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MKSAP > Mksap 2 > Flashcards

Mksap 2 Flashcards

1
Q

subacute cutaneous lupus

A

fewer than 25% get systemic symptoms

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2
Q

ABI interpretation

A

<.9 = PAD, >1.40 = calcified, need toe brachial index. TBI<.7 is diagnostic - exercise testing useful if intermediate and high clinical suspicion

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3
Q

CVID

A

age 15-25, recurrent encapsulated infections + giardia

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4
Q

pencil in cup joint

A

psoriatic arthritis

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5
Q

AAA screening

A

men 65-75 who have ever smoked: >5.5 surgery, 6 mo f/u 4-5.4, otherwise 2-3 years

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6
Q

UTI in pregnancy

A

augmenting, nitrofurantoin, cefpodoxime

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7
Q

burn degrees

A

second degree partial thickness = blisters because epidermis only; second degree full thickness = not painful bc through dermis. third = black

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8
Q

RA rx

A

first MTX, then biologics like etanercept, infliximab, etcs

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9
Q

portopulmonary syndrome

A

worsening hypoxia when sitting upright

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10
Q

PFO closure ideal at what age?

A

<60, also give asa

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11
Q

stool osmotic gap

A

> 100 = there’s another solute like sorbitol; calculate as 290-(2X stool Na+K)

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12
Q

lung cancer screening

A

50-80 yo, 20 py hx, quit <15 years ago

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13
Q

most appropriate OUD rx in primary care clinic?

A

Suboxone

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14
Q

perioperative respiratory therapy

A

> incentive spiro

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15
Q

situational syncope vs. vasovagal

A

situational = micturition, defecation, cough

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16
Q

when TDAP in pregnancy?

A

27-36 weeks

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17
Q

left posterior fascicular block

A

R axis

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18
Q

measure what before starting statin?

A

ALT

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19
Q

rx exercise induced asthma

A

diagnosed by 10% or more worsening of FEV1 with starting exercise; rx with albuterol or budesonide/formoterol before starting exercise

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20
Q

rx hypothyroidism

A

25 mcg if older (>60) or CAD; for myxedema coma give steroids too

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21
Q

abnormal pulsus

A

> 10

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22
Q

hospitalize in pericaditis

A

Fever, subacute onset, A/C, lack of response to rx. Otherwise Rx is ibuprofen and colchicine

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23
Q

valsalva impact on AS and HOCM

A

diminishes AS murmur, worsens HOCM murmur

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24
Q

brugada on ekg

A

downsloping ST in V1-V3

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25
Q

Hyperviscocity syndrome rx

A

plasmapheresis

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26
Q

goal of CABG

A

symptomatic improvement, not survival unless >70% 2 major vessels

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27
Q

increased risk of urothelial cancer as a young person

A

from herbal supplements/aristolochic acid nephropathy “Balkan Nephropathy” - also causes chronic interstitial tubular nephritis/CKD

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28
Q

GE Adeno mutation of interest?

A

HER2

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29
Q

BRAF

A

melanoma

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30
Q

EGFR

A

non small cell lung cancer

31
Q

APML

A

violet granules, auer rods

32
Q

ABPA lab finding

A

increased IgE both total and aspergillus specific

33
Q

allopurinol hypersensitivity?

A

HLA B 58 - men of Chinese descent, can cause SJS

34
Q

statins not enough?

A

ezetimibe to get <70, PCSK9 if that fails; icosapent ethyl is for TG

35
Q

scleritis vs episcleritis

A

epi is ok, just blood vessels red, non-tender, scleritis is emergent - violaceous discoloration,

36
Q

Thin glomerular basement membrane disease

A

(benign familial hematuria), collage deposition disorder, have hematuria, low risk of prog to CKD

37
Q

steroids in alc help

A

Maddrey>32 or hepatic encephalopathy, cont 28 days. If not improving in 7, d/c

38
Q

wegners rx

A

steroids + RTX or cyclophosphamide

39
Q

Lyme CN palsy

A

doxy ok, for meningitis do CTX

40
Q

urinary urgency rx

A

1) alpha blocke 2) anticholintergic

41
Q

hypoparathyroidism and phos?

A

makes it high as it changes excretion in the intestine

42
Q

rx DI

A

amiloride

43
Q

2 AM testosterones

A

only if the first is low normal or low - and it’s total T

44
Q

CK in PMR?

A

normal

45
Q

d dimer if high pre-test probablity

A

no

46
Q

rx spherocytosis

A

folate! if severe splenectomy

47
Q

ICD in HFrEF after MI

A

yes if still reduced EF at 90 days after revasc

48
Q

diabetic retinopathy

A

hard exudate, microaneurysms, minor hemorrhages

49
Q

screening EGD frequency

A

q3 years if none on imaging, q2 years if ongoing liver injury but none on imaging, q1 year if any varices

50
Q

rx impending herniatin

A

head of the bed, mannitol, hypertonic, decompression

51
Q

rx cold agglutinin hemolytic anemia

A

rtx

52
Q

CVID

A

test for immunity to tetanus and pneumococcus

53
Q

mitochondrial myopathy

A

fluctuating weakness, ophthalmoplegia, mulitorgan systems maternal inheritance vs. McArdle: exercise induced weakness and myoglobinuria

54
Q

width of QRS for CRT

A

> 150

55
Q

cardiac vs liver ascites

A

protein>2.5 or <2.5

56
Q

low grade neuroendocrine tumor

A

Well-differentiated, metastatic gastrointestinal neuroendocrine tumors are often indolent and asymptomatic and do not require immediate treatment.

56
Q

low grade neuroendocrine tumor

A

Well-differentiated, metastatic gastrointestinal neuroendocrine tumors are often indolent and asymptomatic and do not require immediate treatment.

57
Q

rx HAPE

A

(high altitude pulmonary edema) - descend to lower altitude; acetazolamide can prevent but not rx

58
Q

how long dapt after stent

A

ideally 6 mo, ok for 3 if high risk of bleeding. drop the plavix

59
Q

colon cancer mutation

A

mitchmatch repair (vs EGFR non small cell lung cancer, BRAF and KRAS also in colon cancer but not in stage I-III: only for metastatic

60
Q

statin myopathy

A

CK can be normal. can cause weakness. Is #1 myopathy

61
Q

seizure ppx in brain mass

A

only if it’s caused a seizure, sometimes after resection

62
Q

rx duration dvt

A

unprovoked “extended” provoked 3-6 mo

63
Q

rx severe hyper TG

A

fibrate, goal is <500

64
Q

gastroparesis rx

A

1) metoclopramide 2) erythromycin

65
Q

rx hyperaldo?

A

spiro or eplerenone

66
Q

screening in BRCA

A

annual mammo+MRI (mammogram is better for calcifications)

67
Q

seizure rx in older adults

A

lamotrigine/keppra>valproic acid

68
Q

1 cause of postpartum MI

A

SCAD

69
Q

ppx after bite

A

3-5 days augmentin if immunocomp

70
Q

erythrodermic psoriasis

A

preceded by steroid withdrawal

71
Q

empyema vs lung abscess

A

empyema is adjacent to the pleura, not parenchymal like a lung abscess

72
Q

false positive HIV

A

get differentiation assay and then NAAT, if both negative then you are negative

73
Q

antibody to the leucine-rich glioma inactivated 1 subunit of the voltage-gated potassium channel is positive

A

AI/paraneoplastic syndrome

MKSAP (5 decks)

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