Flashcards in Things I need to know better...day 2 Deck (40):
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
A 3-10yo has fever, pharyngitis, and gray vesicles/ulcers on posterior oropharynx. What is going on?
Herpangina (coxsackie A virus)
Youngish patient has a decrescendo early diastolic murmur at the left sternal border. What is going on?
Aortic regurgitation...likely a bicuspid aortic valve
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
Person has pain in small joints symmetrically that gets better after a few days. What was going on?
What is seen on neuroimaging of autism?
Increased total brain volume
What is seen on neuroimaging of OCD?
Abnormalities in orbitofrontal cortex and striatum
What is seen on neuroimaging of Panic disorder?
What is seen on neuorimaging of PTSD?
What is seen on neuroimaging of schizophrenia?
Enlarged cerebral ventricles
An HIV patient has bloody diarrhea with normal stool sample. What is going on?
Patient comes in with polyarthralgia, tenosynovitis, and painless vesiculopustule skin lesions. What is going on?
A woman has urinary frequency, constipation, and a large, irregular uterus. What is likely going on?
Fibroids...get an US to check
Who should bupropion NOT be given to?
Epileptic patients...lowers seizure threshold
Variant lymphocytes + smudge cells -->
CLL...check flow cytometry
Pregnant woman has an asymptomatic UTI...what do you do?
Treat w/ amoxicillin or amox-clav
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
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
A patient with PVCs is given lidocaine...what is the risk?
What is mutated with primary polycythemia vera?
JAK2 in the bone marrow
How is hairy cell leukemia treated?
How is NHL treated?
How is CLL treated?
Chlorambucil + prednisone
What are some common causes of Afib?
Hypertensive heart disease (most common)
What are some common complications of chronic HCV?
Essential mixed cryoglobulinemia
Porphyria cutanea tarda and lichen planus
Increased risk of diabetes
What antibodies can be seen with scleroderma?
Anti-Scl70 (diffuse systemic)
Anticentromere (limited systemic; CREST)
WPW causes Afib. How should it be treated?
IV ibutilide or procainemide
Infection with partially acid-fast, gram+, branching rods. What is it? Treatment?
Nocardia is treated with bactrim
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
Person gets shot and the entry wound is below the nipple line. What should be done next?
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
Person does some creepy things and has suicidality or self-mutalation and a feeling of emptiness. What does this person have?
Borderline personality disorder
What is decreased in all babies that can cause jaundice?
Uridine diphosphogluconurate glucouronosyltransferase activity
Decreased most in Asians
What is Boerhaave syndrome?
Stroke patient has unilateral motor impairment, but NO sensory or visual impairments. Where is the stroke?
Posterior limb of internal capsule (lacunar infarct)
How should MS be diagnosed?
MRI with gadolinium
When is home oxygen recommended for COPD patients?
PaO2 ≤ 55
SaO2 ≤ 88%
Hct ≥ 55%
Evidence of cor pulmonale
How is GBS treated?
How is SVT or PSVT treated?
adenosine or vagal maneuver