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Flashcards in 5/16 Deck (67)
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

31

What causes vasospasm post SAH coiling

Arterial narrowing at the base of the brain due to degradation of blood and its metabolites

32

Cysteine stone shape? tx?

Hexagonal crystals
Urinary cyanide nitroprusside test can detect elevated cysteine levels

33

What is parinaud syndrome

Pressure on the pretectal region of the midbrain and CN II pressure causing limitation of upward gaze and bilateral eyelid retraction

34

What causes parinaud syndrom

Pineal gland mass

35

Think what in pt w/ severe HTN and recurrent flash pulmonary edema

Renovascular HTN

36

Increased 24 hour urinary free coristol excretion seen in

Cushings syndrome

37

Strange things seen in ACA occlusion

Dyspraxia, emotional disturbances, urinary incontinence, abulia (lack of will or initiative)

38

Imaging for head vs tail of pancreas Ca

Head: US (jaundice)
Tail: CT (No jaundice)

39

Osteoid osteoma feature

Pain typically relieved w/ NSIDs

40

Osteoid osteoma Xray

Small, round lucency w/ sclerotic margins and sometimes central ossification

41

Drug for ppx and tx of Amyloid AA

Colchicine

42

All pt's w/ ITP should be tested for

HIV and Hep C virus

43

What is "clasp knife" phenomenon

Velocity dependent resistance to passive movement of the limb seen in pt's w/ hypertonia due to pyramidal tract dz

44

MCC of ductopenia or "vanishing duct syndrome"

Primary biliary cirrhosis

45

MC AE of Tamoxifen

Hot flashes

46

Pulmonary contusion CXR

Patchy irregular alveolar infiltrates

47

3 first line drugs for uncomplicated UTI

1. Nitrofurantoin
2. TMP-SMX
3. Fosftomycin
*Quinolones for complicated*

48

Massive PE does what to heart

Inc. RV pressure, causing right ventricular hypokinesis and dilation, decreased preload, and hypotension

49

Test to run when pt has recurrent bacterial infections (adult)

Serum IgG levels to look for humoral immunity defect

50

Nonallergic rhinitis featurs

One of the chronic rhinitis symptoms without a specific etiology
Use intranasal antihistamine + glucocorticoids

51

Suspect what in palpable purpura + proteinuria and hematuria

Mixed cryoglobulinemia

52

MCC of viral conjunctivitis

Adenovirus

53

Think what w/ recurrent sinopulmonary and GI infections after 6 months of age? what will be on PE?

X-linke agammablobulinemia
PE: Absence of lymphoid tissue on examination

54

Bronchial breath sounds feature

Louder and have a more prominent expiratory component (seen in consolidation)

55

What differentiates lupus flare from pre-eclampsia

Overt RBCs in urine in addition to protein

56

Dermatitis of pellagra

Rough hyper pigmented scaly skin over sun-exposed areas

57

Two things elevated in anorexia

Cholesterol and carotene levels

58

Risks for pregnant women w/ hx of anorexia

Miscarriage
IUGR
Hyperemeis gravidarum
Premature birth
C-section
PPD

59

Giant cell tumor of bone xray

"Soap bubble" - expansile and eccentrically placed lytic area in the epiphysis

60

Serum iron and ferritin in thalassemia

Normal to high serum Fe and ferritin level

61

What type of therapy identifies and challenges maladaptive thoughts

CBT (to change emotions and behaviors)

62

What does psychodynamic psyschotheraphy do

-Explores past relationships and conflicts
-Utilizes transference
-Breaks down defense mechs

63

What does interpersonal psychotherapy do

Targets social and interpersonal context of the patients illness, focusing on the "here and now" to deal with fried and such

64

What does CBT focus on

Reducing automatic negative thoughts and avoidance behaviors that cause distress

65

3 clorquine resistant malarial drugs

1. Atovaquone-porguanil
2. Doxy
3. Mefloquine (use in pregnancy)

66

CMV esophagus features

Large linear ulcerations and presence of intranuclear and intracytoplasmic inclusions on biopsy
Tx: Ganciclovir

67

How is PKU tested in newborn screen

Tandem mass spectrometry