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1
Q

Lyme dz Tx in preg/children

A

Amoxicillin, Cefuroxime (2nd gen)

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2
Q

Schilling test

A

Vit B12 def

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3
Q

Negative Prehn’s sign

A

no pain relief with testicular elevation = testicular torsion

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4
Q

Paget dz: most significant lab, Tx

A

incr ALP

-Tx: bisphosphonates

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5
Q

psoriasis Tx

A

steroids

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6
Q

nail pitting

A

psoriasis

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7
Q

salmon-colored papules

A

pityriasis rosea

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8
Q

tinea versicolor: organisma

A

malassezia furfur

oval macules, hyper/hypo pigmented

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9
Q

Hypersensitivity rxns

A

I: IgE. urticaria, angioedema (urticaria, angioedema)
II: Ab mediated
III: Ab-Ag
IV: delayed. cell-mediated (Erythema multiforme)

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10
Q

Erythema multiforme, SJS/TEN

A

EM minor: target lesions
EM major: mucous membr involvement

SJS/TEN: epidermal detachment

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11
Q

condyloma acuminata

A

HPV genital warts

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12
Q

cauliflower lesions

A

HPV genital warts

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13
Q

erythema nodosum assoc with what?

A

sarcoidosis

red shins

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14
Q

MC skin CA

A

basal cell

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15
Q

Tx BCC, SCC

A

BCC: electric desiccation, curettage

SCC: excision

melanoma: excision with LN Bx

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16
Q

impetigo MCC, Tx

A

MCC S aureus

Tx Mupirocin (Bactroban)

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17
Q

Nikolsky sign

A

Pemphigus vulgaris, SJS/TEN

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18
Q

bullous pemphigoid sx

A

blistering

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19
Q

Parkland formula for burns (IVF)

A

LR= 4mL x kg x BSA%

1/2 in 1st 8 hrs
1/2 in last 16 hrs

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20
Q

coxsackie A vs B

A

A: hand foot mouth

B: pericarditis, myocarditis

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21
Q

diabetic retinopathy changes

A

hard exudates

cotton wool spots
hemorrhages

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22
Q

HTN retinopathy changes

A

AV nicking, arterial narrowing (copper wiring, silver wiring), papilledema

cotton wool spots
hemorrhages

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23
Q

angle closure glaucoma sx, Tx

A

sx: unilat, ocular pain, peripheral vision loss, steamy cornea, nonreactive pupil, hard eye, IOP >21

Tx: acetazolamide IV
topical BB, pilocarpine

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24
Q

Vertigo: peripheral

A

Benign positional: episodic, no hearing loss
Meniere’s: episodic, hearing loss (tinnitus, ear fullness)– Dix Hallpike

Vestibular neuritis: cont, no hearing loss
Labyrinthitis: cont, hearing loss

ALL: horiz nystagmus, sudden

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25
Vertigo: central
ALL: vert nystagmus, nonfatiguable, gait abnorm
26
Tx bact conjunctivitis
top erythromycin contact lenses: FQ, tobrex
27
cherry red spot on macula
central retinal A. occlusion
28
absent red reflex
cataracts (opaque lens) | retinoblastoma (WHITE PUPIL)
29
Meniere's Tx
meclizine diuretics avoid salt, caffeine, choc, ETOH
30
conductive hearing loss, painless otorrhea
cholesteatoma | erodes ossicles
31
MC location sialolithiasis
Wharton's duct (submandibular) | not Stenson's parotid
32
Wickham striae
oral lichen planus- lacy
33
white, can't rub off, painless
oral leukoplakia
34
oral hairy leaukoplakia- sx, assoc with what
sx white, feathery EBV
35
aphthous ulcers/ canker sore vs. herpetic stomatitis
aphthous ulcer: buccal, labial mucosa (free moving). Tx top corticosteroids herpetic: gingiva, mucocutaneous lip jxn, POST pharynx (soft palate)
36
ADR methimazole, PTU
agranulocytosis | monitor WBC
37
Tx hyperparathyroid
loop diuretics- Lasix | IV saline
38
ADR bisphosphonates
jaw osteonecrosis, pill esophagitis, pathological fx
39
blue sclera, broken bones
osteogenesis imperfecta
40
osteoporosis labs
normal Ca, phos, PTH, ALP
41
adrenal layers: outer-> inner
zona glomerulosa: aldosterone fasciculata: cortisol reticularis: androgens/estrogen
42
adrenal insuff: test, labs, Tx
ACTH/cosyntropin stim test (screening)= no incr cortisol labs: hyperK, hypoglycemia, decr sex hormones females Tx hydrocortisone
43
presbyacusis
high freq loss
44
meniere dz: hearing loss type
low freq, sensorineural
45
sinusitis MCC
virus | common cold
46
Tx sinusitis
symptomatic abx if sx >10-14days
47
acute pharyngitis: dx
Centor criteria: no cough, tonsillar exudates, fever, cervical LAD 0-1: no abx 2-3: rapid strep test, treat if pos 4: abx
48
test for Cushing's
dexamethasone suppression test= no suppression (Cushing's syndr, all others) suppression (Cushing dz)
49
Biguanides
Metformin MOA: decr glucose prod ADR: LA, hep, renal
50
Sulfonylureas
Glyburide, Glipizide MOA: insulin release ADR: hypoglycemia, disulfuram, wt gain
51
Thiazolidinediones
-glitazone MOA: incr insulin sensitivity ADR: edema/CHF, MI
52
DPP-4 inhibitors
-gliptin
53
stratum corneum
keratin, fillagrin (protein, water), water barrier | surface
54
melanoma excisional margins: melanoma in situ, breslow's depth 2mm
melanoma in situ: 0.5cm | breslow's depth 2mm: 2cm
55
guttate psoriasis preceded by...
strep pharyngitis
56
Tx psoriasis
mild: top steroids, vit D severe: PUVA, retinoids, TNF inhib
57
pityriasis rosea
spares palms/soles no Tx
58
actinic keratoses Tx
liquid nitrogen ->SCC
59
rosacea Tx
topical/PO abx
60
SJS/TEN (major erythema multiforme) MCC
``` drugs: Sulfa Allopurinol PCN Anticonvulsants NSAIDs ```

PANCE (9 decks)

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