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Flashcards in Last NBME Deck (32):
1

Bisphosphonates MOA AE?

MOA: inhibiting osteoclast activity.
AE: Corrosive esophagitis

2

Renal artery with String of beads sign?

Fibromuscular dysplasia

3

If Chest X-ray shows no abnormality, then what does this mean?

Resolution was allowed by maintenance of the basement membrane integrity

4

For ascites, most appropriate treatment in addition to HCTZ?

Spironolactone

5

Kid vomiting milk?

Immature LES

6

History of ectopic pregnancy with "Cervical motion tenderness (Chandelier sign)"

PID

7

Top two bugs of PID? MC?

Chlamydia trachomatis (subacute, often undiagnosed), Neisseria gonorrhoeae (acute).

C. trachomatis—most common

8

Africa what bug?

Malaria

9

Babesia where does it occur?

Northeastern US

10

Chancroid vs Genital Herpes?

Genital Herpes has open sores

11

Which lung finding is the only one with increased fremitus?

Consolidation (lobar pneumonia)

12

Pneumothorax lung percussion?

Hyperresonant

13

Pleural effusion will have?

Decreased breathe sounds, Dull percussion and decreased tactile fremitus

14

Best test for hyperthyroid after TSH?

Free T4

15

Osteogenesis imperfecta vs Achondroplasia?

Osteogenesis imperfecta=>macrocephaly

16

dark purple-red hemorrhagic appearance of small intestine?

Mesenteric Venous Thrombosis

17

Runner with hemoglobin and creatinine conc. that is increased?

Myoglobin From rhabdomyolysis

18

Rectal Bleeding and Ulcers?

UC

19

What other organ besides the liver can gluconeogenesis?

Kidney

20

What shape does Type 2 pneumocytes have?

circular fried egg (cubodial/clustered) with llamelar

21

Female, Forty, Fat, Fertile?

Cholesterol Stones

22

Irregular Flailing movements?

Hemiballismus
Contralateral subthalamic nucleus

23

First objective sign of puberty?

breast buds

24

Blue tinged mass?

Veins

25

external hemorrhoids, anal fissures, squamous cell carcinoma?

Below pectinate line

26

Below pectinate line artery supply?

Arterial supply from inferior rectal artery
(branch of internal pudendal artery)

27

Below pectinate line Venous supply?

Venous drainage: inferior rectal vein=>􏰀internal pudendal vein=>􏰀internal iliac vein=>􏰀common iliac vein=>􏰀IVC.

28

Below pectinate line Lymph supply?

superficial inguinal nodes.

29

Anal Fissure P's?

Pectinate line. Pain while Pooping; blood on “toilet” Paper. Located Posteriorly since this area is Poorly Perfused.

30

internal hemorrhoids, adenocarcinoma are?

Above pectinate line

31

Above pectinate line artery supply?

Arterial supply from superior rectal artery (branch of IMA).

32

Above pectinate line Venous supply?

Venous drainage: superior rectal vein=>􏰀inferior mesenteric vein=>􏰀portal system.