week of 5/25

Question 1

Disseminated gonococcal infection triad

Answer 1

tenosynovitits
dermatitis
migratory polyarthralgia

Question 2

WBC count in tap from gonococcal infection

Answer 2

like 30,000 less than 50,000 like most bacteria

Question 3

what does nieman pcik have that tay-sachs doesn’t

Answer 3

hepatoslenomegaly

areflexia, tay sachs has hyperreflexia

Question 4

deficiency niemann pick

Answer 4

sphingomyelinase

Question 5

taysach’s deficiency

Answer 5

B-hexosaminidase

Question 6

alkalosis effect on calcium

Answer 6

increases the amount bound to albumin. H+ dissassociate from albumin so it binds to Calcium

Question 7

where is pain in pes anserinus syndrome

Answer 7

medial at joint line

Question 8

where is pain in patellofemoral syndrome

Answer 8

anterior at joint line

Question 9

prophylaxis for tumor lysis syndrome

Answer 9

IV fluids most important

-allopurinol, rasburicase

Question 10

what hormones do opioids suppress

Answer 10

GnRH and LH

Question 11

HTN and hypokalemia first test

Answer 11

plasma renin activity and plasma aldosterone concentration

Question 12

type of white blood cell elevated in primary adrenal insufficiency

Answer 12

Eiosinphils

Question 13

nerve thing dialysis and cause

Answer 13

carpal tunnel

-dialysis related amyloidosis, increased venous pressure during dialysis worsens symptoms

Question 14

Most common risk factors for developing bacterial sinusitis

Answer 14

cold or allergies before

Question 15

major risks Kawasaki disease

Answer 15

coronary aneurysm and thrombosis

Question 16

what causes warfarin induced skin necrosis

Answer 16

protein c and s deficiency from the loading dose = clot

Question 17

ace/arb Moa

Answer 17

Reduces glomerular hydrostatic pressure

Question 18

tx for drug induced interstitial nephritis

Answer 18

stop med

Question 19

how does hyperventilation lower ICP

Answer 19

vasoconstriction

Question 20

perilymphatic fistula symptoms

Answer 20

endolymph leakage
progressive sensorineural hearing loss
episodes of vertigo with nystagmus worse with valsalva

Question 21

Fredrich ataxia clinical presentation and inheritence

Answer 21

AR
cerebellar ataxia
dysarthria
loss of vibration and position sense
absent dtr
hypertrophic cardiomyopathy
scoliosis
diabetes

Question 22

blepharitis presentation

Answer 22

burning or itching of lids, discharge, and foreign body sensation

Question 23

calcific uremic arteriopathy clinical manifestations. and cause

Answer 23

painful nodules and ulcers
soft tissue calcification on imaging
arterial calcification
caused by hyperphosphatemia

Question 24

calcific uremic arteriopathy

risk factors

Answer 24

End stage renal disease
hypercalcemia
hyperphosphatemia
hyperparathyroid
obesity
diabetes
oral anticoagulation

Question 25

d xylose absorption celiac

Answer 25

low

Question 26

what is dacrocystitis

Answer 26

infection of lacrimal sac

Question 27

what causes problems in tamponade

Answer 27

decreased lv preload

Question 28

what abx to avoid in patients with aortic aneureysm stuff

Answer 28

fluroquinolones- collagen stuff

Question 29

TRALI tx

Answer 29

respiratory support and supportive care

Question 30

membranous nephropathy risk factor

Answer 30

hep b

Question 31

thiazide effect K+ Ca2+ glucose

Answer 31

K+ ⬇️ Ca2+ ⬆️ glucose ⬆️

Question 32

hypothyroid prolactin levels and fsh lh levels

Answer 32

prolactin ⬆️ | fsh/lh ⬇️

Question 33

clinical features of sellar mass | pituitary adenoma, craniopharygioma, meningioma, pitiivytoma

Answer 33

Diplopia/bilateral hemianopsia HA Hormonal deficiencies

Question 34

when to use tranexamic acid

Answer 34

uterine atony

Question 35

Risk factors for NRDS

Answer 35

Diabetes and prematurity

Question 36

vaccines for prego

Answer 36

flu | Tdap

Question 37

vaccines contra indicated in pregnancy

Answer 37

MMRV Live flu HPV

Question 38

tx for labial afhesion

Answer 38

topical estrogen

Question 39

risk factors for cervical insufficiency

Answer 39

collagen defects uterine abnormalities cervical conization obstetric injury

Question 40

what hormones increase insulin resistance in third trimester of pregnancy

Answer 40

- Human Placental lactogen | - placenta makes somatomammotropin

Question 41

Billiary Atresia Direct bili GGT retic count

Answer 41

Direct bili ⬆️ GGT⬆️ retic count normal

Question 42

painless blurred vision, glare, halos

Answer 42

catarcts

Question 43

abx for uti in baby

Answer 43

3rd gen ceph like cefixime

Question 44

ALL- RBC Platelets Leukos

Answer 44

RBC ⬇️ Platelets⬇️ Leukos ⬆️ mostly blasts

Question 45

Emperic tx for epiglottis

Answer 45

Vanc and ceftriaxone

Question 46

Tuberous Sclerosis cancers

Answer 46

Subepyndymal tumor cardiac rhabdomyomas angiomyolipomas (renal)

Question 47

pertussis post exposure prophylaxis guidlines

Answer 47

macrolides for everyone.

Question 48

hydralazine is strongly associated with what side effect

Answer 48

drug induced lupus

Question 49

ferritin in alcoholic hepatitis

Answer 49

⬆️

Question 50

prolactin effects on estrogen

Answer 50

⬇️

Question 51

McCune-ALbright clincal stuff

Answer 51

Irregular Cafe au lait spots precocious puberty axillary and pubic hair fibrous dysplasia of bone

Question 52

Kartagner syndrom clinical features

Answer 52

recurrent sinopulmonary infections bronchiectasis situs inversus

Question 53

homecystenuria picture

Answer 53

``` AR retarded thrombosis downward lens dislocation megaloblastiv anemia fair complexion marfanoid habitus ```

Question 54

risk factors for PPROM

Answer 54

Prior PPROM GU infections, even asymptotic antepartum bleeding

Question 55

Acute fattly liver of prego tx

Answer 55

deliver that baby right now

Question 56

patellofemoral pain syndrome clincial findings

Answer 56

pain with isometric contraction of the quadriceps

Question 57

rbs wbc platlets in APL

Answer 57

all down

Question 58

what are APL patients at risk for

Answer 58

catastrophic hemorrhage due to consumptive coagulopathy

Question 59

numbness or pain over 3rd and 4th toes, | clicking sensation when palpating space between 3rd and 4th toe while squeezing metatarsal joints

Answer 59

morton neuroma

Question 60

mixed connective tissue disease marker

Answer 60

anti-U1 ribonucleoprotein

Question 61

biphasic stridor better with neck extension

Answer 61

vascular ring