8/17 Flashcards

(94 cards)

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
Trichimoniasis tx
Metronidazole for Pt and partner
26
Young guy heart failure, murmur improves with increased preload tx
HOCM - propanolol or verapamil | Decrease contractions allowing filling increase preload
27
Stuck on appearance type of skin lesion
Seborrheic keratosis
28
Cat exposure to preg lady with calcification in basal ganglia dz
Toxoplasmosis
29
Exposure to mom with periventricle calcifications
CMV
30
Thyroid storm initial tx
PTU or methimazole | Before iodine
31
Screening test for 65yo or older male with smoking hx
ABD US
32
Screening test for Pt 55-88yo with 30+ pack year smoking hx
Low dose CT
33
PCP tx
Trimethoprim/sulfamethoxazole
34
Toxoplasmosis tx
Pyrimethamine and sulfadiazine
35
Unstable realationships ass psych dz
Borderline
36
Borderline Pt hx
Transient stress related dissociative sx | Out of body experience
37
Double bubble and then Corkscrew on gi stufy in baby dx | With vomiting and bloody stool
Midgut volvulus
38
Double bubble and birds beak on gi study
Pyloric stenosis
39
African American htn tx
Amlodipine and thiazides
40
Most common sequela of meningitis
Hearing loss
41
Pelvic pain, dysmenorrhea, dyschezia with adnexal enlargement dx
Endometriosis | No adnexal enlargement could be adenomyotis
42
Lithium side effects
Pregnancy Thyroid Kidney
43
Fever, fatigue, hemoptysis, sob, confusion, wide mediastinum Hx farm worker
Anthrax
44
OMM jugular movement ass with cranial bone
Occipital
45
Haldol with oculogyric (circular eye movements) dx
Acute dystonia
46
Involuntary movement with flip hens one dx
Tardive dyskinesia
47
Dx hyperthyroid test
Thyroid stimulating immunoglobulin
48
Location of gastrinomas
Duodenum
49
Foamy urine and leg swelling with hx lupus what test to dx
Urine protein to creatinine ratio
50
Tx for DTs
Benzos | Ethanol second choice
51
Sand blaster hx increase risk for secondary disease which is
Tuberculosis
52
Chapman’s pt for stomach hyperacidity
Fifth intercostal on left | Sixth is stomach peristalsis
53
Memory loss, diarrhea rash what vitamin def
Niacin | B6
54
Hypocalcemia ekg bank
Prolonged QT
55
Hepatitis infection but not B, A, or C | After traveling
Hep E | From bad water and sea food
56
Bloody stool, abd pain and wt loss next step
Colonoscopy
57
Greasy yellow scales on baby scalp and pink scales on forehead dx
Malassezia overgrowth | Seborrheic dermatitis
58
Intracranial mass optic disc finding
Optic disc margin blurring | Not pallor
59
Urinating frequently and hypervascular lesions in legs dx
Dm
60
Failed two antidepressants next tx
Lithium added | Or atypical antipsychotics
61
Nystagmus with dukes hall pike intial step in management
Canalith repositioning
62
Psych disorder in it concerned about symptom being deadly illness
Illness anxiety disorder
63
Most common congenital adrenal hyperplasia causes by and how test
21 hydroxylase def | Test for 17-hydroxyprogesterone level which will be high bc it’s not converting
64
Long term management of ascites
Spironolactone
65
Transfusion reaction dx
Non-hemolytic febrile reaction
66
Prevent febrile transfusion reaction
Use leukocyte washed products | Slow infusions prevents fluid overload
67
Sudden moles on back old male initial step
CT abd | Concern for gi and lung CA and acute leukemia’s
68
Acute stress disorder vs acute PTSD vs chronic PTSD
Less than a month, 1-3mo, more than 3 mo
69
Crush injury action to prevent death
EKG
70
Free air on xray next step
NG rube, IVF, abx, followed by surgery
71
Pheochromocytoma sx with urine metanephrine next step
CT abd
72
Smudge cells dz and lymphocyte type
Chronic lymphocytic leukemia | CD5
73
Herald latch dz
Pityriasis rosea
74
Infected surgical wound next step
Abx | Then debridement
75
Straw colored nipple discharge dz
Introduction papilloma
76
Invasive ductal carcinoma sx
Nipple retraction
77
Hyperthyroid txt with radioactive iodine and milky nipple discharge dz and pathphys
``` Hypothyroidism Increase TRH (cross reacts) ```
78
Atypical depression
Mood reactivity (improves mood with good stuff) wt gain/inc appetite, Hypersomnia, leaden paralysis, excessive sensitivity to rejection
79
Tx of seborrheic dermatitis
Daily wash
80
Fatigue, fever, elevated wbc, elevated alk phos, bm bx hypercellulr dx
Leukomoid reaction | Cancer would have more abnl on bm bx
81
Decreased milk production tx
Metoclopramide
82
Community acquired pna tx
Azithro | Flouroquinolones
83
Meningitis with seizures tx
Benzos first line | fosphenytoin 2nd or phenytoin
84
Vomiting and diarrhea NSAIDs use Dark casts and epithelial casts in UA DX
Acute tubular necrosis
85
Dislocated shoulder after taking a nap cause
Seizure
86
Number need to treat
Risk reduction divided into 100
87
Redmans syndrome management
Antihistamines | Slower vanc infusion
88
Bursitis first line tx
Bracing
89
Sternocleidomastoid muscle innnervsted by
CN XI
90
Hypoglycemic after meals dx
Reactive hypoglycemia | Ass with gastric surgery
91
Pediatric htn tx
Ace inhibitors Arbs Calcium channel blockers
92
Candida ph
Normal 3.8-4.5
93
Bradycardia and hypotensive with AMS On meds for a fib Hypoglycemic Dx tx
Beta blocker od | Iv glucagon
94
Neurogenic shock | Co, wedge, vascular resistance
Low, low, low