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pszurnicki
on FreezingBlue Flashcards.
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mnx of someone who was exposed to a tb infectious pt
ppd right away and if negative, repeat in 3 months
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cryptococcal meninigitis with high csf that responded well to the csf drainage but that is presenting again with headache and papilledema
repeat LP to aleviate the pressure
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rx for cryptococcal meninigitis
amphotericin b and flucytosine, if improved give oral fluconazole untill cd4 >100 if not, c/w fluconazole indefinitely
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factor v homozygoyte or heterozygote increase clot formation
both
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high hematocrit over 65 on heel prick, next step
check crit in venous sample
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rx for polycythemia causing lethargy, hypoglycemia and cyanosis
fluids and partial exchange transfusion
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do you give narcotics to an ex addict that has severe pain
yes
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mechanism of scombroid fish poisoning
histidine breaks downt to histamine above 15 celcius and causing flushing, wheezing, erythema, diarrhea
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next step after sputum induction is negative for pcp
bal
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when do you use iv pentamidine
if pts are intolerant of iv tmp-smx
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do you give varicella vaccine to people who are in contact with immunosuppresed pts
yes but monitor for a rash
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when should ppl that will get transplants get vaccines
before the transplant takes place
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severed body parts should be kept how
in a saline wrapped gauze in a bucket full of ice with saline
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mnx of supratherapeutic INR
- <5 hold warfarin or decrease
- 5-9 hold warfarin and give low dose vitk
- >9--hold warfarin and give high dose vit k
- any serious bleeding. stop warfarin, give iv vit k, ffp, factor 7 and prothrombin
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best initial test when suspecting spondylarthropathy
xray of lumbosacral spine
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what pain meds shoud be used with cautioin in ibd
nsaid
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what drug doesn help hlab27 diseases
steroids
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mtx doesnt help ra, next step
add infliximab
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triple therapy for rz
- mtx
- sulfasalazine\
- hydroxychloroquine
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who gets endoscopic electrohydrualic lithotripsy
high risk patients and non cholesterol stones
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rx for symptomatic uterine prolapse
who gets a pessary
srugery
pts not healty enouggh for surgery
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most important medication for a left ventricular dysfunction
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when do you use local esterogen creams for stress incontinence
post menopausal
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how do you differnetiale strep pneumono from mycoplasma pneumonia
focal findings and kid looks sick in s.pneumo treat with amoxacillin
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a child with nf, next step
opthalmologist
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what exercise for mother is nor recommended
scuba diving
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how much exercse for a pregnancy woman
30 min of moderate on most days
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when do you follow a thyroid nodule with sono
if <1cm in size
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rx for psoriasis with psoriatirc arthritis
mtx
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when are anrthalin, calcipotriene, uv light used for psoriasis
if its topical
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which dm drugs are metabolized by the kidney
sulfonylureas and metformin
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prognosis of pml
- 6 months with no treatment
- with rx..2 years
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how do you improve height in turners
gh
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what screening shoud be done for tuener
- echo
- hearing
- visual
- renal sono
- tsh
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what comorbidityis seen with tourettes
adhd
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how do you give viagra and alpha blockers f
4 hours apart
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