6/8/13 a Flashcards Preview

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Flashcards in 6/8/13 a Deck (26):
1

What are the 2 options for mgmt if ASCUS is found on Pap smear?

1) repeat Pap smear in 4-6 mos
2) HPV DNA

2

If pt has ASCUS and HPV test shows hi-risk type (14, 16, 30's), what is the next step?

colposcopy

3

What would be seen on peripheral smear in TTP, HUS, and DIC, but not ITP?

schistocytes

4

2 Abx choices for treating MRSA aside from vancomycin.

linezolid and daptomycin

5

3 Abx choices for treating VRSA.

linezolid, dalfopristin, or quinupristin

6

What are the first 3 steps of the "breaking bad news" protocol?

1) comfortable enviro (e.g. fam/no fam)
2) what does pt think of illness?
3) how much do they want to know?

7

What tumor marker is assoc'ed w/ hepatocellular carcinoma?

α-fetoprotein

8

What cancers are associated w/ carcinoembryonic Ag (CEA)?

colon and ovarian

9

What differentiates pseudostrabismus from strabismus?

normal corneal light reflex

10

What would cause sudden, massive hemorrhage into the peritoneum in a pregnant woman w/ no sig. med Hx?

ruptured visceral aneurysm

11

What is the first step in mgmt of a highly suspicious pulmonary nodule >1cm that has been identified on CT?

resection

12

What would cause an apparent pulmonary infection w/ a chronic course, foul-smelling sputum, B-type Sx, and a normal physical exam? Hint: alcoholics are more susceptible.

anaerobic lung abscess

13

What Abx is most appropriate for an anaerobic lung abscess?

clindamycin

14

How might an anaerobic pulmonary abscess appear on CXR?

thick-walled cavitary lesion

15

How is the x-ray appearrance of malrotation w/ volvulus different from duodenal atresia?

gas in bowel distal to "double bubble"

16

What is the initial treatment of TTP?

large-volume plasmapheresis

17

What is the standard Tx of lipomas?

observation

18

What should be done in the case of a solitary thyroid nodule and normal or high TSH?

FNA

19

Elderly pt: Hyperviscosity; Plasmacytoid lymphocytes on peripheral smear and invading bone marrow; Monoclonal IgM spike.

Waldenstrom's macroglobulinemia

20

What part of the lung tends to be most involved by asbestosis?

lower lung fields

21

What kind of lung disease are people exposed to asbestos most at risk for?

interstitial lung cancer

22

What part of the lungs is most involved by silicosis?

upper lung fields

23

What lung disease are people exposed to silica at increased risk for?

TB

24

What special test should be done routinely for pts w/ silicosis?

yearly PPD

25

What part of the lung is most affected in coal worker's pneumoconiosis?

upper lung fields

26

What differentiates coal worker's pneumoconiosis from silicosis in labs?

immunologic abnormalities