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1
Q

black widow

A

muscle cramping, CNS excitation, mindfuck

there is an antivenom if severe

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2
Q

brown recluse

A

local tissue destruction

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3
Q

actinic keratosis leads to

A

SCC

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4
Q

salicylate toxicity

A

resp alkalosis and anion gap metabolic acidosis

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5
Q

idiopathic intracranial htn (pseudotumor cerebri)

A

young obese female
h/o Vit A toxicity, steroids, tetracyclines
HA and visual sxs
acetazolamide, serial LPs

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6
Q

what labs will diabetes insipidus show?

A

increased plasma osmolality, decreased urine osmolality

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7
Q

primary adrenal insufficency (Addison’s)

A

abdominal pain, N/V/D, fever, confusion
hyperpigmented skin
hyponatremia and hyperkalemia
give IV hydrocortisone

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8
Q

SCC

A

red, scaly, hyperkeratotic nodule /papule that does not itch

a/w sun exposure but may also be from wounded, scarred, burnt skin

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9
Q

mgmt of thyroid storm

A

1-BB
2-PTU/Methimazole
3-Iodine
4-steroids

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10
Q

neutropenic fever

A

> 38 for 1 hour + ANC<500

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11
Q

caloric reflex testing

A

COWS
cold opposite
warm same

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12
Q

pneumonia PE

A

dullness to percussion, increased fremitus, bronchial/egophony

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13
Q

pleural effusion PE

A

dullness to percussion, decreased fremitus, decreased breath sound

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14
Q

pneumothorax PE

A

resonant percussion, decreased fremitus, decreased breath sounds

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15
Q

CLL

A

smudge cells

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16
Q

DKA tx

A

NS
when BS is around 200, switch to D51/2NS
may require K repletion

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17
Q

Kerion

A

h/o tinea capitis
scalp that is boggy and inflamed withpurulent nodules and plaques
tx oral griseofulvin

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18
Q

frontotemporal dementia

A

behavior/personality change

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19
Q

polyarteritis nodosa

A

tender lumps under skin on legs

livedo reticularis

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20
Q

CRVO

A

blood and thunder, hemorrhages

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21
Q

if TSH is high, check….

A

T4

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22
Q

which oral DM med causes most hypoglycemia

A

glyburide

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23
Q

sickle cell people are at risk of what type of infection for osteomyelities

A

salmonella

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24
Q

how is amphotericin metabolized

A

kidneys

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25
subarachnoid
MCC aneurysm | give nimodipine
26
treat intracranial hemorrhage with
IV nicardipine
27
thryoid storm is MCC by
infection
28
erythema multiforme
acute onset target lesions | MCC HSV
29
ant cerebral artery stroke
lower
30
middle cerebral artery stroke
upper, contralateral paralysis
31
posterior cerebral artery stroke
LOC, N/V, visual
32
ranson criteria
``` to assess pancreatitis age>55 WBC>16K glucose>200 LDH>350 AST>250 ```
33
anterior cord
loss of motor function below the lesion, retains proprioception and vibratory sensation flexion or vascular accident POOR prognosis
34
Brown-Sequard
ipsilateral motor/vibration function loss contralateral pain/temp sensation loss penetrating trauma, GOOD prognosis
35
central cord
b/l motor paresis and sensory impairment | forced hyperextension
36
asthma classification
Mild intermittent-<2 night symptoms Mild Persistent-3-4 night symptoms p/month Mod Persistent->5 night symptoms p/month
37
celiac
anti-endomysial AB | dermatitis herpetiformis
38
what to monitor for pts on amiodarone
thyroid, liver function | yearly CXR
39
Acute subdural hematoma is within how many days
3 | Crescent
40
Idiopathic pulmonary fibrosis
honeycombing
41
Lung nodule sizing
<6mm no follow up | 6-8 f/u CT
42
Spontaneous bacterial peritonitis
History of liver disease with fevers, chills TX with 3rd gen ceph Types of insulin
43
MAP
DBP + 1/3(SBP−DBP)
44
How to dx vitilgo
woods lamp
45
Bronciectasis
Dilated, thickened bronchi Tram track CF
46
How early do you give insulin
15 min before meal
47
Mcc blepharitis
Meiobian gland dysfunxtion
48
CT smoking guidelines
recommended to undergo screening for lung cancer with low-dose computed tomography in adults aged 55 to 80 who have a 30 pack-year smoking history and currently smoke or who have quit within the past 15 years. Screening should be discontinued once a person has not smoked for 15 years or develops a health problem that substantially limits life expectancy or the ability or willingness to have lung surgery.
49
Onychomycosis tx
terbinafine
50
MCC choleastoatoma
eustachian tube dysfunction
51
How to TX TB in person with ESRD
rifampin
52
Pretibial myxedema
hyperthyroid
53
Hyperparathyroid kabs
hypercalcemia | decreased phosphate
54
MC breast cancer
ductal
55
Metabolic cause of post op ileus
hypokalemia
56
pityriasis rosea tx
no tx required, can use topical/sys steroids or antihistamines
57
tinea versicolor dx and tx
KOH | selenium sulfide shampoo
58
serous otitis media tx
tubes
59
globe rupture
+ Seidel sign
60
acutue iritis
perilimal flushing
61
TM bullae think
mycoplasma
62
labyrinthitis
continuous vertigo, follows URI
63
central vertigo
no loss of hearing or tinnitus | tumors*
64
acoustic neuroma
unlateral sensinoneural hearing loss
65
EBV
heterophile AB
66
Ramsey-Hunt
ear herpes
67
when to start dialysis
creatinine >8
68
5 Ws of post-op fever
``` Wind-pneumonia, 24-48 hours (atelectasis) Water, UTI, 48-72 Wound, >72 Walking, >72, DVT Wonder drug, 1 week ```
69
HIV/immunosuppresion can lead to this type of cancer
NHL
70
bacterial conjunctivitis may lead to
infectious keratitis
71
ethylene glycol poison
sudden onset flank pain, hematuria, oliguira with high anion gap metabolic acidosis urine microscopy shows calcium oxalate crystals

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