REVIEW QUIZZES Flashcards

1
Q

Anti hypertensive CI in bilateral RAS

A

ACE - / ARBs

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2
Q

Anti hypertensive CI in advanced RF

A

If hyperkalemic, ACE- and ARBs. Definitely not potassium sparing diuretics

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3
Q

Anti hypertensive CI in gout patients

A

Thiazisdes

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4
Q

Heart sounds considered benign when no evidence of disease?

A

Split S2 on inspiration
Early systolic, quiet
Split S1
S3 (if asymptomatic)

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5
Q

What heart defect is associated with chromosome 22q11 deletions?

A

Truncus arteriosus, tetralogy of fallot

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6
Q

What heart defect is associated with congenital rubella?

A

PDA, pulm artery stenosis

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7
Q

Whath eart defect is associated with Turners syndrome

A

Coarctation

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8
Q

What heart defect is associated with Marfans syndrome

A

Aortic regurg

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9
Q

What medication combo is used in tx of TB meningitis

A

INH + ethambutol + pyrazinamide + rifampin

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10
Q

Antidote to acetaminophen

A

N-acetylcysteine

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11
Q

Antidote for lead

A

PEDS. Penicillamine, EDTA, Dimercaprol, Succinate

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12
Q

Antidote to cyanide

A

Sodium thiosulfate, hydroxycobalamin, amyl/sodium nitrate

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13
Q

B6 vitamin aids in formation of what NT?

A

GABA

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14
Q

Antidote for methemoglobin

A

Vit C, methylene blue

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15
Q

What bullous skin disease has a negative Nikolskys sign

A

Bullous pemphigoid

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16
Q

What name is given to stress related hair loss and what is the tx

A

Telogen effluvium. Reassurance

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17
Q

Two most common food borne bacterial GI tract infections in US

A
#1: salmonella
#2: campylobacter
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18
Q

Findings seen in post-term pregnancy beyond 42 weeks gestation

A

Dry, peeling skin
Mature calcified placenta
Oligohydramnios
Passage of meconium in utero

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19
Q

What annual screening is recommended for women wit strong family hx of ovarian CA

A

CA 125 and transvaginal US

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20
Q

A one year old is able to cruise, use 2 finger pincer grasp, babble and imitate actions. what part of his development is delayed?

A

Language

21
Q

Which defense mechanism is a pedophile that enters a monastery using

A

Reaction formation

22
Q

Eye mx of corticosteroid use

A

Cataracts

23
Q

Acceptable urine output in a trauma patient?

A

50 cc/hr. In most normal patients its 30 cc/hr.

24
Q

Treatment of v fib

A

Defibrillate/CVN. If that does not work, give epi OR first dose vasopressin.

25
Q

What skin blistering disease has a positive Nikolskys sign

A

Pemphigus vulgaris

26
Q

MCC of bloody nipple discharge

A

Intraductal papilloma

27
Q

Which abx avoided during pregnancy?

A

DEF NOT fluoroquinolones or tetracyclines. Try to avoid ahminoglycosides, sulfonamides

28
Q

Tachy + wild fluctuations in BP + headache + diaphoresis + panic attacks

A

Pheochromocytoma

29
Q

Next step in dx of cholecystitis when U/S is equivocal?

A

HIDA

30
Q

MCC of fever of unknown origin

A

Infection
Cancer
Autoimmune

31
Q

Neonate has meconium ileus

A

CF or hirschsprungs

32
Q

Immunodeficiency with a positive nitroblue tetrazolium test

A

Chronic granulomatous disease

33
Q

Treatment for superior vena cava syndrome

A

Radiation! To reduce size of tumor. Also steroids.

34
Q

Common SE of ganciclovir

A

Pancytopenia

35
Q

Foscarnet

A

Protracted CMV, does NOT TREAT HERPES SIMPLEX. Common AE is nephrotox and electrolyte disturbances.

36
Q

18 yo pt comes in after removing a splinter yesterday and now has streaks of redness from heel up surface of lower leg. Most appropriate abx?

A

PCN. This is most likely an infection of the lymph (streaks) therefore strep is most likely organism.

37
Q

29 y.o. man undergoing chemo for AML now develops meningitis. What is your abx of choice?

A

Cefepime, 4th gen ceph. Great pseudomonal coverage and really good penetration of CNS/meninges.

38
Q

2 neurological sx NOT associated with carotid artery stenosis

A

Vertigo and syncope

39
Q

Ppx of PCP pneuma begins at what CD4?

A
40
Q

Ppx of PCP first line and second line

A

First line: tmp - smx

second line: dapsone OR dapsone + pyrimethamine

41
Q

Tx of PCP pneuma first and second line

A

First line: tmp - smx

second line: dapsone + tmp OR primaquine + clinda OR atovaquone alone

42
Q

Ppx of toxo begins at what CD4

A
43
Q

Ppx of toxo

A

TMP-SMX

Second line: atovaquone + pyrimethamine OR dapsone + pyrimethamine

44
Q

Tx of toxo first and second line

A

TMP-SMX or pyrimethamine + sulfadiazine

Second line: pyrimethamine + clindamycin

45
Q

Anti-HBs + anti HBc (IgG)

A

Recovery from a previous infection

46
Q

HBsAg + HBeAg + anti-HBc (igM)

A

Acute, active infection.

47
Q

When does anti - HBc become detected in the serum?

A

2-12 weeks after infection.

48
Q

HBsAg + anti - HBc (IgG)

A

Chronic HBV infection in the immune tolerant state. High circulating viral load with no evidence of liver inflammation.