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
