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4/13 Flashcards

1
Q

what causes sx croup

A

edema and narrowing of the proximal trachea

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2
Q

vit k def labs

A

prolonged pt followed by prolonged ptt. in cirrhotic can develop in 7 days

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3
Q

which lung cancer has high Ca

A

squamous from PTHrp

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4
Q

how to transport amputated digit

A

wrapped in saline moistened gauze in a plastic bag immersed in ice water

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5
Q

young male increased afp and bhcg

A

nonseminomatous germ cell tumor

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6
Q

only bhcg elevated testicular cancer

A

seminoma

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7
Q

HCC marker

A

AFP

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8
Q

klumpke palsy

A 
shoulder distocia
c8 t1
claw hand
miosis
ptosis sytocia
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9
Q

erb-duchenne palsy

A

c5 c6
waiters tip
grasp but no moro

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10
Q

short cervix pharm tx

A

progesterone to maintain uterin quiescence

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11
Q

high risk for sti during preg

A

less than 25, prior sti, sex worker/multiple partners

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12
Q

rupture of membranes before 34 weeks/ healthy. what meds

A

steroids and latency antibiotics

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13
Q

non sex risk factor for cervical cancer

A

smoking

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14
Q

large calcified echogenic ovarian mass in young woman

A

mature cystic teratoma

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15
Q

lichen sclerosus test

A

punch biopsy to rule out cancer

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16
Q

lichen sclerosus tx

A

topical steroids

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17
Q

Waldenstrom macroglbulinemia

A 
hypervisocity 
neuropathy
bleeding
hepatosplenomegaly
lymphadenopathy
IgM 
Rouleaux 
>10% clonal b cells
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18
Q

Multiple myeloma

A 
Osteolytic fractures/lesions
Anemia
Hypercalcemia
renal insufeciency
igg, iga,light chains
Rouleaux
>10% clonal plasma cells
19
Q

alopecia areata first line

A

intralesional triamcinolone(steroids)

20
Q

how does c botulinum cause paralysis

A

inhibits presynaptic acth release at neuromuscular junction

21
Q

c botulinum signs

A

symmetric descending weakness
diaphragmatic weakness
blurred vission/diplopia
facial weakness/dysarthria/dysphagia

22
Q

neuronal cell group effected by huntingtons

A

GABA

23
Q

nephrotic syndrome 4-6 days after uri in adult normal c3

A

IgA nephropathy

24
Q

loop acid base problem

A

alkelemia, lose k and cl.
inhibit Na-K-
cl

25
Q

meds that cause hyperK

A 
non selective beta blockers
acei
arb
aldosterone antagonists
digoxin
NSAIDS
26
Q

meds that cause nephrogenic di

A 
Li
demeclocycline
foscarnet
cidofovir
amphotericin
27
Q

acute changes hyperventilation

A

decreased serum ionized calcium, bicarb is in kidneys so takes longer

28
Q

MRI findings HIV neurocognitive disorder

A

ventricular enlargement and increase in white matter diffusely

29
Q

Look For Those Small Cells pneumonic

A 
Microcytic anemia
Lead
Fe
thalassemia
sideroblastic
chronic dz
30
Q

what can indirect coombs test be used to identify

A

rh alloimunization

31
Q

+ coombs

A

drug induced or immune hemolytic anemia

32
Q

meds that cause aplastic anemia

A

chloremphnecol
sulfonamides
phenytoin
chemo

33
Q

aplastic anemia sickle cell

A

parvovirus b19

34
Q

how do you monitor heparin

A

ptt

35
Q

warfarin moa

A

inhibits vit k dep factors.2, 7,9, 10pt/inr increased

36
Q

heparin moa

A

inhibitsantithrombin 3, inactivates 2a, 9a,10a,11a,12a

37
Q

factors not exclusively synthesized in liver

A

vWF, 8

38
Q

ptt vWF def

A

increased, so is bleeding time

39
Q

ptt and pt hemophillia

A

ptt increased pt normal, normal bleeding time

40
Q

aml staining

A

myeloperoxidase

41
Q

blood cancer high proportion of neutos

A

CML

42
Q

cml tx

A

imantanib

43
Q

blood cancer massive splenomegaly no lyphadenopathy

A

hairy cell leukemia

44
Q

pjp marker

A

increased LDH

step 2 (53 decks)

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