5/15 Flashcards by Robby Skinner

Test for acromegaly after IGF-1

GH measurement after oral glucose load (if pos will se paradoxical increase in GH levels)

How well did you know this?

Not at all

Perfectly

Further eval of unstable pt’s after BAT w/ negative DPL should look for what

Possible pelvic fracture w/ retroperitoneal hemorrhage

How well did you know this?

Not at all

Perfectly

When does selective survival bias occur

In case control studies when cases are selected from the entire disease population instead of just those that are newly diagnosed

How well did you know this?

Not at all

Perfectly

3 agents that shift K intracellularly

Insulin and glucose
Sodium bicarb
Beta-2 agonists

How well did you know this?

Not at all

Perfectly

MC pediatric tumor

Benign astrocytomas (for both infra and supratentorial)

How well did you know this?

Not at all

Perfectly

Development of AV blok in a patient with infective endocarditis should raise suspicion for what

Pervivalvular abscess extending into the adjacent cardiac conduction tissues

How well did you know this?

Not at all

Perfectly

Typical presenting symptom of a choleseatoma

New onset hearing loss or chronic ear drainage despite therapy

How well did you know this?

Not at all

Perfectly

Otoscope of cholesteatoma

Granulation tissue and skin debris within retraction pockets of TM

How well did you know this?

Not at all

Perfectly

DiGeorge CATCH

Conotruncal cardiac defects
Abnormal facies
Thyimic aplasia
Cleft Palate 
Hypocalcemia

How well did you know this?

Not at all

Perfectly

Two tests for when Digeorge is suspected

Serum calcium levels and echocardiography

How well did you know this?

Not at all

Perfectly

Complication of Mono

Autoimmune hemolytic anemia and thrombocytopenia due to cross reactivity of EBV induced Ab against RBCs and platelets

How well did you know this?

Not at all

Perfectly

Legionella PNA tx

Quinolone or macrolide

How well did you know this?

Not at all

Perfectly

Murmur heard after aortic dissection

Aortic regurg - early diastolic crescendo/decrescendo

How well did you know this?

Not at all

Perfectly

C. diff risk drugs besides Ab

PPIs and H2 blockers

How well did you know this?

Not at all

Perfectly

Anti HbE seen in what phase of Hep B

Recovery phase

How well did you know this?

Not at all

Perfectly

Extra pulmonary sarcoid big 3

Arthritis
Uveitis
Erythema Nodosum

How well did you know this?

Not at all

Perfectly

What is elevated in alcoholic hepatitis besides AST/ALT

GGT and ferritin (ferritin is an acute phase reactant)

How well did you know this?

Not at all

Perfectly

Benign murmur features

Grade I or II, early or mid systolic, and decreases with standing

How well did you know this?

Not at all

Perfectly

Suspect what in a young female w/ bilateral TN

How well did you know this?

Not at all

Perfectly

Anticoagulation good for pt’s w/ renal dz

Unfractionated heparin (reduced renal clearances makes direct Xa inhibitors stronger) then warfarin

How well did you know this?

Not at all

Perfectly

Dendritic ulcer in eye

Herpex simplex keratitis

How well did you know this?

Not at all

Perfectly

Why no try to convert breech presentation prior to 37 weeks

Majority self correct by then

How well did you know this?

Not at all

Perfectly

Ovarian tumor that can produce estrogen

Granulosa cell tumors

What is Leriche syndrome

Arterial occlusion at the bifurcation of the aorta into the common iliac arteries
impotence almost always present

Best test for virilizing neoplasm? interpretation?

Serum testosterone and DHEAS levels Inc T w/ normal -----DHEAS indicate ovarian source -Inc. DHEAS w/ normal T indicates adrenal source

4 big complications in DES daughters

1. Clear cell adenocarcinoma of vagina and cervix 2. Structural anomalies of repro tract 3. Pregnancy problems 4. Infertility

Why is right sided ovarian torsion more common than left

Longer length or uretero-ovarian ligament and left rectosigmoid colon occupies the space around the left ovary

What should be suspected in pt's who have combo of hemolytic anemia, cytopenias, and hyper coagulable state

Paroxysmal nocturnal hemoglobinuria

2 GI complications of HSP

GI hemorrhage or intussusception (small bowel or ileo-ileo)

Adult women w/ rubella get what

Arthritis than can last up to a month after resolution of other symptoms

Why steatorrhea in ZE syndrome

Inactivation of pancreatic enzymes

SAIDH tx

Fluid restriction ( hypertonic saline for severe symptomatic or resistant hyponatremia)

Acid base status in Fe overdose

Anion gap metabolic acidosis

WAS gene defect

X-linked recessive WAS (impaired cytoskeleton changes in leukocytes and platelets)

Hallmark brain damage of prolonged seizures

Cortical laminar necrosis

MCC when brain abscess results from sinusits

S viridians

3 causes of ARDs

1. Impaired gas exchange 2. Decreased lung compliance (stiff lungs) 3. Increased pulmonary arterial pressure (pulmonary HTN)

All pt's w/ hx of rheumatic fever should be on what

Penicillin ppx until 21 years old

Tx for toxo

Sulfadiazine and pyrimethamine (TMP-SMX is for ppx)

What causes cirrhotic ascites

Increased hydrostatic pressure within hepatic capillary beds

Depressed phase of bipolar drug

2nd gen antipsychotics

Why oligohydramnios in late term

Aging placenta may have decreased fetal perfusion, resulting in decreased renal perfusion and decreased urinary output from the fetus

MCC predisposing factor for acute bacterial sinusitis

Viral URI

How does perianal or genital trauma cause priapism

Laceration of the cavernous artery

How to reduce febrile non hemolytic transfusion reaction

Leukoreduced

Thing things washing RBCs before transfusion prevents

1. IgA def pt's 2. Complement def- autoimmune hemolytic anemia 3. Continued allergic reactions despite antihistamine tx

2 important diagnostic factors for Waldenstroms

1. IgM spike on electrophoresis | 2. Hyperviscosity

Labs of 2nd hyper-PTH

Dec vit D leads to hypocalcemia, hyperphsophatemia, and compensatory rise in PTH

Labs of abnormal hemostasis in CKD? tx?

Bleeding time is prolonged, but PT, PTT and platelet count are normal Tx is DDAVP

How was trachoma present

Follicular conjunctivitis and panes (neovascularization) formation in the cornea

What is ramsay hunt syndrome

Form of herpes zoster infection that causes Bell's palsy (will see vesicles on the outer ear)

How does skin SCC cause numbness

Early perineurial invasion

Two biggest non-pharm ways to lower BP

Weight loss and DASH diet

Weakness after high steroid tx think

Hypokalemia (from B2 agonists driving K into cells)

Actinomyces vs Nocardia

Nocardia weakly acid fast, acintomyces not