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Flashcards in U world only Deck (235):
1

Malaria Prophylaxis

atovaquone proguanil
doxycycline
mefloquine

2

malaria prophylaxis in pregnacy

mefloquine

3

Methanol - symptoms besides metabolic acidosis

vision loss
optic disc hyperemia

4

CML translocation

9,22
bcr-ab1

5

CML decreased.... (what) activate

lap

6

meds causing hearing loss

furosemide, aspirin, aminoglycoside

7

ARDS - mechanism

decreased lung compliance

8

molluscum contagiousum

flesh colored dome shaped papules
pox virus

9

chronic corticosteroid use + bone pain mechanism

osteonecrosis/avascular necrosis of bone

10

HIV esophagitis without thrush

CMV

11

elastic pressure inversely prop to

compliance

12

echinococus granulosus

liver cysts
sheep, dogs

13

Ca oxalate crystals

ethylene glycol ingestions
treat with fomepizole

14

fomepizole

treatment for ethylene glycol intox

15

hard submandiubular or cervical lymph nodes ddx

head/neck cancer

16

vaccination for asplenic pts - timing

2 weeks before or 2 weeks after

17

asplenic pts vaccines

PCV 13,23 (repeat 23 5 years later and when 65)
h flu
meningococcal every 5

18

RAAS activity

increasing angiotensin II levels
vasoconstriction of efferent > afferent glomerulr arterioles causing decrease RBF
increased NA reabsorption in collection tubule so decreased delivery to distal tubule

19

plasma free metanephrines

pheochromocytome

20

nitrate reduce

preload, LVEDV

21

adrenal insuff - infectious causes

HIV, TB

22

primary adrenal insuff

low cortisol, increased acth

23

secondary adrenal insuff

low cortisol, low acth

24

GGT in alcoholic hepatitis

increased

25

choricoarcinoma can spread to

lungs

26

ventilation =

TV x RR

27

myopathy with increased CK, normal ESR ddx

hypothyroidism

28

pounding heart sensation when laying on L sie

AR
LV brought closer to chest wall

29

hashimoto - increased risk of

thyroid lymphoma

30

ehrlichiosis

tick borne acute febrile illness with AMS

31

ehrlichiosis treatment

doxy

32

spinal stenosis worse with

extension

33

macular degeneration

issues with fine visual accuity
straight lines appear wavy on grid test
drusen deposits in macule

34

IE in someone with recent UTI

enteroccoccus

35

hemolysis and haptoglobin

free hgb binds haptoglobin
excess free hgb due to hemolysis it will bind haptoglobin and decrease it

36

complication of nephrotic syndrome

renal vein thrombosis

37

renal vein thrombosis symptoms

flank, abd pain, hematuria

38

renal vein thrombosis mechanism

loss of antithrombin III in urine

39

osteomyelitis from nail puncture - organism

pseudomonas

40

osteomalacia labs

decrease ca, ph (vit d low)
increased PTH, alk phos

41

drug induced esophagitis causes

tetracycline, aspirin/nsaids, KCL, alderonate

42

dequerviran tenosynitis

common in new mothers
pain on lateral side of wrist

43

chest tube placement in parapneumonic effusion

low ph, less than 7.2
glucose less than 60

44

ischemic colitis - most common location

splenic flexure
watershed area

45

ischemic colitis - labs

leukocytosis

46

nitrites in urine caused y

enterobacteriacea

47

macrocytic anemia in sickle cell dz

folic acid def

48

lung adenocarcinoma

non smokers
peripheral
solitary nodule

49

dark brown discoloration of colon with lymph follicles showing through

laxative abuse

50

flail chest

crush injury, more than 3 rib fractures
unstable chest wall segment, paradoixcal motion with breathing

51

earliest renal sign associated with DM

glomerular hyperfiltration

52

acyclovir AE

crystal stone renal failure

53

polyp most likely to be malignant

villous adenoma

54

bacillary angiomatosis

angioma like growths on both skin and viscera
prone to hemorrhage

55

angiodysplasia symptoms

anemia
painless rectal/gi bleeding
AS murmur: systolic at RSB

56

Graves disease - what treatment can initially worsen eye symptoms

radioactive iodine
destroyed thyroid cells release excess thyroid hormone which exacerbates eye symptoms

57

UC colonosocpy screening

1-2yr

58

multinucleated cells on tzanck smear

herpes

59

nonpurulent vesicles on fingers

herpetic whitlow

60

Paget's Disease of breast

- eczematous lesions on breast
- path: large cells with halo
- usually adenocarcinoma

61

mechanism of expthalamos

stimulation of orbital fibroblasts by anti-TSH receptor autoantibotides
orbital tissue expansion

62

scabies treatment

permethrin cream

63

osler weber rendu

teleangiectasis
epistaxis
AVMs

64

patellofemoral syndrome

young women
pain with squatting
patellofemoral compression test

65

patellar tendonitis

athletes, episodic
pain and tenderness at inferior patella

66

osgood schlatter disease

adolescent/growth spurt
episodic
tender and tibial tubercle

67

low thyroglubin =

exogenous thyroid homrone

68

prinzmetal angia risk factor

smoking

69

prinzmetal angina treatmetn

ccb or nitrate

70

what drug prevents ventricular remodeling

acei

71

chalazion

nodular rubbery lesion
if it keeps returning, change of sebacious carcinoma
do histopath exam to rule out malignancy

72

dacrocystitis

infection of lacrimal gland
s aureus or streptococc al

73

solitary brain metastasis -- treatment

resection

74

chronic scar that turns into non healing ulcer, think

SCC

75

periarticular ostepenia

RA

76

central retinal artery occlusion symptoms

painless loss of vision 2/2 embolus

77

central retinal artery occlusion treatment

occular massage and high flow o2

78

neuro symptoms in copd resp failure due to

co2 retention

79

exertional heat stroke

hot weather
temp greater than 104
collapse
ams/ards/dic

80

exertional heat stroke risk increased with

anticholinergics, antihistamines

81

water bottle shaped heart with clear lungs

pericardial effusion

82

non palpable maximal impuse

pericardial effusion

83

polycytehmia vera low levels of

epo

84

drug that increases chance of hypothermia

haloperidal, fluphenazol

85

beta cell tumor labs

increased c peptide levels
proinsulin greater than 5

86

hidradenitis supprativa

also called acne inversa
axillary/inguinal regions
painful tender mass

87

caustic poisoning

salviation, mouth burns, severe pain

88

refractory hypokalemia possible treatment/cause

hypomagnesium

89

symptoms of MI + pulm edema

give furosemide

90

urine ph >7

proteus

91

exudative pleural effusion causes

infection: TB, PNA
malignancy
CTD
PE

92

gum hypertrophy

cyclosporine

93

hodgkin's lymphoma treated with chemo and radiation 20 years ago

chance of solid tumor malignancy

94

hyposthenuria

nocturia/impairement of kidneys ability to concentrate urine
associated with SSD/SST

95

ankylosing spondylosis + SOA

restrictive lung dz due to decreased chest wall mobility

96

screening test for viriliaizng neoplasma

tesosterone and DHEAS

97

DHEAS made by

adrenals only

98

ovarian neoplasm - labs

increased tesosterone
normal dheas

99

adrenal neoplasm (virilism) - labs

normal testosterone
elevated DHEAS

100

foodborne illnes with vomiting

s aureus, bacillus cereus, norovisu

101

necrotizing pneumonia with pneumatocele think

s aureus

102

hep b screening based on

unprotected sex/needle use

103

hep c screening based on

blood transfusions before 1992

104

acute angle glaucoma symptoms

ha/nausea/eye pain
mid-dilated pupil

105

acute angle glaucoma can be triggered by

decongestants

106

diagnosis of acute angle glaucoma

tonometry to measure IOP
goinoscopy gold standard

107

electrical alterans

varifying amplitudes of QRS

108

trastuzumab toxicity

cardiotoxicity

109

liver mets

GI, lung, breast

110

retrophyargneal space is danger space because

drains into mediastinum

111

inconclusive fast exam

unstable, diagnostic peritoneal lavage
stable, CT

112

constrictive pericarditis etiology

viruses
cardiac surgery
chest radiation
tb

113

stroke management in sickle cell pt

exchange transfusion

114

syphilis treatment

penicillin g
doxy if allergeric

115

indicator of severe asthma attck

normal pco2
hypervenitiatlion would cause decreased pco2
so normal pco2 indicates airway obstruction or resp muscle fatigue

116

toxic adenoma scan

diffuse uptake only in nodule/adenoma

117

ckd anemia

due to epo def, normocytic
when you supplement epo, surge of rbc production can cause iron def

118

emphysematus cholecysitis

secondary infection of gallbladder with gas forming bacteria
occurs in diabetic males

119

trichinellosis - risk factors

undercooked meat, mexico

120

trichinellosis symptoms

intestinal stage followed my muscle stage

121

muscle stage of trichinellosis

splinter hemorrhages
myositis
perioorbital edema
eosinophilia

122

corneal vesicles and dendritic ulcers

herpes simplex keratitis

123

cherry vs strawberry angioma

adults - cherry
strawberry - children

124

HA, nausea, dizziness

carbon monoxide poisoning

125

colloid =

albumin

126

terminal hematuria, think

prostate or bladder cause

127

whipple's dz

diarrhea
joint pain
lad

128

behcets

oral ulcers +
genital ulcers, eye lesions/uveitis, nodules/erythem nodosum

129

avascular necrosis diagnosed with

MRI

130

temporal arteritis associated with

aortic aneurysm
serial CXRs

131

charcot joint

deformed
associated with nerve damage/neuropathy

132

hydroxychloroquine ae

retinopathy
eye exams q6mo

133

SLE pt presenting with renal damage, next step

kidney biopsy

134

reactive arthritis treatment

NSAIDS

135

carcinoid syndrome associated with what deficiency

niacin

136

leukoplakia

smokeless tobacco
can progress to squamous cell carcinoma

137

AFib: most common location of ectopic foci

pulmonary veins

138

Presbycusis

sensorineural hearing loss
trouble hearing in crowded places

139

infective endocarditis and conduction abnormality, think

perivalvular abscess

140

hemochromatosis - cardiac consequences

restrictive or dilated cardiomyopathy
conduction abnormalities

141

NSAID induced bronchospasm, what other finding

nasal polpys

142

Complications of Pancreatitis

ileus, pleural effusion

143

SIBO

small intestine bacterial overgrwoth
diarrhea/bloating

144

SIBO can be associated with

scleroderma, surgeries

145

appendicitis pain

visceral - periumbicial
somatic - right lower abdomen

146

zenker's diverticulum test

contrast esophagram

147

tropical sprue

chronic diarrhea
can be associated with nutrient deficiences

148

tropical sprue biopsy

blunting of villi

149

antimitochondrial Ab

PBC

150

anti smooth muscle AB

autoimmune hepatitis

151

PBC treatment

UDA

152

HIV linear vs round ulcers

linear - CMV
round - HSV

153

Gram positive aerobic branching bacteria

Acintomyces
Pencillin

154

Acid fast, aerobic branching bacteria

Nocardia
TMP-SMX

155

PCPtreatment

TMP-SMX
+ steroids if severe

156

necroitizing surgical site

cloudy gray d/c
paresthesia/anathesia around wound edge
hypotension/fever/tachy

157

Postop cholestasis occurs after

prolonged surgery with hypotension
massive blood less
excessive blood replacement

158

necrotizing fascitis

pain out of proprortional to physical exam
history of trauma

159

hypopigmented plaque + muscle atrophy

leprosy

160

post-BMT pneumonitis + colitis

CMV

161

caustic ingestion is ingestion of

NaOH (lye)

162

caustic ingestion management

endoscopy

163

beta blocker overdose antidote

glucagon

164

ACL injury

popping sensation
hemarthrosis

165

CI for succinylcholine use

hyperkalemia
release of K can cause arrythmias

166

cyanide toxicity antidoe

sodium thiosulfate
hydroxocobalmin

167

colon cancer screening if first degree relative

age 40 or 10 years before their onset

168

PPSV23 vs PCV 13 immunology

23- t cell indep B cell rxn
13 - t cell dep B cell rxn (dep because its for kids)

169

low urine CL metabolic aklalosis

vomiting
diuretic use

170

high urine cl metabolic alkalosis

excess MC
RTA

171

acute hemolytic rxn within

1 hr

172

acute hemolytic rxn mechanism

ABO incompatibility

173

delayed hemolytic rxn within

2-10 d

174

delayed hemolytic rxn mechansims

anamestic antibody response

175

Warm AIHA

anti-IgG

176

Cold AIHA

anti-IGM
mycoplasma

177

Lynch syndrome

HNPCC
colon + endometrial cancer

178

hypercalcimea due to malignancy treatment

bisphosphonates

179

spinal cord compression management

MRI
IV glucocorticoids
consult

180

Solitary Brain Mets

Breast, Colon, RCC

181

Multiple Brain Mets

Lung, Malignant Metastasis

182

Febrile Nonhemolytic transfusion rxn

within 1-6 hrs

183

leukoreduced cells for

febrile nonhemolytic

184

irridated rbcs for

bmt pts

185

washed RBCs for

Iga def
allergic rbc rxn
AIHA

186

tumor lysis syndrome

increased K, Phos, UA
decreased CA due to phos binding

187

paroxysmal noctural hemoglobinuria symptoms

hemolysis + thrombosis

188

contraindications to radioactiv eiodine

pregnancy
severe ophthalmopathy

189

risk of untreated hyperthyroidism

bone loss
cardiac arrhthmias

190

sildenafil + alpha blocker

give 4 hrs apart

191

leydig cell tumor

most common
makes testosterone, sometimes estrogen

192

choriocarcinoma hormones

increase BHCG

193

seminomas hormones

usually none
sometimes B-hcg

194

secondary hyperaldosteronism

RAS
Cushings
renin secreting tumors

195

most common cause of death in acromegaly

CVD

196

diabetics age 40-75

always on statin!

197

PTHrp

decrease PTH
decrease 1,25 vit d

198

if you give B Blocker during Pheo crisis

unopposed stimulation of vascular alpha receptors
increased BP

199

SFU side effects

wt gain, hypoglycemia

200

TZD side effects

wt gain, edema, chf

201

DPP-IV inhibitor

sitagliptin
wt neutral

202

GLP-1 receptor agonist

exenatide
wt loss

203

dermatofibroma

nontender, hyperpigmented, less than 1 cm
dimpling in center

204

senile purpura due to

perivascular CT atrophy

205

PBC cutaneous manifestations

xanthesmas and xanthelasmas

206

lesion on lip, high ddx for

SCC

207

doxycycline AE

photosensitivity

208

frost bite treatment

rapid rewarming with warm h20

209

melanoma type of biopsy

excisional

210

ichthyosis vulgaris

dry and rough skin

211

curtain came down over eyes

retinal detachment

212

hordeloum or style

staphylococcal
treat with warm compresses

213

vitreous hemorrhage

sudden loss of vision and floaters
common in diabetics
hard to visualize fundus

214

sympatheti cphtthalmia

spared eye injury
due to hidden antigens

215

cataract symptoms

blurred vision and glare

216

acute glaucoma, avoid

atropine

217

BPH diagnosis

ultrasound

218

death in dialysis pts

CVD

219

urethritis with no organisms on gram stain

chlyamdiae

220

struvite stones

proteus

221

most common cause of kidney stones

calcium oxalate

222

calcium phosphate kidney stones

primer hyper PTH
RTA

223

cystinuria

impaired aa transport
hexagonal crystals
urinary cyanide nitroprusside test

224

EPO side effects

worsenign HTN, HA, flu like syndrome, red cell aplasia

225

WBC casts

TIN

226

analgestic nephropathy

TIN or papillary necrosis

227

minimal change disease associated with

NSAIDS
lymphoma (hodgkins)

228

acute kidney transplant rejection, treat with

IV steroids

229

recurrent pneumonia in one location

think anatomic obstruction
order CT

230

sleep apnea acid base

decreased chloride due to bicarb retention

231

bronchoalveolar lavage best diagnoses

malignancy
oppurtunistic infections

232

theophylline AE

arrythmias
cns - ha/seizures/insmonia
N/V

233

decreased DLCO

emphysema
restrictive/fibrotic lung diseases

234

normal DLCO

chronic bronchitis

235

increased DLCO

asthma