6/8/13 a Flashcards
What are the 2 options for mgmt if ASCUS is found on Pap smear?
1) repeat Pap smear in 4-6 mos
2) HPV DNA
If pt has ASCUS and HPV test shows hi-risk type (14, 16, 30’s), what is the next step?
colposcopy
What would be seen on peripheral smear in TTP, HUS, and DIC, but not ITP?
schistocytes
2 Abx choices for treating MRSA aside from vancomycin.
linezolid and daptomycin
3 Abx choices for treating VRSA.
linezolid, dalfopristin, or quinupristin
What are the first 3 steps of the “breaking bad news” protocol?
1) comfortable enviro (e.g. fam/no fam)
2) what does pt think of illness?
3) how much do they want to know?
What tumor marker is assoc’ed w/ hepatocellular carcinoma?
α-fetoprotein
What cancers are associated w/ carcinoembryonic Ag (CEA)?
colon and ovarian
What differentiates pseudostrabismus from strabismus?
normal corneal light reflex
What would cause sudden, massive hemorrhage into the peritoneum in a pregnant woman w/ no sig. med Hx?
ruptured visceral aneurysm
What is the first step in mgmt of a highly suspicious pulmonary nodule >1cm that has been identified on CT?
resection
What would cause an apparent pulmonary infection w/ a chronic course, foul-smelling sputum, B-type Sx, and a normal physical exam? Hint: alcoholics are more susceptible.
anaerobic lung abscess
What Abx is most appropriate for an anaerobic lung abscess?
clindamycin
How might an anaerobic pulmonary abscess appear on CXR?
thick-walled cavitary lesion
How is the x-ray appearrance of malrotation w/ volvulus different from duodenal atresia?
gas in bowel distal to “double bubble”
What is the initial treatment of TTP?
large-volume plasmapheresis
What is the standard Tx of lipomas?
observation
What should be done in the case of a solitary thyroid nodule and normal or high TSH?
FNA
Elderly pt: Hyperviscosity; Plasmacytoid lymphocytes on peripheral smear and invading bone marrow; Monoclonal IgM spike.
Waldenstrom’s macroglobulinemia
What part of the lung tends to be most involved by asbestosis?
lower lung fields
What kind of lung disease are people exposed to asbestos most at risk for?
interstitial lung cancer
What part of the lungs is most involved by silicosis?
upper lung fields
What lung disease are people exposed to silica at increased risk for?
TB
What special test should be done routinely for pts w/ silicosis?
yearly PPD
What part of the lung is most affected in coal worker’s pneumoconiosis?
upper lung fields
What differentiates coal worker’s pneumoconiosis from silicosis in labs?
immunologic abnormalities
