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II Flashcards

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1
Q

clinical features glucagonoma

A 
necorylytic migratory erythema-- with central clearing
DM
GI symptoms
weight loss
ataxia, dementia
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2
Q

Neuroleptic malignant syndrome cause

A

1st gen antipsychotics

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3
Q

cause of death with anaerobic infection in mouth from teeth

A

asphyxiation

need to intubate

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4
Q

digital clubbing and COPD

A

hypertrophic OA
sudden onset arthropathy
need CXR for underlying cause

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5
Q

hydatid cyst

A

echinococcus granulosus

dogs-tapeworm that makes cyst in liver, calcified

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6
Q

Tx for migraine

A

prochloperazine

NDAIDs or Triptans

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7
Q

clinical features of thyroid storm

A 
fever high
tachycardia
HTN
agitation delirium
goiter lidlag tremor
nausea vomiting diarrhea
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8
Q

acute Tx thyroid storm

A

beta blocker
PTU with iodine
glucocorticoids

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9
Q

next step in finding a painless hard testicular mass

A

take it out

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10
Q

Amyloidosis in kidneys can be secondary to

A 
inflammatory arthritis
chronic infections
IBD
malignancy
vasulitis
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11
Q

acute Tx cluster HA

A

100% O2

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12
Q

meds that inc theophylline (COPD) toxicity

A

ciprofloxacin

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13
Q

healthy patient gets venous trhomboembolism out of blue, next step after anticoag therapy

A

CT chest abdomen and pelvis to look for cause– malignancy

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14
Q

tick borne illness looks like malaria

asplenic patient with jaundice

A

babebiosis

do giemsa stain and thin blood smear

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15
Q

Tx babesiosis

A

quinine-clindamycin

atovaquone-azithromycin

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16
Q

signs of zenker diverticulum

A

dysphagia, coughing, regurg, halitosis, neck mass

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17
Q

causes of zenkers diverticulum

A

sphincter dysfunction and esophageal dysmotility

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18
Q

rubella vs measles

A

rubellas rash is quick head to toe. measles is drawn out and with higher fever

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19
Q

necrotic nasal septum with maxillary infection

what bacteria

A

rhizpous, mucormycosis

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20
Q

vaccines for asplenic patients

A

pneumococcal, haemophilus, meningococcal
and before operations take penicillin
also penicillin 3-5 years post splenectomy

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21
Q

Dx for toxic megacolon

Study These Flashcards
A

XR of colonic distention + >3:

  • fever>38
  • HR >120
  • Neutrophils 10.500
  • Anemia

must have 1:

  • volume depletion
  • altered sensorium
  • electrolyte disturbances
  • hypotension
22
Q

bacteria in urinary tract that canc ause infective endocarditis

23
Q

signs chikungunya

Study These Flashcards
A

high fevers, polyathralgias
HA myalgias, conjunctivitis, maculopapular rash
lymphopenia, thormbocytopenia and inc liver enzymes

24
Q

Whipples disease

Study These Flashcards
A 
chronic malabsorptive diarrhea
non deforming arthritis
lymphadenopathy
damage to eye CNS and myocardium
Tropheryma whippelii
small intestine Bx shows PAS + macrophages
25
cause of ipsilateral ataxia
cerebellar tumor
26
patient walking with legs wide apart | feet lifted higher than usual and have a foot drop
tabes dorsalis
27
how is the gait in a hemiparesis patient
will swing leg in semi circle with it extended and affecte arm is adducted
28
waddling gait
due to affected gluteal muscles | seen in muscular dystrophy
29
Trichinellosis
abdominal pain, nausea, vomiting diarrhea then up to 4 weeks later myositis, feer, subungal splinter hemorrhages, periorbital edema eosinophila and maybe increased CPK
30
Acute mitral regurg
probably papillary muscle rupture | increased left atrial pressure
31
endopthalmitis
most commonly postoperative within 6 weeks surgery | pain and decreased visual acuity, swollen eyelids and conjunctiva, hypopyon, corneal edema and infection
32
when do you not take away beta blockers, Ca channels in nitrates for a stress test
when they have known CAD
33
symptoms signs of gestational trophoblastic disease
irregular vaginal bleeding, enlarged uterus, pelvic pain
34
malignant forms of gestational trophoblastic disease
invasive gestational trophoblastic neoplasia and choriocarcinoma
35
most common place for mets of a choriocarcinoma
lungs | have SOB and dyspnea
36
Dx lab for choriocarcinoma
beta hCG
37
Cause of death in someone with acromegaly
``` congestive cardiac failure from high GH and IGF-I !!!!!!! strokes colon CA renal failure adrenal failure ```
38
lab clues for legionella pneumonia
hyponatremia hepatic dysfunction hematuria and proteinuria sputum gram stain many neutros, few microorganisms
39
ichthyosis vulgaris
gradual progression to dry scaly skin hereditary or acquired all over limbs with horny plates
40
what causes the hypoxemia in penumonia
increase in alveolar arterial oxygen gradient
41
warfarin inhibits what
vit K dependent clotting factors II VII IX X and protein C and S
42
paresthesias in someone who receieved blood transfusion
the citrate in the transfused blood chelates Ca
43
most common cause of disappearing bile ducts
primary biliary cirrhosis
44
most common causes of acute liver failure
acute viral hepatits, acetominophen toxicity or ischemic hepatopathy
45
elevated serum protein with normal albumin
multiple myeloma amyloidosis waldenstroms macroglobulinemia monoclonal gammopathy of undetermied significance
46
how to differentiate multiple myeloma from monoclonal gammopathy of undetermined significance
MM >10% plasmacells in bone marrow and >3 g/ml protein | MGUS is opposite.
47
how to Dx esophgeal perforation
water soluble esophagram
48
elderly with smudges cells
CLL
49
skin signs of sarcoidosis
erythema nodosum and eveitis
50
what type of cardiac failure is caused by AV fistual
high output because shunting blood increasing preload

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