Jan 7 2021 Flashcards

1
Q

types of pleural effusion?

A

transudative and exudative

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2
Q

Lights criteria for an exudative effusion

A

One of:

  1. Pleural fluid protein/serum ratio >0.5
  2. Pleural fluid LDH > serum ratio > 0.6
  3. Pleural fluid LDH > 2/3 the upper limit of normal for serum LDH
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3
Q

is tympanic membrane erythema alone enough to warrant antibiotics?

A

no - not diagnostic of acute otitis media

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4
Q

shape of cysteine stone?

A

hexagonal

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5
Q

the absorption of which amino acids are impaired in cystinuria?

A

cystine, ornithine, arginine, lysine

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6
Q

what does a cyanide-nitroprusside test indicate?

A

whether there is elevated levels of cystine in the urine

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7
Q

path of common variable immunodeficiency?

A

-the inability of B cells to mature into plasma cells leading to low antibodies and reccurrent infection

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8
Q

treatment of CVID?

A

immunoglobulin replacement

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9
Q

most common cause of community-aquired bacterial meningitis?

A

strep pneumonia

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10
Q

conventional beta blockers are associated with increased risk of..

A

type II diabetes

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11
Q

how do conventional beta blockers lead to increased risk of diabetes?

A

by blocking beta-effects, alpha effects are unopposed. Alpha 1 vasoconstriction decreases glucose uptake into muscles - > increased glucose and icnreased insulin secretion

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12
Q

do all beta blockeres increase risk of diabetes?

A

No - some beta blcokers (carvedilol, labetolol) also block alpha effects

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13
Q

SCREENING and CONFIRMATORY antibodies in SLE?

A

screening: ANA
confirmatory: anti-ds DNA

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14
Q

which enzyme breaks down bradykinin?

A

ACE

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15
Q

presentation of anti-cholinergic toxicity?

A

confusion, tachycardia, temperature elevations, pupillary dilations, etc.

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16
Q

A baby born with hypospadias needs. .

A

karyotype analysis

17
Q

treatment of female pattern hair loss

A

topical minoxidil

18
Q

MOA of minoxidil

A

vasodilator - increases blood flow to the scalp

19
Q

most common cause of osteomyelitis?

20
Q

tactile fremitis is ____ with pleural effusion

21
Q

tactile fremitis is ____ with consolidation

22
Q

tactile fremitis is ____ with pneumothorax

23
Q

tactile fremitis is ____ with atelectasis

24
Q

symmetric proximal muscle weakness and rash on dorsum of fingers =

A

dermatomyositis

25
dermatomyositis is a ..
paraneoplastic syndrome
26
how to diagnose dermatomyositis?
muscle biopsy
27
Are reflexes normal in lambert-eaton syndrome?
no - they are diminished
28
what acid-base disturbance occurs with salcylate overose?
MIXED ACID-BASE -respiratory alkalosis -metabolic acidosis = NEAR NORMAL PH
29
UTI with a high pH indicates...
infection with a urease producing bacteria (proteus mirabilis or klebsiella)
30
what is a normal JVP?
6-8 cm
31
why are SGA babies at risk for polycythemia?
increased EPO in response to hypoxemia
32
are SGA are risk for hypercalcemia?
NO - hypOcalcemia
33
what kind of poisoning may occur from being in a house fire?
cyanide or carbon monoxide poisoning
34
treatment of cyanide poisoning
hydroxocobalmin or sodium thiosulfate or inducing methemoglobinemia