8-18 Flashcards

1
Q

afib in a younger pt from developing country

A

sequela of rheumatic heart dz (from mitral stenosis -> dilated LA)

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2
Q

testing for cushing syndrome

A

24hr urine cortisol vs late night salivary vs low-dose dex suppression -> ACTH level

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3
Q

tx for malignant hypercalcemia

A

bisphosphonates

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4
Q

warfarin reversal

A

IV vit K and prothrombin complex concentrate

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5
Q

tamoxifen vs raloxifene

A

tam: for breast cancer
ral: for osteoporosis

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6
Q

serum to ascites albumin gradient

A

> 1.1 = portal HTN

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7
Q

AIDS malignancies assoc w/ EBV

A

non-hodgkin lymphoma + primary CNS lymphoma

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8
Q

pt >50yo w/ pain + stiffness in neck/shoulders/pelvic girdle + elevated ESR

A

polymyalgia rheumatica - tx w/ prednisone

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9
Q

saline responsive metabolic alkalosis

A

low urine chloride (<20)

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10
Q

cafe au lait macules + axillary/inguinal freckling

A

NF1 - assoc w/ seizures, optic gliomas

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11
Q

nonstimulant tx for ADHD

A

atomoxetine

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12
Q

delusional disorder

A

1+ delusions for 1+ months, no other psychotic sxs

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13
Q

progressive bilateral loss of central vision

A

age-related macular degeneration

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14
Q

bacteremia assoc w/ colon cancer

A

clostridium septicum + strep bovis

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15
Q

tx for female pattern hair loss

A

topical minoxidil (vasodilator)

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16
Q

infant with widened wrists and depressible skull bones

A

nutritional rickets

17
Q

next steps for child w/ transient proteinuria

A

first morning void prot:Cr ratio

18
Q

lab findings assoc w/ RMSF

A

hyponatremia, thrombocytopenia, inc LFTs

19
Q

lung cancer screening

A

low dose chest CT age 55-80, 30 pack year hx + current smoker/last 15 yrs

20
Q

AAA screening

A

one time for men 65-75 w/ smoking hx

21
Q

sickle cell RBCs

A

howel-jolly bodies (nuclear remnants, usually removed by functional spleen)

22
Q

heinz bodies

A

RBC inclusions, seen in G6PD and thalassemia -> turn into bite cells