1st line therapy for adjustement disorder?
- psychodynamic therapy
- + sleep agents or ssri for severe symptoms
3 substrates for gluconeogenesis?
- alanine--> pyruvate
- glycerol 3 phosphage
a copious white vaginal discharge without erythema, friable mucosa, edema, odor or any other systemic symptoms such as dysuria is most liekly?
amsel criteria for bacterial vaginosis
- whiff test
- clue cells
- gray discharge
- vagina ph >4.5
causes of symmetric iugr?
symmetric--fetus factors--chromosome defect, congenital anomalies
asymmetric--maternal--htn, smoking, cocaine, uterus
antibodies in celiac disease?
difference between neotanal gerd and pyloric stenosis?
- p.stenosis--failure to thrive
- gerd--no failure to thrive
how are immunizations given for premature babies?
chronological or gestational age?
according to chronological age
when do you treat itp with steroids?
untill what age is enuresis normal?
what is the fev1 for the following severities of asthma?
4 causes of hypoxemia?
- v/q mismatch
- decreased inspired oxygen
which causes of hypoxemia have increased A-a gradient?
which are correctable with 100% oxygen?
- v/q mismatch--corrected by 100% oxygen
iron overload predisposes to infections with what bacteria?
most commonly lacerated organ in abdominal blunt trauma?
- suprarenal glands
what over the counter products affect cyt p450 the most?
when do you give isotretinoin for acne?w
when all other options fail and you have nodulistic skin lesions and you have scars
acetylcholinesterase inhibitors for alzheimers?
rx for diabetes induced retinopathy/?
argon laser photocoagulation
rx for metatarsus adductus that overcorrects on abduction?
corrects on abduction?
doesnt correct on abduction?
What is a latent period?
time from exposure to developing the disease
cause of syringomyelia in kids?
kids--arnold chiari malformation
adults--cord cavitation from various causes
3rd trimester painless bleeding with characteristic tachy-brady and sinusoidal heart rhythm pattern is caused by?
vasa previa--ruptured fetal umbilical vessels
placenta previa with rapid fetal heart deceleartions and late decelerations?
cyanosis with right axis deviation?
cyanosis with left axis deviation?
indications for c section?
- repetitive late decelarations
- placenta previa with fetal distress/hemorrhage
- placenta abruption--hemorrhage or fetal distress
how to tell hypokalemia, alkalemia and normotension between barter syndrome/diuretic use and chronic vomiting?
- chronic vomiting will have low urine chloride,
- while barter and diuretic use will have high chloride levels
how is npv and ppv affected by pretest probablity and prevalance of diseas?
- high pretest probablity--low npv
- low pretest probablity--high npv
- low prevalence ---low ppv but high npv
- high prevalence- high ppv and now npv
what kinds of food lead to folate deficiency?
which part of the femoral gets coagulated with dvt?
when you cant identify a bleed after ruling out ugib and negative colonoscopy? next step?