Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

ABEM Recert Exam 2015 > ABEM Recert Exam pt. 2 > Flashcards

ABEM Recert Exam pt. 2 Flashcards

1
Q

Scarlet fever: Cause

A

Group A Beta-hemolytic strep

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Scarlet fever: si/sx

A

Sore throat, then rash 12h later

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Scarlet fever: Rx

A

PCN

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Staph Scalded Skin Syndrome (SSSS): Age involved

A

<5 yo

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Staph Scalded Skin Syndrome: Rx

A

Fluids, just like a burn patient with excess fluid loss from skin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Staph Scalded Skin Syndrome: Skin involved

A

Almost everywhere but no mucous membrane involvement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Erythema Multiforme: Appearance

A

Target lesions, symmetric on extensor surfaces, elbows and knees
DOES have mucous membrane involvement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Steven Johnson syndrome vs TEN: How to diff

A

SJS has >30% BSA involvement, TEN has less

Almost all TEN is from drugs, SJS is mostly drugs too but can also be from infection, or graft versus host

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Measles: Incubation period

A

1-2 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Measles: si/sx

A

3 Cs
Cough
Conjunctivitis
Corzya (irritation of nasal mucous membrane, runny nose)
Fever
Morbiliform rash starts on face then spreads

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Measles: Rx

A

IVIG

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Henoch-Schonlein Purpura (HSP): si/sx

A 
ARENA
Abdominal pain
Rash
Edema (hands & feet)
Nephritis
Arthritis/arthralgias
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Henoch-Schonlein Purpura: What complication is at increased risk with

A

HSP has increased risk of intussecption

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Do petechiae and purpura blanch? Why?

A

DO NOT blanch. Is a vasculitis, so vessels are leaky and blood that you see is outside vessel, so when you press on it, it doesn’t go back in

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Erythema Infectiousum: AKA

A

Fifth disease (slapped cheek disease)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Erythema Infectiousum: Complications

A

Aplastic anemia in patient’s with sickle cell dz

Fetal demise in pregnant patients

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Roseolla: si/sx

A

3-5 days of fever, which then resolves

As fever resolves, blotchy, macular rash appears

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Roseolla: Rx

A

None

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Impetigo: Causes

A

GAS

Staph aureus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Characteristics of life-threatening rashes

A 
Mucous membrane involvement (but not always, i.e. Hand ,Foot, Mouth disease)
Pain out of proportion to exam
Skin sloughing
Petechiae / purpura
Altered LOC
Persistent fever
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Myocarditis: When to think about it

A

When an ill-appearing child gets worse after a fluid bolus, not better

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Classes of congenital heart disease

A 
Blue baby (right to left shunt)
Gray/mottled baby (cardiac outflow obstruction)
Pink baby (left to right shunt)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

HOCM murmur: What changes the murmur?

A

Gets worse with standing or Valsalva

Better with squatting, isometric hand grips or lying down

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Intussecption: Radiographic findings

A

Target sign on ultrasound

Decreased bowel gas in RLQ on KUB

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Meckles rule of 2s

A

2% of population affected
Most are 2’ from ileocecal valve
Most are 2” in length
Most present before age 2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Most common disorder requiring surgery in infants

A

Pyloric stenosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Pyloric stenosis: Ages affected

A

2 weeks - 2 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Pyloric stenosis: si/sx

A

Projectile non-bilious emesis

Hypochloremic hypokalemic metabolic acidosis secondary to vomiting

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

What to be concerned about in newborn who hasn’t passed a meconium stool?

A

Hirschprung’s disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Most common GI emergency in neonates

A

Necrotizing enterocolitis (NEC)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Necrotizing enterocolitis: Ages affected

A

2-3 weeks old

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Necrotizing enterocolitis: si/sx

A

Classic triad is abdominal distention, bloody stools, pneuomotosis intestinalis on xray

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

Necrotizing enterocolitis: Rx

A

Abx, NGT, surgery consult

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

Disc or button battery injestion: Rx

A

Immediate removal if in esophagus

If passed lower esophageal sphincter, can observe and repeat xray to ensure passing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

Lowest normal SBP in kids

A

70 + age/2

36
Q

How to correct sodium in hyperglycemia

A

Add 1.6 for every 100 glucose is over 100

37
Q

Congenital adrenal hypoplasia: Si/sx

A

Low Na, High K, low glucose

Sometimes see ambigious genitalia

38
Q

Primary syphilis: si/sx

A

Painless chancre

1-3 month incubation

39
Q

Secondary syphilis: si/sx

A

Maculopapular rash, involves palms & soles

Resolves spontaneously in 1-2 months without therapy

40
Q

Tertiary syphilis: When does it occur?

A

Anytime 2+ years after initial infection

41
Q

Lymphogranuloma venerium (LGV): cause

A

Chlymadia trachomonas

42
Q

Lymphogranuloma venerium (LGV): rx

A

Doxy, azithromycin, erythromycin

43
Q

Uterine fibroid: other name of

A

Uterine leiomyoma

44
Q

Most common uterine cancer

A

Endometrial cancer

45
Q

Vulvovaginitis: MCC

A

Bacterial vaginosis

46
Q

Bacterial vaginosis: Rx in pregnany

A

Oral metronidazole

47
Q

Bacterial vaginosis: Rx in non-pregnant

A

Oral metronidazole or intravaginal clindamycin

48
Q

Ward catheter: How long to leave in

49
Q

Herpes vaginalis: Appearance

A

Vessicles on an erythematous base (dew drops on a rose petal)

50
Q

Beta HCG: How does it change in pregnancy

A

Doubles every 48h for first 8 weeks, then starts to level off

51
Q

Maximum safe total radiation exposure in pregnancy

A

5-10 rads

Less than this causes no greater increase in birth defects

52
Q

Is barbituate withdrawal life threatening?

53
Q

Botulism: Pathophysiology

A

Toxin irreversibly binds to presynaptic ACh release mechanisms, which prevents release of ACh

54
Q

Types of botulism

A

Infant (most common, 75% of cases)
Food borne
Wound

55
Q

Botulism: si/sx

A

Descending weakness
Cranial nerve deficits
Usually have double/blurred vision
NO sensory deficits

56
Q

Botulism: Rx

57
Q

Tetanus: Causative agent

A

Clostridium tetani

58
Q

Anthrax: Types

A

Dermatologic (most common, 90% of cases)
GI (rare)
Pulmonary (hilar adenopathy and effusions)

59
Q

Anthrax: Rx

A

Quinolones or doxy

60
Q

Is anthrax contageous from one patient to another?

61
Q

Most common ricketsial infection in US

62
Q

RMSF: Time of year it is typically seen

A

Spring & early summer

63
Q

RMSF: Cause

A

Ricketsial ricketsia

64
Q

RMSF: si/sx

A

Rash (starts on periphery and moves to trunk)
Fever, HA, malaise
Sometimes leukopenia, thrombocytopenia and inc LFTs

65
Q

RMSF: Rx

A

Doxycycline or chloramphenacol

66
Q

Pertussis: Causative agent

A

Bordatella pertussis

67
Q

Pertussis: How is it spread?

A

Droplet transmission

68
Q

Ehrlichiosis: si/sx

A 
Spotless RMSF (but sometimes will have slight rash)
Fever, HA, malaise
69
Q

Ehrlichiosis: Rx

A

Doxycycline

70
Q

Pertussis: Phases

A

1st: Catarrhal phase (1-2 weeks, URI, cough, anorexia)
2nd: Paroxsymal phase: whooping cough
3rd: Convalescent phase

71
Q

Pertussis: Rx

A

Macrolides

72
Q

Plague: Causative agent

A

Yersinia Pestis

73
Q

Plague: Vector

74
Q

Plague: Resevoir

75
Q

Plague: Rx

A

Aminoglycosides

76
Q

Most common vector borne disease in US

A

Lyme disease

77
Q

Lung abscesses: Causative agent

A

Most are anaerobes (from aspiration of oropharyngeal flora)

78
Q

Lung abscesses: Rx

A

Clindamycin or ampicillin-sulbactam

Add gram negative coverage for immunocompromized patients

79
Q

Beta HCG: When does it start rising?

A

At implantation (6-7 days after conception)

80
Q

Preeclampsia: Rx

A

Magnesium sulfate 4-6 gm IV bolus then drip at 2-4 gm/h

81
Q

Placental abruption: Dx

A

Clinical

Can’t r/o with ultrasound, but you may see evidence of

82
Q

How does vaginal bleeding work up differ between trimesters?

A

No blind speculum/digital exam in 2nd/3rd trimester until ultrasound to r/o placenta previa

83
Q

Post partum fever: Causes

A

Endometritis (rx with IV abx & hospitalization)

Mastitis

84
Q

Mastitis: Rx

A

If no abscess, abx and can continue breastfeeding

If abscess, no breastfeeding and will need I&D in OR

85
Q

DVT/PE: Rx in pregnancy

A

Heparin / LMWH

NO warfarin

ABEM Recert Exam 2015 (7 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions