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Flashcards in Things I need to know better...day 2 Deck (40):
1

Kid is exposed to chickenpox and hasn't been vaccinated yet...has no symptoms. What should be done?

Just give the vaccination

VZV Ig is NOT needed

2

A 3-10yo has fever, pharyngitis, and gray vesicles/ulcers on posterior oropharynx. What is going on?

Herpangina (coxsackie A virus)

3

Youngish patient has a decrescendo early diastolic murmur at the left sternal border. What is going on?

Aortic regurgitation...likely a bicuspid aortic valve

4

A patient has had multiple infections and bone pain (or fractures...or lytic lesions seen on x-ray) + labs show hypercalcemia, anemia, and renal impairment. What is going on?

Multiple myeloma --> inability to produce effective antibodies

CRAB
-Calcemia
-Renal impairment
-Anemia
-Bone stuff

5

Person has pain in small joints symmetrically that gets better after a few days. What was going on?

Viral arthritis

6

What is seen on neuroimaging of autism?

Increased total brain volume

7

What is seen on neuroimaging of OCD?

Abnormalities in orbitofrontal cortex and striatum

8

What is seen on neuroimaging of Panic disorder?

Smaller amygdala

9

What is seen on neuorimaging of PTSD?

Smaller hipocampus

10

What is seen on neuroimaging of schizophrenia?

Enlarged cerebral ventricles

11

An HIV patient has bloody diarrhea with normal stool sample. What is going on?

CMV infection

12

Patient comes in with polyarthralgia, tenosynovitis, and painless vesiculopustule skin lesions. What is going on?

Disseminated gonorrhea

13

A woman has urinary frequency, constipation, and a large, irregular uterus. What is likely going on?

Fibroids...get an US to check

14

Who should bupropion NOT be given to?

Epileptic patients...lowers seizure threshold

15

Variant lymphocytes + smudge cells -->

CLL...check flow cytometry

16

Pregnant woman has an asymptomatic UTI...what do you do?

Treat w/ amoxicillin or amox-clav

17

Patient has a history of unremitting nose bleeds...has ruby papules on lips that blanch and digital clubbing...labs show increased hematocrit. What is likely going on?

Osler-Weber-Rendu syndrome (Hereditary telangiectasia)...autosomal dominant

Diffuse telangiectasia + recurrent epistaxis + wide spread AVMs

18

Person has a fever and an early diastolic murmur heard at the left sternal border...ECG shows a 2:1 AV block. What is going on?

Aortic endocarditis with perivalvular abscess

19

A patient with PVCs is given lidocaine...what is the risk?

Asystole

20

What is mutated with primary polycythemia vera?

JAK2 in the bone marrow

21

How is hairy cell leukemia treated?

Cladribine

22

How is NHL treated?

CHOP

23

How is CLL treated?

Chlorambucil + prednisone

24

What are some common causes of Afib?

Hypertensive heart disease (most common)
Hyperthyroidism

25

What are some common complications of chronic HCV?

Essential mixed cryoglobulinemia
MPGN
Porphyria cutanea tarda and lichen planus
Increased risk of diabetes

26

What antibodies can be seen with scleroderma?

Anti-topo-1
Anti-Scl70 (diffuse systemic)
Anticentromere (limited systemic; CREST)

27

WPW causes Afib. How should it be treated?

IV ibutilide or procainemide

28

Infection with partially acid-fast, gram+, branching rods. What is it? Treatment?

Nocardia is treated with bactrim

29

A guy comes in concerned about fatigue...otherwise doing fine. Has borderline risky sexual history and a blood transfusion before 1992. What should all be checked?

HBV, HCV, HIV

30

Person gets shot and the entry wound is below the nipple line. What should be done next?

Exploratory laparotomy

31

Person does illegal things (drugs, theft, assault), frequently lies, is aggressive/impulsive, but can be charming...which is used to manipulate people. What does this person have?

Antisocial personality disorder

32

Person does some creepy things and has suicidality or self-mutalation and a feeling of emptiness. What does this person have?

Borderline personality disorder

33

What is decreased in all babies that can cause jaundice?

Uridine diphosphogluconurate glucouronosyltransferase activity

Decreased most in Asians

34

What is Boerhaave syndrome?

Esophageal perforation

35

Stroke patient has unilateral motor impairment, but NO sensory or visual impairments. Where is the stroke?

Posterior limb of internal capsule (lacunar infarct)

36

How should MS be diagnosed?

MRI with gadolinium

37

When is home oxygen recommended for COPD patients?

PaO2 ≤ 55
SaO2 ≤ 88%
Hct ≥ 55%
Evidence of cor pulmonale

38

How is GBS treated?

IVIG

39

How is SVT or PSVT treated?

adenosine or vagal maneuver

40

Developmental delay + short palpebral fissures, absent philtrum, and thin upper lip border. What is this?

FAS