Qbank/MKSAP Flashcards
(202 cards)
1
Q
A patient has a blue toe 3 days following cardiac cath s/p MI. What is the most likely cause?
A
Dislodged atheroembolism during cath
2
Q
Criteria of metabolic syndrome? (5)
A
Abdominal obesity- waist circumference > 40 in men, 35 in women Fasting glucose > 100 BP > 130/80 TGs > 150 HDL <50 in women
3
Q
How does guillan barre cause respiratory failure? What is the best test to monitor?
A
Muscle weakness
Vital capacity
4
Q
When should tpa be used in strokes? Contraindications?
A
Within 3 hours and CT shows no brain bleed
Contraindicated when- hx of stroke in past 3 months, hx of intracrial bleed, major surgery, MI, active bleed
5
Q
Why is it important to remove clothing soaked in vomit due to an organophosphate poisoning?
A
transcutatneous absorption
6
Q
What is different about vitamin D deficiency in adults compared to children?
A
Adults have defective bone mineralization
Children have defective bone AND cartilage mineralization
7
Q
How do you definitively diagnose bronchiectasis?
A
High resolution CT scan
8
Q
Which tests should be performed at the diagnosis of HTN? (4)
A
Urinanalysis
CMP
Lipid profile
EKG
9
Q
A patient 2 months s/p MI comes in with persistent ST elevation and deep Q waves- what complication has occurred?
A
Ventricular aneurysms
Papillary muscle rupture typically occurs between 2 days a a week
10
Q
A patient slaps his foot as it hits the ground while he walks- what vertebrae could be damaged?
A
L5 radiculopathy
Others causes include neuropathy and trauma
11
Q
A patient has a dull hypomobile tympanic membrane and HIV- what is the cause?
A
Serous otitis media or non infectious effusion
12
Q
A patient has X-ray showing expansile and eccentrically lytic area in epiphysis of distal femur- likely diagnosis?
A
Giant cell tumor- this is a soap bubble lesion
13
Q
What restrctive lung disease is associated with a normal or increased FRC?
A
Ankylosing spondylitis- due to chest wall motion restriction
14
Q
What are EPO levels in PV?
A
Low- the increase in RBC is EPO independent
15
Q
What is the best treatment for acute rejection of a kidney transplant?
A
IV steroids regardless of cause
16
Q
What is amaurosis fugax? What is it a warning since of?
A
Painless loss of vision due to emboli
Warning sign of a stroke
17
Q
An anterior cerebral artery stroke has what deficits?
A
Contralateral motor deficits more pronounced in lower limb than upper limb
18
Q
A middle cerebral artery stroke has what deficits?
A
Contralateral motor deficits more pronounced in upper limbs than lower limbs +/- aphasia
19
Q
A middle aged woman presents with pruritis, jaundice, xanthelasmas and is positive for anti-mitochondrial antibodies- what is the best treatment? Diagnosis?
A
Ursodeoxycholic acid
Primary biliary cirrhosis
20
Q
What are some manifestations of systemic sclerosis?
A
GERD, R heart failure, HTN, anti-topoisomerase antibodies, pulmonary fibrosis
21
Q
What is the treatment for cat scratch disease?
A
Azithromycin for 5 days
22
Q
How does sodium bicarbonate help with treatment of TCA overdose?
A
Alleviates depressive action on Na channels by increasing extracellular Na
23
Q
Patient’s with suspected ACS should be administered what ASAP?
A
Aspirin, decreases mortality
24
Q
Why would someone who received multiple units of pRBC have parasthesia?
A
Blood products can have large amounts of citrate which chelates Ca and causes hypocalemia
25
A patient has leukocytosis following an asthma exacerbation- why?
Probably received glucocorticoids which mobilize the marginal pool of neutrophils
26
A patient with HTN and a fib comes in with dry skin, weight gain, fatigue, and difficulty concentrating. What medication could be responsible?
Amiodarone- it is inducing hypothyroidism
| Also look out for pulmonary fibrosis and hepatotoxicity
27
How do you treat pseudotumor cerebri?
LP to let out some of the pressure- until opening pressure < 20
28
What 3 organs are typically affected by GVH disease?
Liver, skin, intestine
29
What are some signs of drug induced interstitial nephritis?
acute renal failure, arthralgia, rash, and WBC casts of eosinophils
30
What are causes of atrial fibrillation?
HTN, valvular disease, hyperthyroid, drugs, pulmonary embolism, CHF
31
What is the best treatment for someone with EKG changes and hyperkalemia?
IV Ca gluconate
32
A patient undergoes a CABG procedure and requires 10 units of pRBC and develops hypotension during the procedure. He then develops jaundice on POD 3- why?
Post-op cholestasis
33
What is the SAAG?
Serum ascites albumin gradient- serum albumin - fluid albumin
> 1.1 is consistent w/ portal HTN
34
What vaccine should people over 65 get who already had pneumovax?
Varicella
35
What one time screening should be done in patients >65 who have 10 year pack history?
Abdominal ultrasound to rule out AAA
36
What is the treatment for acute cocaine intoxication?
BZDs
37
What medication has been proven to decrease the frequency of relapse with alcoholics?
Naltrexone
38
A patient with prostate cancer now has low back pain- best diagnostic test?
MRI of thoracolumbar spine to look for bony metastasis
39
How to diagnose and treat chronic cough NOT caused by GERD, allergic rhinitis, or asthma?
Inhaled albuterol trial- any response could mean eosinophilic bronchitis
Tx of chronic cough is antihistamines and decongestants
40
A patient has unsuccessfully tried to lose weight with diet and exercise for 3 years- what is the next step in treatment?
Try orlistat before surgery
41
What is a possible treatment for heavy menstrual bleeding?
medroxyprogesterone acetate
42
A woman with amenorrhea has a positive progestin challenge- menses occurred after progestin- diagnosis?
Chronic anovulation with estrogen present
43
What is the proper screening test for hearing impairment in the elderly?
Whisper test
44
What is be best treatment for disequilibrium causing falls in the elderly?
Physical therapy
45
A patient comes in with a BP of 162/100- what is the best treatment?
Stage 2 HTN needs 2 DRUGS- HCTZ and ACEI
46
What are some lung parameters seen in neuromuscular respiratory failure?
Normal FEV/FVC ratio
Increased RV
Low maximum respiratory pressures
47
A patient with systemic sclerosis has normal lung volumes but worsening dyspnea on exertion- what lung pathology could be occurring?
Pulmonary arterial HTN
48
What constitutes a complicated pleural effusion and what is the treatment?
pH < 7.2, glucose < 60, LDH > 1000
| Treat w/ chest tube b/c will respond poorly to antibiotics
49
A patient has a lymphocyte dominated pleural effusion- next step in management?
Pleural biopsy for TB
50
A patient's well controlled asthma becomes much worse following a URI- what is the best treatment?
Short dose of oral corticosteroids to help patient regain control of asthma
51
A patient is having a COPD exacerbation- what can reduce the need for intubation?
Noninvasive positive pressure ventilation
52
When is lung transplant considered in COPD?
PCO2 > 50 during hospitalization, FEV not > 20%, DLCO < 20%
53
A 65 year old woman has back pain, acute kidney injury, and hypercalcemia- diagnosis?
Think multiple myeloma until proven otherwise
| Look for lytic lesions on X ray or Bence Jones protein in urine
54
A patient begins taking amitriptyline then comes to the ED with abdominal pain- what is happening and what is treatment?
Urinary retention due to anticholinergic effects of TCAs
| Urinary cath is diagnostic and therapeutic
55
What is the initial treatment for agitation in the elderly?
Low dose haloperidol
56
A patient with hx of NSCLC has a new brain mass at gray-white matter junction- treatment?
Resect mass
| Whole brain radiation
57
What is the treatment for inferior wall MI?
Fluid resuscitation to increase RV stroke volume
58
What will a right heart cath show in PE?
Increased RA pressure, increased pulmonary artery pressure, normal PCWP, RV dilatation
59
Which kidney disease is associated with HIV?
FSGS
60
A patient develops PNA after being intubated and is not responding to ceftriaxone- next step?
Zosyn to cover for pseudomonas
61
How do you treat someone with an area of erythema and induration that grows gram positive branching bacteria?
IV penicillin
62
What is the treatment for influenza?
Oseltamivir
63
Pleural effusion fluid has a very high amylase- what is the diagnosis?
Esophageal perforation
| Look for subcutaneous emphysema, mediastinal widening
64
A patient with AML s/p bone marrow transplant has diarrhea and pneumonitis- diagnosis?
CMV infection most likely
65
What leads to edema in CHF?
Constriction of renal arterioles and renin angiotensin system activation
66
Both tacrolimus and cyclosporine cause nephrotoxicity- what is a side effect of cyclosporine that can help differentiate the two?
gum hypertrophy and hirtuism
67
What is the major toxicity of mucophenolate?
Bone marrow suppression
68
What is the major toxicity of azathioprine?
diarrhea, leukopenia, hepatotoxicity
69
A patient comes in with CML what show treatment focus on?
Targeting abnormal tyrosine kinase activity- imatinib is one choice
70
What is the pathophysiology behind carpal tunnel syndrome?
Deposition of mucopolysaccharide protein complexes
71
What is seen in hereditary spherocytosis with respect to MCHC and RDW and why?
Increased MCHC and RDW due to membrane loss and RBC dehydration
72
An HIV patient has a bright red firm friable nodule- diagnosis and treatment?
Bacillary angiomatosis
| Treat with erothromycin
73
How can acute pancreatitis cause hypotension?
Intravascular volume loss due to increased capillary permeability
74
A patient with HIV comes in with pain swallowing and substernal burning? Diagnosis and treatment
Esophagitis, most likely from candida
Therefore, treat with fluconazole
Candida>>> than CMV
75
What is the classic scenario of dequervian's synovitis?
Newborn mother having pain when she lifts her infant from a crib
Finklestein test: Passive stretching of tendons by moving flexed thumb into the palm
76
What are 2 common side effects of EPO therapy?
Worsening of HTN
| Headaches
77
A patient with a h/o radiation therapy presents with hepatomegaly, ascites and increased JVP- diagnosis?
Constrictive pericarditis
78
How can PCWP differentiate between cardiogenic and hypovolemic shock?
Will be high in cardiogenic shock and low in hypovolemic
79
What are some complications of acute pancreatitis?
Pleural effusion, ARDS, ileus, and renal failure
| Typically caused by activation of pancreatic enzymes
80
How can nephrotic syndrome cause hypercoaguability?
Increased loss of pro-coagulation proteins due to proteinuria
81
A patient was recently discharged from the hospital after having hallucinations and now presents with muscle rigidity, mental status changes, fever, and diaphoresis- diagnosis?
Neuroleptic malignant syndrome- patient was most likely taking anti-psychotics which have dopamine antagonist effects causing NMS
82
What is first line treatment for chronic OA?
Tylenol
| NSAIDs are for acute exacerbations
83
Nikolsky's sign is associated with what disease?
Pemphigus vulgaris
84
What is the most common cause of nephrotic syndrome in patients with Hodgkin's lymphoma?
Minimal change disease
| FSGS can also occur
85
What effects can digitalis have on EKG and how?
Can cause atrial tachycardia and AV block
| Caused by increased vagal tone and decreased conduction through AV node
86
What are some exacerbating and relieving factors in lumbar stenosis?
Exacerbated by narrowing of spinal canal via extension- standing and downhill walking
Relieved by widening of spinal canal via flexion- sitting and walking uphill
87
What is an effective treatment for fibromyalgia?
TCAs such as amitriptyline
88
A 70 year old woman has femoral bowing and hearing loss- diagnosis and pathophysiology?
Paget's disease via osteoclast dysfunction
89
What can cause pain and tenderness over anteromedial tibia?
Anserine bursitis
| Prepatellar bursitis causes swelling below patella
90
A 30 year old male has positive P-ANCA and bloody diarrhea. Also has painful erythematous nodules over his shins- diagnosis?
He has IBD- UC can be P-ANCA positive!
91
A patient following a major surgery requiring 10 units of RBC has hypotension and hyperbilirubinemia- diagnosis?
post-op cholestasis
92
How does portal HTN cause ascites?
Increased capillary hydrostatic pressure
93
A patient has isolated shoulder pain and a normal shoulder exam- next step?
CXR to look for etiology of referred shoulder pain
94
What is the best treatment for gout acute attacks?
NSAIDs
95
What is the best treatment for chronic gout?
Allipurinol and low dose colchicine
| Give colchicine to avoid flare up after initiating uric acid lowering therapy
96
What is more diagnostic of rheumatoid arthritis- imaging or rheumatoid factor?
Imaging of bony or cartilage erosions more specific than rheumatoid factor
97
A patient with rheumatoid arthritis refuses to stop drinking two glasses of wine a day but needs medication beyond NSAIDs- what DMARDs should be avoided?
Methotrexate due to hepatotoxicity
98
A 30 year old man has rapid onset of psoriatic arthritis- what could be an underlying problem?
HIV can cause explosive onset psoriasis
99
What is the diagnostic criteria for SBP?
PMN count> 250 in ascites fluid
100
A patient without alcohol use presents with elevated lipase. U/S for gallstones are negative. He has crops of yellow papules on his arms- diagnosis?
Pancreatitis via hypertriglyceridemia- eruptive xanthomas on his arm
101
A patient presents four weeks after d/c for pancreatitis diagnosis with palpable abdominal mass and elevated lipase- diagnosis?
Pancreatic pseudocyst
102
A CT scan shows dilated central bronchi and thickened bronchial walls- diagnosis and most common complication?
Bronchiectasis
| Can cause hemoptysis
103
What is the treatment for diabetic retinopathy with macular edema?
Photoanticoagulation
104
LDL goal for patient with 0 risk factors?
<190
105
How do you manage hypothyroid in pregnancy?
Monitor TSH levels- levo doses may need to be increased
106
What is the treatment for Graves disease?
Atenolol and methimazole
107
What diuretic can cause severe hyponatremia?
HCTZ
108
How can pancreatitis cause hypocalcemia?
Generation of free fatty acids chelate insoluble calcium salts resutling in hypocalcemia
109
A patient with rheumatoid arthritis has a ferritin of 50 on iron studies- what type of anemia?
Iron deficiency w/ anemia of chronic disease
| Ferritin< 100 is suspicious for mixed anemia w/ iron deficiency
110
What is the best test for osteonecrosis when X ray is normal?
MRI>>> radionuclide bone scan
111
What is the triad of TTP?
hemolytic anemia, thrombocytopenia, CNS symptoms
112
A patient prefers colon cancer screening by FOBT x3 annually. One is positive- what is next step?
Colonoscopy
113
A patient has a breast mass with BIRADs score of 2 on mammography?
US to see if fluid filled or solid mass
114
A man with a history of prostate cancer reports for check up. denies symptoms, but bone scan shows multiple metastases- best treatment?
Leuprolide- GnRH agonist
115
A patient with history of cancer and metastasis has moderate pain not controlled by NSAIDs- next step?
Short acting opioids first
| Long acting are used once pain is controlled and dose is calculated
116
A patient with sepsis and a platelet count less than 30 should receive what treatment to improve mortality?
Protein C
117
A patient presents with acute prostatitis and does not respond to IV fluoroquinolones- next step?
Look for abscess- transrectal US
118
A pregnant woman has asymptomatic bacturia- next step?
| Is the next step different for non-pregnant woman?
Pregnant- Amoxicillin! do NOT observe
| Non-pregnant- Observe
119
What is standard outpatient treatment for women with pyelonephritis who are not pregnant?
FQ for 7-10 days
120
A 25 year old sexually active woman comes to the dr for a checkup. She has no symptoms but has not been to the drs for 3 years. What STD screening should be done?
HIV, G, C
| Syphilis only if she is at risk
121
What is the best way to prevent ventilator associated pneumonia?
Semi-erect positioning of the patient- 45 degrees
122
A patient has N. meningitidis- next step in precautions?
Face mask- nasopharynx is the reservoir
123
A 66 year old patient presents for a check up. PMH significant for severe pneumonia 4 years ago where he was given pneumovax prior to discharge. Does he need pneumovax again?
Yes- should receive 2nd dose of vaccine 5 years after initial dose if initial dose < 65 years old
124
A patient has suspected vertebral osteomyelitis after getting MRI and X ray- what is next step?
Get blood cultures before antibiotics
| Typically- ceftriaxone is good coverage EXCEPT for MRSA, hence blood cultures
125
A patient is going to the dentist...Prophylaxis?
Has a heart murmur without vegetations
Has a heart murmur with vegetations
Has a heart murmur with vegetations and allergic to penicillin
No vegetations means NO prophylaxis
Penicillin is 1st choice
If allergic- clindamycin
126
A patient presents with diarrhea and tenesmus within 6 weeks of radiation therapy- diagnosis and test?
Radiation proctitis- diagnose with flex sigmoidoscopy
127
What the treatment of salmonella causing bloody diarrhea
Supportive unless immunocompromised
128
How do you diagnose HUS?
Blood smear
129
What are the 2 most likely causes of painless rectal bleeding in elderly patients?
Diverticulosis and vascular ectasia
130
Anti smooth muscle antibodies are associated with what?
Autoimmune hepatitis
131
What is the triad of hypotension, clear lung fields, and elevated central venous pressure indicative of? Treatment?
R ventricular failure
| Tx is normal saline
132
A patient with history of CAD and angina presents with increasing symptoms, still only with exercise. What is the next step?
Coronary angiography- no need for stress test
133
A patient has new onset heart failure, confirmed low EF by echo- what is the next step?
Coronary angiography to assess for potential revascularization
134
A sex worker presents with elevated transaminases and normal PT. On day 3 of hospitalization transaminases are decreasing but PT is markedly increased- what is happening?
Progression to fulminant liver failure- very few functioning hepatocytes
Without rising PT, could just be recovery from liver injury
135
What CBC finding is a poor prognostic indicator in CLL?
Thrombocytopenia
136
What side effect of Ca channel blockers could be mistaken for heart failure?
Edema
137
What is first line treatment for MALT lymphoma?
Treat H pylori first, then possibly chemotherapy
138
What are two signs that BPH should be evaluated further?
Increased Cr or abnormal UA- signs of kidney damage
| Get renal US
139
A 30 year old patient presents with headaches and right sided renal bruit- best treatment?
Stent placement >>> medical management
140
What abnormal lab value is caused by lupus anti-coagulant but what is the clinical presentation?
Prolonged PTT
| Presents with clots- miscarriages are common
141
What is terminal hematuria indicative of?
Prostae or bladder disease
142
What is the best medication for anorexia associated with cancer?
Progesterone analog >>>> cannabanoids
143
A diabetic presents with foot pain and X ray shows loss of cartilage, osteophyte formation, and loose bodies- diagnosis?
This is charcot's joint- due to nerve damage
144
What three veins form the most DVTs
Femoral, iliac, and popliteal
145
Rank the ways to lower BP by greatest effect: reduce alcohol intake, DASH diet, weight loss, exercise, decreased sodium intake?
Weight loss>>DASH>>exercise>>Na restriction>>alcohol
146
A smoker presents with a palpable neck lymph node positive for squamous carcinoma- next step?
Pan-endoscopy to find tumor
147
A patient presents with a malar rash, proximal muscle weakness causing difficulty rising from a chair- diagnosis?
Dermatomyositis- NOT SLE
| DM associated with ovarian and breast cancer
148
Rheumatoid arthritis increases risk for what?
Osteoporosis
149
A 35 yo woman with chronic headaches presents with painless hematuria- diagnosis?
Analgesic nephropathy--> papillary necrosis
| She is probably using a lot of NSAIDs
150
HIV drug side effect- didanosine?
Pancreatitis
151
HIV drug side effect- abacavir
Hypersensitivity
152
HIV drug side effect (drug class)- NRTIs
Lactic acidosis
153
HIV drug side effect- NNRTIs?
SJS
154
HIV drug side effect- nevirapine?
Liver failure
155
HIV drug side effect- indinavir?
Crystal induced nephropathy
156
How is MPGN different than other glomerulopathies?
Activation of complement in MPGN
| Others are mostly immune complex mediated damage
157
What should be performed before starting trastuzumab?
Echocardiography
| Cardiotoxicity
158
How can diabetic neuropathy cause urinary incontinence?
denervated bladder--> detrusor muscle weakness
159
Why are people with multiple myeloma at increased risk for infection?
Inability to produce functioning antibodies
160
A patient has a MI then 3 days later develops a cold leg--> next step?
Get Echo to look for LV thrombus
161
What is a particular extra-colonic tumor to look out for in Lynch syndrome?
Endometrial cancer in women
162
What is the treatment for stroke in a sickle cell patient (acutely)?
Exchange transfusion
163
What is the treatment for acetaminophen overdose if patient comes in 1 hour after ingestion (3 steps)?
Activated charcoal
Test levels at 4 hours
Decide if N-acetylcysteine is necessary
164
What part of the spine is most likely involved in RA?
Cervical spine
165
A patient with a recent URI comes in with symptoms of CHF- what will be seen on Echo?
Dilated ventricles w/ hypokinesia
| Patient has virus induced dilated cardiomyopathy
166
What are two symptoms seen in mononucleosis NOT seen in strep pahryngitis?
Splenomegaly and cervical lymphadenopathy
167
What are patients with HIT more prone to- hemarthrosis or arterial thrombosis?
Thrombosis! Platelets are activated by antibody!
168
What are two risks of nephrotic syndrome unrelated to kidneys?
Accelerated atherosclerosis
| Hypercoaguable
169
What is the most likely finding on renal biopsy in a patient with SLE and proteinuria?
Amyloidosis- deposits under polarized light
170
A patient with CKD is in EPO therapy for chronic anemia but not improving- what else can be done?
Iron supplement- EPO can use up iron stores quickly
171
What is the preferred antifungal treatment for histo?
Itraconazole>>>>fluconazole
172
What EKG finding is specific for pericarditis?
Electrical alternans- QRS complex amplitudes vary from beat to beat
173
What is pulsus paradoxus and what are 3 conditions where it is seen?
>10mg drop in systolic blood pressure during inspiration
| Tamponade, COPD, asthma
174
A patient with chronic HCV comes in with elevated ALT and detectable HCV RNA- treatment?
Interferon and ribavirin
175
What is the most rapid acting medicine to relieve dyspnea associated with cardiogenic pulmonary edema?
Nitroglycerin
176
Why would a patient taking benadryl have trouble urinating?
Anticholinergic effects causing detrusor inactivity
177
Why is sodium level important in heart failure?
Hyponatremia can signify worsening HF
178
What risk factor is most associated with AAA expansion and rupture?
Smoking!
| Not HTN
179
A patient with COPD has new onset of clubbing in his fingernails- diagnosis?
Lung cancer
180
What are three commonly prescribed drugs that potentiate warfarin's effects?
Acetaminophen, NSAIDs, amiodarone
| Some antibiotics too
181
A patient has CAD and PAD and is resistant to a mutli-drug regimen for HTN- what other finding is likely?
Renal artery stenosis and abdominal bruit
182
What dictates the treatment in polymyalgia rheumatica? Will present with stiffness in neck, shoulders, and pelvic girdle.
Presence of giant cell arteritis means high dose prednisone
| No GCA then low dose
183
What does a positive straight leg raise test signify?
Likely herniated disc
| treat with NSAIDs and returning to normal activities
184
A patient with HSV meningitis develops renal failure in the hospital during treatment- why?
Crystalluria causing obstruction due to acyclovir
185
What response does pneumococcal vaccine produce?
B cell response independent of T cells
| due to polysaccharide
186
What is the treatment for PVCs post MI?
NOTHING
| Unless symptomatic- then beta blockers
187
A patient withe anemia has a hepatic venous thrombosis- what is the likely cause of anemia?
PNH is known for causing venous thrombosis
188
What nephrotic syndrome most commonly causes renal vein thrombosis?
Membranous glomerulonephritis
189
How do histamine blockers help with post-nasal drip?
Decrease secretions
190
A mobile mass in the lung with intermittent hemoptysis is indicative of what?
Aspergilloma
191
Which pneumonia causing bacteria can cause erythema multiforme?
Mycoplasma pneumo.
192
What is the treatment for uric acid stones?
Potassium citrate to alkalinize the urine
193
Hemochromatosis increases risk for what type of infection?
Listeria
194
What is the most frequent ectopic foci for A fib?
Pulmonary veins
195
A patient with metastatic prostate cancer to the bone has balance issues- what is the first step?
Give steroids in attempt to preserve neurologic function via reduced swelling
Imaging would be MRI
196
An HIV patient with bloody diarrhea gets a colonic biopsy showing cells with eosinophilic intranuclear and basophilic intracytoplasmic inclusions- diagnosis
CMV
197
What is the most common cause of death in acute MI
reentry arrhythmia
198
What mitral valve abnormality is seen with HOCM?
Anterior leaflet motion
199
A patient with cirrhosis wants to follow medical advice after years of drinking. He has a US of the liver and it shows no masses. What is next step?
Endoscopy to look for varices- major cause of morbidity and mortality
200
What is the treatment for TTP
Plasma exchange
201
An elderly patient with fatigue and lymphadenopathy has anemia- treatment?
Prednisone
Has NHL and autoimmune hemolytic anemia
If prednisone fails--> splenectomy
202
In RA, what causes a Baker's cyst?
Inflamed synovium
