6/13/13 a Flashcards
Why would neonates born to diabetic mothers possibly have polycythemia?
high basal lvls of glucose lower the metabolic rate
Why would the neonate of a diabetic mother have hypocalcemia?
parathyroid hormone suppression
Vulvar lesions accompanied by pruritis, soreness, and/or vag discharge in a middle-aged woman.
vulvar lichen planus
Thin, white, crinkly skin on the vulvae of a postmenopausal woman w/ intense pruritis.
lichen sclerosis
Which 2 personality disorders can have short-lived psychotic episodes?
schizotypal and borderline
Lidocaine is used for arrhythmias originating in the _______.
ventricles
What causes subacute pneumonia in immunocompromised pts and appears in Gram stain as crooked, branching, beaded, Gram(+) and partially acid-fast filaments?
Nocardia
What is the most common site of extrapulmonary dissemination of pulmonary nocardiasis?
brain
What is used to treat nocardiasis?
TMP-SMX
What is the most likely cause of generalized muscle pain/tenderness in a middle-aged woman w/o muscle weakness or joint swelling?
fibromyalgia
Which disease that causes proximal muscle pain in older pts is assoc’ed w/ temporal arteritis?
polymyalgia rheumatica
_______ is characterized by symmetric proximal muscle WEAKNESS and mild pain. Elevation of CK and inflammation of the muscle fibers also occurs.
Polymyositis
What differentiates hypertenstive urgency from hypertensive emergency?
signs of end-organ comlications
In what conditions are Howell-Jolly bodies seen?
asplenic ones
Erythematous lesions w/ central scale and a sandpaper texture on a sun-exposed area of an older person’s skin.
actinic keratosis
Which kind of skin cancer do 1% of actinic keratoses develop into?
SCC
Which 2 long-acting benzos are preferred in the tx of delirium tremens?
lorazepam and diazepam
What is the use of flumazenil?
benzo toxicity
What is the most common/strongest risk factor for acute aortic dissection?
htn
What is the DLCO in emphysema?
low
What is the DLCO in chronic bronchitis?
normal
What are the most common primary intracardiac tumors?
atril myxomas
Does Dubin-Johnson syndrome cause a primarily conjugated or unconjugated hyperbilirubinemia?
conjugated (remember, Dubin is stuck in a closet)
What should you suspect as a cause of pericarditis in a pt w/ renal failure?
uremic pericarditis
What must be done to treat uremic pericarditis?
dialysis
Mothers w/ uncomplicated pregnancies should be encouraged to do moderate aerobic exercise for ___ minutes per day.
30
