Stimulant use for ADHD increases risk of developing substance use disorder, true or false
false
Is the patient's hx of substance use or family hx of alcohol abuse a contraindication to stimulant therapy
no
ways of controlling for confounding
randomization
sole elevation of ALP
infiltrative disease
Pattern of elevation of LFTs with hepatic steatosis
usually ast and alt elevation
Definition of FUO
Temp >38.0 for 3 weeks
Unremarkable work up
Top 3 causes of FUO
CTD
Infection
Malignancy
Femoral vs sciatic nerve injury
Peroneal nerve
Femoral- cant extend knee, low knee reflex
Sciatic-ankle reflex is low
Peroneal nerve- foot drop
profile of RAIU and thyroglobulin in exogenous -thyroidits
-Toxic nodular goiter
-Struma ovarri and postpartum/dequervian
-graves
-papillary or follicular thyroid cancer
both low
high RAIU and low thyroglobulin
low raiu and high thyroglobulin
both high
normal raiu and high thyroglobulin
Next best test in managemtn of recurrent pneumonia
best diagnostic test
CT chest
Bronch
For Pulmonary hypetenstion, if vaso-reactivity test is +, give what?
If -ve, give what
CCB
Endothelin, Prostenoids and so on
Part of brain involved in wernicke-korsakoff
mammillary bodies
Parts of wernickes
korsakoff
Confusion, ataxia, opthalmoplegia
Korsakoff psychosis-confabulation
1st step rx for plantar warts
salisylic acid
contraindicaitons to tPA
active bleeding, bleeding diathesis, intracranial bleeding on ct scan,
intracranialbleeding in 3 months
hypodensity in >33% of arterial territory
BP>185/110
Rx for hypertension in cocaine induced Chest pain
phentolamine
nitroglycerin
nitroprusside
1st line rx for SIADH hyponatremia
water restriction, furosemide, lithium then demeclocycline
Dx of ankylosing spondylitis
>3 months
lumbar limited range of motion
limited chest expansion
markers for Ankylosing spondylitis
cxr and esr?
complications of as
restrictive lung disease
aortic regurg
anterior uveitis
iga nephropath
is mortality affected in patients with as
no, same mortality
which drugs affect levels of lithium
all renally acting meds + cytochrome P 340 inducers
strongest risk factor for suicide
prior hx of suicide
Rx for toxic megacolon in the absence
what should be avoided in teh acute phase
opiates, anti-muscarinic and 5 ASA
associated findings in turners
when do streak gonads increase risk for cancer
