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COMBANK most missed 4-7

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jmanderson's version from 2017-06-17 17:35

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aminoglycoside teratogenecity to fetusCN VIII damage, renal damage
sulfa drug teratogenecity to fetuskernicterus
murmur and tx: mid-systolic click with late systolic murmur at apexMVP, reassurance and ECHO
u/a of acute interstitial nephritiseosinophiluria
rx for acute interstitial nephritisprednisone
complication of untreated PDApulm arterial HTN (and shunt reversal)
1st line rx for cocaine induced CPBZDs
innervation of hamstringscommon peroneal and tibial branches of sciatic n
s/e of cardiac cath (LE)livedo reticularis (impaired circulation to LEs)
dx: osteonecrosis of navicular tarsal boneKohler's dz
pediatric bone pain in metaphysis of long bone with elevated periosteumosteosarcoma
mc mets in osteosarcomalungs (get chest CT)
w/u for potential hemorrhoidsanoscopy
precautions for flu, GAS, epiglottitis, MMR, and meningogoccola infxndroplet
abx for necrotizing fasciitisclindamycin , pcn G, vancomycin
1st line tx for NSTEMILMWH, antiplt
tx for nephrotic syndprotein and Na restriction, diuretic, statin
u/a sediment for nephrotic synd from T1DMmaltese cross, oval fat bodies
heel lift start for fragile vs young pt1.5 mm (1/16") fragile or 3.2 mm (1/8") young
dx test for vocal cord paralysis (s/p thyroidectomy)fiberoptic laryngoscopy
EM of kidney in alport syndbasement membrane splitting
female athlete triadosteoporosis, amenorrhea, eating d/o
when to transfuse ptsHb<7 or Hb<8 with need for O2 carrying capac
dx: saddle nose defomrity, bilat auricular inflamm on mult occasionsrelapsing polychondritis
dx: old man, lethargy, wt loss, raynaud's, blurry vision, ha, M protein, nL skeletal surveywadnestrom's macroglobinemia
1st step mgmt in pt with upper GI bleed w/ anemiaFFP
image w/u for portal HTNegd
1st line for ascitesdiuretics and dietary Na control
abx for infant meningitisampicillin and 3rd gen ceph (covers GBS, E coli, Listeria)
1st line therapy for prinzmetal anginaCCB (diltiazem, nifedipine, amlodipine)
image w/u for hepatic abscessabd u/s
rx for amebic hepatic abscessmetronidazole
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metabolic synd criteriawaist>40" (M) >35" (F), TG>150, HDL<40 (M) <50 (F), htn >130/85, FBG>100
dx: ICU pt with hypoxemia, bilat infiltrates on cxr, event w/in 1 wk, pulmonary edemaARDs
mcc SVC syndromebronchogenic ca
MTX, 5 FU and 6 MP s/emyelosuppression
vit def: symemetrical peripheral neuropathyB1 (thiamine) dry beriberi
dx: inability to fully extend finger, swelling at DIP, after sportsmallet finger
NSAID effect on FFno change (decreases GFR and RPF equally)
ACEI effect on FFdecrease (block AngII, less efferent constriction, inc RPF)
tx: schuermann dz in adultPT and OMM
psoas CS location and txmedial to ASIS, hip F and ER
hep C txribavirin and weekly IFN alpha
bug causing neonatal conjunctivitischlamydia
nL rate of dilation in nulliparous and mutliparous stage 11.2cm/hr nul, 1.5cm/hr mult
dx: child with aggressive behavior and deliberate disregard for othersconduct d/o
type of vent: preset TV when pt starts breath, preset TV + backup rate if no spont breathassist-ctrl vent
type of vent: allow pt to breath spont and tries to coordinate with mech breathssynch intermittent mandatory vent
type of vent: pt can initiate breaths, but no preset TVintermittent mandatory vent
fungal lung infxn: oval yeast cells, cave exploring, ohio river valley, bird/bat poophistoplasma
rx for symptomatic paget's of the breastbisphosphonate
mgmt: optic neuritisadmit and start IV steroids (also MRI to w/u MS)
myasthenia gravis w/uAChR-ab, MuSK ab, RNS, single fiber EMG, CT neck (thymoma)
dx: inherted dz, AR, painless hepatosplenomegaly, pancytopenia, diffuse pulm dzGaucher
tx for obesity hypoventilation synd with hypoxemianoninvasive positive pressure vent
breast d/o and tx: smooth firm mass with shiny veiny skin and u/s hypoechoic, mobilephyllodes tumor, local excisioin
mc cardiac d/o with Turner syndbicuspid aortic valve (aortic stenosis)
most specific test for multiple myelomabone marrow bx
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ppx for uric acid kindey stones in gout ptcitrate (alkalnize urine)
leads to eval LVHV1 and V5
QRS in V1 + or - in LVHnegative
rx for acute fluid overload from LVHfurosemide
tx for BB ODatropine
ovarian ca assoc with virilizationsertoli-leydig cell tumor
pt with MI now in shock, what CO, PVR, and PCWP?low CO, high PVR, high PCWP (cardiogenic shock)
pap with atypical granular cells in >35 y/o mgmtget colpo and endometrial bx
mgmt of CIN 2 and 3 cervical caexcision or ablation (LEEP)
nephritis bx with mesangial deposition EM and asx hematuriaIgA nephropathy
nephritis bx EM with bumpy deposits of IgG and C3post-infectious
how to prevent central pontine myelinolysisslowly correct hypoNa with NS at <0.5 mEq/L/hr
bishop score 0-3 dilation0, 1-2cm, 3-4 cm, 5-6 cm
bishop score 0-3 effacement0-30, 40-50, 60-70, >70
abx for staph infective endocardititsIV vanc
1st line agent for cardiogenic shockdobutamine or dopamine
dx and tx: asthmatic pt with worsening SOB after starting ASA recentlyASA-related resp dz, rx leukotriene agonist (montelukast, zileuton, azfirlukast)
dx: acute abd pain, n/v, painful eye, fixed mid dilated pupil, non reactive to lightacute angle closure glaucoma
ekg with narrow complex regular tachy w/o p wavesSVT
1st step mgmt in DKA with K<4IV NS (isotonic) + KCL
dx: pain btw 2nd-3rd metatarsal from wearing narrow shoesmorton neuroma
lab test for mycoplasma pneumocold agglutinins (anti-RBC abs)
current tx of choice for HCVledipasvir and sofosbuvir
dx: infant with fever +/- sz for 5d followed by 1 day rash that starts on trunk and spreadsroseola (HHV-6)
rx for burkitt lymphomarituximab (CD20 ab, rids B cells)
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shigella and EHEC diarrhea moadirectly invades colon, produces 60S protein-synthesis inhib toxin
dx: kid with unexplained fever 5 days and CRASH (conjunctivitis, rash, adenopathy [cervical LAD], strawberry toungue, hand desquamation)kawasaki d/o
rx for kawasaki d/ohigh dose ASA and IVIG
nyha class chf with s/sx on strenous activity (running)type II
mgmt: HELLP synd >32 wklabor induction, plan vag delivery
dx: mycosis from bat/bird poop in OH, MI, MS river valleyhisto
age: baby crawls, pulls themselves up, immature pincer, waves10 mo
age: baby plays interactive games, crawl, grasp objects w/ thumb, 1st words9 mo
anti htn drug with s/e of increased hair growthminoxidil
mc bact for endocarditis in IVDUstaph aureus
mc valve in bacterial endocarditis of IVDUtricuspid
+ drop arm testsupraspinatous tear
tx advanced Lymes (neuro and joint s/sx)IV ceftriaxone
bacteria causing neonatal conjunctivitisneisseria gonorrheae
CP for pancreasbtw rib 7-8 on R
rx for MI pt s/p cath with a fibASA, clopidogrel, hep bridge to warfarin
tx PP endometritis (PP fever with tender fundus)IV clindamyciin and gentamycin
HVLA to wrist with right elbow adduction restrictionradial deviation
mc valvular heart dz caused by rheumatic heart dzmitral stenosis
murmur: mid-diastolic rumble with opening snap at apexmitral stenosis
vasalva maneuver in aortic stenosis vs HOCM murmurdecrease aortic stenosis, increase HOCM murmur
WAGR syndromewilms tumor, aniridia, GU abn (cryptorchidism), retardation
uterine tonic agent c/i in asthma ptscarboprost tromethamine (PG-F2a analogue)
bug: watery diarrhea and dehydration in infants, rec vacc at 2, 4, and 6 morotavirus
only effective rx for ALSriluzole (glutamate antagonist)
translocation in burkitt lymphomat(8;14) c-myc
translocation in mantle cell lymphomat(11;14) bcl-1
translocation in follicular lymphomat(14;18) bcl-2
thiazides include HCTZ and ___chlorthalidone
dx and tx: herald patch rash from chest to trunk, christmas tree pattern, s/p viral URIpityriasis rosea, reassurance
DOC for animal bites (pasteurella)amoxicillin-clavulanate
image for biceps tendon ruptureMRI elbow
+ speed's (resisted extension of forearm and flexion shoulder)biceps tendonitis
CO, PVR, and PCWP in anaphylactic (distributive) shockhigh CO, low PVR, low PCWP
CO, PVR, and PCWP in hypovolemic shocklow CO, high PVR, low PCWP
dx: pregn F with bleeding and dilation of cx, but no expulsion of products of conceptioninevitable abortion
fxr name: base of the thumb to intra-articular MCP spaceBennet's fxr
fxr name: 5th metacarpal neck boxer fxr
rx for long term Crohn's remissionimmunomodulators (azothioprine, TNF-alpha inh.)
dx: woman in 40-50s with fatigue, itching, nl bili, high alk phosphprimary biliary cirrhoisis
earliest sign of pregnancy on cx examchadwick's sign (bluish discoloration of cx and vagina)
dx: wt lifter, shoulder pain, + active compression (O'brian's) test in GH jointsuperior labral tear, anterior to posterior (SLAP)
initial mgmt for acute pericarditisNSAIDs
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