4/16 Flashcards
auditory canal ulceration
vasculitis
mass in child with periorbital bruising and opsoclonus
neuroblastoma
sleep terrors and breath holding spells
both part of normal development in kids
low risk SSRIs after MI
sertraline and escitalopram
primary ovarian insufficiency vs anovulation
POI has elevated FSH like early menopause, anov is usually due to obesity causing no LH surge
methanol vs ethylene glycol poisoning
methanol damages eyes (optic disc hyperemia), ethylene glycol damages kidneys
CT in schizophrenia
enlarged lateral ventricles
treatment for Paget’s disease
bisphosphonates
use or hepatojugular reflex
differentiate cardiac from liver pathology
h ducreyi
large deep painful ulcers with tender lymphadenopathy, yellow exudate (pus) with friable base
treatment of carbon monoxide poisoning
100% oxygen
when puncture wound requires immunglobulin
if unvaccinated or less than 3 doses, otherwise just need vaccine
referred otalgia
can be present in SCC of head and neck from CN 9/10
evaluation for avascular necrosis of hip
MRI
confirming diagnosis of carpal tunnel
nerve conduction studies
cause of recurrent edema
hereditary angioedema, caused by C1 inhibitor deficiency
skin lesions in HIV
either kaposi sarcoma or bartonella
coags in von willebrand
long bleeding time, normal PT, slightly long PTT (due to low factor 8)
bacteria in contact lens associated kertitis
pseudomonas
abnormal coag test in antiphospholipid syndrome
prolonged PTT
bladder pain with normal U/A
interstitial cystitis, relieved by voiding, unclear cause
treatment of c diff
oral vancomycin and metronidazole
treatment of MDD with psychotic features
SSRI and antipsychotic
endocarditis in patient with recent history of UTI
enterococci
clinical features of Reye syndrome
acute liver failure and encephalopathy
matching is a good way to control for…
confounding variables in case control studies
typical time of 5 alpha reductase deficiency
phenotypic XY girl gets virilization at puberty due to increase in testosterone
other definition for non-classical CAH
21-hydroxylase deficiency
most successful modification for blood pressure control
weight loss
DLCO in COPD
decreased
cholesteatoma in kids
accumulation of keratin due to chronic middle ear infections (pearly white mass)
MI with severe hypotension following nitroglycerin
likely RV MI, give fluid bolus to overcome hypotension
excessive intake of cows milk in children
can cause iron deficiency anemia
RBC distribution width in iron deficiency anemia
elevated due to variability in iron stores throughout the day
characteristic VSD murmur
holosystolic at left sternal border, smaller are louder, larger may have diastolic rumble
how to treat multifocal atrial tachycardia in COPD
treat the underlying COPD
P waves with different morphologies
multifocal atrial tachycardia
early satiety in diabetic patient
gastroparesis
treatment of gastroparesis in diabetics
metoclopramide
mechanism for AKI with acyclovir
tubular obstruction due to crystal build up, encourage adequate hydration
cherry red macula with retinal whitening
central retinal artery occlusion
when can rash be seen in mono
after taking amoxicillin
mechanism for pain relief with nitroglycerin
vasodilation leading to decrease in preload and decrease in myocardial demand
treatment required for rapid response of MDD with psychosis
ECT
muscles in thyroid disease
weakness and atrophy
characteristic findings in membranoproliferative glomerulosclerosis
C3 deposits
disease often with PAD
cardiovascular disease
aldosterone action of bicarb
aldo secretes H+ leading to increase in bicarb (alkalosis) - bicarb is reabsorbed while potassium is excreted
contraindication for rotavirus
intussusception
anterior spinal cord lesion
bilateral hemiparesis, diminished pain and temp, intact proprioception
pain in carpal tunnel
can radiate up arm, sensation over thenar eminence is intact
treatment of bordetella close contacts
should all be treated with antibiotics
pseudocyesis
thinking you are pregnant when not
cardinal symptoms of COPD
increased dyspnea, increased cough, sputum production
most common cause of non-reactive NST
fetal sleep cycle, extend the test to look for accelerations
special feature of weirnekes
oculomotor dysfunction (horizontal nystagmus)
labs in POI
high GnRH, high FSH, low estrogen
pink stain in diaper in neonates
uric acid crystals
treatment for minimal change disease
corticosteroid
most common cause of death in Friedreich’s ataxia
cardiac dysfunction from cardiomyopathy
x ray finding in retropharyngeal abscess
widening of prevertebral space
vaccinations in HCV
hep A and hep B to prevent future infections
treatment of lichen sclerosis
high potency steroids
treatment of hoarding disorder
CBT
nephrotic syndrome most likely to cause renal vein thrombosis
membranous glomerulosclerosis
treatment of cocaine toxicity
benzos - decrease agitation and improve cardiac symtpoms
treatment of beta blocker overdose
glucagon, increases cAMP
indication for using corticosteroids in PCP pneumonia
PaO2 less than 70 or A-a gradient above 35
key differences between immunosupressants
- tacrolimus = diarrhea/neurotoxicity - no hirsutism or gum hypertrophy
- cyclosporine = hirsutism and gum hypertrophy
- azathioprine = diarrhea, leukopenia and hepatotoxicity
- mycophenolate = bone marrow suppression
features of malignant hypertension
retinal hemorrhages, exudates or papilledema
skin findings in complex regional pain syndrome
edema, sweating, change in temp, trophic changes
