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Flashcards in Things I need to know better...day 3 Deck (35):
1

History of cervical spine issues + trauma --> bilateral arm weakness. What happened?

Central cord syndrome (decussating lateral spinothalamic tracts obstructed)

2

How is impetigo treated?

Topical antibiotic...like mupirocin

3

Patient has pain and swelling over coccyx. What is likely going on?

Pilonidal disease

4

What is seen on MRI with MS?

Multiple, bilateral, and asymmetric hyperintensive lesions in the periventricular white matter

5

What is enthesitis? What is associated with it?

Enthesitis is inflammation/tenderness of tendon/bone junctions

HLA-B27 arthropathies...like ankylosing spondylitis

6

Patient presentation makes you go "Tay-Sachs"...then it says hepatosplenomegaly. Now what do you think?

Niemann-Pick disease (sphingomyelinase deficiency)

7

What is chronic HBV treated with?

Tenofovir

8

A study loses a lot of its participants. What kind of bias is this?

Attrition bias...a form of selection bias

9

What drug that is used to treat benign essential tremors can cause colicky abdominal pain, confusion, headaches, hallucinations, and dizziness?

Primidone

10

Youngish patient has recurrent hematuria 4 days after a URI starts. What is going on?

IgA nephropathy

Post-infectious GN starts 10-21 days after infection...usually in kids

11

What causes Graft Versus Host Disease?

Donor T lymphocytes

12

Patient had right-sided weakness and is now comatose...exam finds a constricted, non-reactive right pupil and decreased right-sided reflexes. What is going on?

Left basal ganglia hemorrhage

13

What is seen on funduscopy of diabetic retinopathy?

Microaneurysms
Dot and blot hemorrhages
Hard exudates
Macular edema

14

Patient has history of rheumatic fever and has mitral stenosis. What should be done?

Penicillin G every 4 weeks

15

Young kid has conjunctivitis, oral mucosa (or mouth) changes, and cervical lymphadenopathy. What is going on?

Kawasaki...palm/sole desquamation is a late finding

16

What can be used to treat syphilis in penicillin allergic patients?

Doxycycline

17

What can aid in the passing of a kidney stone?

Fluids
Analgesics
Alpha-blocker (tamsulosin)

18

Person has step-wise dementia and cerebral symptoms. What is going on?

Vascular dementia

19

What can make it so potassium won't replenish despite supplementation?

Hypomagnesemia

20

A person is found after traveling and doesn't know who they are, where they are, or what they are doing. What is going on?

Dissociative fugue

21

Person has chronic fatty stools...later has bleeding issues. What is going on?

Vitamin K deficiency --> II, VII, IX, X, C, and S defciency

22

Malnutrition + angular cheilosis, stomatitis, glossitis, normocytic anemia, and seborrheic keratitis. What is deficient?

B2...riboflavin

23

How is dermatitis herpetiformis treated?

Dapsone

24

Patient has GBS based off of clinical presentation. What should be done next?

PFTs

25

What can maternal hyperglycemia in the first trimester cause?

Congenital heart defects
Neural tube defects
Small left colon syndrome
Spontaneous abortion

26

What can maternal hyperglycemia in the 2nd/3rd trimester cause?

Increased metabolic demand --> hypoxia
Organomegaly
Macrosomia
Neonatal hypoglycemia

27

A patient is going to be intubated. What should be checked BEFORE giving succinylcholine?

Potassium...hyperkalemia contraindicates succinylcholine use

28

How is sinus bradycardia treated?

Atropine

29

Postpartum woman has fever, uterine tenderness, foul-smelling lochia (vaginal discharge after birth), and leukocytosis. Labor was complicated by use of forceps. What is likely going on?

Endometritis...polymicrobial infection treated with clindamycin and gentamicin (aminoglycoside)

30

A croup patient is not doing well...so you think intubation might be in order. What should be tried first?

Racemic epinephrine

31

How often should UC patients have a colonoscopy?

Every year

32

Patient has recurrent dark urine with RUQ pain. Labs show increased bilirubin, decreased Hgb, and decreased haptoglbin. US shows hepatic vein thrombosis. What is going on?

Paroxysmal Nocturnal Hemoglobinuria

33

How is long-QT treated?

Beta-blocker and a pacemaker

34

What is diagnostic of neonatal polycythemia?

Hct > 65%

Causes respiratory distress

35

Severe dizziness + cannot walk + stabbing pain on right side of face + can't sit w/o restraints + constricted, nonreactive right pupil + horizontal and rotational nystagmus + diminished gag reflex + diminished pain and sensation to right face and left trunk/limbs. What is going on?

Wallenberg syndrome...lateral medulla infarct...diagnosed via MRI