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Flashcards in 5/5 Deck (84)
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1

What is treatment response defined as

When a patient demonstrates significant improvement (with or without a remission) generally 50% better

2

What fluids correct alkalosis

Volume resuscitation with normal saline

3

Who is most likely to get acute bacterial parotitis? most common bug?

Dehydrated post op patients and the elderly
Most common bug is S. aureus

4

Hyperestrogenism in cirrhosis causes

Gynecomastia
Spider angiomas
Palmar erythema
Testicular atrophy

5

What differentiates delirium from other psychotic illnesses

Fluctuating levels of consciousness
Acuity of onset
Association w/ underlying medical illness and/or offending mechanisms

6

Post-partum blues timing

2-3 days (resolves within 10 days)

7

When to give bethmethason to pregnant ladies w/ PPROM

When

8

Fanconi's anemia dx made by? tx?

Made by chromosomal breaks on genetic analysis combined with clinical findings
Tx: hematopoietic stem cell transplant

9

Anemia in Fanconi's

Usually microcytic (w/ congenital marrow failure)

10

Imaging for DDH

11

Big complication with bronchiectasis

Hemoptysis

12

13 vs 23 pneumo vaccine immune response

13- polysaccharides conj to protein --> T cell dependent B cell response
23- capsular polysaccharide--> T cell independent B cell response

13

Who gets PCV13

All infant and young children

14

Who gets PPSV23

Adults

15

PBC ass w/

Ant-Mitochondrial Ab
Sever hyperlipidemia
Metabolic bone disease

16

What causes referring syndrome? clinical manifestations?

Carb intake stimulates insulin activity, promoting cellular uptake of PO4*, K, and Mg
-Arrhythmias and cardiopulmonary failure

17

Drug-induced interstitial nephritis features

Fever, rash, and arthralgia
*sterile pyuria w/ eosinophils*

18

How long for PSGN

10-20 days after strep throat or skin infections

19

What is salvage therapy

Treatment for a disease when standard therapy fails

20

Why follow giant cell arteritis patients with serial chest X-rays

Aortic aneurysms are a well known complication

21

EM usually occurs after?

Herpes simplex lesion

22

SJS by sudden onset of

Mucocutaneous lesions and systemic signs of toxicity

23

Common features of psoriatic arthritis

Morning stiffness
Sausage fingers
Nail involvement

24

Ataxia hemiparesis from stroke where

Pons

25

What is needed differentiate follicular thyroid adenoma from carcinoma

Carcinoma will show invasion of the capsule and blood vessels

26

Lyme tx

Doxy (unless pregnant or under 8 years old)

27

Best initial test for esophageal squamous cell carcinoma

Pandendoscopy (esophagoscope, bronchoscopy, and laryngoscopy)

28

Renal vein thrombosis most commonly seen with what nephropathy? why

Membranous
Loss of antithrombin III

29

Renal vein thrombosis presentation

Acute abdominal pain, fever, and hematuria
Or progressive with gradual renal worsening and proteinuria

30

What causes orthostatic hypotension in elderly

Progressively decreasing baroreceptor sensitivity and defects in myocardial response