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4/16 Flashcards

1
Q

auditory canal ulceration

A

vasculitis

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2
Q

mass in child with periorbital bruising and opsoclonus

A

neuroblastoma

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3
Q

sleep terrors and breath holding spells

A

both part of normal development in kids

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4
Q

low risk SSRIs after MI

A

sertraline and escitalopram

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5
Q

primary ovarian insufficiency vs anovulation

A

POI has elevated FSH like early menopause, anov is usually due to obesity causing no LH surge

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6
Q

methanol vs ethylene glycol poisoning

A

methanol damages eyes (optic disc hyperemia), ethylene glycol damages kidneys

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7
Q

CT in schizophrenia

A

enlarged lateral ventricles

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8
Q

treatment for Paget’s disease

A

bisphosphonates

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9
Q

use or hepatojugular reflex

A

differentiate cardiac from liver pathology

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10
Q

h ducreyi

A

large deep painful ulcers with tender lymphadenopathy, yellow exudate (pus) with friable base

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11
Q

treatment of carbon monoxide poisoning

A

100% oxygen

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12
Q

when puncture wound requires immunglobulin

A

if unvaccinated or less than 3 doses, otherwise just need vaccine

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13
Q

referred otalgia

A

can be present in SCC of head and neck from CN 9/10

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14
Q

evaluation for avascular necrosis of hip

A

MRI

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15
Q

confirming diagnosis of carpal tunnel

A

nerve conduction studies

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16
Q

cause of recurrent edema

A

hereditary angioedema, caused by C1 inhibitor deficiency

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17
Q

skin lesions in HIV

A

either kaposi sarcoma or bartonella

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18
Q

coags in von willebrand

A

long bleeding time, normal PT, slightly long PTT (due to low factor 8)

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19
Q

bacteria in contact lens associated kertitis

A

pseudomonas

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20
Q

abnormal coag test in antiphospholipid syndrome

A

prolonged PTT

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21
Q

bladder pain with normal U/A

A

interstitial cystitis, relieved by voiding, unclear cause

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22
Q

treatment of c diff

A

oral vancomycin and metronidazole

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23
Q

treatment of MDD with psychotic features

A

SSRI and antipsychotic

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24
Q

endocarditis in patient with recent history of UTI

A

enterococci

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25
clinical features of Reye syndrome
acute liver failure and encephalopathy
26
matching is a good way to control for...
confounding variables in case control studies
27
typical time of 5 alpha reductase deficiency
phenotypic XY girl gets virilization at puberty due to increase in testosterone
28
other definition for non-classical CAH
21-hydroxylase deficiency
29
most successful modification for blood pressure control
weight loss
30
DLCO in COPD
decreased
31
cholesteatoma in kids
accumulation of keratin due to chronic middle ear infections (pearly white mass)
32
MI with severe hypotension following nitroglycerin
likely RV MI, give fluid bolus to overcome hypotension
33
excessive intake of cows milk in children
can cause iron deficiency anemia
34
RBC distribution width in iron deficiency anemia
elevated due to variability in iron stores throughout the day
35
characteristic VSD murmur
holosystolic at left sternal border, smaller are louder, larger may have diastolic rumble
36
how to treat multifocal atrial tachycardia in COPD
treat the underlying COPD
37
P waves with different morphologies
multifocal atrial tachycardia
38
early satiety in diabetic patient
gastroparesis
39
treatment of gastroparesis in diabetics
metoclopramide
40
mechanism for AKI with acyclovir
tubular obstruction due to crystal build up, encourage adequate hydration
41
cherry red macula with retinal whitening
central retinal artery occlusion
42
when can rash be seen in mono
after taking amoxicillin
43
mechanism for pain relief with nitroglycerin
vasodilation leading to decrease in preload and decrease in myocardial demand
44
treatment required for rapid response of MDD with psychosis
ECT
45
muscles in thyroid disease
weakness and atrophy
46
characteristic findings in membranoproliferative glomerulosclerosis
C3 deposits
47
disease often with PAD
cardiovascular disease
48
aldosterone action of bicarb
aldo secretes H+ leading to increase in bicarb (alkalosis) - bicarb is reabsorbed while potassium is excreted
49
contraindication for rotavirus
intussusception
50
anterior spinal cord lesion
bilateral hemiparesis, diminished pain and temp, intact proprioception
51
pain in carpal tunnel
can radiate up arm, sensation over thenar eminence is intact
52
treatment of bordetella close contacts
should all be treated with antibiotics
53
pseudocyesis
thinking you are pregnant when not
54
cardinal symptoms of COPD
increased dyspnea, increased cough, sputum production
55
most common cause of non-reactive NST
fetal sleep cycle, extend the test to look for accelerations
56
special feature of weirnekes
oculomotor dysfunction (horizontal nystagmus)
57
labs in POI
high GnRH, high FSH, low estrogen
58
pink stain in diaper in neonates
uric acid crystals
59
treatment for minimal change disease
corticosteroid
60
most common cause of death in Friedreich's ataxia
cardiac dysfunction from cardiomyopathy
61
x ray finding in retropharyngeal abscess
widening of prevertebral space
62
vaccinations in HCV
hep A and hep B to prevent future infections
63
treatment of lichen sclerosis
high potency steroids
64
treatment of hoarding disorder
CBT
65
nephrotic syndrome most likely to cause renal vein thrombosis
membranous glomerulosclerosis
66
treatment of cocaine toxicity
benzos - decrease agitation and improve cardiac symtpoms
67
treatment of beta blocker overdose
glucagon, increases cAMP
68
indication for using corticosteroids in PCP pneumonia
PaO2 less than 70 or A-a gradient above 35
69
key differences between immunosupressants
- tacrolimus = diarrhea/neurotoxicity - no hirsutism or gum hypertrophy - cyclosporine = hirsutism and gum hypertrophy - azathioprine = diarrhea, leukopenia and hepatotoxicity - mycophenolate = bone marrow suppression
70
features of malignant hypertension
retinal hemorrhages, exudates or papilledema
71
skin findings in complex regional pain syndrome
edema, sweating, change in temp, trophic changes

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