-
scc in the neck of a smoker and drinker, next step?
- panendoscopy
- endoscopy
- bronchoscopy
- laryngoscopy
-
when the biophysical profile is what value is delivery indicated?
considered?
-
BPP of 6, next step?
contraction test
-
BPP of what score is considered normal?
8-10
-
causes of hemoptysis?
- abscess
- bronchitis
- bronchiectasis
- cancer
- tb
- pe
- pneumonia
-
cause of steppage gait?
injury to peroneal nerve--cant dorsiflex
-
most common type of kidney stones?
calcium oxalate
-
what two conditions predispose to calcium phosphate stones?
- RTA type I
- hyperparathyrodism
-
-
atrophic vaginitis can mimic uti with dysuria and urinary frequency
yes
-
when do you treat hep c?
- if liver enzymes are elevated
- HVC rna
- biopsy shows necrosis
-
do you give hep b vaccine to a pt that has hepsag?
no
-
when do you repair surgically vsd?
- when the defect is large..decompensation and vascular markings are seen
- otherwise reassurance and observation
-
what dz produces blunting of villi?
-
what are the 2 characteristics of innocent murmurs in kids?
- grade 2 or less
- changing with position
- no other symptoms--cyanosis, sob, vascular markings, decompensation, edema
-
beta 1 or beta 2 enables transport of K into the cell?
beta 2
-
dark brown discoloration of lymph follicles shining throught as white patches?
facticious diarrhea
-
a person with access to medications...consider?
facticious disorder
-
vaccination status unknown and the person gets stuck with hepB needle? next step?
hep b vaccine and immunoglobulins
-
pancytopenia in sle is due to?
antibodies to rbc, platelets and wbc
-
buproprion is contraindicated to what patients?
- patient at high risk for seizures
- eating disorders
- alcohol or benzo use
-
which stage do u treat of b.pertussis infection?
all and prophylax with marcrolides close contacts
-
cattarhal stage?
paroxysmal?
convalescent stage of b. pertusis?
- congestion adn rhinorrhea
- coughing
- less coughing
-
rx for strep viridans endocarditis sensitive to penicillin?
iv ceftriaxone
-
route of adminisatartion of antibiotics for endocarditis?
iv
-
test for rule out vasovagal syncope/
tilt table testing
-
syncope brought on by emotional stress?
vasovagal
-
rx for frost bite?
rx is warm water
-
forward slip of l5 over s1 in kids causing cuada equina?
spondylolisthesis
-
rx for endometriosis for a pt that wants to conceive?
does not want to conceive?
removal via laparoscopy
---danazol or ocp
-
post menopausal women get what type of HRT?
estrogen + progesterone
-
rx for mg toxicity?
calcium gluconate
-
mode of delivery in a gestational diabetic woman?
induction from 27-40 weeks
-
chorioamniotis predisposes to what?
uterine atony
-
rx for invasive molar pregnancy?
metastatic?
- mtx or adriamycin
- multiple chemotherapy
-
rx for fibroids but preserve fertility?
hysteroscopical myomectomy
-
absolute contraindication for vaginal delivery after a c section?
classical c section for a transverse pregnancy
-
2 causes of variable decelerations?
2 causes of late decelerations?
- cord compression
- oligohydramnions
late---uteroplacental insufficiency and maternal hypotension
-
on how big of ovarian cysts do you operate on?
6 cm
-
what makes shoulder dystocia worse?
fundal pressure
-
rx for adenomysosis?
hysterectomy
-
3 emergency contraception methods?
- progesterone only pill pop
- ocp--estrogen and progesterone
- Copper IUD
-
wht kind of lesions are pedunculated?
polyps
-
what has favorable outcome, breast cancer with hormone receptor or without
rx for it?
- with
- chemo and hormone therapy
-
pelvic pressure, woman feels like she is sitting on the ball?
cystocele
-
rx for cystocele?
anterior colprophy
-
incontinence after iv infusion of due but not after retrograde infusion into the bladder?
ureterovaginal fistula
-
how long are hrt indicated for?
6-12 months and then other means of controlling symptoms
-
with premature rupture of membranes at 35 weeks,next step?
- expectant management
- no tocolysis bc of risk of amnionitis
- no bethamethasone after 34 weeks
-
when are bethamethasone not given, after how many weeks?
34
-
pre pregnancy hba1c does not prevent what complication of pregnancy?
fetal macrosomia
-
fna is non diagnostic for a breast lesion, next step?
core biopsy
-
best way to date pregnancy?
ultrasound
-
fever and abdominal tenderness post c section?
endometritits
-
mayer-rokitanski syndrome?
- mullerian agenesis--abnormal uterus, fallopian and upper vagina formation..
- causes amenorrhea
-
differentiation between emphysema nad chronic bronchitis?>
dlco
-
acute chest syndrome characteristics?
- chest pain
- fever
- xray inflitrate
- altered abg's
-
rx for tremors in parkinsons?
akinesia?
trihexphenydyl or other antimuscarinic
dopamine agonists
-
most psychiatric and mood disorders need what criteria to be classified as something?
they need to have functional impairment
-
difference in presentation between posterior urethral and anterior urethral injury?
- anterior is from trauma you get from a saddle impact--normal prostate, +/- urination
- posterior--from pelvic trauma, high riding prostate and cant urinate, scrotal hematoma
both have blood in the urethra
-
sirs?
- wbc >1200
- rr >20
- temp >101 or less than 95
- pulse >90
-
erythematous maculopapular rash?
-
what is the only way to have low Na and K in serum and high Na and K in urine?
diuretics
-
what is the pathophysiology of dyspnea in pericarditis?
decreased preload bc of the edema surrounding the heart
-
when is the cerival mucus thin and most accomodating to sperm..high ph?
luteal phased
-
difference in presentation between interstitial cystitis and cystocele?
- interstitial cystitis--has tenderness of anterior vaginal wall
- cystocele--herniation of the anterior vaginal wall
-
what is the strongest prognostic factor for reducing mortality and morbidity in an MI?
restoration of blood flow
-
injury to the knee where there is popping and locking and inability to fully extend the knee?
medial meniscal tear
-
serum sickness reaction presentation?
- rash
- arthritis
- lymphadenopathy
- type III hypersensitivity
-
most common predisposing factor for bacterial sinusitis?
viral infection
-
best initial rx for hepatorenal syndrome?
most effective rx for hepatorenal syndrome?
- albumin
- octeotride
- midodrine
liver transplantation
-
rx for premature atial beats?
nothing
-
difference between rmsf and secondary syphilis?
rmsf has headache and myalgia
-
side effect of cyclophosphamide?
- hemorrhagic cystitis
- bladder cancer
-
rx for cyclophosphamide induced hemorrhagic cystitis?
mesna
-
rx for contraction alkalosis?
saline
-
in order for odds ratio to be valid what must happen?
prevalence of disease is small
-
what happens to odds ratio and relative risk when the prevalence of disease is low?
they equal
-
manifestation of glucagonoma?
- hyperglycemia
- erythamtous skin leasion
- diarrhea
-
bony spurs causing neurological deficits occur secondary to ?
osteoarthtiris of the vertebra
-
rx for ascites due to cirhosis?
- sodium and fluid restriction
- spironolactone
- loops
- frequent paracentesis
-
who gets primary biliary cirhosis?
women
-
best test for reocclusion?
ckmb
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