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Flashcards in NBME sicular Deck (73):
1

difficulty combing hair - think?

polymyositis
- or at least muscle problems

2

bilateral hilar fullness - think?

sarcoidosis

3

sarcoidosis --> ?

Inc Ca

4

ill defined palpable soft masses high in the scrotum + infertility = think?

Varicoceles

5

why do pregnant women get UTIs?

Urinary stasis

6

pain relieved by vomiting + bowel sounds dec + distended, tender, and tympanic abdomen - think?

SBO

7

impetigo treatment?

Topical Abx treatment that covers staph

8

prevention of contrast hurting kidneys?

Fluids

9

/meds used in gout (4)

Acute
- colchicine
- NSAIDs

Chronic
- allopurinol
- probenicide

10

Widened mediastinum - worried about what vessel?

Aorta

11

Most common drug for delirium?

Haloperidol

12

long bone break + petechial hemorrhage - think?

fat embolism

13

alternating amplitude of QRS think?

Tamponade

14

Treat cardiac tamponade w/?

Pericardial window pericentesis

15

depression + episode of mania - think?

bipolar

16

retinal hemorrhage - think?

child abuse

17

bilateral nystagmus + weird behavior - think?

PCP

18

creepy on drugs think?

PCP

19

Hyperosmolar non-ketotic Coma main symptoms?

- DM
- no ketones
- high sugar
- postural hypotension (bc of dehydration)

20

Hyperosmolar non-ketotic coma is?

Hyperosmolar hyperglycemic state (HHS) is a complication of diabetes mellitus (predominantly type 2) in which high blood sugars cause severe dehydration, increases in osmolarity (relative concentration of solute) and a high risk of complications, coma and death.

21

Mediastinal mass + weakness + diplopia think?

Myasthenia gravis

22

disease effects acetylcholine receptors?

Myasthenia Gravis

23

Myasthenia gravis effects what?

acetylcholine receptors

24

weakness w/ use?

Myasthenia gravis

25

URI + ascending weakness - think?

Gullian Barre

26

Demyelinnation of axons?

Guillan barre

27

mysthenia gravis + mediastinal mass - think?

Thymoma

28

MCHC high? (2)

Spherocytosis (coomb -, fam hx)
Autoimmune hemolytic anemia (coombs +)

29

What high lab values associated w/ pancreatitis? (3)

- lipase
- amylase
- triglycerides

30

kernig sign positive - think?

Meningitis

31

test for zenckers?

Barium swallow

32

regurg undigested food + halitosis - think?

zenckers diverticula

33

salmon colored skin rash, non-pruritic + joint stuff?

JIA

34

back pain + steroids - think?

compression fracture

35

wide based gait - where problem?

cerebellum

36

wide based gait problem, smoking or alcohol main problem?

Alcohol!

37

crackles in all lung fields - think?

pulmonary edema (CHF)

38

Treatment of Pulmonary edema?

"NOMADS"

39

very high temp + very high CK - think (2)?

Malignant hyperthermia
Heat stroke

- differentiate by risk factors and presentation in stem

40

digoxin --> what abnl serum conc?

Dec K

41

cancer --> what abnl serum conc?

hyperCalcemia

42

Carotid artery >70% stenosis --> treat?

Endarterectomy

43

remove clothing after exposure?

Organophosphates

44

Treatment of organophosphates?

- atropine +/- pralidoxine (if given w/in hours)

45

preload down but murmur intensity up think?

HOCUM

46

ABO v Rh incompatability?

ABO - mild
Rh - severe

47

What part of lung do pseudomonas like?

Upper

48

bilateral, diffuse, hazy densities with cephalization of the pulmonary vasculature and perihilar fullness - think?

Acute respiratory distress syndrome

49

PCOS, treat infertility w/?

clomiphene

50

watery diarrhea w/ no PMNs think?

enterotoxic E.coli

51

what causes granuloma inguinale?

Klebsiella granulomatis

52

What causes lymphogranuloma venereum?

Chlamydia

53

What causes chancroid?

H. ducreyi

54

hallucination of bugs crawling on or from under skin (formication)? (3)

- Withdrawal from alcohol
- Intoxication w/ Meth
- Intoxication w/ Cocaine (or cocaine like substances)

55

Really fat w/ hypoxemia - think?

alveolar hypoventilation

56

old woman w/ nipple problem?

paget's disease

57

yellow fluid from nipple w/o masses or calcifications?

Don't worry it's physiologic discharge

58

C3 should be high or low in lupus?

LOW

59

preeclampsia worry--> test for what other disease?

HELLP

60

isolate Right sided heart failure is?

Cor Pulmonale

61

Angioedema + multiple episodes with stress (ie illness) --> think?

c1 esterase deficiency

62

gram + line infection --> treat?

vanc

63

Wiskott aldrich syndrome main findings (3)?

WATERS
Wiskott
Aldrich
Thrombocytonpenia
Eczema
Recurrent Sinusitis

[Ig stuff too]

64

Most common cause of bronchiectasis?

Recurrent infection

65

cough up blood + cysts + recurrent infx - think?

bronchiectasis

66

low BP + cold and clammy - think?

Hypovolemia

67

hair loss due to Vit def?

Zinc

68

Treatment of Hep C?

Interfuron alpha

69

low serum Na and high urine Na --> think?

SIADH

70

Low serum Na high urine Na --> think?

Polydipsia

71

clubbing - think?

lung ca

72

pain + bleeding + 3rd trimester - think?

Abruption

73

high albumin in urine treat?

ACE inhibitors