devine 32 Flashcards

(56 cards)

1
Q

DX

fever/ neutrophil <1500, pt w/ grave dz

Due to

A

agranulocytosis

PTU or methemazole

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2
Q

drug causes of

Agranulocytosis

A

Clozapin
carbamezapin
chloramphenicol (50s inhib)
PTU/methemazole

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3
Q

Hypokalemia caused by

A

hypovolumia/hypoperfusion

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4
Q

which RTA causes hypo K

A

RTA 1/2

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5
Q

hypo/hyper K in RTA 4

A

hyperkalemia

Aldo problem

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6
Q

persistent HTN metabolic alkalosis and hypo K

A

conn syndrome

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7
Q

flat T wave / prolong QT indicate

A

hypokalemia

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8
Q

genetic cause of hypo K

A

Gittleman, Batter, and liddle syndrome

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9
Q

why

hypo K in hypomagnisemia

A

K is wasted

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10
Q

pulmonary arterial HTN MC i young female

A

genetic: BMPR2
idopathic

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11
Q

MCC of pulmonary HTN in U.S.

DX

A

COPD
Bosentan, sildenofil, alloprost

Rt HRT cath w/ PA pressure > 25. loud S2

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12
Q

age

Screening for dyslipidemia

when to screen b/t 10-30

A

guys: 35
female:45

high risk,

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13
Q

LDL>190

A

Statin

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14
Q

statin

aterosclerotic DZ: CVD MI AAA…

A

statin

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15
Q

statin

ASCVD score>7.5 age 40-75

diabetic age 40-75

A

statin

statin

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16
Q

Statin MOA

A

HMG co-A reductase
Best LDL lowering drug

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17
Q

best drug for triglyceride

A

Fibrate

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18
Q

Best drug to raise HDL

A

Niacin

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19
Q

GET GAP on Metro

A

Giardia
Entamoeba
Trachomonas
Gardennella Vaginalis
Anaerobic
H. Pylori

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20
Q

liver abscess

Iodoquinol indication

A

E. Histolytica

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20
Q

Well circumbribed liver abscess DX

A

E. Histolytica

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21
Q

dog tape worm

use for the treatmennt of Echinococcus graulosa

A

Albedazol

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22
Q

Bug

Cholangiocarcinoma

chronic liver inflamationn

A

Chlonacus Sinensis

23
Q

genitals

painless ulcer, beefy red base and irregular border?

A

Lebsialla Granulomatous

24
# screening and confirmation syphillis
FTA/ABS and MHATP | screening: VDRL
25
Addison Disease Spironolactone/ K sparing diuretic Epleronon | tumor lysis, peak T wave ad hemolysis
Hyperkalemia
26
hyper K treatment
Ca glucoate Albutoral insuling/glucose furocimide Na polystyren
27
K> 8 w/ EKG WNL NBS
repeat bld draw
28
# NBS chronic bronchitis w/ DLCO WNL
Pulmonary function test
29
Chronic Empysema w/ low DLCO indicates
alveolar wall distruction
30
# indication COPD home O2
O2 Sat< 88% Pa02<55 Pulmonary HTN/polycythemia
31
# treatment COPD
Antibiotic: floroquenolone/macrolade COrticosteriod Bronchodilator
32
pos pressure vent is indicated in
COPD hypercarbia : BiPap
33
Asthma treatment gradation
Albutoral SABA Add Inhale corticosteriod Add LABA/Montelukast Add Oral steriod
34
COPD treatment gradation
SABA(Ipratropion LABA/LAMA (Formetoral/Tiotropion) Inhale Steriod Oral Steriod or Roflumilast (PDE4 inhibator)
35
Best method to DX HTN is
24hr monitoring
36
# HTN Order of lifestyle modification that improve mortality
weight DASH Exercise Na restriction
37
ACEi indication for African America
Diabetes, MI, HF, HTN
38
Prego HTN
Hydrolyzine Methydopa labitalol nifedepine
39
Subphrenic Absess is associated with
Recent Abdominal surgery + fever + Abdominal pain +shoulder pain + pleural effusion on CRX +
40
prevent stroke with
Warfarin
41
Treatment of Tenia Solium
Abdomina: Abendazol Neuro: Anntisiesure Phenytoin
42
hi PTH, low Ca, low phosphate, due to low 25 vit D
Liver Dz
43
drug associated with respiratory acidosis
opiods and Benzos
44
HTN in pt with osteoarthritis w/ NSAID
Renal artery dysfunction | NAID low prostaglendin--> l perfusion
45
conn sydrome prior to surgery give
spiroolactone
46
old CRAB
MM-Red Bld cell stacked like coin | Hi Ca, Renal failure, Anemia, Bone pain
47
MM treatment
Bortezumib--> Proteosome inhibitor Thylidomide
48
MM vs MGUS
MGUS--> <10% plasma cell No CRAB may progress to MM
49
MGUS vs waldenstran Gammaglobulelimia
Hi IgM
50
# Lab Malaria | Hypozoid tread with
Thick ad thing Bld smear gaimsa | Primaquine
51
hypo ca + hi phosphate dx
Rnal dysfunctionn Hyperparathyroid
52
hyper Ca + low phosphate DX
Vit D Liver Dz
53
# pathophys Alkolosis and hypo ca
Alkolosis creats neg charge on Albumin that bind Ca
54
NNBS i rib fracture
pain control
55
low