-
ehrlichosis presents
- no rash
- ioxedes
- thrombo and luekopenia
-
u get refluex in scleroderma
yes, LES is not competent
-
men 1,
men 2
men 2 b
- Pituitary, parathyroids, pancreatic
- Parathyroid, pheo, medullary
- medullary, marfanoid, pheo
-
rx for inflammatory breast ca
sx, radiation and cheom
-
how to prevent leg cellulitis with bad feed, scaling
antifungal
-
rx for nodulystic severe acne
first, tetracycline, if it fails, give isotretinoin
-
woman with menometrorhagia i.e spotting between pediorsd, nxt step'
biopsy to rule out cancer
-
high uric acid after starting medications,next step
leave it if no symptoms
-
bleedig that is serious while on warfarin,how to reverse it?
give Vit K and FFP
-
what must you do before starting antidepresseant
rule out mania-i,e eleveatd mood
-
should kids with ADHD be includuded in special eduaction classes
yes
-
hyperkalemia causes shortening of what part only
- qt,
- it prolongs, pr, wrs and peaks t waves
-
goal of treating polymyalgia rheumaticca
for relife
-
protein restriction in kidney failure helps
not clear
-
varicoceles can lead to what-2 things
testicular atrophy and infertility
-
is varicocele common in young man
yes
-
choanal atresia
cannot pass NG thru the nose to the pharynx
-
cyanosis with feeding, improves with crying
choanal atresia-CHARGE syndrome
-
what is coloboma
hole in the eye
-
rx for pleural effusion in association with lung ca
pleurodesis, poor prognois
-
rx for moderate lead intoxication
severe
- DMSA succimer for modertate >45
- severe >70 give EDTA dimercaprol
-
how to follow for prostate ca recurrence
psa levels
-
best initial step is suspecting hip fracture
xray
-
slipped capital femoral epihyse
obese male adolsescent
-
leg calve paerthes dz
4 to 10 yo
-
best step initial at dx of PCP
induced sputum
-
when is galactomannan used
diagnosis of invasive aspergillosis
-
when to get xray of ankle after ijury
- cant bear weight
- pain and or tenderness at the malleoli
-
best risk factor for pancreatic cancer
smoking
-
best initial rx for prolactinoma even with vision problems
still medical carbergikue and bromocriptine
-
most common casue of hypercoagulable diorder
factor V leidine-- activated protein C resistance
-
how does sodium bicarb treat tca induced qrs prolongatio
blocks sodium channels from TCA
-
best intiial RX for weightloss
orlistat
-
rx for dilusional disroder
antipyschotics
-
diff between delusional disorder vs hypochondriasis
hypochondriasis can acknoledge they may be wrong
-
only form of bloody diarrhea without fever
e.coli, ehec
-
electrophoresis findings in thalassemia
- hg A2 in beta thalasemia trai
- Hbg F in beta thalasemia intermediate
- Hgb H in Alpha thalasemia H
- normal electrophoreiss in alpha thalasemia silent carrier and trait
-
nephritis in renal transplant- inclusion bodies basophilic
polyoma bk virus
-
macrosomia delivery
- if >5000g in non-dm -c.section
- if >4500g in dm-c.section
-
proximal weakness, obesity, mood symptoms
check tsh
-
when to give prophylaxis for migraines
- 4 headaches/month
- >12 hours
- disability
-
lichen planus
purple, planar, pruritis, polygonal
-
mcc of nephrotic synx
thrombosis
-
fever, then rash
- parvo-fifrth, erythema infectious
- can occur in pregnancy at any time
-
+screen for hemochromatosis
get gene studies the liver biopsy
-
meds causing pill esophagitis
- tetracycline
- nsaids
- alendronate
- potassium
-
young woman with pharynx erythema, screen for
anorexia nervosa
-
rx for bullima
CBT +/- SSRI
-
braxston hihcks contractios
false contraction
-
rx for candida in pregnancy
intravaginal
-
rx for trichomonas in pregnancy
bv
-
metabolic alkalosis, next step, look at what in urine
chloride
-
choice of SSRi in dementia and stroke
citalopram
-
-
-
long term prognosis for temporal seizures
none
-
side effect of interferon
depression
-
mcc of wegeners
pulmnary hemorrhage
-
PSC is associated with whta
UC
-
PSC has intra and extra hepatic dilatios
-
-
most specific findings for bacterial conjuncitivie
thick discharge, re-appears after wiping
-
why heating pads for oa
to reduce muscle spasm
-
ok to see ESR in OA
yes bc it has mild inflammatory reaction
-
incidental findings of compression fracture, next step
oral bisphosphonates for osteoporosis
-
side effects of atypical antipsychotics
weight gain-metabolic syndrome
-
pulmonary congestion assocaited with cyanoic heart disease
hypoplastic left ventricle
-
on immunomodulators, now with pneumonia and cavitation, cause
no with meningoencephlitis
staph
listeria
-
when do you give rhogam
if mother is rh negative and she has no Ab, if she has ab, do not give rhogam
-
what must be done in first trimester for pregnanct woman
- cbc
- antibody and type
- ua, urine culture
- pap smear
- hepatit B,
- rubella, rpr
- HIV, chlamydia
-
when do you screen for GBS
35 weeks
-
what closely co-relates with osa, obesity or neck circumference
neck circum >17.5
-
effect modificaiton vs confounding
-
rx for umbilical hernia
let it close on its own
-
thrombocytopenia, fractures, hepatosplenomegaly, dx
gauchers-glycolipids
-
suspecting PCOS,next step
U/S
-
criteria for CPOS
- polycystic ovaries on U.S
- oligomenorrhea
- hyper androgen state
-
who gets surgery for mR
severe MR with symptoms or Afib
-
best initial rx for sicca, refractory
- eye drops
- cyclosporine or steroids
-
wbc count in joint
<2000
2000-75000
>100000
-
indirect and direct hernia pass thru what and in what relatioship to inguinal ligament
inguinal ring and above the ligament
-
thayer martin mdia
gonorrhea
-
albuminocytoligic dissociation is seen where
GBS
-
GBS involves peripheral or cNS
PNS
-
functional adrneal adenoma causes what to the other adrenal gland
atrophy
-
dx of parkins
- termor
- bradykinesia
- asymmetry
-
atheroembolism after vascualr surgery has what findings
high eosinophils and livedoreticulaori
-
rx for hypovolemic hyponatremia
fluids isotonic
-
ALT AST pattern with gallbladder pancreatitis
ALT>3x ULN
-
starting Rx with allopurinol, must start
colchicine
-
best initial rx for patellofemoral sx
rest
-
highest risk factor for stroke
prior stroke
-
friedrich ataxia
- dm
- cardiomyopathy
- neuro-ataxia
-
2 heart conditions assocaited with mvp
-
rx for beefy genital lesions are ulcerate
doxycycline
-
how long can post partum thyroidisit last
- up to 1 year
- treat symtoms
- can be hypo, hyper or hyper then hypo
-
can post partum thyroidism have anti-tpo
yes and it needs to be followed after pregnancy
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