CME exam Flashcards Preview

PANCE review > CME exam > Flashcards

Flashcards in CME exam Deck (40):
1

most common histology for germ cell CA (testicular cancer)

seminoma

2

What is the marker for seminoma?

HCG

3

Spondylolisthesis

is a slipping the vertebral body

4

Spondylolysis

scotty dog (before the slip)

5

What electrolyte abnormality is seen in Sarcoidosis?

Hypercalcemia

6

Apical cavitation in the lung = what dx?

TB

7

what cardiac disorder would cause the A wave of the internal jugular vein?

Atrial Fib b/c there is no atrial contraction

8

best method to evaluate cancers of solid organs?

CT with contrast

9

courvoisier sign

enlarged, palpable gallbladder in patients with obstructive jaundice caused by tumors of the biliary tree or by pancreatic head tumors

10

what is Potts disease?

TB of the spine

11

should symptomatic aortic stenosis pt have dobutamine pharm stress test, stress echo, or treadmill EKG?

dobutamine! do not put symptomatic aortic stenosis patients on the treadmill

12

X-ray show thickened pleural and calcified plaques = what dx?

asbestosis

13

do schizophrenic meds surpress estrogen and increase bon e loss?

yes

14

what way to dx nephrotic-type of proteinuria?

24 hour urine

15

Infant is vomiting, lethargy, grossly bloody stools and RLQ mass what is the dx and tx

intussispetion, use air enema

16

double bubble sign is for?

pyloric stenosis

17

acronym to remember medications that cannot be administered via the endotracheal tube?

NAVAL (narcan, atropine, epinephrine, valium, lidocaine)

18

infant with continuous machine like holosystolic and holodiatolic best heard over the left sternal border. what type of murmur is this?

PDA (most frequent in premature infants)

19

hearing is mediated by what nerve

O(smell)O(optic)O(occulomotor)TT(trigeminal)AF(facial)VFVAH

20

treatment for severe psoriasis?

TNF (tumor necrosis factor) alpha inhibitor drugs

21

is a chest xray okay in pregnancy?

yes

22

What is the most common cause of secondary dysmenorrhea in a 35 year

endometriosis

23

if a patient has mono and tonsils are enlarged to the point of having difficulty swallowing, what can be given?

Prednisone

24

is acyclovir approved for use in tx of EBV (mono)?

no, but may be given to pts with AIDs

25

Lamictal should be avoided in kids under the age of 16 cut to what concern

steven johnson syndrome

26

diminished biceps curl and her biceps reflex is diminished, what nerve root

C6

27

extra articular manifestations of RA include?

nodules on extensor surfaces, lung, cardiac, vasculitic and skin changes

28

what is the most common presenting PE finding in serotonin syndrome?

Hyperreflexia/clonus

29

what bone has the greatest potential for blood loss when associated with a fracture

FEMUR

30

most common treatment for antiphospholipid antibody syndrome in a pt with SLE who has lost 3 pregnancy losses

Low molecular weight heparin injections

31

if a pt wakes up with a stroke can you use TPA, what is the next step

no TPA is pt wakes up with stroke symptoms , observe pt and admit to neuro

32

best medical therapy for hypertropic cardiomyopathy?

beta blockers

33

66 man with a cold leg, loud S1, and Afib, what is the dx

aortic valve stenosis

34

which hormone is primarily responsible for proliferative endometrium?

estrogen

35

If an older patient has hematuria and a UTI what do you need to do as the next step?

follow up to be sure that hematuria resolves, #1 genitourinary cancer is bladder cancer

36

what is the most common cause of chronic cough in adults?

postnasal drip syndrome

37

what nerve does Bell's palsy affect?

CN 7

38

exam finding for peritonsilar abscess

trismus-hot potato voice

39

initial treatment for sinusitis

amoxicillin or augmentin

40

Common ENT symptom in CF kids

nasal polyps