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Flashcards in Set 1 Deck (50)
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1

Tx RLS

DA agonist (pramipexole, ropinerole) or Levadopa

2

DDx low calcium AND low phopshate (3)

Vit D deficiency, malabsorption, pancreatitis

3

3 causes HIV retinitis, differences

CMV= painLESS, no conjunctivitis or keratitis
HSV/VZV= retinal necrosis, pain, keratitis/uveitis

4

skin AND organ lesions with hemorrhage in HIV patient? Dx, Tx?

Bacillary angiomatosis (Bartonella)
Dx careful bx
Tx oral erythromycin

5

Screening and Confirmation of acute cholycystitis

screening = US, labs
confirm = ERCP/HIDA

6

Causes of Erythema Nodosum (6)

Infxn = strep, TB, histoplasmosis
systemic d/s= sarcoidosis, IBD, Behcet's

7

Oral ulcers, genital ulcers AND uveitis

Behcet's vasculitis (+ erythema nodosum and other SYSTEMIC sx)

8

atypical lymphocytes but NEGATIVE heterophile antibody test

CMV monoucleosis

9

Infertility, recurrent URI/sinusitis +/- situs inversus

Kartagener's Syndrome (immotile cilia 2/2 dynein arm defect)

10

ABRUPT fever with AMS and + babinski? Dx, Tx?

HSV encephalitis (temporal lobes)
FIRST start IV acyclovir if high suspicion
THEN dx with CSF PCR (not cx)

11

Northeastern tick-borne disease with fever AND hemolytic anemia? Tx?

Babesiosis, Tx quinine

12

hemoptysis and normal CXR in young, non-smoker? MCC?

Acute bronchitis. MCC viral > bacterial
IF bacterial:
non-smokers = MYCOPLASMA
smokers = pneumococcus or H. influ

13

Anti-smooth muscle Ab's

Mother F-ing AI Hepatitis

14

If COPD patient is hypercapnic after initiating tx for acute exacerbation, tx?

NIPPV if ~stable, otherwise intubate

15

Tx hyperkalemia

1. Calcium gluconate (stabilizes membranes)
2. Insulin AND glucose (drive K+ intracellularly)
3. Na polysterene sulfonate (kayexalate)

16

Electrolyte disturbance caused by multiple blood transfusions

hypocalcemia (ionized) 2/2 binding with citrate

17

External validity

Generalizability (to other studies/populations)

18

Nausea, dizziness, HA, polycythemia

HIGH suspicion of CO poisoning

19

complication of cardiac catheterization? S/s?

cholesterol emboli (any organ, BLUE TOE syndrome, livedo reticularis*)
labs = eosinophils, decreased complement levels

20

patient with acute exacerbation of COPD develops AMS or seizures? Tx?

hypercapnia / CO2 narcosis; can be induced by TOO MUCH O2 (decreases body endogenous response to hypoxia, decreased affinity of Hb for O2 in acute-on-chronic COPD).
Tx = O2 sat b/w 90-94%

21

malacia

softening of tissues

22

4 causes of osteomalacia

Vit D def, Ca2+ def, hypophosphatemia/hyperPTH, RTA

23

non-resolving pneumonia with hyponatremia and GI symptoms? Dx, Tx?

Legionella (+/- elevated LFTs)
Dx = urine antigen test + cx
Tx = fluoroquinolone or macrolide

24

fluoroquinolones

clindamycin, ofloxacin, gatifloxacin

25

Macrolides

erythromycin, azithromycin, clarithromycin

26

doughy, sweaty hands, carpel tunnel syndrome, HTN, skin tags? Dx, Tx?

Acromegaly 2/2 elevated GH --> IGF-1
screening = IGF-1 (indirect GH measure)
Dx = GH after ORAL GLUCOSE LOAD + MRI
Tx= pituitary tumor removal +/- octreotide

27

abnormally enlarged uterus 3mo post-partum with lung sx / findings on CXR? Dx?

choriocarcinoma (either after normal or molar preg)
dx = quantitative BhCG and imaging?

28

#1 RF for stroke

HTN >> smoking or DM

29

2 conditions associated with episcleritis

RA and IBD

30

anti-topoisomerase Ab's

AKA anti-scl 70 = Scleroderma