2/5/15 Flashcards Preview

Intern Year > 2/5/15 > Flashcards

Flashcards in 2/5/15 Deck (18)
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1
Q

What anti-spasmodics are used for IBS?

A

hyoscyamine and dicyclomine

2
Q

What’s a good regimen for antimicrobial ppx for most GI surgeries?

A

Cefazolin (or cefoxitin) + Metronidazole

3
Q

Low-pitched diastolic rumble and loud first heart sound

A

Mitral stenosis

4
Q

Abx regimen of choice for endometritis

A

Clindamycin and gentamicin

5
Q

Appropriate Abx choices for GBS bacteriuriq in pregnancy (2)

A

Penicillin G or Keflex

6
Q

Treatment of choice for Bell’s palsy.

A

coricosteroids

7
Q

Don’t forget to order this blood lab before any surgical procedure.

A

PT/PTT!

8
Q

Why should beta-blockers be avoided in cocaine use?

A

coronary vasospasm 2/2 unopposed alpha agonism

9
Q

What med should be given early to pts w/ cocaine-induced tachycardia, htn, chest pain?

A

benzos

10
Q

What med should be given after benzos for persistent tachycardia, htn, CP in cocaine use?

A

phentolamine

11
Q

What kind of a drug is phentolamine?

A

alpha-antagonist

12
Q

Which htn meds commonly cause lower extremity pitting edema?

A

dihydropyridine calcium channel blockers (e.g. amlo, nifedipine)

13
Q

What htn drug class can be combined with dihydropyridine CCBs to counteract peripheral edema?

A

ACE-I’s or ARBs

14
Q

Pt on carbamazepine presents w/ fever, mouth ulcers, easy bruising, petechiae. What adverse effect of carbamazepine can cause this?

A

BM suppression

15
Q

What is the post-exposure ppx for rabes in unvaccinated pts?

A

vaccine (4 shots) and Ig

16
Q

What is the post -exposure ppx for rabies in vaccinated pts?

A

booster vaccine (2 shots) only

17
Q

Why are pts w/ DM 2/2 pancreatitis more prone to hypoglycemia?

A

loss of glucagon-secreting alpha-cells

18
Q

Which classes of oral anti-diabetic drug are contraindicated in NYHA class III and IV CHF?

A

thiazolidinediones (TZDs, e.g. pioglitazone) and metformin