Pharm TOC for gestation DM - Answer Regular Insulin- will not cross placenta
MC mechanism leading to primary pneumothorax - Answer Rupture of apical bleb
Tx of choice for hyperthyroidism in pregnant patient - Answer PTU
Annual BP check should be begin at what age? - Answer 3 years old
Which bone is most commonly infected by osteomyelitis? - Answer Bones of the vertebral spine (Long
bones in children)
What first test should be ordered if Calcium is high? - Answer Albumin level since 50% of Calcium is
protein bound
constrictive pericarditis PE finding - Answer Kussmaul sign
Chadwicks sign - Answer Blue cervix when pregnant
Achalasia Tx - Answer Botox
Ganglion Cyst - Answer
,Spontaneous Abortion - Answer
Placenta Previa - Answer Painless
Secondary hypothyroidism - Answer
Internal Hemorrhoids Tx - Answer
Diagnosis of CF - Answer Elevated sweat chloride test
In infants the eyes should move parallel with one another by what age? - Answer 6 months
Empysema PE findings - Answer Decreased tactile fremitus, diffuse hyperresonance to percussion and
distant heart sounds
Indications for Chronic pancreatitis treatment - Answer Severe pain that limits the patient's functioning
or intractable pain despite the use of non-narcotic analgesics and absence of alcohol intake.
Acute pericarditis treatment - Answer Indomethacin or other NSAID
What tissue and hormonal phase are present in the last 14 days of cycle - Answer Secretory luteal
phase under influence of estrogen and progesterone
Salmon patch - Answer light red macule over the nape of the neck or the glabella
Hallmark sign of EBV on smear - Answer presence of lymphocytosis with atypical large lymphocytes
seen in the blood smear.
,Best test to help manage patient that having seizures and hallucinations and says he has done "drugs" -
Answer Serum creatinine kinase is the most sensitive test to detect rhabdomyolysis, a serious
complication of seizures
and hyperthermia related to drug abuse.
TOC in chronic gout - Answer best drug to lower rate acid. It is xanthine oxidase inhibitor-- lowers rates
of gout
Colchine use - Answer Used in patients with topic gout and is used in the acute phase of gout
When does Moro reflex start to disappear - Answer 5-6 months of age
When does grasp reflex start to disappear - Answer 2-3 months of age
When does the tonic neck reflex start to disappear? - Answer 6-7 months of age
First line drug therapy for schizophrenia - Answer Atypical anti psych: olanzapine, risperidone,
quetiapine, ziprasidone, and clozapine
Galazzei fracture - Answer Along the length of the radius with damage to the distal radioulnar joint
Colles fracture - Answer Fracture of the distal radius with dorsal displacement of the radial head
Smith fracture - Answer Fracture of the distal radius with ventral displacement of the radial head
Aortic stenosis murmur - Answer Straining decreases the intensity of the murmur associated with
aortic stenosis and squatting increases the
intensity.
Use of systemic corticosteroids can cause what eye condition? - Answer Glaucoma
, For a pregnant mother who's has not been vaccinated for rubella, when should she receive the vaccine?
- Answer The proper time to receive the vaccine is after delivery of the infant.
What is the best initial screening test for SLE? - Answer ANA
Confirmation labs for SLE - Answer anti-smith and dsDNA
Positive kernig's sign - Answer pain is noted on straightening the knee after flexing both the hip and
knee.
Vulvular squamos cell hyperplasia presentation - Answer Thickening and hyperkeratosis of the vulva.
The lesions are red and
moist and cause intense pruritus over time the area becomes thickened and a white plaque may
develop.
Biopsy must be done to evaluate for intraepithelial neoplasm or invasive tumor.
MCC of serious bleeding in pregnancy - Answer Placenta abruptio- painful uterine bleeding
Addison disease s/sx - Answer anorexia, weight loss, fatigue, GI symptoms, salt craving, hyper
pigmentation, hypotension
Addison disease dx - Answer 1. corticotropin stimulation test (Cosyntropin)--> low cortisol and high
ACTH.
CURB 65 - Answer Confusion, Uremia (BUn >19), RR> 30, BP <90 or <60, >65 or 65
Criteria for pleural effusion - Answer Light's criteria--> fluid is exudative if one of the following is
present--> Effusion protein/serum protein ratio greater than 0.5
Effusion lactate dehydrogenase (LDH)/serum LDH ratio greater than 0.6
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