Random Subject Review Part III Flashcards Preview

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Flashcards in Random Subject Review Part III Deck (201)
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1

indications for carotid endarterectomy

70 - 99% stenosis symptomatic
80 - 99% stenosis asymptomatic

2

most common leukemia in children (peak age 3-4)

ALL

3

most common leukemia in adults (average age of onset 50)

CLL

4

philadelphia chromosome is almost always seen in this leukemia

CML

5

smudge cells on peripheral smear

CLL

6

peripheral blasts are PAS+ and TdT+

ALL

7

peripheral blasts are PAS-, myeloperoxidase+, and have Auer rods

AML

8

pancytopenia in a Down syndrome patient

ALL

9

next step in management of testicular torsion confirmed with US

external manipulation followed by surgical pinning bilaterally

10

causes of hypovolemic hyponatremia

diuretic use, vomiting, addison's disease, ACE-I use, fluid sequestration

11

diagnosis: fever, rash, elevated creatinine, eosinophilia

acute interstitial nephritis

12

what distinguishes primary biliary cirrhosis from primary sclerosing cholangitis

PBC: females, anti-mitochondrial antibodies, intrahepatic duct disease
PSC: males, P-ANCA, intra/extrahepatic duct disease, ERCP "beads on a string"

13

treatment for Whipple disease

TMP-SMX x 1 year

14

HBsAg negative
HBsAb negative
HBcAb positive

"window period" of acute hepatitis B infection

15

HBsAg positive
HBsAb negative
HBcAb positive

chronic hepatitis B infection

16

HBsAg negative
HBsAb positive
HBcAb negative

immunized for hepatitis B

17

HBsAg negative
HBsAb positive
HBcAb positive

past hepatitis B exposure

18

differential diagnosis for ground-glass infiltrates on CXR

interstitial pneumonia, PCP, pulmonary edema (CHF, ARDS) pulmonary hemorrhage, hypersensitivity pneumonitis

19

medication used to close a PDA

indomethacin

20

complications arising from electrical burns

visceral damage, cardiac dysrhythmias, compartment syndrome, myoglobinuria, bony injuries, various neurologic disturbances

21

eye abnormality seen in lesion to oculomotor nerve

down and out, fixed and dilated (interruption of parasympathetics)

22

differing presentations of alzheimer's dementia, pick's disease, and lewy body dementia

alzheimer's: most common cause
pick's: personality changes
lewy body: visual hallucinations, parkinsonian symptoms, unexpected falls

23

diagnosis and management: 55-year-old man has sudden onset of pain in first metatarsophalangeal joint after a night of drinking red wine

gout, aspirate joint to find negatively birefringent needle shaped crystals
treat acute exacerbation with colchicine, NSAIDs
treat chronically with prebenicid, colchicine, or allopurinol

24

patient with history of lithium use presents with copious amounts of dilute urine

nephrogenic diabetes insipidus

25

most common pituitary tumor and what is the treatment

prolactinoma
dopamine agonist (bromocriptine)
ocreotide or transphenoidal resection

26

diagnosis: male with testicular mass is found to have elevated beta-hCG

testicular choriocarcinoma

27

cardinal movements of labor

engagement, distent, flexion, internal rotation, extension, external rotation, expulsion

28

50 year-old female smoker presents with hematuria

bladder cancer

29

30 year-old female African immigrant presents with hematuria

schistosoma infection

30

therapies used for polycystic ovarian syndrome

weight loss, OCPs (to avoid hyperestrogenism), spironolactone, metformin