Deck 77: Internal Medicine Flashcards Preview

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Flashcards in Deck 77: Internal Medicine Deck (60)
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1

what causes markedly impaired alveolar ventilation in acute pneumonia? What does this result in?

alveolar consolidation
- hypoxemia
- intrapulmonary shunting

2

Dead space ventilation

ventilation of ares of lung that are not perfused with blood

3

headache that manifests as constant pressure in the temporal and occipital regions without nausea or visual symptoms and that are unchanged of quality from prior

tension-type headache

4

what can cause tension headaches

stress

5

what can cause cluster headaches

sleep

6

Unilateral recurrent periorbital headache pain that resolves and recurs with associated ipsilateral miosis and ptosis

Cluster

7

Headaches that are pulsatile and throbbing in character, often unilateral

Migraine

8

what is often associated with migraine without arura

nausea, vomiting, and photophobia

9

how is leprosy diagnosed

biopsy from active edge of lesion

10

symptoms for leprosy

chronic, anesthetic, hypopigmented lesions with peripheral nerve involvement

11

Ichthyosis vulgaris

diffuse dermal scaling

12

coarsening of facial features, pharyngeal crowding, and enlargement of hands and feet

acromegaly

13

heart problem in acromegaly

concentric myocardial hypertrophy
diastolic dysfunction
left ventricular dilation
global hypokinesis

14

typical presentation of anaphylaxis

hypotension
tachycardia
urticarial rash
wheezing

15

fat embolism that occurs following a long-bone fracture has what clinical symptoms

dyspnea
neurological impairment ( confusion, seizure)
petechial rash

16

Timing difference between fat embolism from bone fracture and anaphylaxis reaction

anaphylaxis: quickly
fat embolism: 12-24 hours

17

Acanthosis nigricans is associated with what

younger patients: insulin resistance states
Older: GI malignancy

18

characterize laxative abuse

frequent, watery, nocturnal diarrhea

19

how do you diagnose positive laxative abuse

positive laxative screen
colonoscopy: melanosis coli ( dark brown discoloration with pale patches of lymph follicles)

20

characterize VIPoma diarreha

tea-colored
hypokalemia with hypochlorhydria

21

What distinguished peritonsillar abscess from epiglottis

Pertonsillar abscess: deviation of uvula and unilateral lymphadenopathy

22

what cancers are associated with lynch syndrome

colorectal cancer
endometrial carcinoma for female carriers
ovarian cancer

23

associated cancer with familial adenomatous polyposis

colorectal
desmoid and osteomas
brain tumors

24

cancer associated with von Hippel-Linau syndrome

Hemangioblastomas
Clear cell renal carcinoma
pheochromocytoma

25

MEN1

parathyroid ademona
pituitary adenoma
pancreatic adenomas

26

MEN2

Meduallary thyroid cancer
pheochromocytoma
Parathyroid hyperplasia

27

BRCA1 and BRCA2

breast and ovarian cancer

28

X-ray finding for osteomalacia due to vitamin D deficiency

decreased bone density with thinning of cortex
pseudofractures (Looser zones)

29

absence of identifiable bacteria on culture or gram stain, a mucopurulent urethral discharge in a patient who is sexually active suggests? what tests confirms diagnosis

chlamydial urethritis
Nucleic acid amplification

30

which drugs have survival benefit in CHF ? which help symptoms

survival: ACE inhibitors, ARB, beta blockers, spironolactone

symptomatic: Digoxin, furosemide