2/12/13 c Flashcards

1
Q

What should you suspect in an elderly or immunocompromised pt who develops an intense, deep, burning on one side of the abdomen or chest?

A

Shingles

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2
Q

What is the mechanism of respiratory alkalosis in pregnancy?

A

progesterone stimulates the respiratory ctr in the medulla, causing tachypnea

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3
Q

What is the Hb cutoff for anemia in the 1st and 3rd trimesters of preg? In the 2nd?

A

<10.5 g/dL

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4
Q

What is the best Tx for fibromuscular dysplasia of the renal artery?

A

angioplasty w/ stent

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5
Q

All pts, including pregnant pts, w2/ chronic HCV, should receive vaccinations against _______ and _______ if not already immune.

A

Hepatitis A, B

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6
Q

What is the cause of osteomalacia in pts w/ bowel resection?

A

malabsorption of Vit D

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7
Q

________ is a chronic follicular occlusive disease most commonly affecting the intertriginous skin, including the axillary, groin, and infrmammary regions. It appears as painful inflammatory nodules and draining sinus tracts that can last weeks or longer.

A

Suppurative hidradenitis

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8
Q

How many mg/dL does Ca++ drop for every 1 g/dL drop in serum albumin below 4.0?

A

0.8

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9
Q

What Abx can cause phototoxic reactions?

A

tetracyclines

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10
Q

What nerve may be injured by anterior dislocation of the humerus out of the glenoid fossa?

A

axillary

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11
Q

Tennis elbow is also known as what?

A

lateral epicondylitis

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12
Q

Palsy of the axillary nerve would cause paralysis and eventual atrophy of which muscles?

A

teres minor and deltoid

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13
Q

_______ is the result of repetitive overhead motions. Pts complain of pain w/ active range of motion of the shoulder. Passive internal rotation and forward flexion at the shoulder also elicits tenderness.

A

Subacromial bursitis

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14
Q

In what condition causing back pain will lumbar flexion worsen the pain?

A

lumbar disk herniation

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15
Q

What is Winter’s formula for calculating the amount of repiratory compensation (pCO2) expected in a metabolic acidosis?

A

pCO2 = 1.5 [HCO3] + 8

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16
Q

What diagnostic tool should be used next in pts w/ suspected pancreatic cancer but non-diagnostic US and CT?

A

ERCP

17
Q

What should be suspected in a pt w/ a first-time presentation of unilateral eye pain, redness, and a dilated pupil w/ poor light response?

A

acute angle closure glaucoma

18
Q

What is Charcot’s triad of fever, severe jaundice, and RUQ pain indicative of?

A

cholangitis

19
Q

What is cholangitis?

A

infection of the common bile duct

20
Q

What is the first-libe Tx for cholangitis?

A

broad-spectrum Abx

21
Q

What should be done for pts w/ acute cholangitis whose Sx persist despite Abx?

A

sphincterotomy, stone removal, and/or stenting by ERCP