-
evaluation of suspected bronchiectaiss
- HRCT
- Immunoglobulins
- cultures for bacteria, fungi, mycobacteria, CF testing
- IF liver or emphysema present, only then do A1AT testing
-
-
long term complications and what screening should be done in patients who receied chest RT
-
how long do you do PET/CT for NHL
for 5 years, after that you dont unless you suspect recurrence
-
what electrolytes anormalities are common in endurance atheles after they finish their sport
- hyponatermai-nausea vomiting and seizures
- hypernatremia-collapsed runner
-
best way to decease bp
dash diet
-
4 spondyloarthropathies
- AS
- Psoriatric arthritis
- reactive arthritis
- IBD associated arthritis
- they may have enthesitis
- uveitis
- sacroilitis
-
rx for otitis externa
topical ab and steroids
-
where does adenocarinoma occur vs other cancers of the lung
- adeno in periphery
- everything else is central
-
autimmune hemolytic anemias are coombs + or neg
positive
-
how do you prevent TLS
- if uric acid is high, give rasburicase,
- if uric acid is not high can give allopurinol
-
odynophagia in HIV patient but no thrush, next step
EGD
-
when to use dig ab
- cardiac arrhythmia
- renal failure/ams
- high potassium
-
pt develops hypothyoiridsm on amiodarone, wtd
add levo
-
pancreatic function returns to normal after onset of T1DM
yes so you need to back of insulin
-
when do you do HD for hypercalcemia
if ca level >18
-
pt with medullary thyroid cancer, wtd next
- check for pheo first
- check PTH level after
-
what kind of surge do you see in PCOS
LH
-
can you use neosporin in open wound
no bc it leads to contact dermatitis
-
rx for waldenstrons
plasmapharesis and fludrabine
-
screening for Dm and you get an abnormal test, wtd
repeat the abnormal test
-
wtd after surgery for thyroid cancer that has +LN
radioactive iodine
-
rx for infertility with PCOS
letrozole and clomiphene
-
rx for compressive multinodular goiter
surgery
-
what test can you do to confirm Pagets dz
bone scan
-
best test to diagnose menopause
clinica, can give estrogen challenge
-
when do you take teriparatide
- if fractire on bisphosphonate
- can only take it for 2 years
-
common SE of zolendronate
fever and myalgia
-
OA and renal insufficiency, wtd
denosumab
-
indication for thyroid surgery
- age<50
- osteoporosis
- hypercalcemia
- hypercalciuria
- kidney failure
-
pt with hyperparathyroidism, refuses surgery, wtd
cinacalet
-
xray with short 4th and 5th mcp, dx
pseudohypoparathyroidism
-
what dose of prednisone requires dexa monitoring
5mg
-
the only cause of hypercalcemia with low phos
primary hyperparathyroidism
-
rx for mild opthalmopathy with graves
severe
-
lymhocytic thyroiditis usually occurs when
post partum, give BB
-
graves has what, more t3 or t4
t3
-
when do you do surgery for graves
if with opthalompathy
-
rx for graves
ptu/methimazole but ultimately radioactive iodine
-
rx for orhtostatic hypotension from DM
fludrocortisone
-
can DM give you foot or wrist drop
yes
-
risk factor for gastroparesis
fluctuating blood glucose
-
cause for dm ulcer
peripheral neuropathy, not PAD
-
pt is NPO for procedure, wtd with glargine
half it
-
pt with diarrhea after starting metformin wtd
continue it
-
what meds can you start in advanced ckd
glp-1
-
hemolysis has what effect on aic
elevates
-
in what patients can you use fructosamine for glucose monitoring
hemolytics
-
pt on DPP4, now has joint pain and swelling, wtd
stop it
-
side effect of all DPP4
pancreatitis and joint pain
-
1% AIC is how much mg/dl
30
-
side effect of repaglinide
hypoglycemia, can use it in RF
-
how to follow acromegaly treatmetn
igf-1
-
rx for acromegaly
octreotide and surgery
-
pt on bromocriptine, gets pregnant
- if no visual field abnormality, stop it
- if +visual field abrnormality, start it
-
pt iwth prolactinoma, wants babies, give bromocriptine
-
5 syndromes cause by small cell lung
- ACTH
- SIADH
- Lambert eaton
- carcinoid
- SVC
-
what lung ca gives you gynecomastia
adeno
-
metastatic bone pain, not relved with fentayl, wtd
strontium 89
-
do seminomas have elevation of Beta hCG and AFP
-
wtd for seminoma stage 1,2,3
-
what cancers make up non-seminomas cancesr
- yolk sace tumor
- teratoma
- choriocardinoma
- embryonal carcinoma
-
liver with single mets, wtd
resect it
-
seminoma or non-seminoma responds to RT
seminoma
-
is follicular lymphoma, low or high grade
low, can do local RT
-
what virus causes post renal transplant lymphoma
EBV
-
rx for symptomatic MM
what about relapse
lenalidomide
relapse- bortuzamab
-
pt with G6PD def, can you give rasburicase
no
-
ppx prior to bortuzimba
acyclovir
-
what 3 malignancies can cause hyperviscosity
-
best way to differentiate MGUS and MM
BM bx
-
-
what gives marantic endocarditis
lung adenoca
-
in what cancer do you do prophylactic brain RT
lung small cell
-
how to prevent N/V with ca
zofran, dexamethasone, aprepitant
-
wtd when wnating to swtich from insulin to oral meds
glucose and Cpeptid
-
rx for hypergonadotropic hypogonadism
ocp
-
test to check in central hypothyroidism
t4
-
when to treat pagests
- high ca
- symptomatic
- vertebra involved
-
pt with primary hyperparathyroidism not meeting criteria for surgery, wtd
supplement vit d
-
adrenal mass what tests to do
- cortisol and metanephrine
- only do aldosterone and renin if HTN
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