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1
Q

tumor associated with myasthenia gravis

A

thymoma

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2
Q

retinal hemorrhages in kids

A

abuse

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3
Q

cofactors required for PTH synthesis

A

magnesium and vitamin A, in case of hypomag, patient will have low PTH and low calcium

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4
Q

treatment of acute gout attack

A

NSAIDs then colchicine

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5
Q

when to treat with acyclovir in pregnancy

A

only with active lesions - can give prophylactic dose at 36 weeks

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6
Q

cause of urinary stasis in pregnancy

A

progesterone relaxes the ureter

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7
Q

overdose with horizontal nystagmus

A

PCP

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8
Q

next step with discoloration in torsion or incarceration

A

surgery, don’t wait for imaging

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9
Q

elevated lab value in sarcoid

A

calcium

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10
Q

fussy and irritable in child after surgery

A

likely in pain

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11
Q

OCPs decrease risk of what cancers

A

endometrial/ovarian

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12
Q

A-a gradient formula

A

150-0.8/CO2

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13
Q

alternative for doxy in lyme

A

amox

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14
Q

digoxin and potassium

A

low potassium worsens digoxin toxicity

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15
Q

treatment for organophosphate poisoning

A

atropine

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16
Q

most common causes of CAP

A

h flu and s pneumo

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17
Q

gentamicin causes what kidney problem

A

ATN

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18
Q

plethysmography

A

for LFTs

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19
Q

voices in berevement

A

may hear voices of the dead but not from the living

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20
Q

serpiginous skin tracts

A

cutaneous larva migrans

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21
Q

muscles in achalasis

A

tightened LES but decreased peristalsis

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22
Q

location of occlusion causing rest pain

A

femoral-popliteal vessels

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23
Q

immediate treatment of AAA rupture

A

beta blockers to lower cardiac contractility

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24
Q

steps in pituitary microadenoma

A

bromocriptine first followed by surgery if refractory

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25
auditory hallucinations are specific for...
schizophrenia
26
treatment of small penumothorax
100% oxygen, dont need to treat less than 20%
27
treatment of neurological deficits due to mets
radiation to decrease spinal compression
28
contraindication to alpha blocker in BPH
hypotension
29
hypertrophic osteoarthropathy
in bronchogenic carcinoma
30
electrolyte abnormalities in adrenal isufficiency
hyponatremia and hyperkalemia
31
best test for diabetic nephropathy
urine creatinine/microalbumin ratio
32
when tocolytics should stop being used
34 weeks - outweigh the risks of preterm delviery
33
dermal blisters on hands in hep c
porphyria cutanea tarda
34
erythema toxicum neonatrum
scattered pustules and papules in newborn, benign
35
normal height/weight gain at one year
weight triples, height up 50%
36
rule out test for suspected learning disability
hearing test
37
most common cause of thrombocytopenia in lupus
autoimmune destruction
38
risk factors for MS
cold climate and low vitamin D levels
39
presbyopia
loss of elasticity in lens over time
40
loss of pain in temp in brown sequard
contralateral to side of lesion, tend to occur 1-2 levels down
41
pronator drift is sign of...
UMN lesion of pyramidal/corticospinal tract lesion, causes more weakness in the supinator muscles
42
positive urine bilirubin
results from buildup of conjugated bilirubin in blood that isnt degraded in the intestines
43
elevated urobilinogen
caused by buildup of unconjugated bilirubin
44
rouleaux formation
multiple myeloma
45
post void dribbling with vaginal wall mass
urethral diverticulum
46
treatment of bell's palsy
glucocorticoids (even though it may be caused by a virus)
47
risk factor for cervical cancer
smoking, OCPs
48
important screen before starting antidpressant
mania
49
preferred anticoagulation in renal disease
unfractionated heparin
50
opioid vs benzo over dose
benzo has normal pupil and no respiratory depression
51
most likely secondary complication of HSP
intussusception, due to intestinal edema and bleeding
52
labs in cholestasis of pregnancy
high LFTs and bile acids - severe itching on palms and soles
53
elevated total bile acids salts in pregnancy
cholestasis of pregnancy - treat with ursodeoxycholic acid
54
tetanus toxoid inhibits ..... release
GABA/glycine - blocks release of inhibitory neurotransmitters
55
mixed cryo is associated with...
hep C and SLE
56
diamond blackfan anemia
pure red cell aplasia, macrocytic anemia, triphalangeal thumbs
57
triphalangeal thumbs
diamond blackfan anemia
58
earliest manifestation of vaso-occlusion in sickle cell disease
dactylitis - always bilateral
59
vaso-occlusive vs osteo in sickle cell
many sites vs one site
60
when to only anoscopy for anal bleeding
less than 40 y/o
61
elevated LFTs in TB treatment
if healthy and mildly elevated, do nothing | - careful in liver disease/alcohol use
62
findings in pinealoma
limitation of upward gaze, eyelid retraction and light-near dissociation
63
how do vagal maneuvers stop reentrant tachys
block the AV node
64
how long should malaria prophylaxis be continued for
4 weeks after return
65
treatment for early parkinson's patients with tremor
trihexyphenidyl (anticholinergic)
66
how polysaccharides vaccines work
mostly T cell dependent mechanism
67
mononuclear inflammatory infiltrate in lamina propria
microscopic colitis - also thickened subepithelial collagen band
68
microscopic colitis is associated with...
NSAIDs, PPIs, smoking, autoimmune disorders
69
overuse pain in medial knee
pes anserinus
70
components of Howell Jolly bodies
RBC nuclear remnants
71
components in basophilic stipling
precipitation of rRNA
72
rare finding in pseudogout
chondrocalcinosis

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