ABEM Recert Exam pt. 5 Flashcards Preview

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Flashcards in ABEM Recert Exam pt. 5 Deck (90)
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1

Microscopic polyangitis (MPA): si/sx

Glomerulonephritis
Pulmonary hemorrhage

2

Microscopic polyangitis (MPA): Rx

Steroids

3

Wegner's granulomatosis: New name

Granulomatosis with polyangitis

4

C-ANCA: What is it seen with?

Granulomatosis with polyangitis (formerly Wegner's granulomatosis)

5

Granulomatosis with polyangitis: Pathophysiology

Necrotizing vasculitis affecting lungs and kidneys
Formerly called Wegner's granulomatosis

6

Goodpasture's syndrome: Pathophysiology

Lung and kidney involvement

7

HSP: Pathophysiology

Arteriole vasculitis

8

HSP: Typical patient affected

Males 6-11yo

9

HSP: When does it usually occur?

After a viral syndrome

10

Acute retroviral syndrome: si/sx

Flu-like illness 1-2 weeks after exposure to HIV

11

When does HIV seroconversion occur?

4-6 weeks after exposure

12

Most common intracerebral mass in HIV (+) patient

Toxoplasmosis

13

PCP: What is it now called?

Pneumocystis jiroveci

14

Leading cause of AIDS mortality

Pneumocystis jiroveci (formerly called PCP)

15

Which transplant(s) doesn't have potential for rejection?

Bone marrow is only one
BUT, can have life-threatening graft-vs-host disease

16

Rheumatic Fever: How to dx

Jones criteria
2 major & 1 minor OR
1 major & 2 minor

17

Jones criteria: Major

JONES
Joint involvement (polyarteritis)
O (looks like heart) Myocarditis
Nodules, subcutaneous
Erythema marginatum
Sydenham chorea

18

Kawasaki's disease: Phases

1. Acute phase, lasts 1-2 weeks, CRASH
2. Subacute phase, lasts 2-4 weeks (Thrombocytosis, desquamation of rash, resolution of fever)
3. Convalescent phase (2+ months) coronary artery aneurysms

19

Bacterial tracheitis: Who does it usually affect?

Ages 1-5 yo

20

Upper c-spine injuries are (MORE/LESS) common in kids

Upper more common

21

Lower c-spine injuries are (MORE/LESS) common in kids

Lower c-spine injuries are more common in >8yo and adults (kids have large, floppy heads)

22

Waddles triad: What is it & when is it seen?

Injuries seen from pedestrian getting hit while crossing the road:
1. Femur fracture
2. Chest/upper abdominal injury
3. c/l head injury

23

Massive hemothorax in kids: Definition

>10 ml/kg initial output from chest tube
OR
>2 ml/kg/hr ongoing output from chest tube

24

RBCs and FFP: Transfusion does in kids

10 ml/kg

25

Simple febrile sz: Definition

Age 6mo - 5y
Lasts

26

Differential dx for altered MS in newborns

THE MISFITS
Trauma
Hypovolemia
Electrolyte abnormalities
Metabolic abnormalities
Inborn errors of metabolism
Sepsis
Formula (over/underdilution)
Intestinal cautastrophies
Toxins
Seizures

27

Leg-Calve Perthes disease: Who is it seen in?

Age 5-9yo
Boys > girls

28

Leg-Calve Perthes disease: Definition

AVN of the femoral head

29

Salter-Harris fracture classification

I: physis (growth plate) SLIPPED
II: metaphysis only (ABOVE)
III: epiphysis only (LOWER)
IV: metaphysis, physis, and epiphysis (THROUGH)
V: crush of physis (ERADICATED)

30

MCC of death in US

Ischemic heart disease