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Flashcards in 5/16 Deck (67)
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1

Presentation of angiofibroma

Adolescent w/ nasal obstruction, visible nasal mass, and frequent nosebleeds
*can erode local bone*

2

Whipples dz characterized by

Arthralgia's, weight loss, fever, diarrhea, and abdominal pain

3

Cutaneous larva migrans characterized by

Pruritic, elevated, serpiginous lesions on the skin
Often acquired through contact with sand

4

DS quad

Low AFP and estriol
Inc B-HCG and inhibit A

5

First test after abnormal quad

US to evaluate anatomy and measure growth

6

Only infant absolute contra to breastfeeding

Galactosemia

7

When is varicella infectio a contra to breastfeeding

8

TCA OD characterized by

CNS depression
Hypotension
Anticholinergic effects

9

How does the body compensate for chronic hypercapnia

Increasing renal bicarb retention (Like in COPD)

10

What is membranoproliferazive glomerulonephritis type 2 characterized by

Persistent activation of the alternative complement pathway
*dense deposit disease*

11

Anti-GB antibodies characteristic of

Goodpastures syndrome

12

What is Courvoisier's sign

Non-tender but palpable gallbladder at the right costal margin in a jaundiced pt
*for pancreatic Ca*

13

What is D-xylose

Monosaccharide that is absorbed in the proximal Si w/out degradation by pancreatic or bush border enzymes

14

Who has D-xylose absorption impairment? normal?

Small intestinal mucosal disease with have impaired
Patient's with malabsorption due to enzyme def will have normal

15

How can AS pt's get restrictive lung dz

Due to diminished chest wall and spinal mobility

16

Electrolyte abnormalities most often observed in Cushing's

Hypokalemia and hypernatremia
*Hypo K b/c corticosteroids have some mineralocorticoid activity*

17

Tx for febrile neutropenia

Empiric mono therapy w/ an anti-pseudomonad agent (Cefepime, meropenem, pip-taco)

18

Features of cervical sponydlosis

Chronic neck pain
Limited neck rotation
Sensory def (due to osteophyte induced radiculopathy)

19

3 predisposing features to cellulites

1. Obesity
2. Venous insufficiency
3. Skin disruption

20

What can PDD (dysthymia) be thought of as

Chronic, low-grade depression that lasts for years

21

Main objective in mgmt of a rib fracture

Pain relief

22

What is sialadenosis

Benign non-inflammatory enlargement of the salivary glands seen in pt's w/ advanced liver dz

23

What is scleroderma renal crisis

Acute onset of oliguric renal failure w/ malignant hypertension, thrombocytopenia, and microangiopathic hemolytic anemia

24

What are case control studies

Analytical observational studies that retrospectively associate outcomes with specific risk factors

25

Case control vs Retrospective cohort

CC: Determine outcome and then look for associated risk factors
RCS: Ascertain risk factor exposure and then determine the outcome

26

Mainstay of COPD therapy

Inhaled anticholinergics (ipratropium and tiotropium)

27

Baby w/ fair eyes and hair, developmental delay, and CVA

Homocystinuria
*also can have marfinoid habitus*

28

Dx of homcysteinuria based on? tx?

Elevated homocysteine and methionine levels
Tx: Vit B6, folate, and B12 to lower homocystiene levels

29

Best means of measure respiratory function in GB

Serial measurements of FVC (spirometry)
*Peak flow can be used if spirometry unavailable*

30

Extra-renal feature of ADPKD

1. Cerebral aneurysms
2. Hepatic and pancreatic cysts
3. Cardiac valve disorders
4. Diverticulosis
5. Ventral and inguinal hernias