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Kaplan Internal Medicine > Test 1 > Flashcards

Test 1 Flashcards

1
Q

Patient with midsystolic click with systolic murmur may have

A

mitral regurgitation

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2
Q

acute myelogenous leukemia primarily impacts who

A

adults

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3
Q

auer rods consistent of eosinophilic, needle-like inclusions in myeloid cells

A

acute myelogenous leukemia

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4
Q

acute lymphocytic leukemia primarily impacts who

A

children

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5
Q

what is a lymphocytic marker for acute lymphocytic leukemia

A

TdT: terminal deoxynucelotide transferase

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6
Q

Philadelphia chromosome

A

9q22q

chronic myelogenous leukemia

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7
Q

leukemoid reaction

A

abnormal elevation of white cell count in response to infections

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8
Q

what is good marker to differentiate leukomoid reaction from myeloid leukemia

A

alkaline phosphatase decreased in CML

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9
Q

myelodysplastic syndromes

A

pancytopenia despite normal or hypercellular bone marrow

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10
Q

most common cause of back pain with radicular leg pain

A

disc herniation

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11
Q

first line treatment for disc herniation with causing compression of spinal cord

A

NSAIDS

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12
Q

Wiskott-Aldrich syndrome

A

thrombocytopenia
Eczema
recurrent staph infections

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13
Q

DiGeorge Syndrome

A

Hypoparathyroidism
thymic aplasia
deficient T cell function

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14
Q

Adenosine deaminase deficiency is a cause of

A

severe combined immunodeficiency

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15
Q

Side effect of Bleomycin

A

pneumonitis

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16
Q

side effect of cisplatin

A

tinnitus, hearing loss, nephrotoxicity

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17
Q

side effect of mithramycin

A

hemolytic uremic syndrome
thombocytopenia
hepatoxicity
nephrotoxicity

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18
Q

side effect of Vincristine

A

neuropathy

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19
Q

standard of care for diagnosis for any suspicious melonoma

A

excision biopsy

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20
Q

gram-negative diplococci pneumonia

A

Moraxella catarrhalis

21
Q

gram-negative rod pneumonia

A

klebsiella, enterobacter, serratia, proteus

22
Q

gram-positive cocci in cluster pneumonia

A

staph. aureus

23
Q

gram-positive rod pneumonia

A

corynebacterium diphtheriae

24
Q

when does Hep D occur

A

in presence on of Hep B

25
Q

Difference between IgM and IgG antibodies

A

IgM, reaction happening now

26
Q

how does acidosis change the EKG. treatment

A

increase K
peaked T waves, QRS widening
txt: calcium gluconate

27
Q

when do you see U waves

A

hypokalemia

28
Q

Tight band-like pain around the head

A

tension headache

29
Q

headache accompanied by lacrimation, facial flushing, nasal stuffiness/discharge

A

cluster headache

30
Q

headache attacks occur nightly for 2-3 months and then disappear

A

cluster headaches

31
Q

episodic unilateral throbbing headache, often associated with nausea, photophobia, and visual symptoms

A

migraine

32
Q

treatment for sarcoidosis

A

systemic Steroids

33
Q

hematuria following upper respiratory infection or flulike illness

A

Berger disease

34
Q

kidney problem with serum levels of IgA elevated

A

Berger disese

35
Q

mildly nodular, firm, rubbery goiter

A

Hashimoto

36
Q

goiter is very tender and enlarged , although not always symmetric

A

subacute thyroiditis

37
Q

when does silent thyroiditis occur

A

postpartum women

38
Q

what is alopecia areata? treatment?

A

autoimmune baldness

steroids

39
Q

treatment for androgenetic balndess

A

minoxidil

40
Q

what is telogen effluvium? treatment?

A

hair loss doe to shampooing and combing daily

iron sulfate

41
Q

test of choice for diverticulosis

A

barium enema

42
Q

Charcot-Marie-Tooth disease

A

atrophy of calf muscles and distal muscle weakness

43
Q

Evans syndrome

A

autoimmune hemolytic anemia ( positive Coombs test)

autoimmune thrombocytopenic purpura

44
Q

clinical difference between HUS and TTP

A

TTP: neurologic symptoms

45
Q

Difference between ITP and TTP

A

ITP does not have systemic involvement

46
Q

VSD increases the chance of what condition

A

infective endocarditis

47
Q

Recurrent episodes of inflammatory arthritis, absence of urate cystals and calcification (speckling) of articular cartilage

A

pseudogout

48
Q

Treatment for necrotizing Fascitits

A

Rapid surgical exploration and excision

49
Q

Suspected Borhave, next step in managment

A

Esophagogastroscopy to see where the bleeding is coming from

Kaplan Internal Medicine (2 decks)

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