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4/27 Flashcards

1
Q

signs of lichen planus

A
  • can have vagina, vulva and oral cavity
  • vulvar erosions with Wickham striae
  • lace like reticular erosions
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2
Q

lichen planus vs sclerosis

A

sclerosis has no vaginal involvement

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3
Q

treatment of parkinsonian symptoms after starting psych meds

A

add benztropine

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4
Q

test when menopause is suspected

A

high FSH

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5
Q

treatment for PACs

A

avoid triggers, like alcohol and tobacco

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6
Q

endemic fungus that can be disseminated in non-immunocompromised patients

A

blasto

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7
Q

intermittent solid food dysphagia in younger men

A

eosinophilic esophagitis

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8
Q

trachealization of eosphagus

A

eosinophilic esophagitis

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9
Q

findings in Friedrich ataxia

A

high arched feet, loss of position and vibratory senses, hypertrophic cardiomyopathy

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10
Q

cause of ataxia-telangiectasias

A

DNA repair defect

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11
Q

abnormalities found in pregnancy

A

increased cortisol, decreased REM latency, decreased slow wave sleep

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12
Q

next step after capillary blood lead test

A

test venous sample, could be false positive

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13
Q

treatment of scabies

A

topical permethrin or ivermectin

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14
Q

bilateral palpable abdominal masses in adult with hypertension

A

ADPKD

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15
Q

dermatomyositis goes with…

A

malignancy

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16
Q

reason for hypotension in pancreatitis

A

vascular permeability

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17
Q

erythema in nasal mucosa of teen

A

cocaine use disorder

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18
Q

turner syndrome is at risk of _____ due to lone estrogen

A

osteoporosis

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19
Q

treatment of croup with closing airway

A

epinephrine in addition to steroids

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20
Q

bactrim can cause what lab abnormality

A

hyperkalemia due to blockage of sodium channels in kidney

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21
Q

kid can’t see and has numerous hyperpigmented macules

A

NF1

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22
Q

nephropathy associated with hep B

A

membranous nephropathy

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23
Q

reason for molluscum STI

A

usually underlying HIV

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24
Q

when to use ECT for depression treatment

A

when patient is not eating, need quicker intervention

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25
Q

purulent discharge with anterior vaginal mass

A

urethral diverticulum

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26
Q

common drug that might not show up on urine screen

A

synthetic opioid

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27
Q

signs of diabetic retinopathy

A

microaneurysms, cotton wool spots, formation of new vessels

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28
Q

high 14-3-3 titers

A

Jakob-Creutzfeldt disease

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29
Q

most common psych disturbance in Parkinsons

A

depression

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30
Q

extended decrease in fetal heart tracing

A

uterine rupture

31
Q

smoking and hypertension

A

smoking can lower BP, but has other vascular complications

32
Q

most common bus in brain abscess

A

s aureus, s viridans, polymicrobial

33
Q

most common issue with inhaled corticosteroids

A

oral thrush

34
Q

fluid in interlobar fissures in newborn

A

TTN - lungs show hyperinflation

35
Q

markers of acute liver failure

A
  • hepatic encephalopathy
  • severely elevated LFTs
  • function impairment - high INR
36
Q

pulmonary septic emboli in IVDU

A

from s aureus

37
Q

reason for recurrent infection in multiple myeloma

A

impaired antibody production - only one type

38
Q

aplastic anemia vs ALL

A

ALL usually presents with bone pain and splenomegaly

39
Q

diagnostic study in NPH

A

MRI of brain

40
Q

meds to avoid with ED drugs

A

nitrates and alpha blockers

41
Q

digital clubbing and sudden onset joint pain

A

hypertrophic osteoarthropathy - concern for lung cancer

42
Q

features of VHL

A

hemangioblastomas, RCC, pheochromocytoma

43
Q

supplementation in newborn

A

vitamin if being fed with breast milk, iron if mom has iron deficiency anemia

44
Q

cause of hard pitting in lymphedema

A

deposition of subq collagen and adipose tissue

45
Q

classical c section is a contraindication to…

A

VBAC

46
Q

most common childhood tumor

A

low grade astrocytoma

47
Q

FGR baby with no prenatal care, placenta should

A

undergo analysis for infection

48
Q

tick borne paralysis

A

more pronounced in one arm or leg, ascending, normal sensation, no autonomic dysfunction

49
Q

chronic pelvic pain with adnexal mass

A

endometriosis

50
Q

beneficial treatment in measles

A

vitamin A

51
Q

treatment to keep PDA open

A

prostaglandin E1

52
Q

common cause of UTI in young girls

A

vesicoureteral reflux

- posterior urethral valves in boys

53
Q

best treatment for retinal artery occlusions

A

ocular massage and high flow oxygen

54
Q

tumor marker for medullary thyroid cancer

A

calcitonin

55
Q

antithyroid drug used in pregnancy

A

PTU

56
Q

isolate ambulatory hypertension

A

consider in someone with signs of end stage hypertension but are normotensive in office

57
Q

best initial test for SLE

A

ANA is more sensitive, dsDNA is more specific

58
Q

beckwith wiedemann syndrome

A

macrosomia, macroglossia, hemihyperplasia

- high increased risk for Wilms tumor, should have screening ultrasounds

59
Q

sinusitis with headache, vomiting and mental status changes

A

concern for brain abscess

60
Q

strong association with pseudogout and diabetes together

A

hereditary hemochromatosis

61
Q

AFP in HCC

A

only elevated in 50% of cases

62
Q

focal nodular hyperplasia of liver

A

benign liver lesion in young women

63
Q

propranalol vs PTU in thyroid

A

bblocker treats actions of preformed thyroid hormone, PTU prevent formation of new

64
Q

antibodies Ro and La

A

Sorgrens syndrome

65
Q

what is swollen in croup

A

narrowing of the proximal trachea

66
Q

skin/nerve lesion in immigrant

A

leprosy

67
Q

microvesicular fat infiltration of liver in kids

A

Reye syndrome from giving aspirin (mitochondrial toxin)

68
Q

gamma gap

A

different between total protein and albumni

69
Q

sausage linked retinal changes

A

waldenstroms

70
Q

anti ccp

A

RA

71
Q

blurring of the grey white matter after MVA

A

diffuse axonal injury

72
Q

green smelly vagina

A

trichomonas

73
Q

loss of fetal station

A

uterine rupture

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