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Comlex 3 > 8/23 > Flashcards

8/23 Flashcards

1
Q

Ha, n/v, neck stiffness suddenly
Afebrile
Dx

A

Subarachnoid hemorrhage

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2
Q

Pt needs breast ca screen
Declines mammo due to radiation
Next choice

A

MRI breast

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3
Q

Lower abd pain for 2 mo after eating

Dx

A

Acute mesenteric ischemia

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4
Q

Mid systolic crescendo-decrescendo murmur dx

Ass sx

A

Aortic stenosis

Delayed carotid pulse after heart beat

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5
Q

Family hx of colon CA and endometrial CA, and other gi CA

Screening needed

A

Colonoscopy and then every 1-2 years

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6
Q

Scurvy sx

Vit c def associated sx

A

Joint pain

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7
Q

Diaper dermatitis dx

A

Contact dermatitis

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8
Q

OCD to

A

Fluoxetine

Ssri

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9
Q

Hyperpigmentation with no other sx

Dx

A

Melisma

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10
Q

Multiple myeloma anion gap

A

Decreased anion gap due to hyperCa

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11
Q

Difference bn MEN2A and B

A

2B gi Timors and Marfan habitually

No parathyroid tumors like A

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12
Q

Parkinson’s

Mechanism

A

Levy bodies = alpha-synuclien accumulation

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13
Q

Pyloric stenosis electrolyte abnl

A

Low cl, k

Metabolic alkalosis

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14
Q

Steven Johnson additional findings

A

Involved mucous membranes
Eyes (conjunctivitis)
Genitalia

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15
Q

Plantar fasciitis tx

A

Rest, ice, NSAIDs, stretching

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16
Q

Times corporis tx

A

Topical azole

Oral griseofulvin for failed topical

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17
Q

Newborn with perinatal hiv exposure to

A

Zidovudine

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18
Q

Plum fibrosis lung testing finding

A

Decreased diffuse capacity
Decrease fev1 and vital capacity
Increased fev1/fvc

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19
Q

Bruising, recurrent infections, cafe au lait spots

Dx

A

Franconia anemia

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20
Q

Fanconi anemia increases risk

Dz

A

Acute myelogenous leukemia

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21
Q

Tx for hemochromatosis

A

Phlebotomy

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22
Q

RA tx

A

Sulfasalzine and NSAIDs

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23
Q

Hemochromatosis genetic cause

A

Homozygous c282Y HFE gene mutation

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24
Q

Folate vs B12 def differences

A

Elevated mma in b12

Neuro sx only b12

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25
Q

Most specific test for RA

A

anti-CCP

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26
Q

Staph toxic shock vs tens

A

Mucous membranes only with tens

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27
Q

Soap bubble on X-ray type

Of ca

A

Giant cell tumor

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28
Q

Biggest risk factor for dementia

A

Age

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29
Q

Sigmoid volvulus to

A

Endoscopic decompression

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30
Q

Urinary incontinence first test regardless of length of time

A

UA

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31
Q

Malignant hyperthermia vs

Neuroleptic malignant syndrome medications triggering

A

Malignant hyperthermia ass with anesthesia

Neuroleptic ass with antipsych

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32
Q

Tx neuroleptic malignant hyperthermia

A

Stop med, IVF
benzos
Dnatrolene, bromocriptine, amantadine

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33
Q

Wagners specific test

A

C-ANCA

antibodies against proteinase-3

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34
Q

Neonatal conjunctivitis causes

A

Gonorrhea

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35
Q

Oral Thrush in adult tx

A

Azole lozenges and give testing

Not po azole unless failed

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36
Q

Rupture AAA diagnostic test

A

US

37
Q

Psoriasis tx

A

Topical steroids

38
Q

Low tsh and t4

Cause

A

Secondary hypothyroidism

Pituitary

39
Q

Schizophrenia vs schizophreniform

A

More than 6 mo is schizophrenia

40
Q

Carpal tunnel symptoms

A

Weakness and numbness omg third three fingers

Spares sensation in the at eminence

41
Q

Elevated trip onion and active chest pain dx

A

Nstemi

42
Q

Prolonged PTT bleeding disorder

Dx and tx

A

vWD - most common

Give desmopressin

43
Q

Servers nerve palsy

Dx and nerves

A

Erb-duchennes

C5-6

44
Q

Galeazzi’s frx

A

Distal radius

45
Q

Monteggia’s frx

A

Proximal radius

46
Q

Night stick fracture

A

Ulnar frx from blocking a blow

47
Q

Pt has increase morning glucose initial test and dx

A

Have it taken earlier

Dawn phenomenon

48
Q

Specificity calculation

A

SPIN
it’s about the negatives
= true neg/ all neg

49
Q

Ulcer from H pylori grade

A

I

50
Q

Lateral epicondylitis associated wrist movement with pain

A

Wrist extension

Wrist flex ion with medial

51
Q

Consent if asked about level of experience must answer clearly and honestly

A

Yep

52
Q

VIPoma electrolyte abnormality

A

Low K from diarrhea

And hyperglycemia

53
Q

Prosthetic valve endocarditis most common cause

A

Staph epidermidis and aureus

54
Q

Modules and cysts in lung
Ribs lytic lesions
Dx

A

Langerhans cell histiocytosis

55
Q

Crohns dz first line tx

A

Steroids

56
Q

Ingestion Tylenol within one hour tx

A

Activated charcoal

57
Q

Greasy stool, stay skin, diabetes

Dx

A

CF

58
Q

PUD with H pylori to

A

Omeprazole, clarithromycin, amoxicillin

If had macrlide abx-
Omeprazole, bismuth subcitrate, metronidazole, tetracycline

59
Q

Sickle cell with ED cause

A

Vado-occlusive

60
Q

OCD to

A

SSRI or TCA( including clomipramine)

61
Q

Wallenbergs test for dz

A

Vertebral insufficiency

62
Q

Drop arm test assessing muscle

A

Supraspintsus

63
Q

Alleys stretch test is assessing

A

Shoulder mobility

64
Q

aortic dissection initial study

A

CXR, then CT

65
Q

itchy rash on baby dx and risk factor

A

atopic dermatitis

fhx of asthma

66
Q

most sensitive test for lupus

A

ANA, if negative can 95% rule out lupus

67
Q

young healthy male with elevated Crt, ask about

A

supplement (creatinine) use

68
Q

normal newborn screening

A

PKU and hypothyroidism

69
Q

early diastolic blowing murmur

A

aortic regurg

70
Q

late diastolic murmur with opening snap

A

mitral stenosis

71
Q

prevention of osteoporosis

A

vit D, calcium, quit smoking/etoh, weight bearing exercise

72
Q

mydriasis

A

dilated pupil

73
Q

alcoholic found down with AMS and mydraisis, which brain bleed

A

subdural

74
Q

younger, distal limb weakness, decreased sensation and reflexes, spine deformities, high arched foot dx

A

charcot-marie-tooth

75
Q

only males, waddling gait, progressive weakness, using arms to move legs, CK elevated dx

A

duchenne muscular dystrophy

76
Q

cacluate odds ratio

A

= (exposed with dz x exposed wo)/(not exposed w x not expo wo)

77
Q

MEN 2A list of dz

A

medullary thyroid ca, pheochromocytoma, adrenal hyperplasia, parathyroid tumor

78
Q

unstable pt with PE presentation next step

A

CT before tPA (heparin for stable PE pt)

79
Q

ITP sx

A

low platlet and bleeding

80
Q

wiskott-aldrich

A

low plt and immune deficient

81
Q

atypical squamous cells on pap next step

A

HPV typing
then colposcopy if positive
repeat 3 years if negative

82
Q

Start screening lipids and glucose

A

35 in males

45 in females

83
Q

Hep a vaccine for adults who

A

Work with kids from endemic areas of travel in endemic areas

84
Q

Hep B vaccine for adults who

A

Have sex with multiple people
Drug use
Healthcare

85
Q

HPV vaccine can be given up til

A

45 yo

86
Q

weight reduction surgery BMI qualification

A

> 40 or >35 with comorbidity

87
Q

NSAID causes ulcer grade

A

Type V

88
Q

stomach acidity ulcer grade

A

Type II and III

Comlex 3 (7 decks)

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