALT; increased in alcoholic liver injury 183. Ketorolac = NSAID, IV, used in testicular torsion; S.E. = gastric ulceration, GI bleeding 184. Human bite Rx = ampicillin-sulbactam OR TMP/SMX + clindamycin; if HIV involved = don't worry, it doesn't get transmitted by bite (yet!) 185. Methanol toxicity = vision changes; order: ABG, electrolytes, osmolality; Rx = IV ethanol, dyalisis 186. Amytriptiline S.E. = constipation, ac. glaucoma, urinary retention, dry mouth, paralytic ileus; but the worst event in intoxication = cardiac arrhythmias 187. Electromyography = checks nerve and muscle integrity 188. Evoked potential studies = monitor transmission of motor impulses in the anterior columns of spinal cord 189. JC virus + HIV Rx = HAART 190. JC virus causes = progressive multifocal leukoencephalopathy 191. Epididimoorchitis Rx = Doxycycline 100 mg PO bid for 10 d + ceftriaxone 250 mg IM 192. HTN + BPH Rx = terazosin, doxazosin
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arlete
| Forum Junior Topics: 60 Posts: 4208
193. Increase in AFP = embryonal, yolk sac elements (nonseminomas) 194. Increase in HCG = seminomas and nonseminomas 195. Hydrocele = Dx with USG, no Rx required 196. Metastatic prostate ca Rx = leuprolide, goserelin OR bilateral orchiectomy 197. Priapism etiology = idiopathic (60%), leukemia, sickle cell dis, pelvic tu and infections 198. PSA > 4 next step = prostate biopsy 199. Chancroid = Haemophilus ducreyi, painful, unilateral lymphadenopathy, lesion with purulent base; Rx = ceftriaxone, azithromycin 200. Granuloma inguinale = C. granulomatis, painless, beefy-red lesion; Rx = TMP/SMX 201. Lymphogranuloma venereum = Chlamydia trachomatis, herpetiform vesicle with erosion, bilateral suppurative lymphadenopathy; Rx = doxycycline 202. Syphillis = Treponema pallidum, painless papula with clear, clean base, nontender, nonsuppurative lymphademopathy; Dx = RPR, VDRL, dark field mycroscopy; Rx = penicillin, doxycycline, erythromycin; notify health authorities 203. Hematospermia with normal PE and labs = observation and reassurance 204. Tertiary syphilis = not contagious 205. HAART indications = symptomatic HIV, CD4 < 200, pregnancy 206. CD4 < 200 = PCP prophylaxis = TMP/SMX, dapsone or atovaquone 207. CD4 < 50 = MAI prophylaxis = azithromycin weekly 208. Toxo Ig G + and CD4 < 100 = TMP/SMX OR dapsone + pyrimethamine + leucovorin 209. TB contact OR PPD > 5 mm + HIV = INH + vit B6 for 9 m. 210. HIV Dx = vaccines to be given = pneumococcal q 5 y., influenza q 1 y., hepatitis B 211. Mefloquine S.E. = bradycardia, neuropsychiatric symptoms, prolonged QT 212. NB of woman with SLE may have = congenital CHB 213. Chronic fatigue syndrome = fatigue + cognitive changes for 1 y. or more; infectious basis: virus, Chlamydia pneumoniae 214. Fibromyalgia = pain, tender points (11 of 18), sleep changes, psychological distress, allodynia, more than 3 m., realated to SLE, RA 215. Allodynia = even gentle touch is unpleasant 216. Avascular necrosis of femoral head causes = pancreatitis, alcoholism, fat embolus, sickle cell anemia, air emboli, steroids; Dx = MRI, SPECT 217. Idiopathic AVN = Legg-Calve-Perthes disease 218. AVN Rx = avoidance of activity, taper steroid 219. Pyogenic granuloma Rx = shave, electrodesiccate base, send it to pathology evaluation 220. Amelanotic melanoma = It can resemble pyogenic granuloma clinically 221. Temporomandibular joint disease = orofacial pain, noisy joint, restricted jaw function; Dx = MRI 222. Complication of hand/wrist trauma = AVN of scaphoid (navicular) bone
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arlete
| Forum Junior Topics: 60 Posts: 4208
223. Osler-Weber-Wendu = hereditary hemorrhagic telangiectasia = epistaxis, GI bleeding, polycystic kydneys 224. Von-Hippel-Lindau dis.= cavernous hemangiomas, hemangioblastomas in CNS, retina, renal cell ca 225. Sturge Weber syndrome = facial port wine stain, seizure, ocular changes 226. Caplan syndrome = rheumatoid nodules in the lings 227. Felty syndrome = splenomegaly + neutropenia in severe R.A. 228. Tuberous sclerosis = ash leaf macules (hypopigmented), calcified intracranial nodules, epilepsy, low inteligence, adenoma sebaceum 229. Leser-Trelat sign = multiple pruritic seborrheic keratosis associated with internal malignancy 230. Polymyalgia rheumatica = very high ESR; Rx = low dose corticoids; keep an eye open for possible temporal arteritis
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arlete
| Forum Junior Topics: 60 Posts: 4208
If somebody that has already studied for the test is reading all this and does not feel like at least 70% is extremely familiar... STOP RIGHT NOW and go back to studying and doing q-banks! You're not ready. Come back in two weeks.
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arlete
| Forum Junior Topics: 60 Posts: 4208
231. Vitiligo Rx = topical sterois, phototherapy 232. Porphyria cutanea tarda = blistering in a sun exposed area + milia; Dx = urine prophirin level + hepatitis panel 233. Dermatitis herpetiformis = chr. pruritic papulovesicular lesions on extensor surfaces, post. hairline; Rx = dapsone 234. Pemphigus vulgaris Rx = immediate high dose corticosteroids 235. Hypertensive urgency = the goal is to decrease the diastolic BP to about 100-105 mmHg within a period of 2-6 hours 236. Avoid nitroprusside infusion for more than 48 h (it may lead to cyanide toxicity) 237. Hypert. urg. in pregnancy Rx = hydralazine, labetalol 238. In pheochromocytoma, serotonin syndrome, cocaine use = IV phentolamine 239. In aortic dissection = nitroprusside + labetalol/metoprolol 240. Joint replacement in osteoarthritis indications = refractory pain, functional limit, inability for ADLs 241. Alendronate (Fosamax) S.E. = esophageal irritation, ulceration and it has to be taken with an empty stomach, so always counsel the patient to take it in the morning and sit or stand upright for 30 minutes 242. Achantosis nigricans = DM, hypothyroidism, Cushing's, Addison's, malignancy 243. Kaposi's sarcoma = vascular tu, purplish lesions, extravasation of erythrocytes 244. MCC of alergic contact dermatitis = nickel 245. Methotrexate, azathioprine, chloroquine, etanercept, infliximab = disease modifying antirheumatic drugs 246. Lumbar stenosis = pseudoclaudication, worse with hyperextending movements, better with leaning forward, normal ankle-brachial index; Dx = MRI of the lumbar spine 247. Knee ligament injury Dx = MRI 248. PNH = GPI anchor prot defic. = hemolytic anemia + pancytopenia + venous thrombosis (e.g. hepatic) 249. PNH Dx = flow cytometry, HAM test 250. PNH labs = increased LDH, reticulocyte, decreased or negative haptoglobin, hemosiderinuria, hemoglobinuria 251. PNH Rx = iron, folic acid, transfusion, corticoids, eculizumab
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drms
| Forum Junior  Topics: 4 Posts: 1089
Great Arlete! Thanks 
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arlete
| Forum Junior Topics: 60 Posts: 4208
252. Erythema nodosum Rx = NSAIDs 253. Back pain MRI indications = spinal stenosis, osteomyelitis, epidural abscess, post trauma 254. Down syndrome = should NOt participate in contact sports 255. Fracture on landing on feet = calcaneum, spine, acetabulum, post. hip dislocation 256. Melanoma suspicion = excisional biopsy 257. Osgood-Schlatter dis. = apophysitis of tibial tuberosity; Rx = decrease physical activity 258. Rotator cuff tear = weakness, instability; Dx = MRI; Rx = arthroscopic repair 259. Slipped capital femoral epiphysis = Dx = X-ray; Rx = fixation of epiphysis with long screws 260. Iliotibial band syndr. = pain in lat. aspect of knee 261. Axillary adenopathy in woman = mammography 262. Supraclavicular lymph node = lymph node biopsy 263. Miliaria = heat rash 264. Erythema multiforme minor = bull's-eye on palms, herpes simplex; Rx = long-term use acyclovir 265. Pustular psoriasis = sterile, post steroids, fever, malaise, arthralgia, diarrhea; Rx = cyclosporine 266. Seborrheic keratitis = "stuck=on", waxy grease scale 267. Dermatomyositis = often is paraneoplasic 268. Hypercalciuria (renal stones) Rx = hctz orally 269. Dye S.E. = ac. tubular necrosis = muddy granular casts 270. ATN = BUN/Cr < 20:1; cisplatin is one of the causes 271. Ac. interstitial nephritis (drugs) = rash, fever, hematuria, white cell casts, eosinophiluria 272. Increase in eosinophils = tumors, parasitic infectious, autoimmune diseases 273. Renal calculi = Abd XR, if - = CT scan of abdomen (shows all types of stones) - actually this information is conflicting between some sources, so one should do some research about it 274. Indinavir (HIV drug) S.E. = renal stone 275. Struvite stones = Mg ammonium phosphate, pH>7.2, presence of urea splitting bugs (Proteus, Pseudommonas, Klebsiella; Rx = removal 276. Uric acid stones = radiotranslucent 277. Asymptomatic bacteriuria in non-pregnant, healthy patient = no Rx is indicated 278. Doxorubicin (Adriamycin) S.E. = cardiac toxicity, myelosuppression 279. Vincristine S.E. = motor, sensory and autonomic neuropathy 280. Bleomycin S.E. = pulmonary fibrosis 281. Myelosuppressant drugs = methotrexate, vinblastine, doxorubicin 282. Polycystic kidney dis = colonic diverticular dis (with increased risk for perfuration), it may evolute to end stage renal dis, 10-15% of the patients have intracranial aneurysm 283. Chrug-Strauss dis = nephritic syndr + eosinophilia + asthma, p-anca +; Rx = steroids, cyclophosphamide, azathioprine 284. Goodpasture syndr = nephritic syndr + pulmonary hemorrhage; Abs to glomerular basement membrane 285. Wegener granulomatosis = nephritis + nasal/sinus problems, c-anca +; Rx = same as Chrug-Strauss 286. Berger's syndr = IgA nephropathy, no latent period post infection, nephrotic syndr 287. DMSA renal scan = radionucleotide study for renal function 288. IV pyelogram = C.I. in renal insufficiency 289. Kegel exercises = benefits within 6 weeks 290. Dribbling + dyspareunia + dysuria in woman = urethral diverticulum; Dx = urethroscopy or voiding cystourethrography 291. Nephrotic syndr = increased susceptibility to bact. infections, hyperlipidemia, mildly hypercoagulable state, hypovolemia 292. Renal cell ca suspicion = radical nephrectomy; Bx only for metastatic cases (when Sx is not indicated) 292. Rapidly progressive GN Rx = high dose IV methylprednisolone 293. Alport syndr = hematuria +/- blindness +/- deafness; type IV collagen of GMB in abnormal 294. Membranous glomerulonephropathy = MCC of nephrotic syndr in adults; Rx = ACEi 295. Membranoprolipherative GN = nephrotic sundr; renal dis + decreased complement, realted to hepatitis C virus 296. Painless hematuria = CT urogram or IVP (check ureteres) 297. Pyelonephritis suspicion = blood + urine cultures, urinalysis 298. Immunotherapy = for asthmatics patients with a single allergen 299. Interstitial fibrosis = decerased FVC, FEV1, RV, TLC, diffusion; increased FEV1/FVC; no response to bronchodilator 300. Immunisuppressed pat + pulm. aspergilosis Rx = IV amphotericin B
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grechita12
| Forum Senior Topics: 7 Posts: 224
OMG!!!!!!!!!!!!!!!!! thanks arlete......so helpful
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caduceus
| Forum Guru Topics: 123 Posts: 940
r these notes frm uw+kaplan q bank combined?or only uw?
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