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IM Shelf Hi Yield 1 4-22-16

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ruhland1's version from 2016-04-22 10:18

Section 1

Question Answer
best 1st testekg
Ant MILAD
LADv1-v4
Inf MIRCA
RCAII III avF
R vent miRCA
R vent MIV4
2nd testenzymes
enzyme timemyoglobin, troponin I, CKMB
Coronary Angiow in 48 hr
CABG3 vessel dz, or DM w 2 vessel dz
EKG stress contraold LBB, baseline STE, or on digi
MUGAshows heart perfusion
MI post 5-7dpapillary m rupt
cannon A wavesAV dissoc
Dressler txNSAID and ASA
Prinzmetaldx ergonovine stim test, tx CCB/nitro
low Mgtorsades
low Ktorsades
up murm w vals, dn with squatHOCM
valsavaup SVR
wide split s2ASD
PEheparin!
murmur and CHF signsecho
CHF and prior viralmyocarditis cox B
acute pulm edema txnitrates lasix morphine
ETOH dil CMPreversible
diastolic CHFhemachrom, amyloid, htn
CHFACEI, BB, Spirono, Furos
pleural eff low glcrheum A
pleural eff hi lymphoTB
pleural eff bloodyPE/Cx
pleural eff G+ or pH<7.2 glc<60chest tube
light transudateLDH<200, LDH eff/serum <0.6
PaO2<200
acute lung injuruyuPaO2
ARDS txvent w peep
COPD tx1st -trop, 2md B ag, 3rd theop
COPD progFEV1
COPDget SPO2 to 95% not 100 to drive respiration
COPD vaxpneumococcus w 5 yr booster
clubbing akahypertrophic osteoarthropathy
upper lobe eggshell casilicolsis, get TB test
reticulonodular lower lobasbestosis
actinomyces lower lobehsn pneumonidis
have sarcoidconsult optho, up uveitis
found old pulm noduleget old cxr to compare
non smokeradenocx
cxr periph cavitation and distant metlg cell cx
memorize

Section 2

Question Answer
fe defChrons distal ileum
UC up riskprimary scler cholang
fistualthink CDz give flagyl
bx granilomsCDZ
smoker lower riskUC
severe IBDaztihio 6MP MTX
up ind bilihemolysis, gilbert, Najjar
up Dir Biliobstruct, dubin, roter
up Alk P, normal GGTpagets
up hat sizepagets
paget txbisphose
Antimitochondrialpri bili cirr
high FE low ferri lo TIBChemachromo
low ceruloplasminwilson
memorize

Section 3

Question Answer
menins pneu, HIB, N menin
menin txcef and vanco
lyme dzup menin IV ceftrizaone
dorm, kid, bact meninrifampin
menin mxsteorids, ABX, up ICP then LP
s pneu3rd gen ceph
HCAPpsuedo, kleb, e coli, MRSA
HCAP txpip/tazo imipenim vanc
old man pneum, confus, rrhea, abd pxlegionella
legion txdoxy
had flu gets pneumthink MRSA
farm V/D/pneumcoxiella burnetti, doxy
tuleremiastreptamycin, gentmycin
10mm positivehealthcare, prison, DM, ETHO
endocardMVP
IVDU endocstaph aur
strep bovis sepsisget colonoscope
MAC txclath ethambutol rifampin
AIDS and watery rrheacryptospor, ooccysts are acid fast, dog poo
AIDS ring ehancingEBV
AIDS multiple ringtoxo
toxo txpyrimathine sulfadiazine and folic
aids menincryptococcus + india IV ampho and fliuconazol
AIDS babanskiPML, JC virus, brain bx is gold
rash wrist anklesricketsia, doxy
tick no rash, mylagia F HAehrlich, doxy
israelli txpenicillin 6 wk
memorize

Section 4

Question Answer
Nadont correct faster than 12 a day
up Na txcomplic is cerbreal edema
RTA Icause Lithium, unable to resorb K, tx is K and bicarb
RTA IImyeloma etio, hypo K, bircarb wont help, cannot reabs HCO3
RTA IVhypoaldo/renin, tx fludocortisone
ARF>25% or .5 raise
BUN/Cr > 20prerenal
FENA<1%preprenal
FENA>2%ATN
took TMP SMXthink Acute inter neph
rhabdotx is check K and bicrab
enveloped shaped crystalsethylene glycoal, HAGMA, tx NaHCO3
contrast nephro txhydration bicarb NAC
emergent dialysis AEIOUAcidosis, E- change, Intox, Overload, Uremia
number 1 cause of death in CKDCV dz, get LDL<100
Uremiaup pl8 dysfunc
painless hematuriacx until ro
PSGNsubepithelial IgG humps
D/RF/MAHA/petechiaHUS/EHEC/Shigella, no ABX!
RF ashtma, EOSchaurg struss, dx is lung bc, tx cyclophos
alkaline peestaph, proteus, psuedo, kleb
5mm-2cm stoneextracorporal shock wave lithotripsy
Min Change DZsteroids
memorize

Section 5

Question Answer
DIC tx is FFP, pl8
HUS/TTPO157H7
7 days post ophep induced thrombocytopenis
AT III defheparin wont work
knee pain, DI, worse at end of dayOA
swollen joint + travelgonoccola
acute goutindometh and colchicine
most sensitive SLEanti-dsDNA anti smith
systemic scleranti scl 70, anti topoisomerarse
MCTDzanti RNP
low TSH and thyroid noduleRAD uptake if hot excise or RADs
osteopor, central fat, DM, hirsuitcushing
cushing screndexameth supp or 24 urine cortisol
addison txNaCl. dexamethason and fludrocortisone
adrenal noduleCT q 6 mo, or >6cm is srx
DM MCC deathCVasc dz
gastroparesismetoclopramide or erthyromycin
trx and loss pain tempsyrinomyleia, need srx
hi chole and paralysis and pain temp w/ preserved vibant spinal artery occlusion
SAH txnimodipine
when to clip aneurysuspect rupt, or >10mm
endacterectomywhen occulsuion >70% or >60% if >60yo
general szvalporic
EEG 3 hz spikeabsence sz
EEG triphasic burstCJ dz
EEG diffuse background slowingdelirium
uni HA plus change vison jawtemporal arteritis, get ESR then steroid then bx
guillian barreCSF albulmino-ctological disosoc
memorize

Section 6

Question Answer
dysphagiabarium swallow then scope
achalasiamanometry
gerd24 PH
AIDS and esphcandida, CMV, HSV
smoker esph cxsqaumous
GERD esph cxadeno
esph cx dxbarium then scope w bx then staging ct
asx varicesno srx, give BB
pinicB Cereus, Staph toxin
carcinoidup niacin def (using all tryptophan to make 5HT), dementia dermatits diahrea
> 20% blastsAcute leukemia
Auer rodsAML
myeoloperoxidase esteraseAML
tx AML/ALLdanorubicine
9:22CLL
CLL txtimantinib, 2nd line is BM transplant
enlarged painles rubbery LNlymphoma
lymphoma initialexcisional LN bx
nodes seen in spleen and BMnon-hodgkins
dizzi HA change hear visonwaldenstrom
no sx and Ig spikeMGUS
polycythemia vera1st check EPO, get phelobotomy
polycythemia vera medhydroxyurea
memorize

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