113-162 Flashcards
(50 cards)
Contrast the presentation of chronic pancreatitis with PUD
Chronic pancreatitis is associated with diarrhea and prior pancreatitis. Also, PUD is typically relieved by antacids
What is the most common cause of epididymitis in older males?
E coli (not-sexually transmitted)
Where does chloroquine-resistant falciparum malaria live?
Subsaharan Africa and the Indian subcontinent
How is toxoplasmosis treated?
Sulfadiazine and pyrimethamine
Is aspiration the most common etiology of pneumonia in nursing home patients? If not, is it for any specific group of patients?
No, only for people with underlying neurologic disorders
How does ABO mismatching present?
Rapid hemolysis, including flank pain and jaundice
How is actinomycosis treated?
IV Penicillin, if complicated debridement can be used but it will almost never get better without antibiotics
What comes to mind in an HIV patient with diffuse interstitial pneumonia as well as diarrhea?
CMV; PCP is rarely associated with diarrhea
How do you treat chronic HBV if there are increasing transaminases or HBsAg?
Interferon on lamivudine
Do you always water restrict in diabetes insipidus? If not, in what situation do you not water restrict?
Not if hypovolemic
What do you do for a child with microcytic, hypochromic anemia
Give empiric iron treatment before definitive dx
After you establish the diagnosis of myasthenia gravis, what is the next step in workup?
CT chest (ie, if edrophonium challenge is positive or if anti-AChR is positive, no need to do the other)
How do bone mets cause hypercalcemia?
They do NOT cause direct bone resorption, but rather stimulate osteoclasts to cause bone resorption. However, the most common underlying etiology of hypercalcemia is due to PTH-rP production
How can hydrocephalus from intracranial neonatal hemorrhage be distinguished from Dandy Walker or Arnold Chiari?
If due to intracranial neonatal hemorrhage, there will be dilation of the entire ventricular system particularly the subarachnoid space. D-W and A-C will show obstructive hydrocephalus
Does smoking cessation lower BP?
No
When do you stop doing biannual PAPs in patients with CIN II-CIN III?
After they’ve already had 3 normal tests
What is the #1 maternal risk factor associated with IUGR?
Smoking (not HTN)
What is the most likely long-tern complication of vesicoureteral reflux?
Renal scarring
Describe cervical mucus at different phases of the menstrual cycle
Ovulatory phase: Thin, clear, and profuse
Early luteal: Thick and scant
Mid-late luteal: Thick and more copious
How does systemic sclerosis cause pulmonary complaints?
Most commonly interstitial fibrosis
How do you distinguish rheumatoid arthritis from viral arthritis?
RA has morning stiffness > 1hr (viral 6 weeks of symptoms are required to establish the diagnosis)
How does sepsis increase mixed venous O2 concentration?
Hyperdynamic circulation and impaired distribution of cardiac output leading to suboptimal oxygen extraction
What is the preferred imaging modality for osteomyelitis?
MRI; bone scan is very sensitive but not as specific
What is the first imaging modality to evaluate a patient with back pain and alarm symptoms?
X-ray
