shelf notes

Question 1

adenosine tox

Answer 1

HA
flushing
nausea
SOB
chest pressure

Question 2

nitrate tox

Answer 2

HA
orthostatic
tolerance
syncope

Question 3

dig tox

Answer 3

atrial tachy

AV block

Question 4

rapid onset IE

Answer 4

staph

Question 5

IE and dental procedures

Answer 5

strep viridans

Question 6

causes restrictive CM

Answer 6

CASHES
carcinoid
amyloid
sarcoid
hemochromatosis
endocardial fibroelastosis
scleroderma

Question 7

rheum fever vs rheum heart dz

Answer 7

fever: MR

heart dz: MS

Question 8

GI/GU procedures and IE

Answer 8

enterococcus

Question 9

colon ca and IE

Answer 9

strep bovis

Question 10

IVDA and IE

Answer 10

S aureus on tricuspid

|&raquo_space;» PsA, candida

Question 11

prosthetic valves and IE

Answer 11

staph epidermidis

Question 12

cx negative IE

Answer 12

HACEK

Question 13

luetic heart

Answer 13

teriatry syph
aortic aneurysm + regurg
coronary artery stenosis

Question 14

phlegmasia cerulea dolens

Answer 14

venous outlfow obstruction –> acute onset leg edema with pain and cyanosis

dx: duplex or CT
tx: heparin and thrombectomy

Question 15

triad asthma

Answer 15

asthma
aspirin sensitivity
nasal polyps

Question 16

ABPA

Answer 16

asthma
pulm infiltrates
aspergillus allergy

Question 17

amylase in pleural fluid

Answer 17

esoph rupture
pancreatitis
malignancy

Question 18

milky pleural fluid

Answer 18

chylothorax

Question 19

acid pleural fluid

Answer 19

empyema

parapneumonic

Question 20

drugs that cause pulm fibrosis

Answer 20

amio
busulfan
bleomycin
MTX
nitrofurantoin

Question 21

histiocytosis X

Answer 21

ILD

eosinophilic granulomas, honeycomb lung

Question 22

ventilator to control CO2

Answer 22

RR

Vt

Question 23

ventilator to control O2

Answer 23

PEEP

FiO2

Question 24

Gardner syndrome

Answer 24

FAP

osteomas, soft tissue tumors

Question 25

Turcot syndrome

Answer 25

FAP | CNS teumors

Question 26

HNPCC/Lynch

Answer 26

80% prog to CRC

Question 27

carcinoid

Answer 27

MC site = appendix mets to liver --> systemic effects (flush, diarrhea, wheeze) dx: urine 5HIAA tx resection

Question 28

UGIB s/p aortic graft

Answer 28

aortoenteric fistula | small herald bleed --> massive bleed

Question 29

Plummer Vinson

Answer 29

iron deficiency | anemia, upper esoph webs, koilonychia

Question 30

dermatitis herpetiforms

Answer 30

assoc with celiac sprue

Question 31

simple liver cyst

Answer 31

polycystic liver, ADPCKD | tx: reassurance

Question 32

multilocular calcified cyst

Answer 32

hydatid - echinococcus (dog tapeworm

Question 33

mexican with liver abscess

Answer 33

amebic | give flagyl

Question 34

Budd Chiari causes

Answer 34

polycythemia OCPs PNH tx: TIPS as bridge to txp

Question 35

what drugs to give hyperthyroid preggo

Answer 35

PTU | not MMI

Question 36

tx hypercalcemic crisis

Answer 36

flush and drain | IVF then lasix

Question 37

MCC adrenal insuff (US vs 3rd world)

Answer 37

US: addison's 3rd: TB also: N meningitidis

Question 38

cutoff for investigation of adrenal incidentaloma

Answer 38

5 cm!`

Question 39

tx tourette

Answer 39

clonidine or pimozide | haldol if severe

Question 40

NF1

Answer 40

cafe au lait iris hamartoma CNS tumor pheo

Question 41

NFII

Answer 41

``` acoustic neuromas (B/L) juvenile cataracts ```

Question 42

tuberous sclerosis

Answer 42

ash leaf spots shagreen patches renal angiomyolipoma cardiac rhabdomyoma

Question 43

C ANCA

Answer 43

wegeners

Question 44

P ANCA

Answer 44

Churg Strauss PAN microscopic polyangiitis

Question 45

anti GBM

Answer 45

goodpasture

Question 46

anti ccp

Answer 46

RA

Question 47

anti centromere

Answer 47

CREST

Question 48

anti desmosome

Answer 48

pemphigus vulgaris

Question 49

anti ds DNA

Answer 49

SLE

Question 50

anti endomysial

Answer 50

celiac

Question 51

anti hemidesmosome

Answer 51

bullous pemphigoid

Question 52

anti histone

Answer 52

drug induced lupus

Question 53

anti Jo

Answer 53

polymyositis | dermatomyositis

Question 54

anti microsomal

Answer 54

Hashimoto

Question 55

anti mitochondrial

Answer 55

PBC

Question 56

anti nAChR

Answer 56

MG

Question 57

anti peroxidase

Answer 57

Hashimoto

Question 58

anti Scl, anti topo1

Answer 58

scleroderma

Question 59

anti smooth muscle

Answer 59

autoimmune hpeatitis

Question 60

anti thyroglobulin

Answer 60

Hashimoto

Question 61

anti TSH

Answer 61

Graves

Question 62

anti U1RNP

Answer 62

mixed connective tissue d

Question 63

anti VGCC

Answer 63

Lambert Eaton

Question 64

mixed CT dz

Answer 64

SLE RA scleroderma polymyositis

Question 65

tx pseudogout

Answer 65

indomethacin > conchicine

Question 66

inclusion body myositis

Answer 66

prox AND distal weakness | tx steroids

Question 67

pencil in cup deformity on XR

Answer 67

psoriatic arthritis

Question 68

nephrotic syndrome + HBV

Answer 68

MGN

Question 69

nephrotic syndrome + HCV

Answer 69

MPGN

Question 70

nephrotic syndrome + HIV

Answer 70

FSGS

Question 71

nephrotic syndrome + hodgkin

Answer 71

MCD

Question 72

nephrotic syndrome + deaf

Answer 72

Alport

Question 73

nephritic + hemoptysis

Answer 73

GPA | Goodpasture

Question 74

nephritic + chronic pain

Answer 74

analgesic nephropathy

Question 75

IgA nephropathy

Answer 75

nephritic after URI/gastro | assoc with HSP in kids

Question 76

Hartnup syndrome

Answer 76

AA transporter deficiency --> niacin deficiency pellagra! replace niacin

Question 77

Fanconi syndrome

Answer 77

prox tubule dysfn glucose and AAs in urine type 2 RTA

Question 78

tx recurrent ca stones

Answer 78

HCTZ ppx

Question 79

tx uric acid stones

Answer 79

allopurinol ppx | potassium citrate tx

Question 80

cystine stones

Answer 80

dx: sodium nitroprusside test tx: acetazolamidee

Question 81

erysipelas

Answer 81

fiery red painful skin lesion, face or extremities | tx: PCN, erythromycin

Question 82

chancroid

Answer 82

school of fish on Gram stain | tx: azithro or ceftriaxone

Question 83

LGV

Answer 83

tx: doxy

Question 84

osteo with IV catheter

Answer 84

staph aureus

Question 85

osteo with prosthetic jt

Answer 85

coag neg staph

Question 86

osteo with DM

Answer 86

polymicrobial

Question 87

osteo + nosocomial

Answer 87

PsA

Question 88

osteo + IVDA

Answer 88

PsA

Question 89

osteo + sickle

Answer 89

salmonella

Question 90

osteo + vertebra

Answer 90

TB - Potts

Question 91

osteo + cat/dog

Answer 91

pasteurella