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4/13 Flashcards

1
Q

detrusor muscle

A

squeezes to release urine

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2
Q

ulcers in feet of diabetics are caused by….

A

sensory neuropathy (not from arterial insufficiency)

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3
Q

neurotransmitter in szichophrenia

A

dopamine

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4
Q

most likely organism in food poisoning

A

s aureus

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5
Q

mechanism of urge incontinence

A

detrusor hyperactivity

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6
Q

pain relieved with defecation

A

IBS

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7
Q

cell marker of acute organ rejection

A

eosinophilia

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8
Q

most common fetal heart disease in mom with SLE

A

complete AV block

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9
Q

basal cell treatment

A

excision with narrow margins

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10
Q

evaluation of TE fistula

A

radiopaque NG tube

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11
Q

treatment of migraine prophylaxsis

A

propranalol

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12
Q

how to protect kids from the sun

A

clothing

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13
Q

treatment of SCFE

A

pin fixation

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14
Q

common causes of atraumatic splenic rupture

A

hematologic malignancy, infection, and inflammatory disease

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15
Q

initial treatment of upper GI bleed

A

IV fluids, antibiotics and somatostatin analog (leads to splanchnic vasoconstriction and decreased portal flow)

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16
Q

false labor

A

mild irregular contractions with no cervical change - can be discharged home

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17
Q

initial treatment of hypertyroidism

A

propranolol

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18
Q

spinal cord problem in down syndrome

A

atlantoaxial instability

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19
Q

FMR gene

A

fragile X syndrome

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20
Q

mood stabilizer safe in pregnancy

A

lamotrigine

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21
Q

malignant hypertension follow anesthesia induction

A

pheochromocytoma

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22
Q

anemia of prematurity

A

decreased EPO after delivery leads to low reticulocyte count, in addition to short RBC span and blood draws

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23
Q

pharyngitis with fever and lower abdominal pain in young person

A

gonococcal phayngitis

24
Q

non enhancing hypodense white matter lesions in HIV patient

A

progressive multifocal leukoencephalopathy

25
Q

treatment for OCD

A

dopamine antagonists

26
Q

Gottron’s papules of heliotropic rash

A

dermatomyositis

27
Q

when does autosplenectomy occur in sickle cell disease

A

before adulthood

28
Q

best evaluation for suspected aortic dissection

A
  • TEE is good in cases of renal failure

- CTA in stable patients with no renal disease

29
Q

metal most likely to cause contact dermatitis

A

nickel

30
Q

gyn associated with FMR gene carriers

A

commonly have primary ovarian insufficiency

31
Q

bilateral extremity pain in kids with no systemic symptoms and normal labs

A

growning pains

32
Q

two things that happen in HIT

A
  • thrombocytopenia due to spleen removing antibody coated platelets
  • thrombus due to platelet aggregation
33
Q

dementia, myoclonus and periodic sharp wave complexes

A

Jakob Crutvedlt disease

34
Q

glomerulonephritis following URI

A

can either be IgA or post strep

  • post strep more common in kids, occurs 10-21 days later
  • IgA within 5 days
35
Q

MS of CSF analysis

A

oligoclonal bands, otherwise normal

36
Q

most likely finding in MAOi plus tyramine

A

hypertensive crisis

37
Q

treatment of PCP intox

A

benzos

38
Q

treatment of disfiguring strawberry hemangioma

A

beta blockers, causing constriction of vessels

39
Q

underlying cause of hepatorenal syndrome

A

splanchnic arterial dilation leading to lack of blood flow to kidney

40
Q

primary dysmenorrhea

A

extra prostaglandin production causing lower abdominal pain, no other causes, treat with NSAIDS or OCPs

41
Q

CSF in viral infection

A

elevated protein, normal glucose

42
Q

definitive treatment for SCID

A

stem cell transplant

43
Q

most common risk factor for acute bacterial sinusitis

A

viral URI

44
Q

most common thyroid pattern in sick person

A

euthyroid sick syndrome, low total and T3 - normal T4/TSH - don’t need to treat

45
Q

pulses in sepsis

A

initially can be bounding (hyperdynamic phase)

46
Q

big clue for determining seizure vs vasovagal

A

post-ictal state

47
Q

tremor in parkinsons

A

basal ganglia tremor

- pill rolling, resting, low amplitude, worse with distractibility

48
Q

essential tremor

A

bilateral intention

49
Q

haptoglobin in hemolysis

A

decreased, binds free hemoglobin

50
Q

drug masking PCP

A

dextromethorphan

51
Q

CMV vs toxo in brain

A
  • CMV = periventricular calcifications

- toxo = diffuse parenchymal calcifications

52
Q

important factor in decreasing relapse in schizophrenia

A

family therapy

53
Q

lungs in Wegners

A

lung nodules with cavitation of opacities

54
Q

feature of VIPoma

A

watery diarrhea, flushing, hypokalemia

55
Q

lung findings in PE

A

can have small pleural effusions due to blood or inflammation

56
Q

most common murmur in no IV drug infective endocarditis

A

mitral regurg

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