2/9/15 Flashcards Preview

Intern Year > 2/9/15 > Flashcards

Flashcards in 2/9/15 Deck (16)
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1
Q

What is the most likely complication of untreated varicocele?

A

testicular atrophy

2
Q

Varicocele is the dilation of the vessels of what structure that drains blood from the testicles?

A

pampiniform plexus

3
Q

When do you use fibrinolytic therapy in PE?

A

persistent hypotension (SBP<90)

4
Q

Fatigue, decreased T3, normal TSH and T4 in a person w/ a recent illness.

A

Euthyroid sick syndrome

5
Q

Triple therapy for H. pylori

A

Amoxicillin, Clarithroycin, PPI

6
Q

What can be used as an alternative to amoxicillin in triple therapy for H. pylori if pt is penicillin-allergic?

A

Flagyl

7
Q

Tx for persistent H. pylori infection after triple therapy.

A

Quadruple therapy!: PPI, bismuth, Flagyl, and tetracycline

8
Q

Increased lumbar pain upon extension of the spine in an elderly person.

A

Lumbar spinal stenosis

9
Q

Treatment options (2) for lumbar spinal stenosis refractory to conservative Tx.

A

Epidural block and laminectomy

10
Q

What cause of cough can be induced by forced expiration?

A

airway hyperreactivity/asthma

11
Q

What is the BP cutoff for tPA for ischemic stroke?

A

> 185/110

12
Q

Bleeding diathesis and >33% occlusion of infarcted artery are also contraindications to tPA for ischemic stroke.

A

Bleeding diathesis and >33% hypodensity of infarcted artery

13
Q

Conservative Tx of constrictive pericarditis.

A

NSAIDs, steroids

14
Q

You have 2 screening tests; which do you use first, the more sensitive or the more specific?

A

sensitive

15
Q

What is the next step for control of epistaxis after pinching nasal allae?

A

topical vasoconstrictor (e.g. oxymetolazone)

16
Q

What is the Tx of choice for slipped capital femoral epiphysis?

A

immediate internal fixation