6/21/13 a Flashcards Preview

STEP II > 6/21/13 a > Flashcards

Flashcards in 6/21/13 a Deck (20):
1

What is the syndrome when a person has 3 family members w/ colon cancer over 2 generations, one of whom had it before the age of 50?

HNPCC (Lynch syndrome)

2

When should people w/ HNPCC start colonoscopy?

25 yo

3

How often should people w/ HNPCC get a colonoscopy?

q 1-2 yrs

4

What kind of colon polyps are found in juvenile polyposis?

hamartomas

5

What is seen on the lips of kids w/ Peutz-Jaeghers syndrome?

melanotic spots

6

When should people with FAP start colonoscopies? How often?

12 yo; q 1-2 yrs

7

What differentiates Gardner's syndrome from the otrher collon tumor syndromes?

osteomas and soft tissue tumors

8

What differentiates Turcot's from the other colon tumor syndromes?

CNS tumors

9

Which kind of leukemia will have a positive α-naphthyl esterase?

Acute MONOCYTIC leukemia (FAB M5)

10

What is unique about the clinical presentation of acute monocytic leukemia?

rapid onset w/ bleeding from gums/nose and gingival hyperplasia

11

What is the IV fluid of choice for moderate to severe hypovolemic hypernatremia?

normal saline

12

what is the iv fluid of choice for hypervolemic hypernatremia?

d5w

13

Intravascular hemolytic anemia + hepatic vein thrombosis =

Paroxysmal Nocturnal Hemoglobinuria (PNH)

14

What is the molecular defect/mech in paroxysmal nocturnal hemoglobinuria?

no GP1 anchor protein --> RBC destruction by complement

15

How would acute angle-closure glaucoma present?

sudden onset eye pain, photophobia, redness, vision loss, and non-reactive pupil

16

Would an infarction affecting the optic nerve be painful?

no

17

What is the best Dx test for acute angle-closure glaucoma?

tonometry

18

cardiogenic pulmonary edema in the setting of longstanding htn is likely d/t _______.

LV diastolic dysfunction

19

What medication will act quickly to relieve dyspnea in a pt w/ LV hypertrophy and diastolic dysfunction?

nitroglycerin

20

What condition is assoc'ed w/ "bones, stones, abdominal groans, and psychic moans", as well as htn?

primary hyperparathyroidism