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Boards 2021 > 3/22 > Flashcards

3/22 Flashcards

1
Q

MS vision thing

A

optic neuritis

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2
Q

kidney stone management by size

A

< 5: toradol
5 - 10: flomax
> 10 mm: urology; >8 unlikely to pass

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3
Q

hemochromatosis screen

A

transferrin sat (>60 in men, >50 in women)

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4
Q

what gives you xanthelomas

A

familial hypercholesterolemia (not TGs)

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5
Q

tx primary adrenal insuff

A

prednisone

fludrocortisone (mineralicorticoid)

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6
Q

ups and downs in primary adrenal insuff

A

cortisone, aldosterone down
sodium, glucose down
potassium up

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7
Q

age for CT screen (smoking)

A

50 to 80 + 20 pack year + smoked in past 15 yrs

medicare 55-77, 30 pack year

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8
Q

acute onset fever, LAD, w/o pharyngitis

A

think toxo?

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9
Q

condyloma

A

lata: secondary syphilis
acuminata: HPV

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10
Q

rash with rheumatic fever

A

erythema marginatum

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11
Q

lyme bullseye

A

erythema migrans

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12
Q

erythema multiforme

A

think HSV, sulfa drugs, autoimmune

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13
Q

orthostats

A

SBP drop >20

DBP > 10

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14
Q

spondylolysis vs spondylolisthesis

A

thesis has ant displacement

lysis breaks pars

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15
Q

INR for afib coumadin folk

A

2-3

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16
Q

pneumotosis intestinalis

A

mesenteric ischemia

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17
Q

other screening in chronic urinary retention

A

renal U/S

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18
Q

obstructive vs restrictive FEV1/FVC

A

obstructive decreased

restrictive increased

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19
Q

empiric outpt CAP tx

A

amox + azithro

20
Q

sever dz

A

heel pain age 8 - 12, sports

inflammation of growth plate

21
Q

kids w/ fever, rash, arthritis, LAD

A

stills (systemic juvenile idiopathic arthritis )

22
Q

complications of stills dz in kids

A

macrophage activation syndrome, osteoporosis, growth stunting

23
Q

pimples on a newborn

A

erythema toxicum

24
Q

when is it infantile acne

A

3-4 mo

25
Q

OSA neck circumfrence RF

A

16 in females, 17 in males

26
Q

ankle brachial index number

A

< 0.9 = PAD
0.4 - 0.9 = claudication
< 0.4 = gangrene/tissue loss

27
Q

hutchinson sign (zoster)

A

vesicles on nose, worry about ocular

28
Q

next step shock refractory Vfib

A

amiodarone (300 mg) or lidocaine

29
Q

afib vs multifocal atrial tachycardia

A

MAT has 3+ p wave morphologies, afib has no p waves

30
Q

chlamydia screening

A

fucking stupid, no men, only girls < 24

31
Q

IBS pathophys

A

apparently serotonin (too much –> diarrhea, too little –> constipation)

32
Q

meds to avoid in sick sinus syndrome

A

CCBs, BBs, digoxin

33
Q

kiddo with grey exudate on tonsils that bleeds when scraped

A

diphtheria

34
Q

diphtheria tx

A

erythromycin (antitoxin if severe only)

35
Q

severe hypercalcemia

A

> 14

36
Q

hypercalcemia tx

A

calcitonin, loops, bisphos, glucocorticoids, dialysis

37
Q

adjustment d/o timeframe

A

< 3 mo from stressor

38
Q

morton neuroma

A

btwn 3rd and 4th toe, squeeze metatarsals to test , > 5 mm is bad

39
Q

IV for etoh withdrawal

A

Glucose, thiamine

40
Q

Mcc bacterial meningitis

A

N. Meningitis
Strep pneumoniae
Listeria

41
Q

Long qt w/ palpitations tx

A

Propranalol

42
Q

contraception for transplant pts

A

IUD

43
Q

unilateral HA w/ conjunctival injection and rhinorrhea

A

variant of cluster HA: chronic paroxysmal hemicrania. Tx with indomethacin

44
Q

tx IBS

A

SSRIs/TCA
fiber
miralax if constipated

45
Q

causes of low DLCO with normal spirometry

A

heart failure, chronic PEs, CT d/o, primary pulm HTN

46
Q

dental abx prophy for prosthetic heart valves

A
  1. amoxicillin

2. PCN allergy: clinda or azithro (or keflex if just rash)

Boards 2021 (5 decks)

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