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Comlex 3 > 8/17 > Flashcards

8/17 Flashcards

1
Q

Itchy bullae rash and doesn’t separate dz

A

Bullies pemphigoid

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2
Q

Ethylene glycol poisoning presentation

A

Alcoholic suspicion bottle

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3
Q

Ethylene glycol tx

A

Fomepizole

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4
Q

Prevalence define

A

Number of disease at certain time

Misses new cases

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5
Q

Tick bite with fever, ha, chills young adult dz

A

Ehrluchiosis

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6
Q

Tick with chills, fever, ha in immune compromised dz

A

Babesiosis

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7
Q

Reflex define

A

Brisk contraction without clonus

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8
Q

First line acne tx

A

Topical tretinoin

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9
Q

Dog collar fracture on spine X-ray dz

A

Spondylolysis

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10
Q

Spondylolisthesis

A

Displacement and seen on lateral xray

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11
Q

Red peeling skin, with nikolskys

A

Scalded skin syndrome

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12
Q

Bullae with nikolskys sign

A

Pemphigus vulgaris

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13
Q

Pain red burning nipple without systemic signs bug

A

Candida albicans

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14
Q

No random or biased results in study are

A

Precise, not accurate

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15
Q

Whiplash with ams type of injury

A

Subdural

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16
Q

Skin cancer flesh colored

A

Basal cell

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17
Q

Skin cancer keratinous dz

A

Squamous

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18
Q

Chapman’s for appendicitis

A

Tip 12th rib on right

Tip transverse process of t11

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19
Q

Falling forward outstretched hand OMM radial dysfxn and tx

A

Posterior radial head

Place in supination barrier and Pt pushes pronate

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20
Q

Preserved HF, what pressure is elevated in heart

A

Increased diastolic left ventricle pressure

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21
Q

Fried egg histo testicle cancer

A

Seminoma

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22
Q

Schiller duvall bodies testicle cancer

A

Yolk sac also most common ca

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23
Q

Frothy yellow green vaginitis dz

A

Trichomonas vaginitis

Increases ph >4.5

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24
Q

Trichomoniasis infection increases risk for infection

A

HIV

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25
Q

Trichimoniasis tx

A

Metronidazole for Pt and partner

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26
Q

Young guy heart failure, murmur improves with increased preload tx

A

HOCM - propanolol or verapamil

Decrease contractions allowing filling increase preload

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27
Q

Stuck on appearance type of skin lesion

A

Seborrheic keratosis

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28
Q

Cat exposure to preg lady with calcification in basal ganglia dz

A

Toxoplasmosis

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29
Q

Exposure to mom with periventricle calcifications

A

CMV

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30
Q

Thyroid storm initial tx

A

PTU or methimazole

Before iodine

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31
Q

Screening test for 65yo or older male with smoking hx

A

ABD US

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32
Q

Screening test for Pt 55-88yo with 30+ pack year smoking hx

A

Low dose CT

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33
Q

PCP tx

A

Trimethoprim/sulfamethoxazole

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34
Q

Toxoplasmosis tx

A

Pyrimethamine and sulfadiazine

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35
Q

Unstable realationships ass psych dz

A

Borderline

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36
Q

Borderline Pt hx

A

Transient stress related dissociative sx

Out of body experience

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37
Q

Double bubble and then Corkscrew on gi stufy in baby dx

With vomiting and bloody stool

A

Midgut volvulus

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38
Q

Double bubble and birds beak on gi study

A

Pyloric stenosis

39
Q

African American htn tx

A

Amlodipine and thiazides

40
Q

Most common sequela of meningitis

A

Hearing loss

41
Q

Pelvic pain, dysmenorrhea, dyschezia with adnexal enlargement dx

A

Endometriosis

No adnexal enlargement could be adenomyotis

42
Q

Lithium side effects

A

Pregnancy
Thyroid
Kidney

43
Q

Fever, fatigue, hemoptysis, sob, confusion, wide mediastinum
Hx farm worker

A

Anthrax

44
Q

OMM jugular movement ass with cranial bone

A

Occipital

45
Q

Haldol with oculogyric (circular eye movements) dx

A

Acute dystonia

46
Q

Involuntary movement with flip hens one dx

A

Tardive dyskinesia

47
Q

Dx hyperthyroid test

A

Thyroid stimulating immunoglobulin

48
Q

Location of gastrinomas

A

Duodenum

49
Q

Foamy urine and leg swelling with hx lupus what test to dx

A

Urine protein to creatinine ratio

50
Q

Tx for DTs

A

Benzos

Ethanol second choice

51
Q

Sand blaster hx increase risk for secondary disease which is

A

Tuberculosis

52
Q

Chapman’s pt for stomach hyperacidity

A

Fifth intercostal on left

Sixth is stomach peristalsis

53
Q

Memory loss, diarrhea rash what vitamin def

A

Niacin

B6

54
Q

Hypocalcemia ekg bank

A

Prolonged QT

55
Q

Hepatitis infection but not B, A, or C

After traveling

A

Hep E

From bad water and sea food

56
Q

Bloody stool, abd pain and wt loss next step

A

Colonoscopy

57
Q

Greasy yellow scales on baby scalp and pink scales on forehead dx

A

Malassezia overgrowth

Seborrheic dermatitis

58
Q

Intracranial mass optic disc finding

A

Optic disc margin blurring

Not pallor

59
Q

Urinating frequently and hypervascular lesions in legs dx

A

Dm

60
Q

Failed two antidepressants next tx

A

Lithium added

Or atypical antipsychotics

61
Q

Nystagmus with dukes hall pike intial step in management

A

Canalith repositioning

62
Q

Psych disorder in it concerned about symptom being deadly illness

A

Illness anxiety disorder

63
Q

Most common congenital adrenal hyperplasia causes by and how test

A

21 hydroxylase def

Test for 17-hydroxyprogesterone level which will be high bc it’s not converting

64
Q

Long term management of ascites

A

Spironolactone

65
Q

Transfusion reaction dx

A

Non-hemolytic febrile reaction

66
Q

Prevent febrile transfusion reaction

A

Use leukocyte washed products

Slow infusions prevents fluid overload

67
Q

Sudden moles on back old male initial step

A

CT abd

Concern for gi and lung CA and acute leukemia’s

68
Q

Acute stress disorder vs acute PTSD vs chronic PTSD

A

Less than a month, 1-3mo, more than 3 mo

69
Q

Crush injury action to prevent death

A

EKG

70
Q

Free air on xray next step

A

NG rube, IVF, abx, followed by surgery

71
Q

Pheochromocytoma sx with urine metanephrine next step

A

CT abd

72
Q

Smudge cells dz and lymphocyte type

A

Chronic lymphocytic leukemia

CD5

73
Q

Herald latch dz

A

Pityriasis rosea

74
Q

Infected surgical wound next step

A

Abx

Then debridement

75
Q

Straw colored nipple discharge dz

A

Introduction papilloma

76
Q

Invasive ductal carcinoma sx

A

Nipple retraction

77
Q

Hyperthyroid txt with radioactive iodine and milky nipple discharge dz and pathphys

A 
Hypothyroidism 
Increase TRH (cross reacts)
78
Q

Atypical depression

A

Mood reactivity (improves mood with good stuff) wt gain/inc appetite, Hypersomnia, leaden paralysis, excessive sensitivity to rejection

79
Q

Tx of seborrheic dermatitis

A

Daily wash

80
Q

Fatigue, fever, elevated wbc, elevated alk phos, bm bx hypercellulr dx

A

Leukomoid reaction

Cancer would have more abnl on bm bx

81
Q

Decreased milk production tx

A

Metoclopramide

82
Q

Community acquired pna tx

A

Azithro

Flouroquinolones

83
Q

Meningitis with seizures tx

A

Benzos first line

fosphenytoin 2nd or phenytoin

84
Q

Vomiting and diarrhea
NSAIDs use
Dark casts and epithelial casts in UA
DX

A

Acute tubular necrosis

85
Q

Dislocated shoulder after taking a nap cause

A

Seizure

86
Q

Number need to treat

A

Risk reduction divided into 100

87
Q

Redmans syndrome management

A

Antihistamines

Slower vanc infusion

88
Q

Bursitis first line tx

A

Bracing

89
Q

Sternocleidomastoid muscle innnervsted by

A

CN XI

90
Q

Hypoglycemic after meals dx

A

Reactive hypoglycemia

Ass with gastric surgery

91
Q

Pediatric htn tx

A

Ace inhibitors
Arbs
Calcium channel blockers

92
Q

Candida ph

A

Normal 3.8-4.5

93
Q

Bradycardia and hypotensive with AMS
On meds for a fib
Hypoglycemic
Dx tx

A

Beta blocker od

Iv glucagon

94
Q

Neurogenic shock

Co, wedge, vascular resistance

A

Low, low, low

Comlex 3 (7 decks)

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