Questions 351-700 Flashcards Preview

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Flashcards in Questions 351-700 Deck (350)
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1

if pt has 2 or more errors in drawing the clock, what disease should be considered?

Alzheimer disease

2

Alzheimer disease often presents concurrently with 

vascular dementia

3

acute epididymitis tx for <35

ceftriaxone and doxycycline

covers gonorrhea and chlamydia

4

acute epididymitis tx for >35 yo

levofloxacin OR ofloxacin

E. coli, other coliforms, and pseudomonas

5

tx for moderate acute otitis externa

topical Cipro HC (hydrocortisone)

topical preparation that is acidic and contains an antibiotic, an antiseptic, and a glucocorticoid

6

suspect what in elderly adults with anemia, fatigue and hypercalcemia

multiple myeloma

7

presents in adolesence with progressive ataxia, dysarthria, scoliosis, and cardiomyopathy;

loss of vibratory sense and proprioception also occur due to degeneration of the dorsal spinal columns

Friedreich ataxia

8

typically occurs following an infection (eg varicella), and presents with acute onset (within hours to days) of ataxia, nystagmus, and dysarthria

vibratory and position senses and reflexes are not affected

symptoms resolve in about 2 weeks

acute cerebellar ataxia

9

claw and hammer toe deformities in an older person

longstanding diabetes with peripheral neuropathy

10

characteristic triad of periorbital edema, myositis, and eosinophilia

trichinellosis

11

ischemia in the affected UE, vertebrobasilar ischemia (dizziness, ataxia, dysequilibrium)

lower brachial systolic BP in affected arm and systolic bruit in supraclavicular fossa on affected side

subclavian steal syndrome

12

stenosis or occlusion of the proximal subclavian artery, leading to reversal of blood flow in the ipsilateral vertebral artery 

subclavian steal syndrome

13

acute graft rejection time frame

first 6 months following transplant

14

lymphocytic infiltration of the intima with inflammatory tubular disruption

renal biopsy of acute renal allograft rejection

15

vasoconstriction of the afferent and efferent arterioles, leading to prerenal AKI and HTN

renal biopsy unremarkable

what drug caused this reaction?

acute toxicity to calcineurin inhibitors (tacrolimus)

16

dx vestibular schwannoma

MRI of internal auditory canals

17

corrected calcium equation

= (measured Ca) + 0.8 x (4 - serum albumin)

18

once hypoparathyroidism has been r/o for hypocalcemia, what is the next step?

serum 25-hydroxyvitamin D level

19

increased anterior-posterior diameter of the eye will cause

myopia

nearsightedness

image to converge anterior to the retina

20

 cotton wool spots on retina

retinal microinfarctions

21

two complications of myopia

retinal detachment

macular degeneration

22

MOA of ecstasy

increase in synaptic NE, DA, and 5HT

23

what illicit drugs might cause serotonin syndrome?

ecstasy and bath salts

24

increased bone turnover, XR evidence of widespread osteopenia and subperiosteal bone reabsorption 

pt already has CKD

renal osteodystrophy

25

progressive back pain with focal lumbar tenderness, increased alkaline phosphatase, and L1/L2 sclerotic lesions

metastatic prostate cancer

26

mucin producing tumors (pancreatic, gastric, ovarian, breast) can secrete tissue factor into the blood, which intermittently triggers .... and can lead to ...

coagulation cascade and can lead to chronic DIC

27

in this consumptive coagulopathy, pts have normal platelet counts and coagulation times but are at increased risk for venous and arterial thrombosis, and to a lesser extent, mucocutaneous bleeding

chronic DIC

28

Down syndrome 6 yo with weakness, gait changes, urinary/fecal incontinence, and vertebrobasilar symptoms such as dizziness, vertigo, imbalance, and diplopia.

upper motor neuron findings

atlantoaxial instability

(rheumatic) 

symptoms due to compression of the spinal cord

29

individual transforms unacceptable emotions, desires, or impulses into their extreme opposite

reaction formation

30

low mood but doesnt meet criteria for MDD after an event

dx and tx?

adjustment disorder

psychotherapy