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STEP II > 6/4/13 > Flashcards

6/4/13 Flashcards

1
Q

What acute visual problem occurs most commonly in women 20-45 y.o. and presents with marked loss of color vision (in addition to central scotoma and afferent pupillary defect)?

A

optic neuritis

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2
Q

What disease is commonly associated w/ optic neuritis?

A

MS

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3
Q

What kind of drug is clomipramine?

A

TCA

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4
Q

What disorder is clomipramine commonly used for?

A

OCD

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5
Q

What is the drug of choice for treating performance-related anxiety?

A

Propranolol

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6
Q

Elderly person w/ sudden onset of flashing lights, floaters and “curtain coming down” over their eyes. Dx?

A

retinal detachment

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7
Q

Sudden painless loss of vision in one eye. Fundoscopic exam: pale optic disc w/ cherry-red fovea. Dx?

A

Central Retinal Artery Occlusion (CRAO)

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8
Q

How can you tell leukemoid reaction from CML with standard lab tests?

A

leukocyte alkaline phosphatase (LAP) is high in leukemoid rxn (not CML)

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9
Q

What is the mutation in polycythemia vera and its effect?

A

JAK2 –> hypersensitivity to EPO

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10
Q

What is the characteristic appearrance of the rash of disseminated gonnorrhea?

A

red macules evolving into hemorrhagic pustules

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11
Q

What cells in the granulomas of sarcoidosis activate excess Vit. D?

A

MΦs

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12
Q

What is the first step if a peds pt has pharyngitis?

A

rapid strep test

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13
Q

What is the next step if the rapid strep test is negative?

A

throat culture

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14
Q

What is the first-line tx for strep throat?

A

Penicillin~!!!

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15
Q

What is a good tx for strep throat if pt is allergic to penicillin?

A

erythromycin

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16
Q

What is the best prognostic indicator in COPD?

A

FEV1

17
Q

Hyperhomocystinemia is classically assoc’ed w/ what non-genetic condition?

A

folate deficiency

18
Q

What disease would give a Marfanoid habitus and striae?

A

Marfan’s syndrome

19
Q

What, again, is the defect in Marfan’s syndrome?

A

fibrillin

20
Q

What is the defect in Ehlers-Danlos syndrome?

A

lysyl hydroxylase deficiency

21
Q

What is the ingeritance pattern of Marfan’s?

A

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STEP II (79 decks)

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