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48 Cards in this Set
- Front
- Back
Bigesnus pulse means?
Bisferiens pulse means? |
Bigesnus = HCOM “Big”
Bisferiens = Aortic Regurge “makes a sound like 'bissssss'” |
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Tardus Et Parvus means?
Irregular Irregular pulse means? |
Tradus Et Parvus = Aortic Stenosis (“Late Pulse” due to stenosis)
Irregular Irregular = Atrial Fibrillation |
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Pulsus Paradoxus means(2)?
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1) Cardiac Tamponade
2) Pneumothroax Picture: Cardiac Tamponade |
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“CCHARGE” syndrome?
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“CCHARGE”
1) Coloboma/CNS Abnormalities 2) Heart Defect 3) Atresia of Choane 4) Retradation 5) Genital Defect 6) Ear Anomaly/Deafness |
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VACTREL syndrome?
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Vertebral Anomalies
Anal Antresia Cardiovascular Anomalies Tracheoesopahgeal Fistula Renal Anomalies Esophageal Atresia Limb Abnormalities |
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List GI(3) and Cardiac(1) manifestation of Down Syndrome
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Duodenal Atresia
Imperforate Anus Hirschburg Megacolon VSD |
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Diabetic Moms Baby Fetal Risks(Non Endocrine)
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Macrosomia
Polycythemia Smaller Left Colon Syndrome Cardiac Asymmetric Septal Hypertrophy due to LV lumen obliteration → Decreased CO2 Renal Vien Thrombosis |
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Diabetic Moms Baby Fetal Risks(ONLY Endocrine)
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HypO MAGnesemia
HypO PARAthryodism HypO Calcemia HYPER BiLirubinemia |
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CT Scan shoes multiple ring enhancing lesions....you suspect Toxoplasmosis....what is Rx?
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Pyrimethamine and Sulfadiazine
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CT Scan shows periventricular calcifications....you suspect CMV.....what is Rx?
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Gancyclovir
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Steeple sign in seen on X-ray....patient has a suspicion of Croup caused by RSV virus. What is the Rx?
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Steroids and Epinephrine
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Thumb Print sign seen on X-ray...suspect Epiglotitis...patient is toxic...Rx?
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1) Intubate
2) Ceftrixone 3) Give Rifampin prophylaxis to peers |
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Butterfuly on Chest X-ray...you suspect B. Pertussis.....Rx?
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1) Isolate
2) Erythromycin/Azithromycin 3) Give Macrolide prophylaxis |
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Congenital Hip Dysplasia Rx?
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Pavlik Harness
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Legg-Calve Perthes Rx?
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Surgery of Both Hips/NSAID
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SCFE Rx?
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Internal Fixation and Pinning
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Language Development Level “social smile”?
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2 Month old has a Social Smile
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Language Development Level “babbles”?
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6 Month old can babble
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Language Development Level “2 words and follows 1 step command”?
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1 year old can speak 2 words and follows1 step command
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Language Development Level “2-3 words spoken and follow 2-3 step command”?
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2 Year old can speak 2-3 words and follow 2-3 step command
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GROSS Motor Development:
3 Month 4 Month 6 Month |
Gross Motor:
3 Month: Hold head up 4 Month: Rolls back to forward 6 Month: Sit up Unsupported |
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GROSS Motor Development:
12 Month: 2 Years: |
Gross Motor
12 Month: Walks Alone 2 Years: Up and down stairs |
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Fine Motor Development:
Raking Grasp: Throw Object: |
Fine Motor:
Raking Grasp is 6 month Throw Object is 12 months |
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Fine Motor Development:
Build 2 Tower Block: Builds 6 Tower Block: |
Build 2 Tower Block is 15 months
Builds 6 Tower Block is 24 months |
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Social Development:
Recognize Parents? Recognize Strangers? |
Social Development:
Recognize Parents at 2 month Recognize Strangers 6 month |
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Social Development:
Immitates actions? Plays with children? Parallel Play? |
Immitates actions 12 month
Plays with children 18 month Parallel Play children 24 month |
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Empiric Rx of meningitis?
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Emperic Rx of meningitis: Ceftriaxone + Vancomycin + Steroids
Note: Add ampicillin for immunocompromised |
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Nesseria Meningitis Prophylaxis:
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Rifampin and Ciprofloxacin
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Giardiax Rx?
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Metronidazole
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Cryptosporidiosis Rx?
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Nitazoxanide
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Hepatitis B Rx?
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Entecavir
Adefovir Lamuvidine Telibivudine Interferon Tenofivir |
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Rifampin uses(3)
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1) Add for prosthetic valve endocarditis
2) Prophylaxis Nesseria Menigitidis(Alt choice for Cipro) 3) Prophylaxis Epiglotitis |
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Wiskott Aldrich “WALET”
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WALET
Wiskot Aaldrich Low Lymphoctes Eczema Thrombocytopenia |
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Treatment of Vasovagal (Neurocardiogenic Syncope) (5)?
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1) Lie down if pre-syncope
2) Adequate salt and fluid intake 3) SSRI(Paroxitine 20 mg po daily) 4) Vasoconstridctor(midodrine 2.5-10mg PO daily) 5) Permanant cardiac pacing if recurrent |
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Basic investigation of Syncope which labs and images to order?
Labs(5)? Imagining(4)? Special(1)? |
Labs: 1) CBC 2) Lytes 3) Cr/urea 4) CK 5)Troponin
Imaging: 1) CXR 2) Echo 3) Cardio doppler 4) CT head Special: ECG |
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SYNCOPE Special Tests(3)
1) ? 2) Suspect seizures? 3) Confirm Vasovagal Syncope? |
1) Stress test
2) Suspect Seizures --> EEG 3) Confirm vasovagal --> Tilt Table Test |
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Acute management of Syncope(3)?
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1) ABC
2) O2 3) IV |
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Lower GI Bleed....acute management(4) before scoping?
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1) ABC
2) O2 3) IV Hydration(2 large bore IV Needles) 4) Hold antihypertensives and diuretic therapy |
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Lower GI Bleed....what hematocrit do you transfuse at?
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Hct<30%
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Lower GI bleed...prolonged Pt/PTT but NOT on unfractioned heparin...(3)?
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1) Vitamin K 10mg IV and or
2) FFP 2-4 U IV or 3) Prothrombin Complex Concentrate |
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Lower GI bleed...prolonged Pt/PTT AND on Unfractioned Heparin...?
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Protamine Infusion
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Black stool that may mimic melena(4)
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1) Bismuth Subsalicylate
2) Iron 3) Spinach 4) Charcoal |
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Labs to order for upper or lower GI bleed(7)?
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1) CBC
2) Lytes 3) Creatine/Urea 4) Type/cross-match 5) PTT, INR 6) Liver: AST, ALT, ALP, bilirubin, albumin, 7) Fecal occult blood |
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Imaging to order for upper GI bleed?
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1) CXR
2) AXR 3) Gastroscopy |
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Tsakayasu Arteritis?
Most accurate test Rx? |
Aortic Arteriography or
Magnetic Resonance Angiography... NOT biopsy Rx: Steroids |
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Young asian female with a dimished pulse
Diagnosis? What is she at risk for? |
Diagnosis: Takayasu Arteritis
She is at risk for Stroke or TIA |
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Age>50 + Proximal Muscle Pain + Elevated ESR
Diagnosis? |
Polymyalgia Rheumatica
Note: Pain is worse in the morning |
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Best initial therapy for Fibromyalgia?
What is 2nd line treatment? |
BIT: Milnacipran, Duloxetine or Pregablin
2nd Line: Amytryptiline(TCA) |