when do you do TURP or open Prostatectomy
when bph symptoms are severe and are not managed with alpha blockers and 5 alpha reductase blockers
whitisish exudate after thoracic surgery
after pancreatic insufficiency and bacterial overgrowth are ruled out, what is a cause of an abnormal d-xylose test?
what plasma gammopathy has igm immunoglobulins and hyperviscosity
1st step in spinal cord compression
rx for metastatic prostatic cancer
best way to diagnose melanoma
how big are lesion that are suspicioius of melanoma
rx for allergic rhinitis
pain of lateral hip that is worse when laying on it
next step when bpp score of 8?
- 8 nothing
- 6--contraction test
- 4-- give steroids and delivery soon
- 3---deliver now
fetal alcohol vs fragile x syndrome retardation
- fragile x has everything large
- fetal alcohol may only have large ears
difference in management of meningitis in kids vs adults
- in kids -- do lp first
- in adults--give antibiotics first
when does antiphospholipd syndrome give abortions? 1st or 2nd trimester?
ipsilateral ataxia, nystagmus, occipital headache, intention tremor, loss of coordination
headache with a dilated pupil and erythematous eye?
acute angle closure glaucom
what is the rx for variant angina
what is contraindicated?
- bb and aspirin are contraindicated
normal amniotic fluid index
between 5 and 25
contraindications to raiu therapy for graves
- severe opthalmopathy
most specific markers of a bacterial infection of a pleural effusion
next step in management when suspecting child abuse?
complete physical and skeletal survey, coagulation profile
complications of cathererization?
- av fistula
next step when someone is hypovolemic and you consider intubation?
give a trial of fluids first
side effect of the following didanosine?
- indinavir-- kidney stones
- efavirenz--weird dreams
- nrti--lactic acidosis
- nnrti--steven johnsons
- nevirapine-liver failure
vesicles supreimposed on atopic dermatitis?
candida vs atopic dermatitis in infants
candida in skin creases
risk factors for nrds?
- perinatal asphyxia
- c sectionr
rx for anorexia nervoa and bulimia
- bulimia-- cbt
test for phenylketonuria
what is infantile colic?
unprovoked crying in the first 4 months of life that resolves spontaneously1
1st line rx for adjustement disorder?
treatment of choice for symptomsatic gallstones
pneumococcal vaccine in kids vs adults
in kids---t cell dependent
in adults---t cell independent
next step for unstable gun shot wound?
next step for stable gun shot wound?
drop arm test, cant abduct, cant rotate are all suggestve of what injury?
rotator cuff tear
how to differentiate rotator cuff vs tendonitis
lidocaine relieves tendonitis but not tear
rx for mild DUB due to anovulation?
moderate + active bleeding
- iron therapy
- high dose estrogen
difference in presentation between ventricular aneurysm and papillary muscle rupture causing mitral regurg?
ventricular aneurysm--persistent st elevation and Q waves and months after
- papillary muscle rupture--no persistent st elevation and a few weeks after
- otherwise the murmur and symptoms are the same
rx for beta thalassemia minor?
which thalassemia shows hemoglobin A2 on electrophoresis?
which scrotal mass doesn transilluminate?
which ones transilluminate
varicocele--dilated pampiniform plexus
- speramtocele both transilluminate
dx for a mobile cavitary mass in the lung wit hemoptysis
how do you control oxynation
Ventilation---RR and Tidal Volume
rx for high risk spn?
- high risk---surgery
- low risk---observation
when do you screen with psa?
on a case by case basis
atrophy of which region of the cortex is seen with alzheimers
parietal and termporal
in cases of high afp on quadrabple screen, next step?
verify dates by ultrasound
what kinds of consequences are there for sle arthritis
distal phalangeal resorption occurs in what arhtirits
rx for chornic stable angina
cavernous hemangiomas of the brain and viscera occur in what syndomre
von hippel landau
drussen spots in the macula and straight lines are perceived as bent lines
alcohol causes vit b12 or folate deficiency
why do alcoholics get folate def more than vit b12?
bc alcohol inhibits folate absorption
complications of acute pancreatitis
- pleural effusion
pain on the medial side of the knee right below the knee?
anserine vs prepatellar bursitis
- prepatellar is swelling on top of patella
- anserine is medial and below the patella
rx for painfull hordoleum
I and D
occlusion of the internal carotid artery results in what kind of symptoms
same as occlusion of the middle cerebral
most common manifestation of polycythemia in newborns
adrenal disorders and eosinophilia
disapearing bile ducts are seen in
primary biliary cirhosis
1st line rx for specific phobia
how big are lymph nodes that are benign
2 causes for edema in rglomerulonephritis
- increased retained sodium and water
- loss of protein
rx for post seizure metabolic acidosis
what kind of murmur does a vsd cause?
a systolic and a diastolic one
when do you do sentinel lode biopsy for melanoma
if the depth is >1mm
next step for loss of consciesness and no current symptoms
next step for loss of conscienssna and current symptoms?
- ct and discharge but observe
- ct and admit for observation
what are the 5 drugs you need to hold prior to stress test
when do you do ct for migraines
if alarm/neurological symptoms are present
most sensitive parameter that will pick up a volume status change?
the only cause of bloody diarrhea with no fever
what should kids 4-6 be screened for?
when do you give prophylaxis for gbs
- gbs in current pregnancy
- gbs sepsis in previous pregnancy
- premature <37
- ruptured membranes >18 hours
next step in evaluation of BPH
urinalysis and creatinine
memory loss + speech problems+ impaired critical thinking + impaired activities of daily living?
at what size abscess do you drain with a ct diverticulitis
respiratory alkalosis or acidosis in pulmonary edema
rx for help
when is removal of testes indicated immediately?
in XY gonadal dysgenesis swyer syndrome
most common cause of hemoptysis
treatment for apatient is selected based upon the severity of the disease
next step when faced with dyspepsia
h pylori testing or ppi trial
most common risk factor for diabetic foot ulcers on the plantar side of the foot
malaria prophylaxis for subsaharan africa and asia