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4/25 Flashcards

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1
Q

side effects of stimulants

A

decreased appetite, weight loss and insomnia

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2
Q

cause of dermatitis herpetiformis

A

in celiac disease - microabscesses at dermal papillae - treat with dapsone

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3
Q

treatment of nursemaids

A

hyperpronation of forearm or supination of forearm and flexion of elbow

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4
Q

requirement of cyclothymic

A

must be over 2 years

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5
Q

signs of langerhan cell histiocytosis

A

lytic bone lesions, skin lesions, central diabetes insipidus

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6
Q

thalmic strokes

A

contralateral sensory loss

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7
Q

thalamic pain syndrome

A

burning pain over nerve distribution after thalamic stroke

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8
Q

treatment of syphilis in pregnancy with penicillin allergy

A

desensitization then penicillin

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9
Q

treatment of tardive dyskinesia

A

reduce dose or switch drugs

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10
Q

symptoms of botulinum toxin

A

descending paralysis, oculobulbar palsies, autonomic dysfunction

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11
Q

disease with no thymus

A

digeorge - cardiac defects, hypocalcemia, cleft lip/palate

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12
Q

cause of factor V leiden

A

protein C resistence

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13
Q

cause of warfarin induced skin necrosis

A

protein C deficiency

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14
Q

heart problem with long standing hypertension

A

diastolic dysfunction - heart can’t fill

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15
Q

causes of high output heart failure

A

AV malformations, anemia, thyrotoxicosis

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16
Q

meds needed for HIV prophylaxsis

A

only bactrim and azithromycin (anti fungal in endemic areas)

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17
Q

most common cause of facial nerve palsy

A

virus induced nerve inflammation - usually herpes

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18
Q

medication treatment of renal artery stenosis

A

ACEi or ARB - stenting is not better

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19
Q

treatment of echinococcal abscess

A

do not drain - treat with metronidazole

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20
Q

measurement in case control

A

odds ratio

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21
Q

viral vs bacterial lymphadenitis

A

bilateral vs unilateral

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22
Q

rash with suboccipital and posterior auricular nodes

A

rubella

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23
Q

FRC in COPD

A

normal or increased

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24
Q

basic urine in UTI = concern for…

A

urease producing organism = proteus

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25
meningitis initial mangement
CT in adults LP if kids are stable Antibiotics if unstable
26
TSH in pregnancy
decreased
27
medical treatment of short cervix in pregnancy
vaginal progesterone to keep uterus quiescent
28
how does lead cause microcytic anemia
disruption of heme synthesis
29
treatment of foreign body aspiration in kid
rigid broncoscopy
30
treatment of ingestion of sharp object
endoscopy - must be removed
31
when should external cephalic version be performed
greater than 37 weeks so you don't induce labor
32
worst type of colon polyp
villous adenoma
33
peripheral lung tumors
adenocarcinoma or large cell
34
most common cause of secondary bacterial pneumoia
staph/strep
35
contraindication to ergot/triptans
heart disease
36
glomerular disease most likely to occur in malignancy
membranous - can also be minimal change
37
most common glomerulonephropathy in Hodgkins lymphoma
minimal change
38
DMARD in RA
methotrexate
39
first line in catatonia
benzos
40
liver and psych problems in child
lead or copper
41
conjunctivitis with itching
probably allergic
42
most common cause of pediatric stroke
sickle cell
43
child with inspiratory stridor that worsens with lying down
laryngomalacia
44
FHT in previa vs abruption
``` previa = normal FHT abruption = abnormal ```
45
hearing loss and cardiac defect and cataracts in maternal infection
rubella
46
risks in OCPs
increasing hypertension and strokes
47
posterior fossa tumors in kids
astrocytoma and medulloblastoma
48
PPROM with complications
immediate induction of labor
49
TSH in prolactinoma
can be normal depending on if there are compression symptoms
50
anti-topoisomerase antibodies
systemic sclerosis
51
urinary problems with benadryl are caused by...
impaired detrusor contraction
52
McCune Albright
cafe au lait, precocious puberty, fibrous dysplasia of bone
53
factorial design
many studies in one
54
life threatening side effects of anti thyroid meds
neutropenia
55
best solution to single brain mass
surgical resection
56
seeing bent and wavy vertical lines
macular degeneration - grid test
57
rapid food bourne illness
staph aureus toxins
58
complement in lupus
lower
59
triggers of cyclic vomiting
migraines, stress or infection
60
postradiation with clear leakage of fluid
vesicovaginal fistula
61
genetic screen for women over 35
cell free DNA
62
fair complexion and musty body odor
phenylketonuria
63
screening for celiac
anti-tissue transglutaminase IgA
64
treatment of toxo in AIDS
sulfadiazine and pyrimethamine
65
high triglycerides in exudative effusion
thoracic duct rupture
66
when to treat carotid stenosis
symptomatic 70-99% | asymptomatic 80-99%
67
cause of seizure in HHS
hyperosmolality
68
plateau pressure
sum of PEEP and elastic pressure
69
treatment of MS flare
steroids
70
smudge cells
CLL
71
decrease hyperkalemia with
insulin and glucose
72
stroke occuring over minutes to hours
usually hemorrhagic
73
cause of primary hypotension after tranfusion
bradykinin in blood products - patients on ACEi
74
patients at risk of anaphylactic transfusion reactions
IgA deficiency
75
widened wrist in kids
vitamin D deficiency
76
frequent presentation of adolescent depression
irritability
77
best markers for acute liver failure
bilirubin and PT
78
ovarian findings in molar pregnancy
theca lutein cysts due to overstimulation
79
treatment in chemo vomiting
ondansetron - serotonin antagonist
80
calcium in acidosis
more hydrogen ions bound to albumin leading to more calcium in serum
81
DLCO in emphysema
low
82
most common spread of choriocarcinoma
lungs
83
pupil sparing vs non-pupil sparing CN3 palsies
parasympathetics operate pupil and run on outside - non-sparing are due to compression (require CT) - sparring are due to ischemia (vascular risk factors)
84
helmet cells are due to
hemolysis - RBC breakdown (not sickling)
85
RBCs in functional asplenia
Howell Jolly bodies
86
cause of hypotension in tension pneumo
decrease in right ventricular filling due to compression
87
inheritance of myotonic dystrophy
autosomal dominant (trinucleotide repeat)
88
mid cycle LH tests for
ovulation
89
Most common initial location for acute PE
thigh veins
90
untreated hyperthyroidism puts at risk for...
bone loss - increase in osteoclastic resorption
91
ovarian cyst rupture vs torsion
look at doppler arteriogram

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