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EOR - Internal Med > Smarty PANCE Practice Exam Stuff I Got Wrong > Flashcards

Smarty PANCE Practice Exam Stuff I Got Wrong Flashcards

1
Q

WBC > 20,000
lymphocytes > 5,000

A

CLL

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2
Q

first line tx for htn in pregnancy

A

labetalol

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3
Q

normal methylmalonic acid
increased homocysteine

A

folic acid deficiency

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4
Q

increased methylmalonic acid
increased homocysteine

A

B12 deficiency

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5
Q

common s.e of SSRIs in elderly and CKD pt’s

A

SIADH -> hyponatremia

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6
Q

what is hutchinson’s sign

A

shingles on the tip of the nose -> suggests corneal involvement -> urgent ophthalmologist referral

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7
Q

best screening method for ADPKD

A

renal US

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8
Q

what type of tumor is a carcinoid tumor

A

neuroendocrine

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9
Q

hallmark presentation of botulism

A

blurry vision and vertical diplopia after prodromal GI sx

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10
Q

pathophys of botulism infxn

A

Ach antagonism

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11
Q

weird way Smarty PANCE described gout crystals

A

yellow crystals in parallel to the polarization filter

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12
Q

dyspareunia and dental caries

A

sjorgens

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13
Q

anti-DNA topoisomerase

A

scleroderma

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14
Q

anti microsomal abs

A

hashimoto thyroiditis

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15
Q

anti-Ro abs

A

sjorgens

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16
Q

anti-La abs

A

sjorgens

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17
Q

bloody diarrhea pathogens

A

salmonella
e.coli
entamoeba
campylobacter
shigella
yersinia

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18
Q

gradual progressive proximal muscle weakness and elevated creatinine phosphokinase

A

polymyositis

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19
Q

any increase in sputum production reported by a pt w. a hx of COPD requires

A

abx

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20
Q

eggshell calcifications of hilar lymph nodes

A

silicosis

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21
Q

interstitial fibrosis and pleural thickening

A

asbestos

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22
Q

what type of AKI are eosinophils associated w.

A

AIN

23
Q

HIV pt w. CD4 count < 50, cough, fever, and hepatomegaly

A

myobacterium avium complex

24
Q

early vs late signs of RA

A

early: soft tissue swelling, osteopenia, erosions, joint space narrowing

late: ulnar deviation, boutonniere/swan neck, ankylosis

25
Q

joints most commonly affected by RA

A

PIP
MCP
MTP

26
Q

if the DIP is involved you can probs rule out

A

RA

27
Q

ABI that indicates need for immediate surgical consult

A

<0.41

28
Q

s.e to know of macrolides

A

QT prolongation

29
Q

elevated ALP, sclerotic/lytic lesions on XR

A

paget dz of the bone

30
Q

3 indicaitons for IVC obstruction w. varicocele

what would you order if you see any of these 3 things

A

right sided
bilat
failure to disappear when lying down

order a CT abd

31
Q

steps in management of refractory familial hypercholesterolemia

A
  1. high intensity statin
  2. ezetimibe
  3. PCSK9 inhibitor
32
Q

management of an incidental pulmonary nodule in non smoking pt’s based. onage

A

<35 yo: CT
>35 yo: needle bx

33
Q

4 hallmark features of delirium

A

fluctuating level of consciousness
hallucinations
disorientation
abnl vitals

34
Q

3 mcc of myocarditis

A

adenovirus
coxsackie B
parvovirus B19

35
Q

triad for reactive arthritis (reiter’s syndrome)

A

urethritis
arthritis
conjunctivitis

36
Q

first line tx for reactive arthritis

A

nsaids

37
Q

4 pathogens mc associated w. reactive arthritis

A

salmonella
shigella
yersinia
campylobacter

38
Q

2 mcc of dilated cardiomyopathy

A

ischemia
long standing htn

39
Q

tx for refractory ITP w. PLT counts < 20,000 x 6 weeks

A

splenectomy

40
Q

2 mcc of mitral regurgitation

A
  1. MVP
  2. posterior MI
41
Q

23 yo AA M w. cc of limp - he has pain his left groin that worsens with walking and has become worse over the past few months - he has had a history of painful attacks that occur once or twice a year and also involve his hands and back

A

SSA

42
Q

pulmonary artery pressure consistent w. dx of pulmonary fibrosis

A

> /= 25

43
Q

CSF findings associated w. guillain barre

A

glucose: normal
WBC count: normal
protein: elevated

44
Q

asymptomatic pt of meditearranean origin w. isolated microcytic anemia

A

beta thalassemia minor

45
Q

electrophoresis findings of beta thalassemia minor

A

Hgb A

46
Q

thalassemia is associated with what 2 types of cells

A

target
teardrop

47
Q

fever, microangiopathic hemolytic anemia, thrombocytopenia w. petechiae, renal dysfxn, AMS

A

thrombotic thrombocytopenic purpura

48
Q

tx for tetanus

A

tetanus immune globulin
+
tetanus toxoid
+
metronidazole

49
Q

with cirrhosis, what causes palmar erythema, gynecomastia, spider angiomas, and testicular atrophy

A

hyperestrinism

cirrhosis leads to elevated circulating estrogens

50
Q

what test evaluates the excitability of the myocardium and is able to reproduce vtach

A

electrophysiology studies

51
Q

2 abs associated w. hashimoto’s

A

anti thyroid peroxidase (anti-microsomal)
anti thyroglobulin

52
Q

what abs are associated w. SLE

A

ANAs:

dsDNA
anti-SM

53
Q

what lab value is elevated in 50-60% of SSA cases

A

ACE

54
Q

mc virus of solid organ transplant recipients

A

CMV

EOR - Internal Med (13 decks)

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