UWorld_6.27 Flashcards
1
Q
Management of lactational mastitis
A
- pain control
- frequent breastfeeding/pumping (direct feeding w/both breasts is best way to completely drain milk ducts
- abx (dicloxacillin or cephalexin)
2
Q
Cause of lactational mastitis
A
s. aureus
3
Q
Atrial fibrillation in pt. w/WPW
A
- avoid AV nodal blocking: adenosine, beta-blockers, ca-channel blockers (promotes conduction through accessory pathway)
- use antiarrhtymic: procainamide
4
Q
Extrapulmonary manifestation of mycoplasma PNA
A
- mycoplasma PNA = atypical PNA
- ==> erythema multiforme
5
Q
Management of drug-induced interstitial nephritis
A
stop offending drug
6
Q
Contraindication to MMR vaccine in HIV pt.
A
- administer only if CD4 >200 and no hx of AIDS illness
- absence of ART is NOT a contraindication
7
Q
Giant cell tumor presentation
A
- GCT = benign, local skeletal neoplasm
- ==> pain, swelling, decreased ROM @ site
- p/w osteolytic lesions; classic “soap bubble” on XR
- typically @ knee; @ epiphyseal regions
8
Q
Osteoid osteoma presentation
A
- sclerotic, cortical lesion w/central lucency on imaging
- pain @ night; unrelated to activity; improved w/NSAIDs
9
Q
Osteitis fibrosa cystic presentation
A
- rare; usually 2/2 hyperparathyroidism
- osteoclast resorption of bone replaced w/fibrous tissue
- XR: subperiosteal bone resorp.
10
Q
Donepezil: MOA, use
A
- ACh-i
- used to slow Alzheimers
11
Q
Adhesive capsulitis vs. Rotator cuff pathology
A
- adhesive capsulitis ==> >50% reduction in active AND passive ROM
- RC tear ==> decreased active ROM only
12
Q
Dietary rx in pt. w/renal calculi
A
- increase fluid intake
- decreased sodium
- normal calcium
13
Q
Presentation/dx of diffuse esophageal spasm
A
- intermittent chest pain
- dysphagia for solids & liquids
- dx: corkscrew pattern on esophagram & simultaneous contractions on manometry
14
Q
Tx of diffuse esophageal spasm
A
Ca-channel blockers (diltiazem)
