11/7 practice Flashcards
What is the urological Papaverine test?
Vasoactive test of the penile vasculature to test the ability to gain an erection
What is the most common acquired valvular disorder in the elderly? sound description?
Aortic stenosis, Systolic ejection crescendo murmur heard in the second intercostal radiating to the neck and apex
What is the mechanism behind anemia of chronic disease?
block of iron transportation by hepcidin
What is the treatment of choice for a prolactinoma? mechanism of action?
Cabergoline (dopamine agonist)
Pt with elevated blood glucose and high BUN, treatment?
Hydration
What antihypertensive is first line in a chronic hypertensive african american with LVH?
Diuretics - more potent in AAs and more effective in reducing LVH over time
Pt unable to return foreskin to usual position with erythema and pain. Diagnosis?
Paraphymosis (phymosis is when it cannot be retracted)
What is the most common cause of restrictive cardiomyopathy?
Amyloidosis
Pt has a scrotal mass which is not painful and decreases when pt lies supine. Diagnosis?
Vericocele
What cardiac side effect of NSAIDs should be considered?
elevation of sbp by 5mmhg
When is vaginal b-strep culture performed on pregnant patients?
Mid third trimester
What condition is frequently associated with Aflutter?
COPD
Primary influenza pneumonia is likely in what population?
Chronic vasulopaths, cardiovascular disease
What is the escalation of treatment for carpal tunnel?
NSAIDs - > splinting -> surgery
What is a Myerson sign? Associated with what condition?
tapping the nose bridge once induces sustained eye blinking, seen in Parkinson’s disease
Young pt with bluish lacy rash that appears on her LEs in the cold and disappears once rewarmed. Diagnosis? Mechanism?
Levido reticularis d/t vasomotor instability of dermal blood vessels
What is the first choice of antihypertensive medication for a patient with any type of autoimmune condition which may affect the kidney? or KD?
ACE inhibitor, they decrease pressure on the glomerulus
Young male patient with testicular and parotid swelling as well as enlargement of submaxillary lymph nodes. He is nauseous and febrile. Diagnosis? Treatment?
Orchitis, supportive, scrotal sling
What are the EKG changes with hypercalcemia (3)?
Narrow QRS, high depolarization and J wave (severe)
What are the EKG changes with hypocalcemia?
QT prolongation
