A+
✔✔most common type of breech? - ✔✔frank breech
✔✔fungus with lung skin and bone involvement in midwest and south central states? -
✔✔blastomycosis
✔✔erythema nodosum biopsy spherules filled w endospores fungus southwestern? -
✔✔coccidiomycosis
✔✔dry leathery eschar skin from burn. next step? - ✔✔excision and skin graft
full thickness burn
✔✔sensorineural hearing loss, hepatic dysfx, growth retardation
cataracts, congen heart defect, intracranial calcifc - ✔✔rubella
✔✔initial tx for pt with mesenteric arterial thrombosis? - ✔✔heparin
✔✔right lateral strain has restriction or ease moving anteriorly? - ✔✔EASE
this side WITH the strain will move anteriorly easily
the left side will have restriction moving anteriorly
✔✔which rash occurs in the skin folds of the diaper?folds - ✔✔candidiasis!
tx w antifungal (nystatin, azoles)
diaper rash dermatitis spares the folds can be tx with petrolatum or zinc oxide
✔✔1-2 weeks after acute pancreatitis, ab pain, early satiety, jaundice? - ✔✔pseudo
cysts
under 6cm > NPO and observe
✔✔most SENSITIVE test for SLE? - ✔✔ANA
✔✔sausage like cystic lesion with clear fluid after salpingitis/PID - ✔✔hydrosalpinx
may cause infertility
✔✔ electrical alterans - ✔✔Alternating of the amplitude of the QRS complex from beat
to beat. Seen in Cardiac Tamponade.
, ✔✔reactive hypoglycemia? - ✔✔occurs postprandially most common in pts with prior
gastric surgery
✔✔ranson criteria - ✔✔assess severity of pancreatitis
age >55 yrs
wbc >16,000
glucose >200
LDH >350
AST >250
after 48hrs
hematocirt decrease >10%
bun increase >5
calcium <8
pao2 <60
base deficit >4
fluid sequestration >6
✔✔relative risk equation? - ✔✔(a/(a+B)) / (c/(c+d))
✔✔unstable pt with SVT? - ✔✔IV access followed by sedation and synchronized
cardioversion
✔✔less than 5 yrs old with fever, rash with bullae, and positive nikolskly? - ✔✔staph
scalded syndrome
✔✔triad of chronic pancreatitis? - ✔✔diabetes, steatorrhea, and pancreatic
calcifications on CT
✔✔exudative effusions critera?
caused by? - ✔✔total pleural fluid prot to prot in serum >0.5
LDH in pleural fluid to serum >0.6
pleural LDH >2/3 upper limit of normal
caused by leaky blood vessels or impaired lymphatic drainage - lung CA, tb,
pneumonia, trauma, asbestosis
✔✔tx for wilson dz? - ✔✔penicillamine
✔✔how to tx akathisia? - ✔✔beta blocker or benzo
✔✔osteopenia vs osteoporosis? - ✔✔-1 to -2.5 = osteopenia
below -2.5 = osteoporosis