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Flashcards in General Medicine Deck (24):
1

What are the important value ranges for a DEXA scan?

<2.5 osteoporosis
-2.5 - 1 osteopenia

2

What are 2 serious side effects of bisphosphonates?

Osteonecrosis of the jaw
Acid reflux/pill esophagitis

3

Young female presents with inability to keep legs still at night and needs to walk around room. What test would you order next? Treatment?

Order ferritin to r/o IDA, may need colonoscopy
Tx: ropinerole

4

Name live vaccines which we would not give to immunocompromised or pregnant patients

MMR
Varicella/Zoster **
Smallpox
Typhoid
BCG
Yellow fever
Intranasal influenza

5

Common vitamin deficencies in alcoholics?

Thiamine, folate, VitC, VitD, Zinc, copper

6

Vit deficiency: night blindness

Vitamin A

7

Vit deficiency: wet beriberi, dry beriberi

VitB1 thiamine

8

What is wet beriberi

high output HF, ascites, peripheral edema, neuropathy

9

What is dry beriberi (2 diseases)?

Wernicke encephalopathy: nystagmus, opthalmoplegia, ataxia, mental deterioration
Korsakoff syndrome - confabulation, poor recent memory/learning

10

Vit deficiency: glossitis, cheilosis, vomiting, seizures and neuropathy
Can be caused by INH, cycloserine, penicillamine

VitB6 pyridoxine

11

Vit deficiency: macrocytic anemia, neuropathy, dementia, seen in vegans

VitB12 cobalamin

12

Vit deficiency: pellagra (diarrhea, mucosal dermatitis, dementia), seen in carcinoid syndrome, and INH therapy

Niacin B3

13

Vit deficiency: petechial hemorrhage in hair follicles and ecchymosis

VitC

14

Vit deficiency: rickets, osteomalacia,

VitD

15

What group of T2DM meds are contraindicated in heeart failure?

TZDs
rosiglitazone, pioglitazone

16

What is a known side effect of venlafaxine?

elevated BP

17

How do you set up a 2x2 stats table?

Along top: disease
Along left: test result
Sens: TP / (TP + FN)
Spec: TN / (FP + TN)
PPV: TP / (TP + FN)
NPV: TN / (TN + FN)

18

What diet restriction is indicated for Parkinsons?

Protein restricted

19

What diet helps prevent seizures?

ketogenic diet

20

What test should you order in Downs syndrome patient going for surgery/

Cervical XR to r/o AA subluxation

21

A patient that had reaction to poison ivy had what type of hypersensitivity?

Cell mediated Type 4

22

A woman is having breast pain, treatment?

Mastalgia is treated with danazol

23

In patient with resistant HTN, what testing should be ordered?

PSG to r/o OSA

24

A patient with acromegaly is predisposed to ____?

colon cancer