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Flashcards in Set 5 Deck (58)
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1

hypopigmented spots, axillary freckles, skin nodules, lisch nodules

NF 1 or 2

2

heart sound in MI

4th heart sound = atrial gallop (diastolic dysfxn and stiff LV)

3

Tx bradycardia

IV atropine (muscarinic antagonist --> decreases vagal influence on SA node) then transcutaneous pacing

4

amylase in left-sided pleural effusion (3)

esophageal rupture, pancreatitis (or ruptured pseudocyst), or cancer

5

Tx prinzmetals angina

CCBs and/or nitrates

6

infant with central vs. peripheral cyanosis

central = hypoxemia in arteries suggesting CHD (ex perioral cyanosis but warm extremities)

peripheral = low cardiac output causing low blood flow/ excessive vasoconstriction --> normal PaO2, cold, cyanotic distal extremities

7

macrocytic anemia, leukopenia, thrombocytopenia and decreased segmentation of PMNs

myelodysplastic syndrome

8

Deficiency seen in carcinoid syndrome

Niacin (its precursor, tryptophan, gets all used up to make serotonin)

9

MRI shows butterfly appearance with central necrosis

GBM

10

MRI shows heterogenous, serpiginous contrast enhancement

high grade astrocytoma

11

SLE patient taking hydroxychloroquine, what test does she need to have?

eye exams q6mo looking for retinopathy and/or corneal damage

12

akathisia vs. dystonia vs. tics vs. myoclonus vs. chorea

- akathisia - restlessness
- dystonia - sustained muscle contraction - twisting, repetitive movements, or abn postures. focal or diffuse. ex. torticollis
- athetosis - slow, writhing movements. ex. huntington's. rett's syndrome.
- tics - repetitive movements or vocalizations. ex. tourette's
- myclonus - jerking movements
- chorea - brief, irreg, flowing movements

13

What is a sestamibi scan for?

direct treatment in patients with hyperPTH either sx or asx with Ca>11, GFR<60 +/- osteoporosis

14

Esophageal tests algorithim for ordering if broad ddx

Barium esophagram then EGD then esophageal motility

15

Esophageal varices vs Mallory-Weiss Tears?

varices = VEINS (2/2 portal HTN)

MWT = ARTERIES (2/2 mucosal tears from heaving)

16

HIV drug causing hypersensitivity syndrome

abacavir (NRTI)

17

Eggshell calcification of hepatic cyst? Tx?

hydatid cyst = Echinococcus (via dog exposure)
Tx = Careful surgical drainage w/ albendazole

18

At what cutoff is it ok to give bicarb for metabolic acidosis?

pH <7.2, ie severe

19

Proximal muscle weakness + elevated CK? Tx?

dermato/polymyositis
Tx HIGH dose steroids (vs PMR)

20

CI of triptans (3)

uncontrolled HTN, CAD, Pregnancy

21

HIV drug causing hematuria w/ crystal-induced nephropathy

Indinavir (Protease Inhibitor)

22

Calcium levels in alkalosis, why?

decreased due to higher affinity of albumin for calcium

23

abnormality in coagulation profile in lupus

prolonged PTT 2/2 anticardiolipin Ab

24

Lip telangiectasias, epistaxis and polycythemia with normal WBC and plts

Hereditary telangiectasia aka Osler-Weber-Rendu
= AVMs occur primarily in mucus membranes, skin and GI tract but also liver, lung and brain

25

Liver mass histology with atypically enlarged hepatocytes containing glycogen and lipid deposits

hepatic adenoma

26

heberden nodes and bouchard nodes

OA = osteophyte formation in DIP and PIP respectively

27

Tx cerebral hemorrhage while on warfarin

d/c warfarin, ASA and other anticoagulants
give FFP and Vit K

28

Muscles+nerves involved in arm abduction

supraspinatous (suprascapular n) --> 1st 15 deg
deltoid (axillary n) --> 15-90 deg
trapezius (CN 11) and serratus anterior (LTN) --> lift above horizontal

29

Calcified adrenal glands =

primary adrenal insufficiency caused by TB (granulomas cause hypercalcemia)

30

Tx sarcoidosis

steroids (if sx)