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Comlex 3 > 8/23 > Flashcards

8/23 Flashcards

(88 cards)

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1
Q

Ha, n/v, neck stiffness suddenly
Afebrile
Dx

A

Subarachnoid hemorrhage

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2
Q

Pt needs breast ca screen
Declines mammo due to radiation
Next choice

A

MRI breast

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3
Q

Lower abd pain for 2 mo after eating

Dx

A

Acute mesenteric ischemia

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4
Q

Mid systolic crescendo-decrescendo murmur dx

Ass sx

A

Aortic stenosis

Delayed carotid pulse after heart beat

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5
Q

Family hx of colon CA and endometrial CA, and other gi CA

Screening needed

A

Colonoscopy and then every 1-2 years

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6
Q

Scurvy sx

Vit c def associated sx

A

Joint pain

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7
Q

Diaper dermatitis dx

A

Contact dermatitis

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8
Q

OCD to

A

Fluoxetine

Ssri

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9
Q

Hyperpigmentation with no other sx

Dx

A

Melisma

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10
Q

Multiple myeloma anion gap

A

Decreased anion gap due to hyperCa

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11
Q

Difference bn MEN2A and B

A

2B gi Timors and Marfan habitually

No parathyroid tumors like A

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12
Q

Parkinson’s

Mechanism

A

Levy bodies = alpha-synuclien accumulation

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13
Q

Pyloric stenosis electrolyte abnl

A

Low cl, k

Metabolic alkalosis

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14
Q

Steven Johnson additional findings

A

Involved mucous membranes
Eyes (conjunctivitis)
Genitalia

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15
Q

Plantar fasciitis tx

A

Rest, ice, NSAIDs, stretching

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16
Q

Times corporis tx

A

Topical azole

Oral griseofulvin for failed topical

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17
Q

Newborn with perinatal hiv exposure to

A

Zidovudine

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18
Q

Plum fibrosis lung testing finding

A

Decreased diffuse capacity
Decrease fev1 and vital capacity
Increased fev1/fvc

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19
Q

Bruising, recurrent infections, cafe au lait spots

Dx

A

Franconia anemia

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20
Q

Fanconi anemia increases risk

Dz

A

Acute myelogenous leukemia

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21
Q

Tx for hemochromatosis

A

Phlebotomy

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22
Q

RA tx

A

Sulfasalzine and NSAIDs

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23
Q

Hemochromatosis genetic cause

A

Homozygous c282Y HFE gene mutation

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24
Q

Folate vs B12 def differences

A

Elevated mma in b12

Neuro sx only b12

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25
Most specific test for RA
anti-CCP
26
Staph toxic shock vs tens
Mucous membranes only with tens
27
Soap bubble on X-ray type | Of ca
Giant cell tumor
28
Biggest risk factor for dementia
Age
29
Sigmoid volvulus to
Endoscopic decompression
30
Urinary incontinence first test regardless of length of time
UA
31
Malignant hyperthermia vs | Neuroleptic malignant syndrome medications triggering
Malignant hyperthermia ass with anesthesia | Neuroleptic ass with antipsych
32
Tx neuroleptic malignant hyperthermia
Stop med, IVF benzos Dnatrolene, bromocriptine, amantadine
33
Wagners specific test
C-ANCA | antibodies against proteinase-3
34
Neonatal conjunctivitis causes
Gonorrhea
35
Oral Thrush in adult tx
Azole lozenges and give testing | Not po azole unless failed
36
Rupture AAA diagnostic test
US
37
Psoriasis tx
Topical steroids
38
Low tsh and t4 | Cause
Secondary hypothyroidism | Pituitary
39
Schizophrenia vs schizophreniform
More than 6 mo is schizophrenia
40
Carpal tunnel symptoms
Weakness and numbness omg third three fingers | Spares sensation in the at eminence
41
Elevated trip onion and active chest pain dx
Nstemi
42
Prolonged PTT bleeding disorder | Dx and tx
vWD - most common | Give desmopressin
43
Servers nerve palsy | Dx and nerves
Erb-duchennes | C5-6
44
Galeazzi’s frx
Distal radius
45
Monteggia’s frx
Proximal radius
46
Night stick fracture
Ulnar frx from blocking a blow
47
Pt has increase morning glucose initial test and dx
Have it taken earlier | Dawn phenomenon
48
Specificity calculation
SPIN it’s about the negatives = true neg/ all neg
49
Ulcer from H pylori grade
I
50
Lateral epicondylitis associated wrist movement with pain
Wrist extension | Wrist flex ion with medial
51
Consent if asked about level of experience must answer clearly and honestly
Yep
52
VIPoma electrolyte abnormality
Low K from diarrhea | And hyperglycemia
53
Prosthetic valve endocarditis most common cause
Staph epidermidis and aureus
54
Modules and cysts in lung Ribs lytic lesions Dx
Langerhans cell histiocytosis
55
Crohns dz first line tx
Steroids
56
Ingestion Tylenol within one hour tx
Activated charcoal
57
Greasy stool, stay skin, diabetes | Dx
CF
58
PUD with H pylori to
Omeprazole, clarithromycin, amoxicillin If had macrlide abx- Omeprazole, bismuth subcitrate, metronidazole, tetracycline
59
Sickle cell with ED cause
Vado-occlusive
60
OCD to
SSRI or TCA( including clomipramine)
61
Wallenbergs test for dz
Vertebral insufficiency
62
Drop arm test assessing muscle
Supraspintsus
63
Alleys stretch test is assessing
Shoulder mobility
64
aortic dissection initial study
CXR, then CT
65
itchy rash on baby dx and risk factor
atopic dermatitis | fhx of asthma
66
most sensitive test for lupus
ANA, if negative can 95% rule out lupus
67
young healthy male with elevated Crt, ask about
supplement (creatinine) use
68
normal newborn screening
PKU and hypothyroidism
69
early diastolic blowing murmur
aortic regurg
70
late diastolic murmur with opening snap
mitral stenosis
71
prevention of osteoporosis
vit D, calcium, quit smoking/etoh, weight bearing exercise
72
mydriasis
dilated pupil
73
alcoholic found down with AMS and mydraisis, which brain bleed
subdural
74
younger, distal limb weakness, decreased sensation and reflexes, spine deformities, high arched foot dx
charcot-marie-tooth
75
only males, waddling gait, progressive weakness, using arms to move legs, CK elevated dx
duchenne muscular dystrophy
76
cacluate odds ratio
= (exposed with dz x exposed wo)/(not exposed w x not expo wo)
77
MEN 2A list of dz
medullary thyroid ca, pheochromocytoma, adrenal hyperplasia, parathyroid tumor
78
unstable pt with PE presentation next step
CT before tPA (heparin for stable PE pt)
79
ITP sx
low platlet and bleeding
80
wiskott-aldrich
low plt and immune deficient
81
atypical squamous cells on pap next step
HPV typing then colposcopy if positive repeat 3 years if negative
82
Start screening lipids and glucose
35 in males | 45 in females
83
Hep a vaccine for adults who
Work with kids from endemic areas of travel in endemic areas
84
Hep B vaccine for adults who
Have sex with multiple people Drug use Healthcare
85
HPV vaccine can be given up til
45 yo
86
weight reduction surgery BMI qualification
>40 or >35 with comorbidity
87
NSAID causes ulcer grade
Type V
88
stomach acidity ulcer grade
Type II and III

Comlex 3 (7 decks)

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