ABEM Recert Exam pt. 4 Flashcards Preview

ABEM Recert Exam 2015 > ABEM Recert Exam pt. 4 > Flashcards

Flashcards in ABEM Recert Exam pt. 4 Deck (94)
Loading flashcards...
1

Macule: Definition

<1 cm, non-palpable

2

Papule: Definition

<1cm, palpable

3

Patch: Definition

>1cm, non-palpable

4

Plaque: Definition

>1cm, palpable

5

Vesicle: Definition

<1cm papule with clear fluid

6

Bullae: Definition

>1cm plaque filled with clear fluid

7

What conditions is Nikolski's sign seen with?

SSSS, TEN/SJS, Pemphigus Vulgaris

8

Bullous pemphigoid vs Pemphigus vulgaris: How to diff?

Bullous pemphigoid doesn't have Nikolski's sign

9

HUS-TTP: Rx

Exchange transfusion
NO PLATELETS, since it's a consumptive process

10

Bullous pemphigoid and Pemphigus vulgaris: Appearance

Large, flat bullae

11

Leptosporosis: How is it transmitted?

Through contact with urine in a contaminated water source (e.g. exposure as a cattle rancher or through recreation in water)

12

Babesiosis: si/sx

Similar to malaria

13

Babesiosis: Geographic distribution

Found in New England

14

Babesiosis: Pathophysiology

Intracellular parasite which infects RBCs

15

Yersinia pestis (plague): Appearance

Patients have a bubo (infected, tender, swollen lymph node)

16

Tularemia: Geographic distribution

Found world-wide, but often in California on board questions

17

Tularemia: Reservoir, vector and how it's spread

Reservoir = Rabbits
Vector = Fleas / ticks
Can't be spread human to human

18

Tinea: Rx

Must use oral antifungal if involves hair or nails, otherwise can use topical

19

SJS/TEN vs SSSS: How to diff?

SSSS usually doesn't have mucous membrane involvement

20

SJS/TEN: Typical cause

Medications (often sulfa or antiepileptic)

21

Hemophilia A: Cause

Factor 8 deficiency

22

Hemophilia B: Cause

Factor 9 deficiency (Christmas disease)

23

Will PT, PTT, or both be abnormal in hemophilia?

Only PTT is abnormal

24

von Willebrand's disease: Rx

DDAVP for mild disease
Factor 8 for severe disease

25

ITP: Rx

Steroids
NO platelets

26

TTP: si/sx

FAT-RN
Fever
Anemia
Thrombocytopenia
Renal involvement
Neurologic changes

27

TTP: Rx

Plasma exchange transfusion
Steroids
NO platelets

28

Microcytic anemia: Causes

Lead
Iron deficiency
Sideroblastic
Thalassemia

29

Normocytic anemia: Causes

Decreased production of normal RBCs (anemia of chronic disease, aplastic anemia)
Destruction of normal RBCs (hemolysis, blood loss)
Uncompensated increase in plasma volume (pregnancy, fluid overload)

30

Macrocytic anemia: Causes

Alcohol
B12/Folate deficiency
COPD
G6PD