5/24/13 Flashcards Preview

STEP II > 5/24/13 > Flashcards

Flashcards in 5/24/13 Deck (20):
1

If a pt appears to have diabetes insipdus (i.e. water deprivation test showed no increase in urine osmolality) what is the test to determiine if central of nephrogenic?

intranasal or SQ desmopressin

2

What is the effect of diabetes insipidus (not psychogenic polydipsia) on serum Na+?

increase

3

What is the best Tx for sick sinus syndrome?

ventricular pacemaker

4

What is the other name for IGF-1?

somatomedin-C

5

What endocrine disorder might you consider in a pt w/ bilateral carpal tunnel syndrme?

acromegaly

6

What is the FIRST step in the workup for acromegaly?

serum IGF-1

7

If IGF-1 is hi in a pt suspected of acromegaly, what is step #2?

oral glucose tolerance test

8

If oral glucose tolerance test ixs positive in pt w/ suspected acromegaly, what is step #3?

CT or MRI of head for macroadenoma

9

What are the first 3 lines of tx for acromegaly (if amcroadenoma) in order?

1. surgical
2. medical
3. radiation

10

What, in particluar, is elevated in the blood in Paget's disease of the bone?

alk phos

11

What, in partticular, is elevated in the urine in Paget's disease of the bone?

hydroxyproline

12

What is the best first test for paget's disease of the bone?

radiologic bone scan

13

What would be seen oin bone scan in Paget's disease of te bone?

lytic lesions

14

What is always the tx for symptmatic Paget's disease of the bone?

bisphosphonates

15

What the hell is amlodipine again?

artery-selective Ca++ channel blocker

16

What is a rapidly growing keratotic lesion often described as "crateriform" or "volcano-like"?

keratoacanthoma

17

An opening snap followed by a low-pitched diastolic rumble is characteristic of what valvulopathy?

mitral stenosis

18

How does the length of time between A2 and the opening snap of mitral stenosis relate to the severity of the stenosis?

inversely

19

Why does the opening snap of mitral stenosis occur earlier when the disease is more severe?

pressure biulds up in the LA

20

What conditions could cause a widely split S2?

RV volume overload or pulm htn