4/1 Flashcards

1
Q

vaccine contraindication in pregnancy

A

live - MMR, varicela, HPV, live flu

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2
Q

SIADH during intense exercise

A

can be triggered by exertion, hypoglycemia, nausea or pain

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3
Q

treatment of acute dystonic reaction

A

diphenhydramine or benztropine

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4
Q

alk phos in pregnancy

A

usually elevated

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5
Q

stepwise decline in functioning

A

vascular dementia

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6
Q

first line treatment for primary dysmenorrhea

A

NSAIDs - can use OCPs in sexually active females

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7
Q

positional plagiocephaly

A

one ear is in front of the other due to head shifting from position, can be caused by torticollis

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8
Q

severe rapid onset hypercalcemia in a smoker

A

PTHrP from squamous cell carcinoma

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9
Q

first test for dementia

A

neurocognitive testing

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10
Q

features of absence seizures

A

less than 20 seconds, does not respond to verbal stimuli, automatisms

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11
Q

test to compare two means

A

t test

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12
Q

test for three or more means

A

ANOVA

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13
Q

dullness to percussion with increased breath sounds

A

lung consolidation

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14
Q

causes for urgent dialysis

A

acidosis, electrolyte changes, ingestion, overload and uremia

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15
Q

hormones in Turner’s syndrome

A

elevated LH/FSH

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16
Q

porphyria cutanea tarda

A

vesicles or bullae in dorsum of hands in liver disease - HCV

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17
Q

most common cause of spontaneous lobar hemorrhage in older adults

A

amyloid angiopathy

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18
Q

two causes of head pathology in neonates

A
  • cephalohematoma - subperiosteal, does not cross suture line, firm, non-tender
  • caput succedaneum - above periosteum, crosses suture lines
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19
Q

most common cause of epididymitis in non-sexual active males

A

e coli

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20
Q

strongest factor in AAA expansion

A

cigarette smoking - hypertension has weak association

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21
Q

prevention of vasovagal syncope

A

counter-pressure maneuvers

22
Q

bilateral trigeminal neuralgia

A

can be caused by MS

23
Q

treatment of minimal change disease

A

prednisone

24
Q

Lewy bodies in pathology

A

eosinophilic intracytoplasmic inclusions - alpha synuclein

25
Q

features of Edwards

A

rocker bottom feet, micrognathia, low set ears, overlapping fingers

26
Q

pain with lateral epicondylitis

A

resisted wrist extension of passive flexion

27
Q

lumbar fluid in viral meningitis

A

slightly elevated protein, normal glucose

28
Q

most common cause of viral meningitis

A

coxsackie virus

29
Q

catalase positive organisms in CGD

A

staph, aspergillus, serratia, nocardia

30
Q

most common cause of ureteral obstruction in newborn boys

A

posterior urethral valves

31
Q

Potter sequence signs

A

pulmonary hypoplasia, flat facies, distorted limbs

32
Q

gestational hypertension BPP

A

required weekly after 32 weeks

33
Q

what causes vomiting in pregnancy

A

elevated hcg - higher in twins

34
Q

dissociative disorders

A
  • dissociative amnesia - can’t remember personal info - Walter White
  • dissociative identity - multiple personalities
  • depersonalization - intact reality testing
35
Q

squamous cells and rare white cells in vaginal discharge

A

physiologic leukorrhea

36
Q

inpatient treatment of PID

A

4th cephalosporin and doxy

37
Q

test after multiple febrile UTI in kids after normal ultrasound

A

voiding cystourethrogram

38
Q

botulinum toxin vs spores

A

toxin has prodromal flu-like illness first

39
Q

toxic metabolite of tylenol

A

NAPQI

40
Q

AIDs illness with normal CT

A

could be cryptococcus - diagnosed with lumbar puncture

41
Q

PCP pneumonia treatment

A

bactrim and prednisode

42
Q

diagnosis of hereditary sphrocytosis

A

EMA binding test

43
Q

eosinophils in worm infection

A

should be over 7%

44
Q

empyema

A

parapneumonic effusion with bacterial colonization

45
Q

flat loop on flow-volume loop

A

fixed upper airway obstruction

46
Q

schizoid and schizotypal

A

oid =loner

typal = like schizo

47
Q

foot drop

A

damage to common peroneal nerve

48
Q

senile purpura

A

caused by perivascular connective tissue atrophy, normal part of aging

49
Q

hepatic hydrothorax

A

pleural effusions due to small diaphragm defects in liver patients

50
Q

first line treatment in herniated disc

A

NSAIDs - usually resolves

51
Q

treatment of TTP

A

plasma exchange