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8/11 Flashcards

1
Q

what muscle is used to distinguish between different levels of axillary lymph nodes

A

pec minor

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2
Q

exposed bone post dental procedure, swollen gums old lady probable dx

A

bisphophonatevrelated osteonecrosis

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3
Q

poly arthritis nodosa

constitutional features

A

fever, weight loss, malaise

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4
Q

poly arthritis nodosa skin findings

A

nodules, lived reticular, ulcers, purpura

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5
Q

poly arthritis nodosa renal things

A

HTN, renal infarct, arterial aneurysm

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6
Q

poly arthritis nodosa neuro things

A

HA, seizures, mononeuritis multiplex

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7
Q

poly arthritis nodosa GI things

A

mesenteric ischemia/infarct

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8
Q

poly arthritis nodosa MSK things

A

myalgia and arthritis

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9
Q

poly arthritis nodosa ANCA and

ana?

A

negative

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10
Q

poly arthritis nodosa angio findings

A

micro aneurysms and segmental/distal narrowing

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11
Q

tissue biopsy of poly arthritis nodosa

A

non granulomatous trasmural inflammation

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12
Q

thyroid nodule post US with high or normal TSH next step

A

FNA unless super normal US

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13
Q

thyroid nodule post US with low TSH next step

A

reactive iodine scintigraphy- FNA for cold, medical management for hot

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14
Q

best predictors for lung resection outcomes

A

FEV1 DLCO

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15
Q

tx for septic bursitis

A

aspiration to get dx, systemic abx and drainage if safe like in knee

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16
Q

chromium deficiency signs

A

impaired glucose control

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17
Q

copper deficiency signs symptoms

A 
brittle hair/hairloss
skin depigmentation
ataxia and peripheral neuropathy
anemia
osteoporosis
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18
Q

selenium deficiency

A

thyroid dysfunction
cardiomyopathy
immune dysfunction

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19
Q

zinc deficiency

A 
alopecia 
pustular skin rash
hypogonadism
impaired wound healing
impaired taste
immune dysfunction
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20
Q

thyrogloassal duct cyst location and features

A

midline
tract between foramen cecum and base of anterior neck
cyst moves with swallowing and tongue protrusion
often presents after URI

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21
Q

dermoid cyst location and features

A

midline
cystic mass with trapped epithelial debris
occurs along embrionic fusion planes
no displacement with tongue protrusion

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22
Q

branchial cleft cyst location and features

A

lateral
may extend to the tonsils fossa (2nd brachial arch ) or pyriform recess (3rd branchial arch)
ANTERIOR to STERNOCLEIDOMASTOID

23
Q

Mycobacterium avian lymphadenitis location and features

A

lateral
necrotic lymph node
violaceous discoloration of skin
often fistula

24
Q

cystic hygroma location and features

A

posterior

dilated lymphatic vesels

25
Q

what does histoplasmosis look like

A

narrow based budding yeast

26
Q

histoplasmosis tx

A

itroconazole or amphoterain b

27
Q

why do OHS patients have low cl

A

too much hypoventilation = hypercarbia, increases bicarb retention to maintain physiologic ph., This decreases cl reabsorbtion . note:m this happens in OSA also but resolves with normal daytime breathing

28
Q

most common se of inhaledcorticosteroid use

A

oral thrush

29
Q

3 top causes of chronic cough

A

post nasal drip, asthma, GERD

30
Q

sarcoid DLCO

A

⬇️

31
Q

sarcoid electrolyte abnormality

A

hep Ca

32
Q

asbestosis diffusion lung capacity

A

down arrow ⬇️

33
Q

heart thing that can develop asbestosis

A

cor pulmonale

34
Q

TB causing primary adrenal insufficiency lab findings

A

hyponatremia, hyperk, hypoglycemia, eisonophillia

35
Q

low dose ct recommendations for smokers age

A

55-80 yearly

36
Q

low dose ct for lung cancer screening eligibility

A

30+ pack years of smoking. and patient is a current smoker or quit smoking in the last 15 years

37
Q

transudative effusion ph pulmonary

A

7.4-7.55

38
Q

exudative pleural effusion ph

A

7.3-7.45, <7.3 probably bacterial or tumor

39
Q

what can SSRi do to physiologic tremors

A

increase them

40
Q

sx looks like sarcoid but is a fungus

A

histoplasmosis

41
Q

blastomyces signs and symptoms

A

skin lesions, osteolytic bone lesions or prostate involvement

42
Q

when to get ct with uncomplicated pyelonephritis

A

no improvement in symptoms at 48-72 hours, or unusual urinary findings

43
Q

vaccines recomended in chronic liver failure

A 
tents: q10 years
influenza
; anual
PNA23: @dx and @65
Hep A and B if not immune
44
Q

MAC tx

A

macrolide+ ethambutol

45
Q

MAC manifestations

A

fever and weight loss
abdominal pain and diarrhea
LAD and heptosplenomegally
⬆️ alk phos

46
Q

male urethritis nothing on gram stain

A

chlamydia

47
Q

when do HIV patients get CMV prophylaxis

A

never but organ transplants if CMV-seropositive do

48
Q

what is most common ekg finding of lyme myocarditis

A

AV block

49
Q

mucormycosis/rhizopus tx

A

amphotericin b and surgical debridement

50
Q

rpm and vldr neg but for sure it’s syphylis next test and why those were neg

A

treponema antibody, others negative early in primary infection

51
Q

needle stick from HIV + patient

A

draw blood for test and start 3 drug therapy immediately

52
Q

mycoplasma pneumonia signs, symptoms, tx

A

HA,Malasie,fever,persistant dry cough, pharyngitis(no exudates), macula/vesicular rash

tx macrolide and respiratory fluoroquinolone

53
Q

What causes erysipelas and what are it’s signs and symptoms

A

strep progenies(group a)
superficial dermis and lymphatics, well demarcated edges. rapid spread and onset
fever in early course

54
Q

can patients on TNFA alpha inhibitors get live vaccines

A

na

step 2 (53 decks)

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