my panre cards Flashcards

(132 cards)

1
Q

predisposing for carpal tunnel

A

myxedema

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2
Q

Legg-Calvé-Perthes disease (LCPD)

A

radiographs in affected patients reveal cessation of growth at the capital femoral epiphysis and a smaller femoral head epiphysis with widening of the articular space on the right side.

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3
Q

staph aureus

A

gram positive cocci in clusters

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4
Q

e. coli

A

gram negative bacillus

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5
Q

pseudomonas

A

lactose negative bacillus

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6
Q

strep pyogenes

A

gram positive cocci in pairs or chains

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7
Q

strep pneumoniae

A

gram positive cocci round colony with an indentation in the center

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8
Q

Bacillus cereus

A

cause 2 syndromes: (1) one involves a short incubation period with nausea and vomiting and is similar to staphylococcal food poisoning;
(2) the other involves a long incubation period (18 hours) with watery, non-bloody diarrhea and resembles clostridial gastroenteritis.

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9
Q

Clostridium perfringens

A

food poisoning with an 8- to 16-hour incubation period

watery diarrhea with cramps and little vomiting. It resolves in 24 hours.

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10
Q

Staphylococcus aureus

A

vomiting being more prominent than diarrhea.

short incubation period (1-8 hours).

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11
Q

Vibrio parahaemolyticus

A

marine organism transmitted by contaminated seafood

mild to quite severe watery diarrhea, nausea and vomiting, abdominal cramps, and fever.

The illness is self-limited, lasting about 3 days.

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12
Q

Salmonella enteritidis

A

incubation period of 6-48 hours.

begins with nausea and vomiting and then progresses to abdominal pain and diarrhea, which can vary from mild to severe and present with or without blood.

Usually, the disease lasts a few days and is self-limited.

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13
Q

pterygium

A

fleshy, triangular intrusion of the conjunctiva onto the nasal side of the cornea that is often bilateral.

usually associated with constant exposure to sand, wind, or sunlight.

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14
Q

Keratoconjunctivitis Sicca

A

dry eyes

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15
Q

Pinguecula

A

yellow elevated conjunctiva nodule in the area of the palpebral fissure on the nasal side of the eye. It is common in persons over 35 years of age.

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16
Q
where is stroke?
L hemiplegia
hemisensory loss
L homonomous hemianopsia 
eye deviated R
apraxia
A

R MCA

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17
Q

L hemiplegia/hemisensory loss in Leg>arm
confusion
behavioral disturbance

A

R ACA

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18
Q

L hemiplegia

R ptosis & eye deviated to R and down

A

R webber’s

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19
Q

falling to the L
R ptosis
eye deviated to R and down

A

R benedikt’s

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20
Q

L hemisensory loss
horners
R facial sensory loss

A

R wallenburg (PICA)

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21
Q

vertigo
vomiting
nystagmus
clumsiness R arm

A

major R cerebellar arteries

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22
Q

total paralysis except for vertical eye movements

A

paramedical branches of the basilar artery

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23
Q

nasal voice, ptosis, dysphagia, resp acidosis

A

myasthenia gravis

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24
Q

myasthenia gravis tx

A

IVIG or plasmapheresis

avoid - amino glycosides and beta blockers

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25
courvoisiers sign - adenocarcinoma
large non-tender GB, itching and jaundice
26
trousseau's sign
migratory thrombophelbitis
27
older pt w/ generalized pruritis and flushing after hot bath | hct 60%
polycythemia vera
28
bone pain, punched out lesions, hyper Ca
multiple myeloma
29
multiple myeloma tests
serum protein elecrophorsis - IgG monoclonal spike
30
+ reed sternberg cells
hodgkin's lymphoma
31
most common lymphoma in kids
ALL
32
where aortic stenosis
RSB | 2nd ICS
33
where plum stenosis
LSB | 2nd-3rd ICS
34
where mitral regurg
apex
35
where tricuspid regurg
4th ICS | LSB
36
where mitral stenosis
apical
37
where tricuspid stenosis
lower LSB
38
where VSD
3rd, 4th, 5th ICS | LSB
39
where aortic regurg
3rd ICS | LSB
40
where pulmonic regurg
3rd ICS | LSB
41
harsh, coarse, rad into neck/carotid | RSB 2nd ICS
aortic regurg
42
``` systolic R ICS LSB rad to carotids ejection click ```
aortic stenosis
43
aortic stenosis causes
rheumatic fever | congenital
44
``` systolic at apex rad to axilla apex beat displaced a fib ```
mitral regurg
45
systolic at apex to axilla mid systolic click
mitral prolapse
46
``` diastolic at LSB 4th ICS sometimes S3 bp higher in legs then arms blowing ```
aortic regurg
47
``` diastolic at mitral area opening snap increase lie on L side afib ```
mitral stenosis
48
diastolic
stenosis
49
pericardial friction rub
acute pericarditis
50
split S2
ASD
51
diastolic | atrial pop
sign atrial myxoma
52
S3
mitral and aortic regurg CHF dilated cardiomyopathy
53
S4
aortic stenosis
54
systolic machinery murmur
PDA
55
pulsus paradoxus
pericardial effusion/tamponade | pericarditis
56
murmur in elderly systolic
aortic stenosis
57
mew murmur after mi
mitral regurg papillary muscle rupture
58
cyanotic infant | systolic thrill LSB
tetralogy of falot
59
short PR wide QRS delta wave avoid digoxin
WPW
60
kerly B lines
CHF
61
5-10 weeks after MI | CP low grade temp
dresslers syndrome autoimmune pericarditis tx NSAIDS ASA
62
anterior MI
LAD v1-v4
63
lateral MI
circ I, AVL, V4-6
64
Inferior MI
RCA 2, 3, avf
65
R ventrical MI
RCA V4 on R sided EKG
66
exudative effusion
cancer | parapneumonic
67
effusion | lights criteria
tramsudative if LDH <0.5
68
reticulonodular in lower lobe | pleural plaques
abestosis
69
hilar lymphadenopathy increase ace erythema
sarcoidosis
70
nodosum tx
steroids
71
1cm nodule in upper lobe | egg shell calcifications
silicosis
72
native valve endocarditis
MVP viridens 4-6 weeks pcn
73
IVDA endocarditis
tricuspid staph Naf + gent or vanco
74
next step with bovis bacteremia
colonoscopy
75
zidovudine side effects
GI leukopenia macrocytic anemia
76
didanosine side effects
pancreatitis | peripheral neuropathy
77
abacavir side effects
``` HS rash F N/V muscle aches stop if sob in 1st 6 weeks ```
78
indinavir side effects
nephrolithiasis | hyperbilirubinemia
79
efavirenz side effects
sleepy confused psycho
80
rash wrists/ankles F Ha
rickettsia tx doxy
81
numb chvostek troussaeu increased QT
low Ca
82
``` bones stones groans psycho low QT ```
hypercalcemia
83
paralysis ileus ST depressions U wave
hypokalemia
84
peaked T waves prolonged PR and QRS sine waves
hyperkalemia
85
muddy brown casts
acute tubular necrosis
86
``` protein blood EOs in urine fever rash ```
acute interstitial nephritis
87
crohns or UC | terminal ileum
C
88
crohns or UC | rectum
UC
89
increase risk sclerosing cholangitis | crohns or UC
UC
90
crohns or UC | fistula
C
91
crohns or UC | granulomas on Bx
C
92
transmural inflammation | crohns or UC
C
93
crohns or UC | cured with resection
UC
94
crohns or UC | colon ca
UC
95
decreased risk with smoking | crohns or UC
UC
96
increased risk with smoking | crohns or UC
C
97
crohns or UC | P-anca
UC
98
ast 2x > alt | increased ggt
alcoholic hepatitis ggt gamma-glutamyl transferase
99
alt > ast | in 1000s
viral hepatitis
100
ast & alt in 1000s after sx or hemorrhage
ischemic hepatitis
101
elevated direct bili
obstructive dubins
102
elevated indirect bili
hemolysis gilberts crigler
103
elevated alk phos nl ggt nl ca
pagets
104
increase hat size hearing loss ha
pagets
105
pagets tx
bisohosphonates
106
antimitochondrial ab
primary bilirary cirrhosis
107
tx primary biliary cirrhosis
bile resins
108
tx for close contacts menigitis
rifampin
109
rifampin side effects
induces Cyp450 | orange
110
INH side effects
peripheral neuropathy sideroblastic anemia hepatitis with increased LFTs give B6 to prevent
111
pyrazinamide side effects
benign hyperuricemia
112
ethambutol side effects
optic neuritis | color vision loss
113
auspitz's sign
appearance of bleeding points after removal skin plaques psoriasis
114
janeway lesions
small hemorrhagic lesions in skin endocarditis
115
oslers nodes
painful red raised skin lesions endocarditis
116
roths spots
endocarditis exudative retinal lesions
117
cranial nerves
Some say marry money but my brother says big boobs matter more ``` S - sensory (olfactory nerve - CN I) S - sensory (optic nerve - CN II) M - motor (oculomotor nerve - CN III) M - motor (trochlear nerve - CN IV) B - both (trigeminal nerve - CN V) M - motor (abducens nerve - CN VI) B - both (facial nerve - CN VII) S - sensory (vestibulocochlear nerve - CN VIII) B - both (glossopharyngeal nerve CN IX) B - both (vagus nerve - CN X) M - motor (spinal accessory nerve - CN XI) M - motor (hypoglossal nerve - CN XII) ```
118
CN 1
smell
119
CN 2
vision
120
CN 3
opening eyes
121
CN 4
down medial | eye movements
122
CN 5
facial sensation | chewing
123
CN 6
lateral eye movements
124
CN 7
facial
125
CN 8
hearing and balance
126
CN 9
taste
127
CN 10
swallowing
128
CN 11
shoulder shrug
129
CN 12
tongue movement
130
pitting nails
psoriasis
131
spoon nails
iron def anemia | hemochromomatosis
132
miotic reactive pupil | ptosis
horners syndrome