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Comlex 3 > 8/29 > Flashcards

8/29 Flashcards

1
Q

specificity caculation

A

SPIN

true positive/all positives

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2
Q

grade of ulcer + H. pylori

A

grade I

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3
Q

lateral epicondylitis associated with which wrist motion

A

wrist extension

wrist flexion is medial

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4
Q

informed consent disclosing what about experience

A

physician experience with procedure

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5
Q

VIPoma electrolyte abnormaliity

A

lowK due to diarrhea

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6
Q

most common causes of endocarditis in prosthetic valves

A

staph aureus and staph epidermidis

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7
Q

kidney stone management with no other complications

A

observe with pain management

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8
Q

cough, sob, noducles and cyst on CXR with rib lytic leasions dz

A

langerhans cell histiocytosis

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9
Q

Crohn’s dz flare tx

A

steroids

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10
Q

appy tx

A

surgery

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11
Q

tylenol ingestion recent tx

A

charcoal within one hour

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12
Q

greasy stool, salty kisses, cough, and DM with pneumonia dz and organism

A

CF

pseudomonas

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13
Q

right on left sacral torsion tx position

A

left lateral recumbent with face up

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14
Q

PUD tx

A

triple therapy : PPI, clarithromycin, amoxicillin
or
omeprazole, bismuth subcitrate, metronidazole, and tetracycline

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15
Q

sickle cell dz with ED cause

A

vaso-occlusive

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16
Q

weakness, foot drop, tiwtich and atrophy dz and test

A

ALS

electromyography

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17
Q

OCD tx

A

CBT and SSRi or TCA (clomipramine)

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18
Q

Wallenberg test

A

for vertebral artery insufficiency

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19
Q

newborn head swelling crosses suture lines

A

caput succedaneum

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20
Q

newborn head swelling does not cross suture lines

A

cephalohematoma

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21
Q

puberty boobs male tx

A

reassure and fu 6 mo

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22
Q

MS exacerbation tx

A

methylprednisolone

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23
Q

alopecia, dermatitis, neuropathy, depression NV vitamin def

A

biotin

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24
Q

twin to twin transfusion syndrome complications

A

donor - anemia

recipient - CHF, jaundice

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25
premature ovarian failure tx focused on
preventing complications
26
antidepressant causing HTN
monoamine oxidase inhibitor (phenelzine, tranylcypromine, isocarboxazid, selegiline)
27
Wilson dz tx
penicillamine
28
incarcerated hernia tx
surgery (only attempt manual with nonincarcerated)
29
Apt test
non invasive test for differentiate fetal and maternal blood
30
new born vomiting blood test
Apt test
31
shy personality who wants friends but fears rejection
avoidant personality disorder
32
most sensitive test for c diff
c diff toxin PCR
33
c diff tx
vanc, reccurent fidaxomicin (metronidazole has too much resistance)
34
congenital adrenal hyperplasia tx
steroids
35
ann arbor staging for hodgkin lymphoma
1 - local 2 - onside of the diaphragm 3 - both sides of diaphragm 4 - widespread
36
painless vaginal bleeding while pregnant
placenta previa
37
placenta previa tx
stabilize and deliver at 36 weeks (don't have to do c-section because placenta may move)
38
bleeding at watershed area of colon dx
ischemic colitis
39
bad prognostic factor for pancreatitis
BUN>20
40
tradive dyskinesia tx
discontinue and start clozapine
41
acute mania tx
antipsychotics, mood stabilizers, and valproic acid
42
meningitis next step
LP before abx if no neuro deficit
43
solitary lung nodule in pt with no risk factors next step
repeat CT in 6-12mo
44
OCD tx
ssris (fluvoxamine)
45
polyarteritis nodosa tx
steroids and cyclophosphamide
46
controlled diabetic screening
albumin:creatinine ratio
47
prolonged PTT with blood in joint
Hemophilia A
48
blood pressure more than 180/120 next step
check for end organ damage
49
HTN urgency becomes emergency when
there is evidence of end organ damage then would need to lower blood pressure emergently
50
sensitivity
true positives/all positives
51
measles is contagious for
4 days after rash onset
52
osmolality improves with desmopressin
central diabetes insipidus
53
bipolar and polyuria and polydispsia dx
nephrogenic diabetes insipidus (kidneys no longer responding because desensitized)
54
gout exacerbation tx
indomethacin (colchicine takes too long)
55
test will confirm cholecytistis
HIDA
56
chronic cough, sob, long term exposure to birds dx and ass finding
hypersensitivity pneumonitis | decreased diffuse capacity for carbon monoxide
57
generalized tonic clonic seizures underlying mechanism
increased neuronal discharges due to increase excitability NTs (glutamate)
58
RSV prophylaxis med and who
palivizumab | premie babies, babies with comorbiditis or immune compromised
59
bone lesion and calcium abnormalities symptoms dz and test
multiple myeloma | urine protein electrophoresis (Bence Jones proteins)
60
otitis media tx
amoxicillin
61
juandice, abd pain, CA suspected and test
pancreatic CA | ERCP
62
cranial technique to increase cranial impulse
CV4 or bulb decompression
63
fibromyalgia tx
duloxetine
64
tinea organism formation
segmented hyphae
65
familiar hypercholesterolemia LDL, TG and HDL
high LDL, normal TG and HDL
66
HIV positive with candida infection qualifies as type of HIV or AIDS
symptomatic HIV (AIDS would be candida in esophagus, lungs/trachia, cytrococal, cryptosporidios, Kaposis, cerebral lymphoma, PCP, toxo
67
microcephaly, micrognathia, clenched fist, big occiput, rocker-bottom feet trisomy
trisomy 18
68
cleft lip, polydactyly, microcephaly, microphthalmia, micrognathia, rocker feet
trisomy 13
69
prevalance calculation
total cases/population
70
obesity
BMI >30
71
2 year old milestones
walk stairs with suport, circle, sortof dress themselves, two word sentences
72
pneumonia vaccine for
65 + diabetics at diagnosis smokers CHF/COPD
73
AV malformations associated with dz
aortic stenosis von Willebrand disease endstage renal disease
74
low grade squamous intraepithelial leasion on pap next step
colposcopy regardless of HPV testing

Comlex 3 (7 decks)

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