Buzz Words/Challenge bowl Flashcards
what is the only artery in the blood that carries deoxygenated blood?
pulmonary artery
which Ab appears in serum early in the course of infection?
IgM
What is the name for an acute polyneuropathy that is associated with an ascended paralysis, and may be triggered by infection?
Guillain-Barre Syndrome (absent deep tendon reflexes)
What is trousseau’s sign? and what is it associated with?
tapping of the inferior portion of the zygoma will produce facial spasms. Hypocalcemia
What is chvostek’s sign? and what is it associated with?
eliciting carpal spasm by inflating the blood pressure cuff and maintaining the cuff pressure above systolic. hypocalcemia
What should you advise your patients taking taking metronidazole not to do?
Don’t drink alcohol
The most common heart valve involved in bacterial endocarditis in the general population?
mitral valve
Thumb print sign, drooling, leaning forward
epiglottitis
Best treatment for gonorrhea?
250mg IM cefttriaxone
What is the most sensitive physical exam technique for for diagnosing ACL tear?
lachman’s test
What is the R in MANTRELS scoring system? What do the rest of the letters stand for?
Migration to the right iliac fossa, Anorexia, Nausea/Vomiting, Tenderness in the right iliac fossa, Rebound pain, Elevated temperature (fever), Leukocytosis, and Shift of leukocytes to the left
A pt with dermatomyositis may present with what distinctive rash?
heliotrope rash
what is the most abundant protein in the human body?
collagen
The most likely organism to cause an infection after a cat bite is?
Pasteurella multocida.
The most likely organism to cause cat scratch disease?
Bartonella henselae
Grey Turner’s sign
ecchymosis of the flanks. acute pancreatitis
sister Mary nodule
GI cancer
The most common pharmacologic Tx for reynaud’s disease is?
CCB
Pregnant women should be test for group B strep during which week of gestation?
35th
The most commonly diagnosed type of skin cancer?
Basal cell carcinoma
Child with colic abdominal pain and red currant jelly stool
intussusception
What is the most common type of thyroid cancer?
papillary carcinoma
epidural hematomas usually are caused by injuries to which vessels?
middle meningeal artery
Hypernatremia may result when patients with this disorder have limited access to water?
Diabetes insipidus
What is the most common type of testicular cancer?
seminoma
The condition in which the placenta completely or partially cover the cervical os is?
placenta previa
The center criteria are used to determine the likelihood of Strep pharyngitis. What are the four components?
FLAP = fever, lack of cough, pharyngeal exudates, anterior lymphadenopathy
A pt with RUQ pain and hx of recent STI may have what particular syndrome?
Fitz-Hugh-Curtis (liver capsule infection secondary to PID)
Charcot’s triad
jaundice, fever, RUQ pain
Renald’s pentad
jaundice, fever, RUQ pain, hypotension and confusion
A patient experiencing a lateral wall MI may have STelevation in which leads?
I, aVL, V5, V6
guttate psoriasis is closely associated with which type of infection?
Strep pharyngitis
Horner’s syndrome
ptosis, miosis, and anhydrosis
Auer rods
AML
which cranial nerve controls the lateral rectus muscle?
CN6
Name the risk stratification system used to determine the anticoagulation goals for pts with A fib.
CHADS2 score
An austin flint murmor is the mid diastolic heart murmur heard at the apex of the heart in patients with this valvular abnormality.
aortic regurgitation
The anti-rhythmic medication, amiodarone, can increase the risk of what endocrine disorder?
hypothyroidism
Arthritis, conjunctivitis and urethritis
Reiter’s syndrome (reactive arthritis)
Narcissistic, antisocial, borderline and histrionic are all grouped together as?
personality disorders. particularly cluster B
non-caseating granulomas in the lungs, name the systemic disease.
Sarcoidosis
The interruption of the cardiac conduction cycle is characterized by progressive lengthening of the PR interval until an atrial beat is blocked
Wenckebach
Tetralogy of fallot
Right ventricular hypertrophy, VSD, overriding aorta and pulmonic stenosis
CREST syndrome stands for.
calcinosis, Raynaud’s phenomenon, esophageal dysmotilitiy, sclerodactyl, telangiectasia
HELLP
Hemolysis, elevated liver enzymes, low platelets
caseating granulomas
TB
Aganglionic large intestines
Hirschsprungs disease
Tram track appearance on Xray
bronchiectasis
virchow’s triad
hypercoagubility, hemodynamic changes, endothelial dysfunction
Reed-sternberg
Hodgkin’s lymphoma
positive bifringence, rhomboid
pseudogout, calcium pyrophosphate (CPP) crystals
what test do you do for sjogrens disease?
schirmer’s test
negative bifringence
Gout
Four muscles of rotator cuff
SITS = supraspinatus, infraspinatur, teres minor and subscapularis
positive finkelsteins test?
de quervain’s tenosynoovitis
steeple sign
croup
sweat chloride test more than 60
cystic fibrosis
currant jelly sputum
klebsiella pneumoniae
rust colored sputum
pneumoncoccal pneumonia
eggshell calcifications
silicosis
hampton’s hump
pulmonary embolism
westermark sign
pulmonary embolism
S1Q3T3
pulmonary embolism
parenchymal bullous, subpleural blebs
emphysema
most common cause of croup?
parainfluenza virus
What does CURB65 assess?
risk for mortality in community acquired pneumonia
What are the components of CURB65?
confusion, Urea more than 7 mmol/L, RR more than 30, BP sys less than 90, Diastolic less than 60, age over 65. More than 2 admit. more than 4 possible ICU
If you come across a question where the patient has erythema nodosum AND enlarged parotid glands, what diagnosis should you be thinking?
sarcoidosis
bilateral hilar lymphadenopathy and elevated ACE
sarcoidosis
non-caseating granuloma
sarcoidosis
What is Beck’s triad and where does it appear?
- hypotension, 2. JVD, 3 distant muffled heart sounds. Seen in pericardial tamponade
List the dermatologic signs of endocarditis
janeway lesions, roth spots, splinter hemorrhages, osier nodes
Kussmaul’s sign
a paradoxical rise in jugular venous pressure (JVP) on inspiration. It can be seen in some forms of heart disease and is usually indicative of limited right ventricular filling due to right heart failure.
S3, bibasilar rales/crackles, paroxysmal nocturnal dyspnea
CHF
HACEK group
cause endocarditis - (Haemophilus aphrophilus; Actinobacillus actinomycetemcomitans; Cardiobacterium hominis; Eikenella corrodens; and Kingella kingae