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
