2/8/13 Flashcards
Yellow fever vaccination is recommended for pts traveling to _______ or _______.
sub-Saharan Africa; equitorial S. America
Increased serum LDH in the settinng of anemia indicates _______.
hemolysis
A pt. w/ asthma Sx only at night may actually be suffering from _______. (Also sore throat, hoarseness)
GERD
Locate the brainstem lesion: impaired CN V, limb ataxia.
lateral pons
Locate the brainstem lesion: ipislateral limb ataxia, contralateral eye deviation and paralysis of face, arm, and leg.
medial pons
Locate the brainstem lesion: ipislateral Horner’s syndrome, loss of pain and temp on face and contralateral body, weakness of palate, pharynx, and vocal cords, and cerebellar ataxia.
Lateral medulla (Wallenberg syndrome)
What is the cause of an S4 in pts w/ aortic stenosis?
atrial kick against stiff LV
Why do pts w/ primary hyperaldosteronism (Conn’s syndrome) have polyuria?
resistance to ADH (kidneys)
Gl;utamic acid decarboxylase Abs are seen in 70% pts w/ _______ at the time of Dx.
type I diabetics
Cupping of the optic disc and reduced peripheral vision suggest a Dx of what?
primary open angle glaucoma
What is the initial treatment of open angle glaucoma?
beta blocker drops, e.g. timolol
What kind of blindness primarily affects central vision?
macular degeneration
What Dx is suggested by acute onset of back pain radiating to the leg and (+) straight leg test?
herniated disk
What is the best initial Tx for disk herniation?
early mobilization, NSAIDs, and muscle relaxants
When a pt w/ GERD has a complicated presentation or fails to respond to empiric therapy w/ PPIs, what diagnostic test must be performed?
esophagoscopy
