4/13

Question 1

what causes sx croup

Answer 1

edema and narrowing of the proximal trachea

Question 2

vit k def labs

Answer 2

prolonged pt followed by prolonged ptt. in cirrhotic can develop in 7 days

Question 3

which lung cancer has high Ca

Answer 3

squamous from PTHrp

Question 4

how to transport amputated digit

Answer 4

wrapped in saline moistened gauze in a plastic bag immersed in ice water

Question 5

young male increased afp and bhcg

Answer 5

nonseminomatous germ cell tumor

Question 6

only bhcg elevated testicular cancer

Answer 6

seminoma

Question 7

HCC marker

Answer 7

AFP

Question 8

klumpke palsy

Answer 8

shoulder distocia
c8 t1
claw hand
miosis
ptosis sytocia

Question 9

erb-duchenne palsy

Answer 9

c5 c6
waiters tip
grasp but no moro

Question 10

short cervix pharm tx

Answer 10

progesterone to maintain uterin quiescence

Question 11

high risk for sti during preg

Answer 11

less than 25, prior sti, sex worker/multiple partners

Question 12

rupture of membranes before 34 weeks/ healthy. what meds

Answer 12

steroids and latency antibiotics

Question 13

non sex risk factor for cervical cancer

Answer 13

smoking

Question 14

large calcified echogenic ovarian mass in young woman

Answer 14

mature cystic teratoma

Question 15

lichen sclerosus test

Answer 15

punch biopsy to rule out cancer

Question 16

lichen sclerosus tx

Answer 16

topical steroids

Question 17

Waldenstrom macroglbulinemia

Answer 17

hypervisocity 
neuropathy
bleeding
hepatosplenomegaly
lymphadenopathy
IgM 
Rouleaux 
>10% clonal b cells

Question 18

Multiple myeloma

Answer 18

Osteolytic fractures/lesions
Anemia
Hypercalcemia
renal insufeciency
igg, iga,light chains
Rouleaux
>10% clonal plasma cells

Question 19

alopecia areata first line

Answer 19

intralesional triamcinolone(steroids)

Question 20

how does c botulinum cause paralysis

Answer 20

inhibits presynaptic acth release at neuromuscular junction

Question 21

c botulinum signs

Answer 21

symmetric descending weakness
diaphragmatic weakness
blurred vission/diplopia
facial weakness/dysarthria/dysphagia

Question 22

neuronal cell group effected by huntingtons

Answer 22

GABA

Question 23

nephrotic syndrome 4-6 days after uri in adult normal c3

Answer 23

IgA nephropathy

Question 24

loop acid base problem

Answer 24

alkelemia, lose k and cl.
inhibit Na-K-
cl

Question 25

meds that cause hyperK

Answer 25

``` non selective beta blockers acei arb aldosterone antagonists digoxin NSAIDS ```

Question 26

meds that cause nephrogenic di

Answer 26

``` Li demeclocycline foscarnet cidofovir amphotericin ```

Question 27

acute changes hyperventilation

Answer 27

decreased serum ionized calcium, bicarb is in kidneys so takes longer

Question 28

MRI findings HIV neurocognitive disorder

Answer 28

ventricular enlargement and increase in white matter diffusely

Question 29

Look For Those Small Cells pneumonic

Answer 29

``` Microcytic anemia Lead Fe thalassemia sideroblastic chronic dz ```

Question 30

what can indirect coombs test be used to identify

Answer 30

rh alloimunization

Question 31

+ coombs

Answer 31

drug induced or immune hemolytic anemia

Question 32

meds that cause aplastic anemia

Answer 32

chloremphnecol sulfonamides phenytoin chemo

Question 33

aplastic anemia sickle cell

Answer 33

parvovirus b19

Question 34

how do you monitor heparin

Answer 34

ptt

Question 35

warfarin moa

Answer 35

inhibits vit k dep factors.2, 7,9, 10pt/inr increased

Question 36

heparin moa

Answer 36

inhibitsantithrombin 3, inactivates 2a, 9a,10a,11a,12a

Question 37

factors not exclusively synthesized in liver

Answer 37

vWF, 8

Question 38

ptt vWF def

Answer 38

increased, so is bleeding time

Question 39

ptt and pt hemophillia

Answer 39

ptt increased pt normal, normal bleeding time

Question 40

aml staining

Answer 40

myeloperoxidase

Question 41

blood cancer high proportion of neutos

Answer 41

CML

Question 42

cml tx

Answer 42

imantanib

Question 43

blood cancer massive splenomegaly no lyphadenopathy

Answer 43

hairy cell leukemia

Question 44

pjp marker

Answer 44

increased LDH