Wrong Flashcards
(216 cards)
1
Q
Cognitive decline with disinhibition
A
Frontotemporal dementia
2
Q
Pt with early satiety and pain with eating (dx)
A
Paraesophageal hernia
3
Q
A test that can look for hemoglobinopathy like thalassemia
A
Hemoglobin electrophoresis
4
Q
Most common longterm crohns complication
A
Bowel stricture
5
Q
Are anal skin tags more common in crohns or colitis?
A
Crohns
6
Q
Dx of patient with gradual onset pelvic and abdo pain and low grade fever
A
PID
7
Q
Dx of pt with tender arm, fever and increase ESR
A
Osteomyelitis
8
Q
A drug to stop bed wetting
A
Desmopressin
9
Q
How to calculate osmolar gap
A
Osmolality = (2xNa) + glucose + urea
Gap = given Osmolality - calculated
10
Q
Female athlete triad
A
Amenorrhea, disordered eating, low bone mass
11
Q
Testicular cancer spreads to what lymph nodes
A
Para-aortic
12
Q
New breast lump
A
Biopsy right away
13
Q
Bowed legs and diet deficiency
A
Ricketts
14
Q
Dx of pt with cytoplasmic antineutrophil antibodies, proteinuria, hematuria, CXR infiltrates bilat
A
Granulomatosis with polyangitis
15
Q
Varicocoele is associated with
A
Infertility
16
Q
Antibiotics that cause QT prolongation
A
Macrolides
17
Q
Nurse had pertussis exposure
A
Give postexposure prophylaxis Abx
18
Q
Signs of hyperaldosteronism
A
HTN and low K
19
Q
Most common cause of fever 48 hours post op
A
Atelectasis
20
Q
Where are bile acids reabsorbed
A
Terminal ileum
21
Q
Where are fats reabsorbed
A
Jejunum
22
Q
Tetanus exposure
A
Tetanus immune globulin and vaccine
23
Q
Jaundice and anemia post new drug exposure
A
Autoimmune hemolytic anemia
24
Q
Tremor treatment
A
Propanolol
25
Antipsychotic side effects
Impaired glucose tolerance and lipid disorders
26
Dx of pt with mild liver inflammation and malaise
Mono
27
Food poisoning within hours to 1 day of eating
Staph aureus
28
Signs of magnesium toxicity
Decreased patellar reflexes and resp depression
29
How to dx giant cell arteritis
Temporal artery biopsy
30
Looks like vitiligo but is scaly
Tinea versicolor
31
Worsens psychosis
Stimulants
32
Infant with jaundice and pale stool
Biliary atresia
33
Normal central venous pressure
8-12
34
Increased central venous pressure after surgery
Cardiogenic shock
35
Treatment for prostate ca
Antiandrogen therapy
Not chemo even with Mets
36
Neonate with no meconium in 72 hours and no vomiting
Congenital aganglionic megacolon (hirshsprungs)
37
Tx of polymyalgia rheumatica
Prednisone
38
Delusional disorder vs somatic symptom disorder
Delusional doesn’t affect day to day life and usually short term
39
Test for bladder, renal, prostate etc ca
Urine cytology
40
Associated with Tourette’s
OCD and adhd
41
Determining baby’s Rh status in utero
Cell free DNA /NIPT
42
Is valproate okay in pregnancy
No
43
Is carbamazepine okay in pregnancy
Yes
44
Dx of pt with pruritus, fatigue, mild hepatomegaly and increased ALP
Primary biliary cholangitis
45
Blood test for primary biliary cholangitis
Antimitochondrial antibodies
46
Generalized thickening and inflammation of colon with bloody diarrhea
Ischemic colitis
47
Rare side effect of molar pregnancy
Hyperthyroidism
48
Type of biopsy for BCC
Excisional. Not punch or shave
49
Appearance of klinefelter
Tall
50
How long after Zika country to conceive
3 months
51
Mechanism for quad tendon rupture
Going down stairs
52
Mechanism for meniscus tear
Trauma
53
Mechanism for ACL tear
Pivoting
54
Mechanism for PCL tear
Severe trauma. Rarely happens
55
Dx of pt with gait disturbance, urinary incontinence and cognitive impairment
Normal pressure hydrocephalus
56
Dx of pt with cog impairment, gait disturbance and psychiatric symptoms
Lewy body dementia
57
Pt is stiff 15 mins in the morning
OA
58
CT shows ?bronchogenic ca
Do broncoscopy next not Bx
59
Lithium side effects
Sedation, tremor, dry mouth, polyuria, hypothyroidism, increased WBC
60
Potential cause of recurrent SA
Lupus
61
Indication for urgent laparoscopy
Free air
62
Change in bowel habits
Colonoscopy
63
How soon before IUD works
1 week
64
Kids with tantrums
Ignore them
65
How many people can be at a delivery?
As many as mom wants
66
Gentamicin and kidney disease
Decrease the dose
67
Newborn with seizures - what tests to order
Blood Glucose and calcium
68
Gastric ulcer not improved with PPI
Go gastroscopy and bx
69
Tx for infectious diarrhea
Don’t give Abx until after stool sample
70
Choledoco/cholangitis tx
Admit and give IV Abx and order endoscopic sphincterotomy
71
Child depression tx
CBT before meds
72
Stridor after intubation
Laryngospasm
73
Rib # tx
Encourage normal ADLs
74
When you need to know the blood type write
Type and cross match
75
Info needed for colon ca screening
FH of polyps and adenomatous polyposis and cancer, and personal hx of colitis
76
Bradycardia and hypotension tx
External pacer pads
77
Dystonia tx
Benztropine IM or diphenhydramine IM
78
Preventing dystonia in future
Anticholinergics
79
Tb meds - oral or IV
Oral
80
Upper arm weakness dx
Spinal cord injury
81
Tests for ?esophageal cancer
OGD and barium swallow
82
Rotator cuff tendinopathy dx and tx
No investigations needed
Tx is nsaids and physio
83
Tests needed with cocaine use
EKG
84
Is warfarin okay in pregnancy
No
85
Is low molecular weight heparin okay in pregnancy
Yes
86
Pt with meningococcal meningitis
Treat family with rifampin
87
Acute onset vertigo, nausea and hearing loss in one ear
Internal auditory artery infarction
88
Why is relative risk confusing to pts
They don’t know baseline risk
89
Blood exposure but the person with blood source refuses to give blood test results
Manage as if she was exposed
90
Dx of pt with fatigue, weight loss, N and V, hypotension and electrolyte disturbance
Adrenal insufficiency
91
Test to confirm adrenal insufficiency
ACTH stimulation test
92
When to do bone densitometry
Age 65+
93
Biggest risk of suicide in transgender pt
Lack of family support
94
Consent laws
12-13 2 year’s difference
14-17 5 year’s difference
95
Pt with chronic progressive edema
It can’t be a blood clot if it’s chronic
Just needs physio
96
Dx of pt with slow growth, low IQ, small hands and feet, hypogonadism, obesity
Prader-Willi
97
Pt doesn’t want you to disclose their HIV status to surgeon
Don’t disclose
98
Pt has peptic ulcer
Gastroscopy and biopsy
99
Pt with recurrent UTI
Postcoital Abx
100
Incidental finding of enlarged uterus and fibroids. No bleeding
Just reassure - likely leiomyomas
101
Child has a suspicious fracture
Do full body x-ray
102
This murmur is always pathological
Wide split S2
103
Signs it’s growing pains
The pain wakes you from your sleep
104
Pt has low K not improving with supplementation
Check for hypomagnesium
105
Hallucinations not often associated with schizophrenia
Olfactory (smell)
106
Pt has incidental finding of large prostate on imaging
Do DRE
107
An antidepressant associated with SIADH
Citalopram
108
What is primary dysmenorrhea
Regular period cramps
109
Besides GI issues, what else can Crohns have
Joint pain
110
Patient has high calcium, low Hgb, kidney failure and bone pain
Multiple myeloma
111
Before pregnancy screening
Do protest counselling
112
Does O2 CO2 or HCO3 cause decreased LOC
Increased CO2
113
Pt has mass in arm sus for cancer
Do X-ray to check for bone involvement
114
This disease is associated with contractures
Diabetes
115
Pt has FHx of 3rd trimester loss
Do CBC and Hgb electrophoresis of the couple
116
Firstline rec for bipolar
Olanzapine
117
This drug is known to decrease sodium
Carbamazepine
118
When locuming and using a medical record
Have your own account and password
119
Pt had a measles exposure
Give them the measles vaccine
120
At what age is reversing letters when writing normal
Until 7
121
PCOS - what test would be off
Abnormal glucose tolerance test
122
Pt has adrenal incidentiloma and HTN
Do plasma aldosterone to renin ratio
123
Pt is wondering about lead exposure
Do blood lead level
124
Absolute risk reduction of 5% treatment and 3% placebo
2%
125
Pt has hot flashes and cervical cancer
Combined hormonal is fine. Cervical cancer not related to estrogen
126
Pt has cancer and needs an antithrombotic following surgery
SQ unfractionated heparin
127
Pt has suspected cause of infertility and has been trying to conceive for 6 months
Refer for infertility assessment even though it’s under a year
128
Gout tophi
Nodular urate crystal deposits on pinnae, hands etc
129
Pt has PMDD
Stress reduction
130
What does eschorotomy mean?
Pt has severe burns of their chest and they go into resp distress so cut open the burn
131
CF and lung function
Lung function is worse in pts who don’t exercise
132
Child with midline thyroid lump
Likely thyroglossal duct cyst. Excise
133
What age to stop colonoscopy
75
134
Tx for hyperprolactinemia
Dopamine agonist
135
Pt has vertigo, tinnitus, unilateral hearing loss
Menieres
136
Pt is on lithium and can’t eat or drink post op
Dc lithium
137
Postmenopausal pt with solid pelvic mass, bloating, urgency, pelvic pain and vaginal discharge
Epithelial ovarian cancer
138
Pt has SBO - physical exam
DRE and palpate inguinal area
139
Prevention in COPD
Annual flu and pneumococcal vaccine
140
What disease is known to worsen asthma
GERD
141
A patient has new ADHD symptoms in their 20s
Provide ADHD screening regardless of having issues in childhood
142
Child with back pain and pain in areas where muscles, tendons, ligaments attach to bone
Juvenile ankylosing spondylitis
143
E. Coli source
Contaminated well
144
Flu vaccine in children
Do dose number 2 28 days after first
145
Imaging for enlarged prostate
CT pelvis
146
Low amniotic fluid and IUGR at 38 weeks
Induce labour
147
condition that occurs when monochorionic twins share unequal portions of the placenta
Selective intrauterine growth restriction
148
Pt has been on Ativan for 30 years and is saying she is having worsening sleep and wants a higher dose
Decline to increase
149
Making up words
Neologisms
150
the production or creation of false or erroneous memories without the intent to deceive
Confabulation
151
a mode of speech characterized by association of words based upon sound rather than concepts. For example, this may include compulsive rhyming or alliteration without apparent logical connection between words.
Clanging
152
a condition in which the heart becomes thickened without an obvious cause.
Hypertrophic cardiomyopathy
153
High percentage of hemoglobin S
Sickle cell disease
154
Treatment of sickle cell disease
Hydroxyurea
155
Hard palate mass - long-standing
Benign bony growth
156
Is Tdap safe in pregnancy
Yes
157
Is MMR vaccine safe in pregnancy?
No
158
Is chicken pox vaccine safe in pregnancy
No
159
Child with familiar hypercholesterolemia
Will likely have xanthelasma
160
Pt comes in with wrist laceration bandaged up
Before removing bandage, assess hand function
161
Sore throat with severe pain worse when swallowing, uvula swollen and displaced, tonsil swollen and displaced
Peritonsillar abscess
162
Peritonsillar abscess tx
Refer to surgeon for drainage
163
a neurological condition experienced by individuals with epilepsy, in which a seizure is followed by a brief period of temporary paralysis
Todd paralysis
164
Projectile vomiting in infant after eating diagnostic test
Abdominal ultrasound
165
Test for amenorrhea - not pregnant
Serum FSH
166
Recurrent swelling of face and lips and resp distress
C1 esterase inhibitor
167
You are concerned that a physician has lost their clinical skills
Meet with the physician and recommend an audit of their practice
168
Risk factor for OA
Obesity
169
Name for Spanking a child, etc.
Corporal punishment
170
Capillary refill of 4 seconds
Admit to hospital
171
Mass in RUQ and microhematuria of young child
Nephroblastoma (Wilms tumour)
172
Presence of schistocytes
Traumatic hemolytic anemia
173
Age of delivery for gestational diabetes
39 weeks
174
4 year old with ADHD symptoms
Recommend a structured routine
175
Displaced supracondylar fracture of humerus with pale pulse less hand
Traction and splinting of arm first
176
Sleep apnea can cause/worsen
HTN
177
a response to chronic hypoxemia, which triggers increased production of erythropoietin by the kidneys
Polycythemia secondary to hypoxemia
178
Pt with cervical cancer who had radiation and is now having constant vaginal discharge
Vesicovaginal fistula
179
Vesicovaginal fistula
an abnormal opening between the bladder and the vagina that results in continuous and unremitting urinary incontinence
180
Pt with longstanding diarrhea and lethargy
Micronutrient deficiency - likely malabsorption
181
10 year old with 1 week of light vaginal bleeding but no breast
Foreign body
182
Pharmaceutical company wants you to do a presentation and will pay all your expenses
Accept but disclose the compensation
183
Post MI. Patient fully conscious and alert but HR 50
Monitored observation
184
3 episodes of asthma attacks in 1 year for 2 year old
Prescribe daily inhaled steroids (indefinitely)
185
Pseudomonas aeruginosa is associated with
Cystic fibrosis
186
5 month old with accessory muscle use, crackles and wheezing tx
Nasal suctioning
187
Postmenopausal bleeding but you aren’t able to do endometrial biopsy
Transvaginal US
188
Unilateral pleuritic chest pain and hemoptysis
PE
189
Can fibromyalgia be treated with opioids
Nope
190
Pt keeps missing appts
Ask them why
191
Joint pain, dactylitis, nail pitting with no rash
Psoriatic arthritis
192
Stress incontinence
Pelvic floor exercises before pessary
193
Besides smoking, this can increase lung ca in northern communities
Radon gas
194
Closed fracture following MVA, ;4 hours later hypotension
Blood loss
195
Heavy periods tx when OCP is contraindicated
NSAIDs
196
Molar pregnancy tx
Dilatation, suction and curettage
197
Young man with recent pneumonia and moderately sized pleural effusion
Do diagnostic thoracentesis
198
Arthritis blood test
CRP better than Rheumatoid factor?
199
Best anti hypertensive in pregnancy
Nifedipine
200
An antipsychotic that makes antidepressants more effective
Aripiprazole
201
Best way to reduce sugar intake of kids
Take away soft drinks in places where kids learn, play, etc
202
A 3 year old can’t get to sleep
Recommend bedtime stories
203
Forgetfulness, weakness, falls, peripheral neuropathy
Pernicious anemia
204
Excessive menstrual bleeding and shortening of days between periods
Do CBC
205
Teenager with parents getting divorced
Recommend a mediator looking at the best interest of the teen and parents
206
Teen boy with gynecomastia
Idiopathic - reassure
207
Who should explain an injury to a patient? The person who caused the injury or the person who noticed
The one who caused it
208
Going from angry to sad affect
Labile
209
an official who is usually appointed by the government or by parliament to investigate complaints and attempt to resolve them, usually through recommendations or mediation.
Ombudsperson
210
This drug can cause bruising
Valproate
211
Pt in MVA with many fractures. Before putting in a catheter do this
DRE
212
45 year old with irregular heavy bleeding and endometrial biopsy showing benign hyperplasia
IUD
213
This antipsychotic can cause myocarditis
Clozapine
214
Antipsychotic that can cause stiffness and falls
Risperidone
215
Child with high glucose, high lipids and high BMI
Do urine albumin to creatinine ratio
216
Pregnant woman exposed to parvovirus
Order serum parvovirus immunoglobulin G and M
