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4/25 Flashcards

1
Q

side effects of stimulants

A

decreased appetite, weight loss and insomnia

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2
Q

cause of dermatitis herpetiformis

A

in celiac disease - microabscesses at dermal papillae - treat with dapsone

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3
Q

treatment of nursemaids

A

hyperpronation of forearm or supination of forearm and flexion of elbow

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4
Q

requirement of cyclothymic

A

must be over 2 years

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5
Q

signs of langerhan cell histiocytosis

A

lytic bone lesions, skin lesions, central diabetes insipidus

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6
Q

thalmic strokes

A

contralateral sensory loss

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7
Q

thalamic pain syndrome

A

burning pain over nerve distribution after thalamic stroke

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8
Q

treatment of syphilis in pregnancy with penicillin allergy

A

desensitization then penicillin

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9
Q

treatment of tardive dyskinesia

A

reduce dose or switch drugs

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10
Q

symptoms of botulinum toxin

A

descending paralysis, oculobulbar palsies, autonomic dysfunction

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11
Q

disease with no thymus

A

digeorge - cardiac defects, hypocalcemia, cleft lip/palate

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12
Q

cause of factor V leiden

A

protein C resistence

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13
Q

cause of warfarin induced skin necrosis

A

protein C deficiency

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14
Q

heart problem with long standing hypertension

A

diastolic dysfunction - heart can’t fill

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15
Q

causes of high output heart failure

A

AV malformations, anemia, thyrotoxicosis

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16
Q

meds needed for HIV prophylaxsis

A

only bactrim and azithromycin (anti fungal in endemic areas)

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17
Q

most common cause of facial nerve palsy

A

virus induced nerve inflammation - usually herpes

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18
Q

medication treatment of renal artery stenosis

A

ACEi or ARB - stenting is not better

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19
Q

treatment of echinococcal abscess

A

do not drain - treat with metronidazole

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20
Q

measurement in case control

A

odds ratio

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21
Q

viral vs bacterial lymphadenitis

A

bilateral vs unilateral

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22
Q

rash with suboccipital and posterior auricular nodes

A

rubella

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23
Q

FRC in COPD

A

normal or increased

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24
Q

basic urine in UTI = concern for…

A

urease producing organism = proteus

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25
Q

meningitis initial mangement

A

CT in adults
LP if kids are stable
Antibiotics if unstable

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26
Q

TSH in pregnancy

A

decreased

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27
Q

medical treatment of short cervix in pregnancy

A

vaginal progesterone to keep uterus quiescent

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28
Q

how does lead cause microcytic anemia

A

disruption of heme synthesis

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29
Q

treatment of foreign body aspiration in kid

A

rigid broncoscopy

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30
Q

treatment of ingestion of sharp object

A

endoscopy - must be removed

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31
Q

when should external cephalic version be performed

A

greater than 37 weeks so you don’t induce labor

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32
Q

worst type of colon polyp

A

villous adenoma

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33
Q

peripheral lung tumors

A

adenocarcinoma or large cell

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34
Q

most common cause of secondary bacterial pneumoia

A

staph/strep

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35
Q

contraindication to ergot/triptans

A

heart disease

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36
Q

glomerular disease most likely to occur in malignancy

A

membranous - can also be minimal change

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37
Q

most common glomerulonephropathy in Hodgkins lymphoma

A

minimal change

38
Q

DMARD in RA

A

methotrexate

39
Q

first line in catatonia

A

benzos

40
Q

liver and psych problems in child

A

lead or copper

41
Q

conjunctivitis with itching

A

probably allergic

42
Q

most common cause of pediatric stroke

A

sickle cell

43
Q

child with inspiratory stridor that worsens with lying down

A

laryngomalacia

44
Q

FHT in previa vs abruption

A 
previa = normal FHT
abruption = abnormal
45
Q

hearing loss and cardiac defect and cataracts in maternal infection

A

rubella

46
Q

risks in OCPs

A

increasing hypertension and strokes

47
Q

posterior fossa tumors in kids

A

astrocytoma and medulloblastoma

48
Q

PPROM with complications

A

immediate induction of labor

49
Q

TSH in prolactinoma

A

can be normal depending on if there are compression symptoms

50
Q

anti-topoisomerase antibodies

A

systemic sclerosis

51
Q

urinary problems with benadryl are caused by…

A

impaired detrusor contraction

52
Q

McCune Albright

A

cafe au lait, precocious puberty, fibrous dysplasia of bone

53
Q

factorial design

A

many studies in one

54
Q

life threatening side effects of anti thyroid meds

A

neutropenia

55
Q

best solution to single brain mass

A

surgical resection

56
Q

seeing bent and wavy vertical lines

A

macular degeneration - grid test

57
Q

rapid food bourne illness

A

staph aureus toxins

58
Q

complement in lupus

A

lower

59
Q

triggers of cyclic vomiting

A

migraines, stress or infection

60
Q

postradiation with clear leakage of fluid

A

vesicovaginal fistula

61
Q

genetic screen for women over 35

A

cell free DNA

62
Q

fair complexion and musty body odor

A

phenylketonuria

63
Q

screening for celiac

A

anti-tissue transglutaminase IgA

64
Q

treatment of toxo in AIDS

A

sulfadiazine and pyrimethamine

65
Q

high triglycerides in exudative effusion

A

thoracic duct rupture

66
Q

when to treat carotid stenosis

A

symptomatic 70-99%

asymptomatic 80-99%

67
Q

cause of seizure in HHS

A

hyperosmolality

68
Q

plateau pressure

A

sum of PEEP and elastic pressure

69
Q

treatment of MS flare

A

steroids

70
Q

smudge cells

A

CLL

71
Q

decrease hyperkalemia with

A

insulin and glucose

72
Q

stroke occuring over minutes to hours

A

usually hemorrhagic

73
Q

cause of primary hypotension after tranfusion

A

bradykinin in blood products - patients on ACEi

74
Q

patients at risk of anaphylactic transfusion reactions

A

IgA deficiency

75
Q

widened wrist in kids

A

vitamin D deficiency

76
Q

frequent presentation of adolescent depression

A

irritability

77
Q

best markers for acute liver failure

A

bilirubin and PT

78
Q

ovarian findings in molar pregnancy

A

theca lutein cysts due to overstimulation

79
Q

treatment in chemo vomiting

A

ondansetron - serotonin antagonist

80
Q

calcium in acidosis

A

more hydrogen ions bound to albumin leading to more calcium in serum

81
Q

DLCO in emphysema

A

low

82
Q

most common spread of choriocarcinoma

A

lungs

83
Q

pupil sparing vs non-pupil sparing CN3 palsies

A

parasympathetics operate pupil and run on outside

  • non-sparing are due to compression (require CT)
  • sparring are due to ischemia (vascular risk factors)
84
Q

helmet cells are due to

A

hemolysis - RBC breakdown (not sickling)

85
Q

RBCs in functional asplenia

A

Howell Jolly bodies

86
Q

cause of hypotension in tension pneumo

A

decrease in right ventricular filling due to compression

87
Q

inheritance of myotonic dystrophy

A

autosomal dominant (trinucleotide repeat)

88
Q

mid cycle LH tests for

A

ovulation

89
Q

Most common initial location for acute PE

A

thigh veins

90
Q

untreated hyperthyroidism puts at risk for…

A

bone loss - increase in osteoclastic resorption

91
Q

ovarian cyst rupture vs torsion

A

look at doppler arteriogram

Step 2 (28 decks)

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