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Terms in this set (85)
Post MI Ventricular Arrythmia
Class 1b antiarrhythmic
Small reduction in phase 0, shortened AP, shortened repolarization
What is function of BNP?
Decrease reabs of Na in the CD
Fever, microangiopathic anemia, thrombocytopenia, neuro and acute renal failure
HUS + fever + neuro
Thrombotic thrombocytopenic purpura
SE of Acyclovir
Crystal deposition in the renal tubules if not adequately hydrated
Pigemented spots on the lips, oral mucosa and GI mucosa with hamartomas on colonoscopy
Peutz Jeghers syndrome
Selective B1 blockers
Treatment of Acute Rheumatic fever?
How do you define mild mod and severe scoliosis?
Mild: Cobb angle < 20
Mod: Cobb angle 20-45
Severe: Cobb angle > 45
Levoscoliosos vs dextroscoliosis?
Levo= apex on Left
Dextro= apex on right
In scoliosis when do you have cardiac vs resp failure in terms of Cobb angle degree?
Cardiac: > 75
HSP- renal biopsy results?
Mesangial deposits of IgA
Rolled ankle- inversion ankle sprain. Tender over antior talofibular ligament.
What is the diagnosis of proximal tibiofibular joint?
Lateral malleolus is anterior so fibular head is posterior (reciprocal motion)
Rolled ankle- inversion ankle sprain
What is diagnosis of talus?
Talus is Anterior
In plantarflexion, talus is anterior
What drug would you give a patient with dementia who has not been able to tolerate other therapies?
OD with almond like odor
What is this OD? What is anecdote?
Reverse with Amyl Nitrite
What muscle are you targeting for muscle energy ribs 6-9?
First line treatment for fibromyalgia?
What is trousseaus sign? What does it look like? When do you see it? What is it caused by?
AKA migratory superficial thrombophlebitis
What is defect in Ehlers Danlos with hyperelasticity of skin, hypermobile joints and easy bruising?
Type III is vascula
What is singultus? How do you OMM treat?
Hiccups- Myofascial diaphragm release
If cortisol, aldosterone and androgens are all decreased, what is defect?
Pregnenolone is NL
3b hydroxysteroid dehydrogenase
What does desmolase do?
Cholesterol to pregnenolone
What is associated with wilms tumor?
Aniridia, GU malformations, MR
What is MOA of streptomycin
Aminoglycoside "Mice going down slides"
Inhibit protein translation
Type 1 diabetes presentation in 22 year old with family history- what is mode of inheritance?
Maturity onset diabetes of the young
Crescent formation on renal biopsy- type of renal disease?
Pruritis after hot bath
What is associated with Membranous nephropathy?
"Spike and dome- member at spike and dome club where you go to get loopy"
Cause: HBV, HCV, SLE, Syphillus
As type one error goes up, type two error _____
goes down, they are inversely related
Baby has pyloric stenosis- what is electrolyte abnormality?
Hypochloremic, hypokalemic metabolic acidosis
Golfers elbow- what is effected?
Flexor carpi radialis
Tennis elbow- what is effected?
Extensor carpi ulnaris (extension from back hand)
35 year old with testicular mass- elevated bHCG, clear cytoplasm with round nuclei
Testicular mass with shiller duval bodies
Yolk sac/endodermal sinus
Individual with tourettes has increased risk of?
Cranial: occiput resists flecion, sphenoid resists extension
Superior verticle strain
2 parallel transverse axis- sphenoid and occiput move in same direction
Grades of spondylolisthesis
Grade 1: 0-25%
Grade 3: 50-75%
What is spondylosis?
What is sponddylolysis?
Spondylosis: Osteoarthritis of spine
Spondylolysis: defect in pars articularis
Gold Sodium Thiomalate- use? SE?
Se: Skin rash, stomatitis, prurutis
Sideroblastic anemia tx
What is social desireability bias?
people responding to surveys will say what they feel is more desireable
Treatment of C diff- first and second line?
2- Oral vanco
First step in diagnosing genital herpes?
Systolic murmor that increases with standing and valsalva
Child with + Nikolsky sign
Ab to desmoglein 1
Hyperchloremic Metabolic acidosis with normal AG
RTA type 1- inability to secrete H+
First line treatment for Psoriasis
What is dysthymic disorder?
General, chronic and mild depressed mood for at least 2 years
What is respondeat superior/ vicarious liability
Employer (ie physician) is responsible for the employees actions performed underneath them
Ex- DO orders ceftriaxone, nurse admins penicillin, DO still liable
Rhinitis, saddle nose, inflammation, nasal polyps
Treatment for achalasia
Botulinum toxin provides only minor relief
Acromegaly- initial test of choice for diagnosis?
Sharp pain, edema, bogginess, erythema, warmth
Dont forget boggy= acute
MC location for gastrinoma
Treatment for H pylori
What is sialadenitis?
bacterial infection of salivary gland- parotid or submandibular
Step wise decline in memory in patient with HTN
Multiinfarct dementia- caused by atherosclerotic plaque
Marker for smudge cells?
Pancytopenia with bone marrow hypocellularity
Short stature, cafe au lai spots, thumb abnl
Fanconi anemia (Aplastic anemia)
Mt in DNA repair genes
Infectivity of N. Meningitis is due to?
STEMI in 2,3 AVF
RCA and PDA
In order to show malpractice....
duty was owed, duty was breached, damage to the patient, direct causation
Treatment for leomyoma?
Leoprolide- GnRH agonist
Seizures, MR, red marking on face
NSTEMI most likely effects
White milky pleural effusion
Bloody pleural effusion
PE or malignancy
SE of ADHD meds
NSAID post surgery
Ticlodipine MOA and SE
ADP receptor blocker
OD on scopolamine
Same antidote as Atropine
Inhibits protein synthesis
Posterior appendix point
Tip of the TP of T11
BZD metabolized by not liver
Oxazepam, temazepam and lorazepan
"Outside The Liver"
Loop diuretics cause...
Another name for cANCA and pANCA
cANCA- Autoantibody against proteinase 3
pANCA- antibody against MPO
High pitch blowing early diastolic murmor
Chlamydia cell wall lacks?
Trigger finger is defect in....
flexor tendon sheath
Positive PPD with negative chest XR treatment?
Nucleus for taste
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