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Flashcards in Buzz Words/Challenge bowl Deck (189):
1

what is the only artery in the blood that carries deoxygenated blood?

pulmonary artery

2

which Ab appears in serum early in the course of infection?

IgM

3

What is the name for an acute polyneuropathy that is associated with an ascended paralysis, and may be triggered by infection?

Guillain-Barre Syndrome (absent deep tendon reflexes)

4

What is trousseau's sign? and what is it associated with?

tapping of the inferior portion of the zygoma will produce facial spasms. Hypocalcemia

5

What is chvostek's sign? and what is it associated with?

eliciting carpal spasm by inflating the blood pressure cuff and maintaining the cuff pressure above systolic. hypocalcemia

6

What should you advise your patients taking taking metronidazole not to do?

Don't drink alcohol

7

The most common heart valve involved in bacterial endocarditis in the general population?

mitral valve

8

Thumb print sign, drooling, leaning forward

epiglottitis

9

Best treatment for gonorrhea?

250mg IM cefttriaxone

10

What is the most sensitive physical exam technique for for diagnosing ACL tear?

lachman's test

11

What is the R in MANTRELS scoring system? What do the rest of the letters stand for?

Migration to the right iliac fossa, Anorexia, Nausea/Vomiting, Tenderness in the right iliac fossa, Rebound pain, Elevated temperature (fever), Leukocytosis, and Shift of leukocytes to the left

12

A pt with dermatomyositis may present with what distinctive rash?

heliotrope rash

13

what is the most abundant protein in the human body?

collagen

14

The most likely organism to cause an infection after a cat bite is?

Pasteurella multocida.

15

The most likely organism to cause cat scratch disease?

Bartonella henselae

16

Grey Turner's sign

ecchymosis of the flanks. acute pancreatitis

17

sister Mary nodule

GI cancer

18

The most common pharmacologic Tx for reynaud's disease is?

CCB

19

Pregnant women should be test for group B strep during which week of gestation?

35th

20

The most commonly diagnosed type of skin cancer?

Basal cell carcinoma

21

Child with colic abdominal pain and red currant jelly stool

intussusception

22

What is the most common type of thyroid cancer?

papillary carcinoma

23

epidural hematomas usually are caused by injuries to which vessels?

middle meningeal artery

24

Hypernatremia may result when patients with this disorder have limited access to water?

Diabetes insipidus

25

What is the most common type of testicular cancer?

seminoma

26

The condition in which the placenta completely or partially cover the cervical os is?

placenta previa

27

The center criteria are used to determine the likelihood of Strep pharyngitis. What are the four components?

FLAP = fever, lack of cough, pharyngeal exudates, anterior lymphadenopathy

28

A pt with RUQ pain and hx of recent STI may have what particular syndrome?

Fitz-Hugh-Curtis (liver capsule infection secondary to PID)

29

Charcot's triad

jaundice, fever, RUQ pain

30

Renald's pentad

jaundice, fever, RUQ pain, hypotension and confusion

31

A patient experiencing a lateral wall MI may have STelevation in which leads?

I, aVL, V5, V6

32

guttate psoriasis is closely associated with which type of infection?

Strep pharyngitis

33

Horner's syndrome

ptosis, miosis, and anhydrosis

34

Auer rods

AML

35

which cranial nerve controls the lateral rectus muscle?

CN6

36

Name the risk stratification system used to determine the anticoagulation goals for pts with A fib.

CHADS2 score

37

An austin flint murmor is the mid diastolic heart murmur heard at the apex of the heart in patients with this valvular abnormality.

aortic regurgitation

38

The anti-rhythmic medication, amiodarone, can increase the risk of what endocrine disorder?

hypothyroidism

39

Arthritis, conjunctivitis and urethritis

Reiter's syndrome (reactive arthritis)

40

Narcissistic, antisocial, borderline and histrionic are all grouped together as?

personality disorders. particularly cluster B

41

non-caseating granulomas in the lungs, name the systemic disease.

Sarcoidosis

42

The interruption of the cardiac conduction cycle is characterized by progressive lengthening of the PR interval until an atrial beat is blocked

Wenckebach

43

Tetralogy of fallot

Right ventricular hypertrophy, VSD, overriding aorta and pulmonic stenosis

44

CREST syndrome stands for.

calcinosis, Raynaud's phenomenon, esophageal dysmotilitiy, sclerodactyl, telangiectasia

45

HELLP

Hemolysis, elevated liver enzymes, low platelets

46

caseating granulomas

TB

47

Aganglionic large intestines

Hirschsprungs disease

48

Tram track appearance on Xray

bronchiectasis

49

virchow's triad

hypercoagubility, hemodynamic changes, endothelial dysfunction

50

Reed-sternberg

Hodgkin's lymphoma

51

positive bifringence, rhomboid

pseudogout, calcium pyrophosphate (CPP) crystals

52

what test do you do for sjogrens disease?

schirmer's test

53

negative bifringence

Gout

54

Four muscles of rotator cuff

SITS = supraspinatus, infraspinatur, teres minor and subscapularis

55

positive finkelsteins test?

de quervain's tenosynoovitis

56

steeple sign

croup

57

sweat chloride test more than 60

cystic fibrosis

58

currant jelly sputum

klebsiella pneumoniae

59

rust colored sputum

pneumoncoccal pneumonia

60

eggshell calcifications

silicosis

61

hampton's hump

pulmonary embolism

62

westermark sign

pulmonary embolism

63

S1Q3T3

pulmonary embolism

64

parenchymal bullous, subpleural blebs

emphysema

65

most common cause of croup?

parainfluenza virus

66

What does CURB65 assess?

risk for mortality in community acquired pneumonia

67

What are the components of CURB65?

confusion, Urea more than 7 mmol/L, RR more than 30, BP sys less than 90, Diastolic less than 60, age over 65. More than 2 admit. more than 4 possible ICU

68

If you come across a question where the patient has erythema nodosum AND enlarged parotid glands, what diagnosis should you be thinking?

sarcoidosis

69

bilateral hilar lymphadenopathy and elevated ACE

sarcoidosis

70

non-caseating granuloma

sarcoidosis

71

What is Beck's triad and where does it appear?

1. hypotension, 2. JVD, 3 distant muffled heart sounds. Seen in pericardial tamponade

72

List the dermatologic signs of endocarditis

janeway lesions, roth spots, splinter hemorrhages, osier nodes

73

Kussmaul's sign

a paradoxical rise in jugular venous pressure (JVP) on inspiration. It can be seen in some forms of heart disease and is usually indicative of limited right ventricular filling due to right heart failure.

74

S3, bibasilar rales/crackles, paroxysmal nocturnal dyspnea

CHF

75

HACEK group

cause endocarditis - (Haemophilus aphrophilus; Actinobacillus actinomycetemcomitans; Cardiobacterium hominis; Eikenella corrodens; and Kingella kingae

76

cherry red macula

central retinal artery occlusion

77

hot potato voice

peritonsillar abcess

78

tear drop pupil

globe rupture

79

"blood and thunder" appearance

central retinal vein occlusion

80

curtain coming down

retinal detachment

81

red steamy cornea

acute angle closure glaucoma

82

drusen bodies

dry type macular degeneration

83

ramsey hunt

HSV associated with bell's palsy in the ear

84

A patient describes his vision loss as a curtain coming down and then going back up. What might the diagnosis be?

amaurosis fugax

85

skip lesions

Crohn's disease

86

cobblestone appearance

Crohn's disease

87

Bowel disease associated with anterior uveitis and aphthous ulcers

Crohn's disease

88

Child-pugh score

Assesses the prognosis of liver disease, typically cirrhosis using five criteria - 1. Total bilirubin, 2. Serum albumin, 3. PT INR, 4. Ascites, 5. Hepatic encephalopathy

89

what child-pugh numbers are associated with the worst one year survival (45%) and two year survival (35%)?

between 10-15

90

reynolds pentad

fever, abdominal pain, jaundice, confusion and hypotension

91

risk factors for cholelithiasis?

5 Fs - fat fair fertile forty female

92

Ranson's criteria

assess mobility of acute pancreatitis

93

rice water stool

cholera

94

blood and mucous/pus diarrhea

shigella

95

primary biliary cirrhosis

AMA (anti mitochondrial antibodies)

96

hutchinson's sign

A skin lesion on the tip of the nose precedes the development of ophthalmic herpes zoster.

97

ghons complex

TB

98

waterhouse-friedrich syndrome

adrenal failure due to bleeding into adrenal caused by severe bacterial infection (typically Neiserria meningitidis)

99

MCC of septic arthritis in sexually active

Neisseia gonorrhoeae

100

pontiac disease is cause by what organism?

legionella

101

red blood cell casts

glomerulonephritis

102

white blood cell casts

pyelonephritis

103

nephrotic vs nephritic

Nephrotic → protein loss. Nephritic → Blood

104

clue cells

bacterial vaginosis

105

fishy odor

bacterial vaginosis

106

strawberry cervix

trichomoniasis

107

lumpy-bumpy

acute proliferative glomerulonephritis

108

spike and dome

membranous glomerulonephritis

109

Snowstorm pattern on US, Grape Like vesicles on US

hydatidiform mole

110

boggy prostate

prostatitis

111

bite cells

glucose 6 phosphate dehydrogenase deficiency

112

heinz bodies

glucose 6 phosphate dehydrogenase deficiency

113

Hutchinson’s triad

Interstitial keratitis, Hutchinson’s incisors and 8th nerve deafness

114

6 "Ps" associated with compartment syndrome

1. Pain out of proportion
2. paresthesia
3. pallor
4. paralysis
5. pulselessness
6. pressure

115

3 D’s of epiglottis

drooling, dysphagia and distress

116

Which vessel?
Contralateral hemiparesis, worse in face and arm, than leg
Dysarthria
Aphasia/apraxia if dominant hemisphere, or sensory issues if non-dominant affected
Homonymous hemianopsia

Middle cerebral artery - Most common site affected

117

Which vessel?
Majority of frontal lobe function; poor judgment, personality, altered MS, contralateral extremity weakness (usually legs), urinary incontinence, grasp reflex; FRONTAL LOBE SIGNS

anterior cerebral artery

118

Which vessel?
Contralateral homonymous hemianopsia (VF CUT)
Unilateral cortical blindness
Memory loss
Unilateral 3rd CN palsy

posterior cerebral artery

119

Which vessel?
Unilateral or bilateral CN deficits
Coma, death, resp insufficiency
Tachycardia
Labile BP

vertebrobasilar

120

Which vessel causes Amaurosis fugax

opthalmic artery

121

Which vessel?
Absence of cortical defects plus: isolated hemiparesis, dystonia, dysarthria, unilateral sensory defects, unilateral Parkinsonian signs

Lacunar infarcts

122

3 key areas used in cincinnati per-hospital stroke scale?

facial droop, arm drift and speech

123

Meningism triad

nuchal rigidity, photophobia and headache.

124

motor impairment in the left side of the body and a right-sided primary injury evokes motor impairment in the right side of the body

Kernohan's phenomenon

125

O'Brien's test

produces pain when the arm is adducted across the chest with the thumb pointed inferiorly, but no pain with the thumb pointed superiorly -- points to SLAP tear (If pain with both movements suspect an AC joint injury)

126

What test is used in evaluation of bursitis or biceps tendinopathy?

Speed's test

127

What test is used to determine anterior instability of the shoulder?

Apprehension test. though sometimes dislocation may lead to a SLAP injury, the O'Brien's test is more specific for SLAP injuries than the Apprehension test

128

What test is used in evaluation of biccipital tendonitis, and is pain in the biccipital groove with resisted supination?

Yergason's test

129

What test is used to increase suspicion for carpal tunnel syndrome, and is a reproduction of symptoms after having the patient hold one or both wrists in the fully flexed position for 30-60 seconds?

Phalen's test

130

What test involves the administration of a cholinesterase inhibitor, thus prolonging the life of Ach at the junction. The diagnosis is confirmed if the patient shows marked clinical improvement following administration of this compound

Tensilon test for Myesthenia gravis

131

What is the most common leading cause of drug related deaths in the United States?

Opioid analgesics (75.2%), benzodiazepines (29.4%), antidepressants (17.6%), antiepileptic & antiparkinsonism drugs (7.8%).

132

bronchiectasis, sinusitis, and polyps

cystic fibrosis

133

Well's criteria

Prediction Rule for Pulmonary Embolism (PE)

134

Kehr sign

acute pain in the tip of the shoulder due to the presence of blood or other irritants in the peritoneal cavity when a person is lying down and the legs are elevated. Kehr's sign in the left shoulder is considered a classical symptom of a ruptured spleen.

135

cyanotic congenital heart disease

5 Ts and H
Tetralogy of Fallot (ToF)
Total anomalous pulmonary venous connection
Transposition of the great arteries (d-TGA)
Truncus arteriosus (Persistent)
Tricuspid atresia
Hypoplastic left heart syndrome (HLHS)

136

Which of the following muscles contribute to form the pes anserinus tendon?

sartorius
gracilis
semitendinosus

137

exclamation point hairs

Alopecia areata

138

smudge cells

CLL

139

pleural fluid analysis suggestive of an exudative effusion?

Fluid/serum protein ratio > 0.5, and LDH ratio > 0.6

140

Horner's Syndrome is commonly associated with what?

small cell lung cancer

141

what is the most common subtype of ovarian cancer?

Epithelial cell

142

What is the most common lab result consistent for anorexia nervosa?

Nearly all patients with anorexia nervosa show decreased levels of T3, LH, and FSH. Other lab abnormalities that can occur include elevated levels of growth hormone, plasma cortisol, transaminases (12%), and serum cholesterol (50%). Leukopenia may also be present, especially if severe.

143

What can mimic mania?

1. AIDS
2. Cushing’s disease
3. Hyperthyroidism
4. Lupus
5. Multiple Sclerosis
6. Brain Tumors

144

What is the definitive treatment for subconjunctival hemorrhage?

Symptomatic treatment

145

The most common virus associated with the common cold is?

Rhino virus

146

The average lifespan of RBC?

120 days

147

Which antibody is produced first after infection?

IgM

148

What should a pt taking metronidazole be advised?

Do not drink alcohol

149

The most commonly dx type of skin cancer is?

BCC

150

A pt with a positive chovsteks sign could be afflicted with?

Hypocalcemia

151

The most common cause of conjunctivitis is?

Viral

152

Surgery can be curative for which inflammatory bowel disease?

Ulcerative colitis

153

An acute non-infectious granulomatous inflammation of the mebobium gland is called?

Chalazion

154

Hypertension associated with weightloss, sweating, tachycardia and hypotension suggests what dx?

Pheochromocytoma

155

Pts presenting with post-menopausal bleeding must be assessed for what?

Endometrial cancer

156

This endocrine disorder is associate with anovulation and hursuitism?

PCOS

157

A thumb sign on x ray?

Epiglottitis

158

In pts with acute narcotic overdose, tx?

Narcan

159

This is sometimes inserted into the inferior vena cava for prophylaxis against embolism?

IVC filter

160

The condition where the placenta partially covers the os?

Placenta previa

161

What type of rash of lupus?

Malar rash

162

What is the name of the enlarged supraclavicular lymph node caused by metastatic carcinoma of the stomach?

Virchows node

163

Hemotympanum on PE should raise your suspicion of?

Basilar skull fracture

164

Guttate psoriasis is closely associated with which type of infection?

Strep pharyngitis

165

In a pt who has overdosed on Tylenol, the appropriate loading dose?

150 mg/kg N-acetylcystine (mucomyst)

166

Which nerves innervate the diaphragm?

C3,4,5

167

A positive homens sign?

DVT

168

What was the first organ to be successfully transplanted in 1950?

Kidney

169

Over what age does the CDC received the herpes zoster vaccine?

Over 60

170

Name 3 of the bones that make up the auditory ausicles?

Incus, maleus, stapes

171

What is the most common type of testilucar cancer?

Seminoma

172

What sign makes up horners syndrome?

Pitosis, miosis, and anhydrosis

173

Hypertensive urgency is considered with a BP exceeds 220 systollic or 125 diastolic. What else is needed for the dx of HTN emergency?

End-organ damage

174

An Austin flint murmur is the mid-diastolic murmur heard at the apex of the heart with this valvular abnormality?

Aortic regurgitation

175

Deletion of all four alpha globin genes in this hereditary disorder results in hydrops fetalis ?

Alpha thalassemia

176

This comc=lplication can result in hospitalized pts receiving anticoagulant and results in decreased platelet count?

Heparin induced thrombocytopenia (HIT)

177

The premature separation of a normally ?

placeta abrutio

178

What is the most common type of breast cancer?

Invasive ductal

179

Charcots triad includes?

RUQ pain, fever, jaundice

180

external hemorrhoids and internal hemmoroids are distinguished by?

Dentate line

181

T/F activated charcoal is effective in the overdosing of Iron?

False

182

The L in Mantrels stands for?

Leukocytosis

183

In pts suffereing from anterolateral MI?

V3, V4, V5, V6, AvL and I

184

what is the score guide to used to predict the lifkehood of stroke and guide anticoagulation therapy?

CHADS2 score

185

which of the following is best described by a superficial epidermal lesioncontaining clear fluid and measuring more than 1cm?

bullae

186

a pt with possible infectious endocarditis presents with painful lesion on the palms of the soles?

Janeway lesion

187

Impacted cerumen in the right auditory canal will have what result when performing a weber test?

Right sided lateralization

188

what type of rash commonly presents with a herald patch?

Pityriasis rosea

189

What does CREST syndrome stand for?

calcinosis, Reynaud’s, esophageal dysmotility, sclerodactyl, telangiectasia