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UW 8 Flashcards

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1
Q

Causes of acute viral arthritis

A 
Parvo B19
Hep B
Hep C
HIV
Rubella
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2
Q

Parvo B19 Adult presentation

A 
Polyarticular, symmetric arthritis
Peripheral joints - hands, wrists, knees, ankles
Fever
Fatigue
Diarrhea
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3
Q

Dx for Parvo B19

A

Anti-B19 IgM abs in serum

Within 10-15 days

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4
Q

Morning stiffness in RA

A

Lasts more than 1 hour

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5
Q

Risk factor for brain abscess

A

Cyanotic congenital heart disease - tet of fallot

Recurrent sinusitis

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6
Q

Presentation of medulloblastoma

A

HAs = morning/nocturnal

Cerebellar dysnfnc - Ataxia, incoordination

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7
Q

When do we do peritoneal lavage

A

To detect intraperitoneal bleeding in BAT when US for fast exam not available

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8
Q

OCPs are protective against what?

A

Endometrial cancer
Ovarian cancer
Reduction in benign breast disease

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9
Q

Risk factors with OCPs

A

Venous thromboembolism
HTN
Hepatic Adenoma
Stroke/MI (Rare)

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10
Q

Best initial test in preconception counseling w patient at risk for thalassemia

A

CBC

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11
Q

Best initial test in African for preconception counseling

A

Hemoglobin electrophoresis with CBC

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12
Q

Difference b/t Ehlers-Danlos and Marfans

A

ED: no tall stature, lens dislocation, pectus carinatum

Marfans: Fibrillin-1 mutation, tall, long thin extremities, joint hypermobility, aortic root dilation

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13
Q

Are gallstone radio-opaque or radiolucent?

A

Radiolucent - Cholesterol and mixed stones = majority

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14
Q

Confirmatory test for ALL

A

Bone Marrow BX

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15
Q

When do we do ERCP

A

Recurrent pancreatitis

draining pancreatic pseudocysts

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16
Q

PT presents with severe epigastric pain radiating to back. Next step?

A

Check amylase and lipase levels

THen CT

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17
Q

Where do we see spinothalamic tract lesions

A

Contralateral loss of pain and temp

Start 2 levels below the level of the lesion

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18
Q

Right sided lateral spinothalamic tract lesion at T10 presents with what deficit?

A

Left sided loss of pain and temp beg at T12

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19
Q

MGUS v MM

What is next best step in management in pt with monoclonal spike on protein electrophoresis

A

MGUS - no renal insufficiency, hypercalcemia, anemia, lytic bone lesions

Do metastatic skeletal bone survey

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20
Q

Pt suspected of MM - next step

A

Serum immunoelectrophoresis

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21
Q

When do we order bone scan in MM

Study These Flashcards
A

Never.
MM causes lytic lesions in bone - not seen on bone scan
- must do skeletal survery = xray for lytic lesions

22
Q

Presentation of fat embolus

Study These Flashcards
A 
Severe respiratory distress
Petechial rash
Subconjuctival hemorrhage
Tachycardia
Tachyypnea
Fever
23
Q

When does fat embolus occur

Study These Flashcards
A

12- 72 hours after injury

24
Q

Pt w cholelithiasis refuses cholecystectomy - TX?

Study These Flashcards
A

Ursodeoxycholic acid

25
Acute otitis media in children Tx?
Oral Amoxicillin 10 days
26
Tx for Vaginismus
Relaxation Kegel exercises Insertion of dilators, fingers for desensitization
27
Hormones in Turner syndrome
Ovarian dysgenesis -> LOW estrogen = unable to menstruate Poor ovarian function = HIGH FSH bc lack of negative feedback
28
TX for placenta previa with stable mother and fetus at term
Scheduled C section
29
Causes of Immediate (w/in hrs) post-op fever (>100.4)
``` Prior Infxn/trauma Inflammation during surgery Malignant Hyperthermia Meds Blood products given during surgery ```
30
Causes of acute post op fever | When and what
Within first week Nosocomial Infxn PE
31
Causes of subacute post of fever | When and what
More than 1 week Drug fever Surgical site infxn PE
32
What is SIBO
Small intestinal bacterial overgrowth
33
What are some causes of SIBO
Anatomic - strictures, surgery Motility disorders - DM, scleroderma Others - ESRD, AIDS, cirrhosis
34
What are si/sx's of SIBO
``` Abdominal pain Diarrhea Bloating Excess flatulence Malabsorption Wt loss Anemia Nutritional deficiency ```
35
How do we Dx SIBO
Endoscopy w jejunal aspirate | Hydrogen breath test w lactulose = rapid lactulose metabolism causes early peak in hydrogen
36
How does serum sickness present
``` Young children Post Tx of viral infxn w/abx Fever Urticaria Arthralgias ```
37
What drugs MC cause serum sickness
PCN Amoxicillin TMP-SMX Cefaclor
38
Young boy presents with URI. Treated w PCN and improves. 10 days later, fever, skin rash, fleeting joint pain in LE, urticaria, palpable LNs. MCC?
Serum Sickness
39
How does Rheumatic fever present?
``` Polyarthritis Carditits Erythema marginatum rash Subcutaneous nodules Chorea ```
40
Infective endocarditis
``` Fever Bacteremia Heart murmur Osler nodes - fingers and toes Janeaway lesions ```
41
Hereditary spherocytosis Presentation
Hemolytic anemia Jaundice Splenomegaly Autosomal Dominant
42
Labs of Hereditary spherocytosis
``` Increased MCHC Increased osmotic fragility Spherocytes on PS Negative Coombs Abnormal eosin-5-maleimide binding test ```
43
ABO Incompatibility (isoimmune hemolytic dz of NB) and AIHA Presentation
Decreased Hb Increased LDH Hyperbilirubinemia Positive Coombs
44
Coombs tes in Ab mediated hemolysis
Positive Coombs test
45
Polyarticular symmetric arthritis of acute onset and short duration + low grade fever
Viral arthritis
46
Viral Infxn that cause arthritis
``` Parvo Hepatitis HIV Mumps Rubella ```
47
What inflammatory markers may be elevated in viral arthritis?
Rheumatoid factor | ANA
48
Infant hypoxia that fails to improve w inhaled oxygenation
Congenital heart defect | - May need PGE2 to keep PDA patent
49
Congenital heart defects that depend on PDAs
``` Coarctation of aorta Transposition of Great arteries Hypoplastic left heart syndrome TAPVR Tricuspid Atresia ```
50
Presentation of Behcet's syndrome
Recurrent oral ulcers + 2 of: - Recurrent genital ulcers - Anterior/Posterior uveitis - Skin lesions like: Erythema nodosum, acneiform ondules, papulopustular lesions - Retinal vascularization - Positive pathergy test
51
How does Erythema nodosum present
Painful Nodular Areas of hyperpigmentation

Mixed (19 decks)

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