5/29/13 Flashcards
If a breast lesion in an older patient is suspicious on mammogram, and FNA is negative, what is the next step?
get tissue! (Core biopsy or lumpectomy) FNA is not definitive unless (+)!
_______ is a paraneoplastic (or primary) process usu. assoc. w/ bronchogenic carcinoma. It is characterized by bone pain, clubbing, synovial effusions, and periostosis of the tubular bones.
Hypertrophic pulmonary osteoarthropathy (HPOA)
What is the best initial test to investigate for a primary lung lesion, e.g. in HPOA?
CXR
The PTT time reflects the activity or nearly all clotting factors except ___ and XII.
VII
Which coagulation study is used to measure the effectiveness of heparin?
PTT
Which coagulation study is used to measure the activity of warfarin?
PT/INR
Which coagulation study, PT or PTT, does NOT take factor VII into account?
aPTT
When is angina stable?
when it is only induced by activity
Eosinophilic inclusions in the substantia nigra are seen in what disease?
Lewy body dementia
How is Lewy body dementia clinically different from Parkinson’s with dementia?
onset of dementia is concurrent w/ motor Sx (not a year later)
What is the tx for anorexia nervosa (in a stable pt)?
behaviorally-based psychotherapy (e.g. CBT)
Baby w/ chronic constipation and distended abdomen. Rectal exam results in explosive espulsion of hard stool and flatus and relieves the abd distention. Dx?
Hirschsprung’s disease
What is the best initial test for Hirschsprung’s disease?
anorectal manometry
What is the connfirmatory test for Hirschsprung’s disease?
full-thickness biopsy of rectal mucosa
What will happen to tactile fremitus in lung parenchymal consolidation?
increase
