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Comlex 3 > 8/29 > Flashcards

8/29 Flashcards

1
Q

specificity caculation

A

SPIN

true positive/all positives

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2
Q

grade of ulcer + H. pylori

A

grade I

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3
Q

lateral epicondylitis associated with which wrist motion

A

wrist extension

wrist flexion is medial

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4
Q

informed consent disclosing what about experience

A

physician experience with procedure

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5
Q

VIPoma electrolyte abnormaliity

A

lowK due to diarrhea

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6
Q

most common causes of endocarditis in prosthetic valves

A

staph aureus and staph epidermidis

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7
Q

kidney stone management with no other complications

A

observe with pain management

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8
Q

cough, sob, noducles and cyst on CXR with rib lytic leasions dz

A

langerhans cell histiocytosis

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9
Q

Crohn’s dz flare tx

A

steroids

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10
Q

appy tx

A

surgery

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11
Q

tylenol ingestion recent tx

A

charcoal within one hour

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12
Q

greasy stool, salty kisses, cough, and DM with pneumonia dz and organism

A

CF

pseudomonas

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13
Q

right on left sacral torsion tx position

A

left lateral recumbent with face up

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14
Q

PUD tx

A

triple therapy : PPI, clarithromycin, amoxicillin
or
omeprazole, bismuth subcitrate, metronidazole, and tetracycline

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15
Q

sickle cell dz with ED cause

A

vaso-occlusive

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16
Q

weakness, foot drop, tiwtich and atrophy dz and test

A

ALS

electromyography

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17
Q

OCD tx

A

CBT and SSRi or TCA (clomipramine)

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18
Q

Wallenberg test

A

for vertebral artery insufficiency

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19
Q

newborn head swelling crosses suture lines

A

caput succedaneum

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20
Q

newborn head swelling does not cross suture lines

A

cephalohematoma

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21
Q

puberty boobs male tx

A

reassure and fu 6 mo

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22
Q

MS exacerbation tx

A

methylprednisolone

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23
Q

alopecia, dermatitis, neuropathy, depression NV vitamin def

A

biotin

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24
Q

twin to twin transfusion syndrome complications

A

donor - anemia

recipient - CHF, jaundice

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25
Q

premature ovarian failure tx focused on

A

preventing complications

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26
Q

antidepressant causing HTN

A

monoamine oxidase inhibitor (phenelzine, tranylcypromine, isocarboxazid, selegiline)

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27
Q

Wilson dz tx

A

penicillamine

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28
Q

incarcerated hernia tx

A

surgery (only attempt manual with nonincarcerated)

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29
Q

Apt test

A

non invasive test for differentiate fetal and maternal blood

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30
Q

new born vomiting blood test

A

Apt test

31
Q

shy personality who wants friends but fears rejection

A

avoidant personality disorder

32
Q

most sensitive test for c diff

A

c diff toxin PCR

33
Q

c diff tx

A

vanc, reccurent fidaxomicin (metronidazole has too much resistance)

34
Q

congenital adrenal hyperplasia tx

A

steroids

35
Q

ann arbor staging for hodgkin lymphoma

A

1 - local
2 - onside of the diaphragm
3 - both sides of diaphragm
4 - widespread

36
Q

painless vaginal bleeding while pregnant

A

placenta previa

37
Q

placenta previa tx

A

stabilize and deliver at 36 weeks (don’t have to do c-section because placenta may move)

38
Q

bleeding at watershed area of colon dx

A

ischemic colitis

39
Q

bad prognostic factor for pancreatitis

A

BUN>20

40
Q

tradive dyskinesia tx

A

discontinue and start clozapine

41
Q

acute mania tx

A

antipsychotics, mood stabilizers, and valproic acid

42
Q

meningitis next step

A

LP before abx if no neuro deficit

43
Q

solitary lung nodule in pt with no risk factors next step

A

repeat CT in 6-12mo

44
Q

OCD tx

A

ssris (fluvoxamine)

45
Q

polyarteritis nodosa tx

A

steroids and cyclophosphamide

46
Q

controlled diabetic screening

A

albumin:creatinine ratio

47
Q

prolonged PTT with blood in joint

A

Hemophilia A

48
Q

blood pressure more than 180/120 next step

A

check for end organ damage

49
Q

HTN urgency becomes emergency when

A

there is evidence of end organ damage then would need to lower blood pressure emergently

50
Q

sensitivity

A

true positives/all positives

51
Q

measles is contagious for

A

4 days after rash onset

52
Q

osmolality improves with desmopressin

A

central diabetes insipidus

53
Q

bipolar and polyuria and polydispsia dx

A

nephrogenic diabetes insipidus (kidneys no longer responding because desensitized)

54
Q

gout exacerbation tx

A

indomethacin (colchicine takes too long)

55
Q

test will confirm cholecytistis

A

HIDA

56
Q

chronic cough, sob, long term exposure to birds dx and ass finding

A

hypersensitivity pneumonitis

decreased diffuse capacity for carbon monoxide

57
Q

generalized tonic clonic seizures underlying mechanism

A

increased neuronal discharges due to increase excitability NTs (glutamate)

58
Q

RSV prophylaxis med and who

A

palivizumab

premie babies, babies with comorbiditis or immune compromised

59
Q

bone lesion and calcium abnormalities symptoms dz and test

A

multiple myeloma

urine protein electrophoresis (Bence Jones proteins)

60
Q

otitis media tx

A

amoxicillin

61
Q

juandice, abd pain, CA suspected and test

A

pancreatic CA

ERCP

62
Q

cranial technique to increase cranial impulse

A

CV4 or bulb decompression

63
Q

fibromyalgia tx

A

duloxetine

64
Q

tinea organism formation

A

segmented hyphae

65
Q

familiar hypercholesterolemia LDL, TG and HDL

A

high LDL, normal TG and HDL

66
Q

HIV positive with candida infection qualifies as type of HIV or AIDS

A

symptomatic HIV (AIDS would be candida in esophagus, lungs/trachia, cytrococal, cryptosporidios, Kaposis, cerebral lymphoma, PCP, toxo

67
Q

microcephaly, micrognathia, clenched fist, big occiput, rocker-bottom feet trisomy

A

trisomy 18

68
Q

cleft lip, polydactyly, microcephaly, microphthalmia, micrognathia, rocker feet

A

trisomy 13

69
Q

prevalance calculation

A

total cases/population

70
Q

obesity

A

BMI >30

71
Q

2 year old milestones

A

walk stairs with suport, circle, sortof dress themselves, two word sentences

72
Q

pneumonia vaccine for

A

65 +
diabetics at diagnosis
smokers
CHF/COPD

73
Q

AV malformations associated with dz

A

aortic stenosis
von Willebrand disease
endstage renal disease

74
Q

low grade squamous intraepithelial leasion on pap next step

A

colposcopy regardless of HPV testing

Comlex 3 (7 decks)

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