Shared Flashcard Set

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ITE 2016
A
75
Medical
Post-Graduate
09/12/2017

Additional Medical Flashcards

 


 

Cards

Term
What dm meds promote weight loss (4)
Definition
glp1 receptor agonists
sglt2 inhibitors
metformin
amylin mimetics
Term
what dm meds promote weight gain (4)
Definition
meglitinides
sulfonylureas
thiazolinediones
insulin
Term
hep c screening
Definition
born between 1945 and 1965
Term
tx head lice and back to school
Definition
permethrin 1% shampoo on day 1
back to school after first tx
re-treat in 6 days
Term
PE finding in patellofemoral syndrome
Definition
lateral patellar tracking
Term
who gets patellofemoral syndrome
Definition
ppl who suddenly increase their activity
Term
BP goal for elderly pts, who is considered elderly>
Definition
150/90, over 65 yo
Term
what type of arrhythmia do macrocodes cause?
Definition
qt prolong--v fib
Term
features of transient synovitis in kids, tx?
Definition
no fever, wbc wnl, ear wnl, crp wnl, xr wnl

tx nsaid
Term
what med can be used long term AND short term to tx SVT
Definition
verapamil/ccb
Term
what type of anemia do you see with thalassemia? smear findings?
Definition
microcytic, ovalocytes
Term
what are the electrophoresis findings of beta thal minor?
Definition
hi HbA2, low HbA
Term
test for g6pdh
Definition
fluorescent spot test
Term
psuedoclaudication
Definition
pai w/walking and prolonged standing, typically a nerve type pain w/lumbar stenosis
Term
who can get Charcot joint besides diabetics
Definition
ppl with syphillis
Term
what pain med is 100% contraI in hepatic dysfxn
Definition
methadone
Term
benefit of prophy abs on COPD pt
Definition
dec COPD exacerbation, but inc microbe resistance and inc hearing loss, does NOT change tinnitus
Term
#1 ADE of TIPS procedures for liver dz
Definition
hepatic encephalopathy
Term
which diabetic agent cause pancreatitits
Definition
dpp4 and glp1
Term
which dm meds causes inc ldl
Definition
sglt2 inhibit
Term
at what gfr are you concerned about metformin use
Definition
under 30, stop met
30-45, consider stopping met
Term
which dm meds cause hypoglycemia (not including insulin)
Definition
SU, meglitinides
Term
which diabetic meds cause the most GI sx
Definition
biguanides, alpha glucosidase inhibitors, glip1 agonists
Term
which dm meds have a black box warning for MEN2 and thyroid cancer
Definition
glp1
Term
which dm meds need to be taken with meals
Definition
SU
Term
which dm med causes GU infections
Definition
SGLT2 Inhibitor
Term
besides metofrmin which dm meds should be stopped with gfr less than 30
Definition
glp1 agonist
Term
which dm med requires a hi starch diet
Definition
alpha glucosidease inhibitor
Term
how do you reverse hypoglycemia with a alpha glucosidase inhibitor
Definition
glucose NOT sucrose
Term
which meds are ok to use in predm as prevention
Definition
metformin, tad, alpha glucosidse, orlistat
Term
#1 cause of incontinence in men AND women
Definition
depressor mm instability
Term
trismus
Definition
difficulty opening mouth 2/2 pain
Term
low dose CT lung ca screen
Definition
55-80 yo, 30ppy, quit <15 yago or still smoke
Term
value of fetal fibrinectin in predicting preterm labor
Definition
low ppt, like d dimer
Term
progression of sx in 5ths dz
Definition
#1 fever, fatigue, ST, HA, N
#2 face rash/slap cheek
#3 reticular, Lacey body rash
Term
what NOAC has. reversal agent
Definition
dabigatran
Term
when to you have to wait for an elective IOL or C/S
Definition
39 wks
Term
side effects of methimazol
Definition
teratogenesis, agranulocytosis, jaundice
Term
etoh abuse meds
Definition
naltrexone--best
acramprosate--cant use in kidney dz
disulfurma--doesnt work
Term
best antiD in elederly
Definition
venlafaxine, bupropion, mirtazapine
Term
what SSRI do you avoid in elderly
Definition
paroxetine
Term
when is autism screening
Definition
18-24 month
Term
first deg av block
Definition
prolonged PR >200msec with no dropped beats
Term
second degrees mobitz 1 AV block
Definition
progressive PR interval with dropped beat (wenkebach)
Term
second degreee mobitz 2
Definition
unchanged PR interval with dropped beats
Term
third degree av block
Definition
no atrial impulses conducted to ventricle, no relationship between p and qrs waves
Term
most common heart condition with lymes
Definition
AV block
Term
who is at increased risk for av block in lyme dz
Definition
ppl who already have a pr interval >300
Term
what type of anemia do you get with acute blood loss
Definition
normocytic
Term
what type of anemia do you get with hemolysis
Definition
normocytic
Term
reticulocytes in acute blood loss and hemolysis
Definition
hi
Term
low or normal reticulocytes usually indicates what
Definition
bone marrow suppression
Term
besides reticulocytes, how else can you evaluate bone marrow suppression
Definition
reticulocyte index
retic % x (pt hct/normal hct)

if pt has a normal hct the RI should be between 2-3 %
Term
ph in bv
Definition
4.5 or more
Term
when do pregnant women get tdap
Definition
27-36 wks
Term
tx acute gout in renal dyzfxn
Definition
steroids
Term
at what level of Na is severe hyponatremia usually
Definition
less than 125
Term
how do you know if someone has severe hyponatremia
Definition
AMS
Term
tx severe hyponatremia
Definition
bolus 3% NaCl
.5-2mlkg/hr until AMS sx resolve
Term
rate of correction in hyponatremia
Definition
6-12 meq in first 24 hours
less than 18meq increase in first 48 hours
Term
mgmt of dry eschar in wound
Definition
leave it
Term
#1 cause of med related adverse event
Definition
anticoags
Term
tx angioedema 2/2 acei
Definition
bradykinin receptor antagonist (icatibant)
Term
euthyroid sick syndrome
Definition
abnormal thyroid fn test in a pt who is also ill
Term
annual ca risk for pts with barrets esophagus
Definition
.12-.4%
Term
surveillance of barrets
Definition
end q3 yr
Term
first step in work up of benign feeling thyroid nodule palpated on PE
Definition
ash
Term
lung manifestation of amiodarone
Definition
boom
Term
xtra sit screen for MSM
Definition
hepBsAg, Hepc
Term
what vit combo is suggested for osteopenia
Definition
vitd 800, ca1200
Term
screen for osteoporosis
Definition
women over 65 yo, or women under 65 who have a 10 yr fx risk over that of a 65 yo white lady
Term
1st line tx osteoporosis
Definition
bisphosphonates
Term
2nd line tx osteoporosis
Definition
teriparatide, denosumab
Term
dexa frequency
Definition
no more than q2
Term
bone density scores and dx
Definition
normal: T score over -1.0
osteopenia: T score -1.0 to -2.5
osteoporosis: T score less than -2.5
severe: T score less than -2.5 and 1+ fx
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