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220-266 Flashcards

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1
Q

What is pulsus bisfiriens?

A

It’s not the same as pulsus paradoxus… It’s a biphasic aortic pulse typically associated with AI

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2
Q

What abdominal vascular pathology causes a systolic-diastolic bruit?

A

Renal artery stenosis (AAA is usually systolic)

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3
Q

What part of the spine does RA usually involve, if any?

A

Cervical

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4
Q

What is the first step after an abnormal amniocentesis?

A

Ultrasound

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5
Q

What is the treatment for Tourette’s?

A

Typical antipsychotics such as haloperidol or pimozide

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6
Q

What’s the preferred treatment for social phobias?

A

Assertiveness training (not supportive therapy) and SSRIs (not propranolol)

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7
Q

How can you distinguish pinealoma and craniopharyngioma on exam?

A

Pinealoma causes paralysis of upward and downward gaze, whereas craniopharyngeoma causes bitemporal hemianopsia

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8
Q

What medicine other than lasix is effective at relieving dyspnea secondary to cardiogenic edema?

A

Nitrates

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9
Q

What is G6PD activity during a hemolytic crisis in a patient with G6PD deficiency?

A

Normal

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10
Q

What CBC abnormality is associated with RCC? What vascular pathology?

A

Polycythemia, unilateral varicocele

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11
Q

How do you distinguish IgA GN from PSGN on the basis of clinical presentation and laboratory values?

A

IgA: 5 days after infection, normal complement
PSGN: 10-21 days after infection, low complement

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12
Q

How do you treat SIADH?

A

Fluid restriction if mild, hypertonic saline if not.

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13
Q

What is the clinical manifestation of hypocalcemia due to hypoalbuminemia?

A

It is asymptomatic

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14
Q

What is the most important diagnostic criteria for dementia?

A

Impairment of ADLs

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15
Q

What is the treatment for incidental, asymptomatic cholelithiasis?

A

Nothing

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16
Q

What medication that does not necessarily ablate the headache is useful in treating acute migraines?

A

Prochlorperazine

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17
Q

What medication should be given only after a four hour window following viagra administration?

A

Doxazosin

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18
Q

What is the means of securing an airway in a patient with cervical spine injury?

A

Orotracheal intubation

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19
Q

When do you give tetanus Ig?

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A

Only if the patient has had a total of less than three doses of Td

20
Q

What are the clinical features of beta blocker overdose?

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A

Bradycardia, AV block, HoTN, diffuse wheezing after a suicide attempt

21
Q

What is necessary to diagnose Kawasaki’s other than the fever/LAD/rash?

Study These Flashcards
A

Involvement of periphery or conjunctivitis

22
Q

Treatment for complicated diverticulitis (abscess)?

Study These Flashcards
A

CT-guided drainiage

23
Q

Signs and symptoms of cerebral palsy?

Study These Flashcards
A

Hypotonia, hyperactive DTRs, learning disabilities

24
Q

What are clinical features of aromatase deficiency?

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A

Increased FSH/LH ratio, low estrogel, clitoral hypertrophy, normal internal genitalia with ambiguous external genitalia

25
What is the first manifestation of diabetic nephropathy?
Glomerular hyperfiltration
26
Fundoscopic findings associated with retinal detachment vs vitreous hemorrhage?
Detach: elevated retina | Vitreous hemorrhage: loss of fundus details, floating debris, dark red glow
27
What are clinical features of post-cholecystectomy syndrome and how do you manage it?
Persistent abdominal pain or dyspepsia following cholecystectomy. Do the ultrasound and then go to ERCP
28
Most likely cause of contrast-enhancing liver lesions in an HIV patient?
Bacillary angiomatosis
29
How do you manage S viridians SBE if it's susceptible to PCN?
IV PCN or ceftriaxone
30
How do you distinguish cyclosporine toxicity from tacrolimus toxicity?
Cyclosporine is neurotoxic in addition to being nephrotoxic
31
What is adrenarche?
Appearance of isolated axillary hair (no pubes)
32
How does cold water immersion primarily affect PSVT?
Decreasing AV nodal conductivity
33
What does the presence of a succusion splash imply?
Gastric outlet obstruction
34
Is isolated proximal muscle involvement typical of myasthenia gravis?
No
35
What clinical feature is present in epiglottitis but classically not in croup?
Drooling
36
What is rationalization? How does it contrast with intellectualization?
When you offer a rational explanation for an event rather than what actually is causing it. Intellectualization is when you delve into the intellectual minutiae of an issue rather than actually address it.
37
How is SCFE managed?
Surgical pinning
38
What is a retrospective cohort trial?
When the trial starts in between the exposure and the outcome that are being studied
39
What is implied when there is an obstructive pattern on PFTs with an increase in FRC?
Chest wall motion restriction
40
What is adhesive capsulitis and how do you distinguish it from rotator cuff impingement?
Adhesive capsulitis is pain with rotating the shoulder, cannot lift it above the head. It will not improve with steroid injection, whereas rotator cuff impingement will
41
Which is a criteria for malignant HTN: DBP>120 or presence of retinal hemorrhages?
Retinal hemorrhages
42
How do you distinguish Dubin-Johnson syndrome from Rotor syndrome?
Both are conjugated hyperbilirubinemias, but Dubin-Johnson will have a dark pigment in the liver
43
What is the next step in management for pyelonephritis that does not respond to antibiotics?
Renal ultrasound
44
What HIV medication is associated with an increased risk of renal calculi?
Indinavir
45
What is the CD4 cutoff for administering the MMR vaccine?
>200
46
What's seen on ultrasound in a missed Ab?
Dead fetus still inside the womb
47
What bacterial infections are iron overload a risk factor for?
Yersinia, Listeria, Vibrio

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