Which on e of the following is ass. w/ lung malignancy - absence of calcification - location about midline of lung - diameter of 4m - solid apperance

Absence of calcification other features of malignancy in lung nodules - >10 mm - group glass appearance - no calcification or eccentric calcification - irreguar boarders - doubling one month to one year

Canadian Q bank Flashcards by Najala Orrell

man has Hx of parthryodectomy for primary hyperparathyroidism is in ur office complaining of headache worse in morning what do u do

check for bitemporal hemianopia b/c nervous about a pituitary tumour
b/c ass/ w MEN1

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Which on e of the following is ass. w/ lung malignancy

absence of calcification
location about midline of lung
diameter of 4m
solid apperance

Absence of calcification

other features of malignancy in lung nodules

> 10 mm
group glass appearance
no calcification or eccentric calcification
irreguar boarders
doubling one month to one year

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best measurement of gestational age

Crown rump length at 10 weeks

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clinical of optic neuritits

pain to move eyes

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Economic expense and burden of disease attributed to

CHRONIC disease

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Acute paraonyohia is…

local trauma to nail or cuticle tx with topical antibiotics

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1 Dx of Bacterial vaginosis

CLUE CELLS - detect via vaginal sections w/ saline and cover

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Right extensor plantar response with normal face is a lesion where

Right corticospinal tract (not left since it is below S1 therefore face is not involved)

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Occult bacteremia

no other findings except FEVER

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Calculat dose of UFH in DVT

boulus = 80U/kg

Continuous IV infusion after = 18U/kg

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Somatic symptom disorder

hypochondriasis

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Testicular pain and heaviness when lying down

Varicocele

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heart mumur fever child;s splinter haemorrhages - best next step

THINK infective endocarditis so do blood culture

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Non arteritis Dx Test of choice

Synovial fluid aspiration

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Solid kindey mass 5 cm in upper pole detected with US next step

SURGICAL resection 
(no point in biopsy b/c ;location and solid)

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Commonest cause of DIC

Abrupto placenta

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Mexico and gets GI infection w/ bloody diarrhea think

Entameba hsitolytica

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Criteria for Dx parital and complete molar pregnancy

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Abdo gullness visible abdo perstalsis , normal bowl sounds and no tenderness

Gastric OUTlet syndrome

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Increase Ca and decrease phosphorus

primary parathyroid adeoma

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pertussis in patient and waiting for cultures

TX PATIENT AND ANY CLOSE CONTACTS

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Non alcohol liver disease is ass/ w/

TYPE 2 DM

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unable to flex distal finger - needs to get a splint how

Splint finger in slightly flexed position and urgent referral to hand surgeon

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What does lithium do to Ca levels

elevates Ca levels because lithium will elevate PTH

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best way to treat trardive dyskinesia SE with chlorpromazine

gradual taper and replace it with clozapine or queitapine and treat tardive dyskinesia with tetrabenzine

viral sheeding continues LONG after the acute illnesss

Norwalk virus

most common cause of hemoptysis in primary car setting

LRTI

INR for patients with mechanical heart valves

2.5-3.5

what Tx SVT

Verapamil

what antidepressant causes weight lose

Bupropion

Thaizde diuretics is the first choice in what type of hypertensive patient

HTN in elderly

thiazides are contraindicated in what types of patient

patients with gout

PSC Dx via

MRCP - and treat via ERCP

CA125 level

not shown to decrease mortality if detected in early stage

athlete with 2nd amenorrhea tx

Increase caloric intake

shinny raied demarcated skin with distinct boarder

erysipeala if not demarcated = cellultis

fiscal policy

placing high tax rates on cigarettes

magnesium sulfate toxicity

respiratory distress

inheritance of muscular dystrophy

X linked - MOM MUST BE A CARRIER

most consistent powerful predictor of stroke

HTN

failed suicide attempt by handing results in

cerebral anoxia | - memory loss, restlessness and confusion

cardiac problem in Marphans

Aortic disection

same mode of inheritance as Ducenne muscular dystrophy

- any X-linked recessive disorder | G6PD

Clubbing is a clinical finding of COPD true or false

FALSE clubbing in: - lung cancer - lung abbscess and bronchiectasis

elevation of serum alkaline phsphatase WITH 5 nucleotidase is most suggestive of a condition affecting what organ

LIVER

what drug causes pupil constriction

Oxycodone

only antidepressant affective in children is

FLUOXITINE (SSRI)

4 month year old with straidor

laryngomalacia

5% mild dehydration

1slight dry mucosal increased thirst decreased urine output

10% dehyration

``` dry buccal mucous membrane tachycardia little or NO urine output lethragy sunken eyes and frontonelle loss of skin turgor ```

15% severe dehydration

``` moderate plus a rapid thready pulse no tears cyanosis rapid breathing delayed capillary reful mottled skin and coma ```

factor to distinguish peripheral vs. central vertigo

Disappearance of nystagmus during visual fixation

commonest cause of proteinuria in children

orthostatic proteinuria

16 weeks gestation elevated alpha fetal protein , next step

Fetal ultrasonography

lab findings in heamolytic jaudice

Alk phosphatase

initial tx of bronchiolitis

trial of nebulizer albuterol

what prevents renal failure in contrast induced nephropathy

hydration with sodium bicarbonate

#1 for status epilepticus Tx

lorazepam

MICROCYTIC ANEMIA how to distinguish b/w iron deficiency anemia or chronic disease

bone marrow biopsy for iron staining

pregnant patient positive for HebB surface antigen what do u do for her infant

HBIG and hepatitis B vaccine at BIRTH

#1 Tx for OCD

FLUOXETINE

What feature of meningitis causes seizures refractory to medication

Hyponatremia from SIADH

AST:ALT ratio

nonalcoholic fatty liver disease

AST:ALT ratio >2 indicated

Alcoholic hepatitis

most common cause of child abuse in canada

Child neglet

weekend drinking of an alcoholic presents with ado pain radiating to the back

THINK ACUTE pancreatitis | Get ABDOMINAL CT

What is end stage result of GERD

Peptic strictures

presentation of gout in elderly vs. younger patient

Elderly: think involvement of upper extremity Younger - podagra

most common cause of HTN in children

Renal parenchymal disease

female athlete traid

disordered eating ammenorhea osteoporosis

Exposed to harmful noise for long period of time results in what type of hearing loss

sensory hearing loss with tinnitis

FDA category C - what does this mean for pregnancy women

Animal studies demonstrate some risk to the fetus - no study done in women

scattered retinal heamorrages in 2 year old

Think Shaken baby syndrome

Tocolytics inidciation

preterm labor | live , immature fetus, intact membrane , cervix

What size is the greatest for an ectopic pregnancy inorder to use MTX

ectopic mass

specific gravity of 1.002 and urine ph 5.7 think

Excessive fluid intake

Will psoriasis run in family members

YES

tx of pertussis

Erythromycin

What is the most common nutritional deficiency worldwide

IRON deficiency

roatvirus vaccine when should the first dose be given

first dose should be given prior to 14 weeks of age

tx of canadiasis on penis

Systemic amphotericin

tx of cyaninde toxicity

Sodium thiosulfate

strongest risk factor for the most serious complication of GERD

MALE | complication = Barrets esophagus (10X more common in males)

tx of lyme disease

AMOICLLN

most common type of breast lump in adolescent girls

beign - firboadenoma

cyclical pain breast lump older adolescence

Fibrocystic breast disease

constant presence of disease or infectious agent in a given area or population what word is used

Endemic

synonymous with outbreak

Epidemic

early side effect of fluoxetine

loss of appetite

what is the most helpful to determine the prognosis of multiple myloma

Beta 2 micro globulin levels

IMMEDIATE tx of DKA

restore electrolytes losses and revere catabolic state

night blindness, hyperkarotic skin think what

vit A deficiency

similar to shin splints but tends to persist

tibial stress fracture

What is a risk factor for osteoarthritis

``` OBESITY high bone mass female hypothyroid weights bearing exercise ```

in patient w/ chronic renal failure what should be given?

1. IRON - b/c anemia | 2/ then EPO

tension pneumothorax is best dx by

clinical exam

BNP does what

inhibits RAAS

treatment of rotator cuff tear

surgery if tear was at least 6 weeks ago

what lab results are ass. w/ chronic rather than acute hepatitis

Chronic = LOW albumin

hypertensive encephalopathy is due to a serious complication of what medication

TCA and MAO-

best way to monitor tx for Wilson

look at urinary copper excretion

c3 and c4 are low think

LUPUS

what type of headache is ALWAYS unilateral

CLUSTER headache

PET uses a radioactive label taged t o what

GLUCOSE

rate control for a.fib

BETA BLOCKER

Canadian Q bank Flashcards

(105 cards)