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Questions Misc Flashcards

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1
Q

MCC mitral stenosis

A

rheumatic fever

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2
Q

mitral stenosis EKG

A

Afib

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3
Q

placental abruption RF

A

smoking
HTN

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4
Q

Cardiovascular d/o associated w/ argyll Robertson pupil

A

thoracic aortic aneurism

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5
Q

MCC mitral regurgitation

A

MVP

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6
Q

mitral regurgitation murmur

A

holosystolic
apex
radiates to axilla

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7
Q

MVP murmur

A

mid systolic click
rad to axilla

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8
Q

placental abruption lab

A

fibrinogen < 200

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9
Q

toxic megacolon TOC

A

abd xray: colon air and dilation > 6cm

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10
Q

GBS sx

A

URI/GI infx a few weeks ago
rapid symmetric ascending weakness of distal lower extremities
decreased or absent DTR

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11
Q

GBS dx

A

CSF: inc protein (albuminocytologic dissociation) normal WBC
EMG or nerve conduction study

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12
Q

Legionella pneumophilia hallmarks

A

diarrhea
hyponatremia, increased LFT
patchy unilobular infiltrate

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13
Q

Maisonneuve fracture

A

spiral fx proximal 1/3 of fibula
distal medial malleolar fx or deltoid ligament rupture

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14
Q

beefy red plaques

A

candidal diaper dermatitis
spares inguinal folds
nystatin ointment

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15
Q

Reynolds pentad

A

fever
jaundice
RUQ pain
AMS
hypotension

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16
Q

COPD EKG

A

MAT

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17
Q

cardinal manifestations of Parkinson’s dz

A

resting tremor
bradykinesia
cogwheel rigidity
postural instability

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18
Q

SCFE age

A

Teen

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19
Q

Legg calve Perthes age

A

child (4-8yo)

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20
Q

Drugs with increased risk of bladder cancer

A

phenacetin
chlornaphazine

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21
Q

3 Ds of endometriosis

A

dysmenorrhea, dyspareunia, dyschezia
fixed or retroverted uterus
adnexal mass

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22
Q

actinic keratosis tx

A

topical 5 fluorouracil

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23
Q

Thyroid storm tx sequence

A

BB (propranolol)
PTU/methimazole
iodide
CS

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24
Q

Crohns lab

A

pANCA negative
ASCA positive

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25
Pagets dz of bone
imbalance in bone remodeling process, resulting in new bone that is abnormally weak or misshapen cotton wool appearance bisphosphonates TOC
26
budd chiari
hepatic vein obstruction ascites, hepatomegaly, RUQ abd pain US TOC
27
klinefelter syndrome karyotype
47XXY
28
Turner syndrome karyotype
45X
29
CD4 HIV dz
<200: PCP <100: toxoplasmosis, cryptococcus <50: mycobacterium avium
30
cardiovascular d/o associated w/ JVD and exophthalamos
massive tricuspid regurgitation
31
macular degeneration sx
gradual central vision loss decreased detail and color vision drusen bodies
32
jones fx
fx through diaphysis of 5th metatarsal
33
subarachnoid hemorrhage risk factors
cysts in liver and kidney (PKD) MVP diverticulosis berry aneurism
34
stills murmur
early/mid-systolic musical vibratory noisy twanging high pitch LLSB and apex
35
venous hum
harsh systolic ejection LUSB
36
graham steell murmur
high pitch early diastolic L 2nd intercostal space w/ full inspiration Assoc w/ pulmonary regurgitation
37
hypertensive crisis caused by tyramine containing foods (aged cheese, wine) can be caused by which med
MAOI (phenelzine, selegiline, isocarboxazid)
38
idiopathic pulmonary hypertension tx
CCB first line
39
Meckel's diverticulum sx
painless rectal bleeding from vitelline duct (yolk sac) positive meckel's scan
40
increased PTT, mixing study has no correction of PTT
antiphospholipid syndrome: factor inhibitors
41
tx for severe hypercalcemia
furosemide IV NS calcitonin bisphosphonates
42
used to slow progression of macular degeneration
VitC VitE zinc
43
legg calve perthes sx
loss of abduction and internal rotation painless limping worse at the end of the day
44
cryptorchidism tx
orchiopexy >6mo
45
recurrent malignant pleural effusions tx
bleomycin talc
46
silicosis presentation
sandblaster eggshell classifications
47
asbestosis xray
pleural plaques
48
coal workers pneumoconiosis xray
small upper lobe nodules w/ hyperinflation of lower lobes
49
gas gangrene etiology
clostridium perfringens
50
anthrax etiology
bacillus anthracis
51
Q fever etiology
coxiella burnetii
52
hemolytic uremic syndrome can be caused by
enterohemorrhagic E. coli 0157:H7
53
GBS can come from
campylobacter jejuni
54
MCC travelers diarrhea
enterotoxigenic eccoli
55
Conns syndrome tx
spironolactone ACE CCB
56
schizophrenia tx w/ resistance to first line meds
clozapine
57
pseudotumor cerebri dx
CT w/o contrast first to r/o cranial tumor
58
sarcoidosis tx
AA w/ longstanding nonproductive cough and bilateral hilarity lymphadenopathy oral prednisone
59
Dubin Johnson syndrome
causes isolated direct bilirubinemia
60
poison ivy sx and tx
fluid filled blisters in a straight line diphenhydramine and topical CS
61
dawn phenomenon
decreased insulin sensitivity d/t nightly surge in glucagon and cortisol during nighttime fasting normal evening glucose levels, increased levels during late night/early morning and upon awakening tx by avoiding bedtime snack
62
somogyi effect
nocturnal hypoglycemia, rebound early morning hyperglycemia normal evening glucose levels, late night/early morning hypoglycemia, hyperglycemia upon awakening tx with decreasing bedtime NPH dose
63
pronator syndrome
median nerve compression at proximal forearm hand and forearm sx
64
neuroleptic malignant syndrome tx
bromocriptine
65
serotonin syndrome tx
cyproheptadine hyperthermia: diazepam
66
trigeminal neuralgia tx
carbamazepine
67
atrial flutter tx
verapamil vagal BB
68
mycobacterium avium complex tx
clarithromycin + ethambutol or rifampin
69
posterior cerebral artery occlusion
visual hallucinations ipsilateral CN deficits (bells palsy) contralateral muscle weakness coma and drop attacks, nystagmus contralateral homonymous hemianopsia
70
middle cerebral artery occlusion
contralateral hemiparesis, more prominent arm and face than lower extremities aphasia can raise both eyebrows
71
anterior cerebral artery occlusion
contralateral hemiparesis greater in leg than arm urinary incontinence abulia (lack of will) personality changes
72
anterolateral MI sx
4th heart sound
73
inferior wall MI sx
sinus bradycardia
74
empiric management of bacterial meningitis when organism isn't known
IV vancomycin + IV ceftriaxone
75
bowens disease
squamous cell carcinoma in situ epidermal and dermal cells w/ large pleomorphic hyper chromatic nuclei
76
Caplan syndrome
RA in pts w/ coal workers pneumoconiosis
77
sezary dz
type of cutaneous lymphoma
78
peutz jegher's syndrome
hereditary intestinal polyposis syndrome assoc w/ hyper pigmented macules on lips and oral mucosa colon cancer
79
storage weber syndrome
skin and neurologic dz assoc w/ port wine stain of the face, seizure, mental retardation, and cerebral tumors
80
metabolic syndrome sx
need 3/5 central obesity HTN elevated fasting plasma glucose high serum triglycerides low HDL
81
refractory ITP tx
splenectomy
82
sarcoidosis hallmark
bilateral hilar lymphadenopathy
83
Yersinia pestis
plague- safety pin appearance bubonic: swollen extremely painful nodes septicemic: DIC and gangrene pneumonic: pulmonary infiltrates and pulmonary hemorrhage infect using rodents and its fleas
84
prolactinoma tx
cabergoline or bromocriptine
85
med that causes T wave flattening and U waves on EKG (hypokalemia)
furosemide
86
lymphogranuloma venereum
genital/rectal lesions w/ suppuration from chlamydia Tx w/ azithromycin or doxycycline
87
autoimmune hemolytic anemia dx
Coombs positive
88
hereditary spherycytotis dx
hyper chromic RBC + osmotic fragility test increased RBCW microcytic anemia
89
primary adrenocortical insufficiency labs
metabolic acidosis isovolemic hypotonic hyponatremia hyperkalemia hypoglycemia hypotension
90
clomiphene MOA
partial estrogen receptor agonist that stimulates ovulation
91
MMR vaccine CI
hx of HIV and CD4 count of 100
92
PCP tx
bactrim
93
too much mg causes
decreased DTR
94
skiers thumb
injury to ulnar collateral ligament (gamekeeper is chronic version) increased laxity w/ valgus stress on thumb
95
MCC CAP
strep pneumo 2nd: H. flu
96
proteinuria test
spot urine albumin: creatinine ratio
97
neuroleptic malignant syndrome
AMS, fever, tachycardia tachypnic, diaphoresis stiffness on neck and arms (lead pipe rigidity) decreased DTR, pupils normal incontinence, hyper salivation, hyperthermia Tx w/ bromocriptine or amantadine + dantrolene
98
amphetamine toxicity
HA, tremor, flushing hyperthermia, cold sweat, N/V seizures, sweating, tachycardia pupil dilation, hypertension potential MI
99
serotonin syndrome
tremor, hyperthermia, mydriasis diarrhea, abdominal cramps
100
opioid toxicity
pupillary constriction, respiratory depression, bradycardia hypotension, coma, N/V
101
acute dystonia
usually hours to days after admin 1st gen antipsychotics intermittent spasms, trismus, protrusion of tongue facial grimace, torticollis, difficulty speaking
102
1st line tx afib or aflutter
BB or CCB
103
CI in pts with myxedema coma
rapid warming: can cause shock
104
myxedema coma tx
IV dexamethasone IV levothyroxine IV NS get TSH and free T4
105
erythema marginatum
rheumatic fever recent throat infx macular erythematous nonpruritic enlarging annular rash w/ rounded, sharply demarcated edges, no central clearing and blanches w/ pressure
106
erythema nodosum
from increased estrogen exposure, sarcoidosis, TB, coccidiomycosis painful erythematous inflammatory nodules seen especially on anterior shins
107
erythema multiforme
type IV hypersensitivity reaction dusty violet or red purpuric macule w/ vesicles or bullae in the center classic target appearance
108
melasma tx
topical hydroquinone
109
Centor criteria
for strep pharyngitis cervical lymphadenopathy exudates no cough fever
110
cryptococcal meningitis CSF
decreased glucose elevated WBC w/ lymphocytosis
111
cryptococcal meningitis dx
india ink cryptococcal antigen examination
112
MC sign in PE
tachypnea
113
thoracic outlet syndrome
compression of brachial plexus, subclavian artery, or vein adson test
114
pheochromocytoma labs
24h urine vanillylmandelic acid levels
115
oral hairy leukoplakia etiology
EBV
116
Young patient w/ early parkinsons. med to reduce tremor
benztropine
117
auspitz sign
punctate bleeding spots when the plaques of psoriasis are unroofed
118
guttate psoriasis rash
small erythematous discrete papules w/ fine scales
119
class II anti arrhythmic that antagonizes alpha 1, beta 2, and beta 2 receptors
carvedilol labetalol
120
definitive management of CAD if occlusion involves left main coronary artery
CABG
121
tennis elbow sx
pain on lateral elbow with lateral epicondyle tenderness inflammation of tendon insertion site of extensor carpi radials brevis
122
first line TTP
plasmapheresis
123
tumor lysis syndrome tx
allopurinol agressive IV hydration
124
pure seminomaqous germ cell tumor labs
normal AFP normal bHcg
125
organism w/ increased incidence of UTI in young sexually active women
staphylococcus saprophyticus E. coli
126
coccidioides immitus
fever, nonproductive cough, HA, joint pain bilateral ankle and knee swelling painful red rash oh both shine w/ no verrucous lesions present elevated IgM precipitin ab test
127
tests that help distinguish causes of Cushing syndrome
high dose dexamethasone suppression test ACTH levels
128
keep PDA open
prostaglandin
129
PDA close w/
indomethacin
130
risk factor bladder cancer
Hx of smoking cyclophosphamide pioglitazone dye exposure
131
BIT pyloric stenosis in children
US
132
metformin AE
AKI, GI sx, lactic acidosis megaloblastic anemia (elevated MCV)
133
1st line schizophrenia
2nd gen antipsychotic (olanzapine)
134
parkinson MOA
idiopathic depletion of dopamine in basal ganglia
135
severe chronic bronchitis EKG
negative QRS complex in lead I d/t hypoxemia --> pulmonary HTN --> RVH --> RAD --> RHF
136
PPI (lansoprazole) AE
macrocytic anemia
137
chronic hepatitis C tx
pegylated alpha interferon + ribavirin
138
toxoplasmosis transmission
cat exposure ring enhancing lesion
139
fournier's gangrene
necrotizing fasciitis of the penis and scrotom impaired immunity
140
physiopathology of psoriasis
keratin hyperplasia of stratum basale and spinosum due to T cell activation
141
MC benign ovarian neoplasm
dermoid cystic teratomas
142
MC clinical presentation of sickle cell
episodic hematuria
143
DeQuervain's thyroiditis
Viral illness sx w/ tender thyroid gland increased ESR
144
Celiac dz labs
endomysial antibodies
145
P-ANCA
UC microscopic polyangiitis primary sclerosis cholangitis charge-strauss
146
primary biliary cirrhosis marker
anti-mitochondrial antibodies
147
von willebrand marker
ADAMTS13
148
streptomycin AE
ototoxicity nephrotoxicity
149
multiple sclerosis PE
lhermittes sign increased DTR
150
myasthenia gravis PE test
ice pack test: ice pack over eye can improve weakness
151
SIADH labs
hyponatremia urine sodium >20 decreased serum osmolarity isovolemia
152
dermatitis herpetiformis
assoc w/ celiac disease papulovesicular rash on extensor surfaces Tx w/ dapsone
153
pyogenic granuloma
lobular capillary hemangioma solitary glistening friable red nodule/papule seen after trauma
154
kawasaki tx
aspirin and IVIG
155
marfan syndrome sx
MVP, tall arachnoidactyly precuts carinatum joint laxity, ectopia lentes
156
fragile X syndrome
MVP, tall, hyper extensible joints long narrow face, print forehead and chin large ears, macroorchidism
157
MCC subacute endocarditis
strep viridian's
158
amiodarone AE
hypothyroid lab values
159
esophageal adenocarcinoma
hx of GERD dysphasia to solids, weight loss, anemia no alcohol or smoking
160
MCC AIN
penicillin
161
MOA tamsulosin
alpha 1 blocker provides rapid relief of sx by smooth muscle relaxation of prostate and bladder neck
162
ATN sx
MC type of intrinsic kidney injury in hospital oliguria increase in BUN/Cr epithelial cell or muddy brown casts
163
AIN sx
usually assoc w/ allergic or inflammatory response in interstitium
164
osteochondroma xray
pedunculate growth that grows away from growth plate
165
chondrosarcoma xray
punctate or ring and arc appearance
166
sulfonylurea MOA
glyburide, glimepiride, glipizide stimulates pancreatic beta cell insulin release in a non-glucose dependent fashion
167
biguanates MOA
metformin decreases hepatic glucose production with no effect on pancreatic beta cells
168
MOA alpha glucosidase inhibitors
acarbose, miglitol delays intestinal absorption of glucose
169
MOA thiazolidinedione
pioglitazone, rosiglitazone increases insulin sensitivity at peripheral receptor sites of adipose and muscle tissues
170
MOA glucagon like peptide 1 agonist
exenatide, liraglutide lowers blood sugar by mimicking incretin
171
hereditary hemochromatosis labs
increased serum iron increased ferritin increased transferrin saturation positive hemosiderin deposition C282Y HFE
172
hereditary hemochromatosis sx
dilated cardiomyopathy new onset DM testicular atrophy abdominal ascites w/ positive shifting dullness test bronze colored skin
173
babesiosis
fever, chills, arthralgia, hemolytic anemia (jaundice) no rash PBS: tetrads of organisms in RBC from tick
174
tx genital warts
from HPV flesh colored lesion, cauliflower appearance podophyllin
175
hypersensitivity pneumonitis
from birds rapid onset fever, chills, productive cough, chest tightness 4-8h post exposure inspiratory crackles lung bx: micro nodular interstitial involvement with poorly formed noncaseating granulomas
176
asbestosis
ship builder or demolition repair linear asbestos bodies w/ protein and iron deposition on lung bx
177
rule of 9s
head and neck: 9 each arm: 9 anterior trunk: 18 Posterior trunk: 18 each leg: 18 groin: 1
178
Borderline personality disorder
failed long term relationships mood swings, black and white thinking with no middle ground reckless activity, may self harm
179
ankylosing spondylitis tests
xray: squaring of vertebral bodies (bamboo spine)
180
psoriatic arthritis xray
pencil in cup deformity
181
narrow complex SVT tx
adenosine
182
streptococcus agalactiae bacteremia
group B streptococcus, can cause bacteremia and meningitis in newborn vaginal delivery gram positive cocci
183
cutaneous anthrax
widening of mediastinum painless black eschar flu like sx
184
TTP labs
decreased ADAMTS 13 serum levels positive neurologic sx shistocytes on PBS normal PT and PTT
185
nephritic syndrome labs
HTN sudden increase in BUN/Cr RBC casts hypercellularity of glomerulus on bx
186
Ludwig angina
swelling and erythema to upper neck and chin pus on floor of the mouth
187
Vincents angina
trench mouth acute necrotizing ulcerative gingivitis causing profuse gingival bleeding, pain, and interdental papilla with ulcerative necrosis
188
MOA zofran
serotonin antagonist
189
SJS vs TEN
SJS: <10% TEN: >30%
190
acute stress disorder vs PTSD
acute stress disorder: <1mo PTSD: >1mo
191
serotonin syndrome
tachycardia, BP fluctuations, hyperthermia hyperreflexia, myoclonus, dilated pupils agitation, hyperactive GI tract tx w/ cyproheptidine
192
multiple sclerosis CSF
increased oligoclonal bands
193
vibrio cholera sx
raw shellfish stools are grey with no fecal blood or pus
194
jersey finger
inability to flex DIP due to avulsion of flexor tendon
195
TOC mycoplasma pneumoniae and empiric tx for CAP
macrolide (azithromycin) <-- only choice for kids doxycycline
196
pneumothorax >30% tx
chest tube thoracostomy
197
MC cardiac abnormality seen with coarctation of the aorta
bicuspid aortic valve
198
cyclophosphamide AE
used for cancer hemorrhagic cystitis increase risk of bladder cancer SIADH
199
cimetidine AE
CP450 inhibition gynecomastia impotence
200
screening test SLE
ANA (antinuclear antibody)
201
drug induced lupus lab
anti histone ab
202
primary biliary cirrhosis lab
anti-mitochondrial ab
203
complex regional pain syndrome sx
pain out of proportion post fracture or trauma early: swelling, extremity color changes, increased nail and hair growth late: atrophic skin, hair, nail, muscle growth
204
mononeuritis multiplex
painful asymmetrical peripheral neuropathy affecting at least 2 nerve areas either simultaneously or sequentially eventually becomes symmetrical
205
meds that exacerbate myesthinia gravis
BB FQ aminoglycosides (gentamicin)
206
ARDS hallmark
unresponsiveness to oxygen therapy and low PaO2/FiO2 ratio (<200) bilateral pulmonary infiltrates
207
post streptococcus glomerulonephritis lab
anti-streptolysin titer color colored urine puffiness to eyes
208
Janeway lesions
in endocarditis painless macule on palms and soles
209
oslers nodes
tender painful nodules on pads of digits infective endocarditis
210
keratoderma blenorrhagicum
hyperkeratotic lesions on palms and soles reactive arthritis
211
Roth spots
retinal hemorrhages with pale centers endocarditis
212
erythema marginatum
macular annular rashes rheumatic fever
213
diphtheria tx
diphtheria antitoxin + penicillin
214
herpetic gingivostomatosis
HSVI in children sudden onset fever, anorexia, gingivitis and yellow grey vesicles on oral mucosa, tongue, and lips
215
monteggia fracture
proximal ulnar shaft with anterior radial head dislocation
216
galleazzi fracture
mid distal radial shaft fx with dislocation of distal radioulnar joint
217
nightstick fx
isolated mid shaft ulnar fx
218
endometrial cancer risk factors
estrogen replacement therapy nulliparity chronic anovulation tamoxifen therapy
219
haloperidol AE
1st gen antipsychotic galactorrhea decreased libido amenorrhea
220
organophosphate poisoning sx and tx
HA, muscle spasms, convulsions, diffuse wheezing, diaphoresis, lacrimation Atropine + pralidoxime
221
restrictive cardiomyopathy echo
diastolic dysfunction w/ dilation of both atria
222
efaviranz
HIV med AE: vivid dreams, neurologic disturbances
223
zidovudine AE
bone marrow suppression myopathy hepatomegaly pancreatitis
224
MC inherited cause of hyper coagulability
factor v leiden
225
MC inherited cause of bleeding
von willebrand dz
226
hallmark neurogenic shock
hypotension w/ bradycardia decreased pulmonary capillary wedge pressure
227
empyema tx
abx and pleural fluid drainage
228
tx hyperkalemia
insulin w/ glucose IV calcium gluconate oral sodium polstyrene sulfonate neb albuterol
229
MC premalignant skin condition
actinic keratosis
230
crohns dz classic association
granulomas and fistulas
231
TOC esophageal variceal bleeding
endoscopic ligation
232
acute dystonia
from diphenhydramine trismus, protruding of tongue, facial grimacing torticollis difficulty speaking
233
paroxysmal nocturnal hemoglobinuria triad
hemolytic anemia venous thrombus of large vessels pancytopenia
234
Step process hyperosmolar hyperglycemic syndrome
IV NS IV insulin bolus IV insulin drip Glu 250: 5DNS
235
methimazole AE
hepatotoxicity myelosupression (agranulocytosis)
236
myasthenia gravis tx and lab
acetylcholine receptor ab acute crisis: plasmapheresis long term management: pyridostigmine or neostigmine
237
doxorubicin indication and AE
used for AML, ALL dilated cardiomyopathy. bone marrow suppression, GI AE, alopecia
238
carotid endarterectomy indication
internal or common carotid artery stenosis >70%
239
meds CI in tx of cocaine induced MI
BB
240
Biot's respiration
morphine/opioid OD irregular respirations of quick shallow breaths of equal depth with irregular periods of apnea
241
cheyne stokes breathing
HF, respiratory depression, uremia, brain damage periods of deep breathing alternating with periods of apnea. smooth increases in rate of breathing with smooth gradual decrease in rate of breathing with period of apnea
242
kussmaul breathing
metabolic acidosis deep rapid continuous respirations
243
clinical manifestation of Q fever
culture negative endocarditis
244
pyoderma gangrenosum
inflammatory diseases inflammatory nodule/pustule --> painful necrotic ulcer with irregular purple or violet undermined borders and purulent base
245
erythema multiforme major vs minor
major: involves mucus membranes (oral, genital, ocular)
246
PID tx
doxycycline + ceftrixone
247
hallmark neisseria meningitidis
petechia rash MCC meningitis in children 1mo- 18yo
248
hemophilia B labs
Christmas tree increase in PTT
249
myocarditis sx
conjunctivitis urethral discharge arthralgia
250
rotator cuff tendinitis
younger patients anterior shoulder pain when doing overhead movements tx: subacromial lido
251
wegener's granulomatosis (granulomatosis w/ polyangiitis)
necrotic sinusitis lower respiratory tract infection (honeycombing) rapidly progressing glomerulonephritis (RBC casts) + C-ANCA
252
C. diff colitis
strikingly increased lymphocytes, pseudomembrane appearance in colon oral metronidazole
253
vitamin C deficiency sx
perifollicular hemorrhages and purpura hyperkeratosis
254
CI to flu vaccine
egg allergy
255
CI MMR and varicella
gelatin allergy neomycin allergy
256
hep B vaccine CI
bakers yeast
257
Lambert eaton syndrome
seen with small cell carcinoma ab against presynaptic Ca gated channels that release Ach Hallmark: improves w/ repeated use
258
acute exacerbations of COPD tx
ipratropium + albuterol
259
percutaneous nephrolithotomy
large stones >10mm struvite and stag horn calculi
260
heparin induced thrombocytopenia tx
tx w/ direct thrombin inhibitor (argatroban, bivalirudin) thrombocytopenia and thrombosis
261
hemolytic anemia labs
increased indirect bili increased LDH shistocytes increased reticulocytes decreased haptoglobin
262
thiazolidinedione AE
rosiglitazone cardio toxicity (chest pain), CHF (fluid retention, edema) hepatotoxicity, fx
263
osteomalacia xray
looser zones
264
renal osteodystrophy xray
osteomalacia in chronic renal dz salt and pepper appearance
265
multiple myeloma xray
punched out lesions of skull
266
Paget dz of bone xray
cotton wool appearance of skull
267
kaposki sarcoma etiology
HHV8
268
erythromycin AE
prolonged QT CP450 inhibition diarrhea increased risk of muscle toxicity with statin
269
erysipelothriz rhusiopathiae
follows skin abrasion or puncture from raw fish, shellfish, raw meat, and poultry localized cutaneous lesion limited to hand, finger, and web spaces Nonpitting edema and purplish erythema with sharp irregular margins extending peripherally while clearing centrally
270
BB AE
fatigue, depression, impotence, hypotension, bradycardia 2nd/3rd degree heart block, bronchospasm
271
primary vs secondary adrenal insufficiency
primary has skin hyperpigmentation
272
naegele's rule
3 months + 7 days
273
membranous neuropathy
MCC primary nephrotic syndrome in adults caused by viral hepatitis or penicillamine basement membrane thickening on kidney bx can cause exudative pleural effusion
274
Berger's disease
IgA deposition in glomerulus associated with glomerulonephritis
275
DM induced neuropathy
kimmelstiel wilson lesion nodular glomerulonephritis with pink hyaline material around glomerular capillaries
276
meniere's disease 4 cardinal sx
episodic peripheral vertigo (horizontal nystagmus) ear fullness hearing loss tinnitus
277
syphilis dx with chancre or. condyloma
dark field microscopy
278
chronic mesenteric ischemia sx
dull abdominal pain worse w/ meals and weight loss
279
schizophrenia vs mania
flat blunted emotional affect in schizophrenia
280
alpha 1 antitrypsin deficiency
young patient w/ emphysema, nonsmoker
281
increased CSF opening pressure xanthochromia that does not diminish from tube 1 to 4
subarachnoid hemorrhage
282
staghorn and struvite stones associated with
proteus mirabilis
283
low AFP high bHcg low estradiol
trisomy 21
284
low AFP low bHcg low estradiol
trisomy 18
285
latent TB infx tx
isoniazid + pyridoxine for 9mo
286
whipples disease
diarrhea joint pain Fever twitching of eye muscle while chewing positive PAS macrophage dilation of lacteals
287
sickle cell disease xray
H shaped vertebrae with central endplate depression
288
warm antibody autoimmune hemolytic anemia tx
CS
289
amiodarone AE
pulmonary fibrosis thyroid disorders
290
tx Lyme disease with neurological and cardiac disease
IV ceftriaxone
291
seborrheic keratosis PE
small papule or plaque with velvety warty stuck on appearance
292
myoclonus
brief sporadic single repetitive jerks or twitching of 1+ muscle groups
293
tularemia
camping, tick or insect bite or handling rodent/rabbit tissue HA, F, N ulcerated papule with central eschar and tender regional lymphadenopathy splenomegaly, diarrhea
294
medullary thyroid carcinoma test
calcitonin
295
cholinergic crisis
excess Ach N/V, salivation, diarrhea, mitosis, bradycardia, respiratory failure, sweating edrophonium worsens sx
296
Crohns dz sx
string sign non bloody diarrhea RLQ pain saccharomyces cerevisiae ab positive B12 deficiency
297
complication of B12 replacement therapy
hypokalemia

PNCE (33 decks)

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