6/9/13 Flashcards Preview

STEP II > 6/9/13 > Flashcards

Flashcards in 6/9/13 Deck (20):
1

What is the medical term for "skin tags"?

acrochordons

2

What is the #1 risk factor for A-fib?

htn

3

After controlling Sx w/ a β-blocker, what is the next step in treating a pt. w/ symptomatic hyperthyroidism?

medical anti-thyroid therapy for a few weeks until radio-ablation

4

What is a hereditary form of rickets?

Hereditary Hypophosphatemic Rickets (aka Vit-D resistant rickets)

5

What is the inheritance pattern of hereditary hypophosphatemic rickets?

X-linked

6

Why is the phosphate low in vitamin D-resistant rickets?

excreted in urine

7

What is is the treatment of choice for elderly, demented pts who develop agitation and paranoia?

low-dose atypical antipsychotics

8

What is the significance of a "ferning" pattern of amniotic fluid early in the third trimester?

preterm labor

9

What are the 5 types of tocolytics?

Magnesium sulfate
NSAIDs
β2-agonists
Atosiban
CCBs

10

What heart sound sounds like "Whoop-de-doo!" and is normal in many children, young adults, and athletes?

S3

11

What are 2 key differences between the presentation of Conn's syndrome and diuretic abuse?

diuretic abuse features:
- volume contraction
- hi plasma renin

12

What is the effect of hyperaldo on serum pH?

alkalosis

13

Will pts with acute exacerbations of COPD show an initial alkalosis and low pCO2 like asthmatic pts?

No!
(They're old fogies; they get acidotic right away!)

14

What is the first-line tx for a hemodynamically unstable pt w/ a pulmonary embolism?

thrombolysis

15

Rash, arthritis, abd pain, and p-ANCA.

Polyarteritis nodosa

16

Child has a mild fever and a diffuse, faintly erythematous eruption that progressesto bullae and then sloughing. Dx?

Staphylococcal scalded skin syndrome (SSSS)

17

What body surfaces are usu spared in SSSS?

mucosae

18

What cells mediate Stevens-Johnson syndrome or TEN?

T-cells

19

What is the toxin released in SSSS?

exfoliatoxin-B

20

What do exfoliatoxin B, released in SSSS, and exfoliatoxin-A, released in bullous impetigo, do?

cleave desmoglein-1, a component of the epidermal desmosome