-
what is the significance of type 1 HIT(non immune)
no significance , dont need to stop heparin
-
when does HIT 1 occur
within 48 hrs without prior heparin exposure
-
whend does urine pregnancy test is +
- 7 days after missed period
- so do SErum
-
after how many OCP pills are missed should you do barrier protection
2 or more
-
what is the Hgb goal in variceal bleed
9
-
when do you transfuse plt or ffp in variceal bleed
if Plt<50 and INR >2.0
-
best test to identify unhealthy alcohol use
- single item screening
- Audit C
CAGE is no longer recommended
-
what to use in CKD patients with osteoporosis
denosumab
-
how much calicum and vit D for post menopausal women
1200 calcium and 800 vit D daily
-
do you isolate bacteria in TSS?
no
-
rx for TSS
clinda and vanco
-
when do you repeat AAA
- >5.5
- >0.5cm in 6 month increase
- symptomatic at any size
-
wtd if pt cannot be seen by optho soon for acute angle closure glaucoma
pilocarpine or timolol
-
rx for anterior uveitis
steroids
-
can anterior uveitis cause loss of vision
yes
-
-
can you do FIT for post polypectomy survailance
no
-
what should be done for patients with prior polyps
colonoscpy not colonography or FIT testing
-
wtd for post concussive symptoms of TBI
observe, most resolve in 3 mo
-
does PPI decrease VAP
no, it increases
-
what heart valve problems are significatn in pregnancy
obstructive left sided, i.e AS, MS, HOCM
-
only PPI to affect cyt p450
omeprazole
-
wtd for patient with aceI induced angioedema
switch to ARB
-
what meds increase lithium levels
ones that decrease GFR
-
pt with acute HIV, do you start HAART or wait for resistance traninig
start HAART and obtain resistance training and switchbased on it
-
first line for pad
2nd
3rd
-
pt with high risk for PAD but normal ABI
repeat abi after exercies
-
foot pallor with elecation is what
PAD
-
ED is highly suggestive of what
pad
-
how can pad present on pe
- burits
- diminished pulses
- loss of hair
-
how many cysts in each kidney to be classified as ADPKD
2-4
-
amenorrhea with high FSH and low estrodial
primary ovarian failure
-
kidney failure, calicyeal dilatation , dx
retroperitoneal fibrosis
-
can hyperthyroid cause hypercalcemia
yes
-
can constipation cause urinary incontincen
yes
-
hyperreflexic and clonus is UMN or LMN
UMN
-
how is drug induced vasculitis similar to henoch schloein purpura
- both have palpable purpura
- but HSP willhave renal and/or gi involvement
-
holding a breath after expiration is best for what murmur
AR
-
4 causes of sensorineural hearing loss
- menierres
- presbyscusis
- shwannoma
- ototoxic meds
-
hematuria in patients taking anticoagulants or DAPT is common
no
-
next step inhematuria
CT urography
-
who should be screened for lupus anticoagulant
pts with SLE
-
a supraclavicular continue venous hum flow murmur is due to what
an interscapular continuous murmur is due to what
anemia
coarctation of aortia
-
rx for anticonvulsant hypersensitivity syndrome
steroids
-
olecrenon bursitis + fever
w/o fever
-
pt with despepsia that isnt typical gerd or there is no use of nsaid, and >55, wtd next
egd
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