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April EOR Exams > Internal Medicine > Flashcards

Flashcards in Internal Medicine Deck (428)
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1

18 year old comes in with a non productive cough x 3 months. Also has the atopic triad. What will be found on physical exam?

wheezing

2

Pt with end stage liver disease what will be found on physical exam?

lower extremity muscle wasting (they will try to get you to pick hepatomegaly but remember just like ESRD you get small kidneys, with ESLD you get a small liver - so no hepatomegaly)

3

Genetic d/o with cerebellum and spinal cord demyelination?

Friedreich ataxia

4

What disease has increased tactile fremitus?

PNA

5

Female with HA, myalgia, fever, increased HR, neg kernig. Rash at wrist and ankles.

Rocky Mountain Spotty Fever

6

Pt with 2 months of myalgia, abdominal pain, wt loss, lower leg edema with purpura and ulcers. Dx?

polyarteritis nodosa

7

They give a long story about ankylosing spondylitis and even tell you its +HLA-B27 but they want you to describe the spine

enthesitis

8

Pt with a URI, what's the treatment?

anticholinergic

9

What is the initial diagnosis of sarcoidosis?

chest x-ray

10

MC type of glomerulonephritis?

IgA nephropathy

11

Most effective way to avoid a concussion?

helmet

12

What is the initial treatment of spinal stenosis?

abdominal muscle strengthening, weight loss, bracing, and corticosteroid injections

13

MC malignant solitary pulmonary nodule?

adenocarcinoma

14

Pt with emphysema hyperinflated lungs with decreased lung markings, what is on physical exam?

hyperresonance to percussion

15

Pt was drinking a lot over the weekend and now has chest pain, SOB...think holiday heart, what would you expect on dx?

a-fib

16

Lytic lesions with increased alk-phos?

pagets disease of bone

17

What is the number one risk factor for peripheral artery disease?

smoking

18

Pt is 5 weeks post MI with no chest pain but is still having increased ST elevation in V2 - V4. Dx?

ventricular aneurysm

19

What is the treatment to decrease hepatic complications from hemochromatosis?

phlebotomy

20

Cause of increased conjugated bilirubin?

hepatic injury or biliary obstruction

21

Pt has an injured finger playing football, a ball hit tip of finger and no he can not extend. What is the dx?

mallet finger

22

Pt has severe upper GI bleeding, he is critical and in shock. Tx?

immediate endo band ligation, then octreotide

23

Pt has pneumonia and has a pleural effusion that on centesis shows frank pus, low pH, and low glucose. What is the tx?

thoracostomy tube

24

What is the tx when a pt with glomerulonephritis from SLE?

steroids

25

Pt has a mass on his testicle which gets worse with Valsalva. What is the dx?

varicocele

26

They give you a Hep B panel to interpret, mine was +HbsAg +HbeAg +IgM anti-Hbc

acute hep B

27

What is the def. dx of idiopathic pulmonary fibrosis?

CT scan: diffuse patchy fibrosis with pleural based honeycombing

28

Pt is obese with daytime sleepiness what will you expect to find on physical exam?

a history of snoring (its OSA)

29

When do you begin to admin the PPV vaccine?

65 years old

30

What drug do you not give for a concussion?

hydromorphone