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1
Q

Post MI complication: MCC death

A

arrhythmia (Vfib)

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2
Q

New systolic murmur 1d-3mo s/p acute MI (regurg murmur).

A

Papillary muscle rupture

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3
Q

Acute severe hypotension hrs to 2wks s/p acute MI.

A

Ventricular free wall rupture.

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4
Q

“Step up” in O2 concentration from RA –> RV hrs to 1wk s/p MI.

A

Ventricular septal rupture.

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5
Q

Persistent ST elevation + systolic MR murmur 5d to 3mo s/p MI.

A

L ventricular aneurysm.

Progresses to LVH, HF, etc.

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6
Q

“Cannon-a waves” at jugular s/p MI.

A

AV dissociation - Vfib or 3rd degree herat block.

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7
Q

5-10wks s/p MI that comes with pleuritic chest pain and low grade temp

A

autoimmune pericarditis.

Tx NSAIDS and ASA.

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8
Q

carbamazepine v. clozapine

use and SE’s

A

Clozapine is used for refractory schizophrenia. SE = leukopenia (neutropenia).

Carbamazepine is used for seizures and BIPOLAR. SE = thrombocytopenia.

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9
Q

Name the lesion:

secondary syphilis, flat, velvety. Broad base and flat surface that are plaque-like.

A

condyloma Lata

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10
Q

Name the lesion: Caused by HPV. single or mutiple papular lesions on genitalia. ML asx, but may bleed or pruritic.

A

condyloma Acuminatum

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11
Q

Name the lesion: Caused by poxvirus. umbillicated. do not bleed.

A

molluscum

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12
Q

Name the lesion: prepubertal girls or postmeno females. Pruritic, white, think, wrinkled skin over labia.

A

lichen sclerosus.

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13
Q

Pseudogout v. gout

A

Pseudogout attacks trauma/overuse, surgery, medical illness –> affects knees and ankles and large UE joints.
See ifnlammatory effusion in synovial fluid analysis and calcification of articular cartilage - CHONDROCALCINOSIS

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14
Q

uterine rupture v. placental abruption v. placenta previa.

A

Previa has NO PAIN.
Abruption and rupture HAVE PAIN.

Rupture has loss of fetal station = pathognomonic.

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15
Q

chronic low back pain that IMPROVES with ACTIVITY. esp in young patients

A

inflammatory spondylarthritis - ankylosing spondylitis, psoriatic, reactive, IBD arthritis.

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16
Q

Illness anxiety disorder

A

consistently negative evals, but still fearing having the serious illness.

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17
Q

Somatic symptom disorder

A

excessive anxiety about 1 or more unexplained symptoms.

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18
Q

cat bites = what bug and what treatment

A

pasturella or oral anaerobes

amox-clav

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19
Q

Sinus mucor tx

A

surgical debridment and amphoB

20
Q

Pure motor hemiparesis in setting of HTN**

A

lacunar stroke

21
Q

Dx and tx:

oral cavity and tissue infxn. Anaerobic gram positive rods with rudimentary branching.

A

actinomyces

tx with penicillin

22
Q

Dx and tx: Intrusive thoughts

A

Dx: OCD
Tx: fluoxetine/SSRI or CBT

23
Q

seizure with adduction and IR of right arm - what happened?

A

posterior shoulder dislocation

24
Q

Dx and tx:
gram positive rod (beaded or branching), partially acid-fast and aerobic. see pna, CNS/brain absces, or derm manifestation in people who work with soil or old/immunocompr.

A

Dx: nocardia
Tx: tmp-smx

25
Q

<37wks gestation.

woman comes in with closed cervix and 3-5cxns every hour. no pain. what next?

A

reassure and home - this is FALSE labor bc no cerivcal change.

26
Q

<37wks gestation. Regular cxns with incr frequency and intensity and gradual cervical change.

A

latent labor

27
Q

newborn with cyanosis alleviated by crying

A 
CHARGE - 
Coboloma
Heart defect
choanal Atresia )**narrowing of pterygoid plate at post nasal cavity)
Retardation of growth, 
Genitoruinary abn
Ear abn
28
Q

HD niacin SE and tx (niacin used to tx lipid abn)

A

niacin-induced PERIPHERAL VASODILATION due to PROSTAGLANDIN-REACTION (cutaneous flushing and pruritis).
Tx: Low dose ASA

29
Q

Protein gap in excessive monocolonal protein (Multiple myeloma or Waldenstrom macroglobulinemia) or polyclonal gammopathies (infection, Connective tissue disease)

A

elevated to >4 (total protein-albumin)

30
Q

HSM, IgM spike, bleeding, LAD diploplia, HA, dilated fundoscopic exam

A

Waldenstroms macroglobulinemia - hyperviscosity sydrome

31
Q

soft second heart sound, delayed/diminished carotid pulse, systolic murmur at 2nd RICS

A

Aortic stenosis

carotid pulse delay = pulsus parvus et tardus

32
Q

nephrotic syndrome type:

african american or hispanic; obesity’ HIV and heroin use

A

Focal segmental glomerulosclerosis

33
Q

nephrotic sydnrome type:

adenoaCa of breast or lung; NSAIDs; hep B; SLE

A

membranous nephropathy

34
Q

nephrotic syndrome type: Hep B and C; lipodystrophy

A

memranoproliferative glomerulonephritis

35
Q

nephrotic sydnroem type: NSAIds, lymphoma (Hodgkin, NHL)

A

Minimal change disease

36
Q

nephrotic syndrome type: URI

A

IgA nephropathy

37
Q

Uni or bilaterall acute cervical adenitis in kids:

staph, strep, anaerobic, bartonella, MAC

A

unilateral

38
Q

uni or bilateral acute cervical adenitis in kids: adenovirus, EBV/CMV

A

bilateral

39
Q

ST-elevation in 2, 3, aVF = what vessel and area of heart

A

RCA

inferior

40
Q

TCA overdose - effect and treatment.

A

Prolongation of QRS interval >100.
Treat with sodium bicarbonate to increase serum pH and extracellular sodium. Incr pH of serum decreases TCA avidity for Na-channels. Incr extracellular sodium [] incr electrochemical graduent across cardiac cells and affects TCA ability ot bind of fast Na-channels.

41
Q

tx for PCP-pna

A

TMP-SMX and CS

42
Q

use CS in PCP-pna when PaO2 <= to what?

A

70

43
Q

rheumatic fever = what valve abn

A

mitral STENOSIS

44
Q

SM + long standing RA + neutropenia = ?

A

felty syndrome

45
Q

how do you treat anemia of chornic disease?

A

treat the cause

Level Two (15 decks)

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