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4/27 Flashcards

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1
Q

signs of lichen planus

A
  • can have vagina, vulva and oral cavity
  • vulvar erosions with Wickham striae
  • lace like reticular erosions
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2
Q

lichen planus vs sclerosis

A

sclerosis has no vaginal involvement

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3
Q

treatment of parkinsonian symptoms after starting psych meds

A

add benztropine

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4
Q

test when menopause is suspected

A

high FSH

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5
Q

treatment for PACs

A

avoid triggers, like alcohol and tobacco

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6
Q

endemic fungus that can be disseminated in non-immunocompromised patients

A

blasto

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7
Q

intermittent solid food dysphagia in younger men

A

eosinophilic esophagitis

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8
Q

trachealization of eosphagus

A

eosinophilic esophagitis

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9
Q

findings in Friedrich ataxia

A

high arched feet, loss of position and vibratory senses, hypertrophic cardiomyopathy

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10
Q

cause of ataxia-telangiectasias

A

DNA repair defect

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11
Q

abnormalities found in pregnancy

A

increased cortisol, decreased REM latency, decreased slow wave sleep

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12
Q

next step after capillary blood lead test

A

test venous sample, could be false positive

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13
Q

treatment of scabies

A

topical permethrin or ivermectin

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14
Q

bilateral palpable abdominal masses in adult with hypertension

A

ADPKD

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15
Q

dermatomyositis goes with…

A

malignancy

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16
Q

reason for hypotension in pancreatitis

A

vascular permeability

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17
Q

erythema in nasal mucosa of teen

A

cocaine use disorder

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18
Q

turner syndrome is at risk of _____ due to lone estrogen

A

osteoporosis

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19
Q

treatment of croup with closing airway

A

epinephrine in addition to steroids

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20
Q

bactrim can cause what lab abnormality

A

hyperkalemia due to blockage of sodium channels in kidney

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21
Q

kid can’t see and has numerous hyperpigmented macules

A

NF1

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22
Q

nephropathy associated with hep B

A

membranous nephropathy

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23
Q

reason for molluscum STI

A

usually underlying HIV

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24
Q

when to use ECT for depression treatment

A

when patient is not eating, need quicker intervention

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25
purulent discharge with anterior vaginal mass
urethral diverticulum
26
common drug that might not show up on urine screen
synthetic opioid
27
signs of diabetic retinopathy
microaneurysms, cotton wool spots, formation of new vessels
28
high 14-3-3 titers
Jakob-Creutzfeldt disease
29
most common psych disturbance in Parkinsons
depression
30
extended decrease in fetal heart tracing
uterine rupture
31
smoking and hypertension
smoking can lower BP, but has other vascular complications
32
most common bus in brain abscess
s aureus, s viridans, polymicrobial
33
most common issue with inhaled corticosteroids
oral thrush
34
fluid in interlobar fissures in newborn
TTN - lungs show hyperinflation
35
markers of acute liver failure
- hepatic encephalopathy - severely elevated LFTs - function impairment - high INR
36
pulmonary septic emboli in IVDU
from s aureus
37
reason for recurrent infection in multiple myeloma
impaired antibody production - only one type
38
aplastic anemia vs ALL
ALL usually presents with bone pain and splenomegaly
39
diagnostic study in NPH
MRI of brain
40
meds to avoid with ED drugs
nitrates and alpha blockers
41
digital clubbing and sudden onset joint pain
hypertrophic osteoarthropathy - concern for lung cancer
42
features of VHL
hemangioblastomas, RCC, pheochromocytoma
43
supplementation in newborn
vitamin if being fed with breast milk, iron if mom has iron deficiency anemia
44
cause of hard pitting in lymphedema
deposition of subq collagen and adipose tissue
45
classical c section is a contraindication to...
VBAC
46
most common childhood tumor
low grade astrocytoma
47
FGR baby with no prenatal care, placenta should
undergo analysis for infection
48
tick borne paralysis
more pronounced in one arm or leg, ascending, normal sensation, no autonomic dysfunction
49
chronic pelvic pain with adnexal mass
endometriosis
50
beneficial treatment in measles
vitamin A
51
treatment to keep PDA open
prostaglandin E1
52
common cause of UTI in young girls
vesicoureteral reflux | - posterior urethral valves in boys
53
best treatment for retinal artery occlusions
ocular massage and high flow oxygen
54
tumor marker for medullary thyroid cancer
calcitonin
55
antithyroid drug used in pregnancy
PTU
56
isolate ambulatory hypertension
consider in someone with signs of end stage hypertension but are normotensive in office
57
best initial test for SLE
ANA is more sensitive, dsDNA is more specific
58
beckwith wiedemann syndrome
macrosomia, macroglossia, hemihyperplasia | - high increased risk for Wilms tumor, should have screening ultrasounds
59
sinusitis with headache, vomiting and mental status changes
concern for brain abscess
60
strong association with pseudogout and diabetes together
hereditary hemochromatosis
61
AFP in HCC
only elevated in 50% of cases
62
focal nodular hyperplasia of liver
benign liver lesion in young women
63
propranalol vs PTU in thyroid
bblocker treats actions of preformed thyroid hormone, PTU prevent formation of new
64
antibodies Ro and La
Sorgrens syndrome
65
what is swollen in croup
narrowing of the proximal trachea
66
skin/nerve lesion in immigrant
leprosy
67
microvesicular fat infiltration of liver in kids
Reye syndrome from giving aspirin (mitochondrial toxin)
68
gamma gap
different between total protein and albumni
69
sausage linked retinal changes
waldenstroms
70
anti ccp
RA
71
blurring of the grey white matter after MVA
diffuse axonal injury
72
green smelly vagina
trichomonas
73
loss of fetal station
uterine rupture

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