Canadian Q bank Flashcards
man has Hx of parthryodectomy for primary hyperparathyroidism is in ur office complaining of headache worse in morning what do u do
check for bitemporal hemianopia b/c nervous about a pituitary tumour
b/c ass/ w MEN1
Which on e of the following is ass. w/ lung malignancy
- absence of calcification
- location about midline of lung
- diameter of 4m
- solid apperance
Absence of calcification
other features of malignancy in lung nodules
- > 10 mm
- group glass appearance
- no calcification or eccentric calcification
- irreguar boarders
- doubling one month to one year
best measurement of gestational age
Crown rump length at 10 weeks
clinical of optic neuritits
pain to move eyes
Economic expense and burden of disease attributed to
CHRONIC disease
Acute paraonyohia is…
local trauma to nail or cuticle tx with topical antibiotics
1 Dx of Bacterial vaginosis
CLUE CELLS - detect via vaginal sections w/ saline and cover
Right extensor plantar response with normal face is a lesion where
Right corticospinal tract (not left since it is below S1 therefore face is not involved)
Occult bacteremia
no other findings except FEVER
Calculat dose of UFH in DVT
boulus = 80U/kg
Continuous IV infusion after = 18U/kg
Somatic symptom disorder
hypochondriasis
Testicular pain and heaviness when lying down
Varicocele
heart mumur fever child;s splinter haemorrhages - best next step
THINK infective endocarditis so do blood culture
Non arteritis Dx Test of choice
Synovial fluid aspiration
Solid kindey mass 5 cm in upper pole detected with US next step
SURGICAL resection (no point in biopsy b/c ;location and solid)
Commonest cause of DIC
Abrupto placenta
Mexico and gets GI infection w/ bloody diarrhea think
Entameba hsitolytica
Criteria for Dx parital and complete molar pregnancy
US
Abdo gullness visible abdo perstalsis , normal bowl sounds and no tenderness
Gastric OUTlet syndrome
Increase Ca and decrease phosphorus
primary parathyroid adeoma
pertussis in patient and waiting for cultures
TX PATIENT AND ANY CLOSE CONTACTS
Non alcohol liver disease is ass/ w/
TYPE 2 DM
unable to flex distal finger - needs to get a splint how
Splint finger in slightly flexed position and urgent referral to hand surgeon
What does lithium do to Ca levels
elevates Ca levels because lithium will elevate PTH
best way to treat trardive dyskinesia SE with chlorpromazine
gradual taper and replace it with clozapine or queitapine and treat tardive dyskinesia with tetrabenzine
viral sheeding continues LONG after the acute illnesss
Norwalk virus
most common cause of hemoptysis in primary car setting
LRTI
INR for patients with mechanical heart valves
2.5-3.5
what Tx SVT
Verapamil
what antidepressant causes weight lose
Bupropion
Thaizde diuretics is the first choice in what type of hypertensive patient
HTN in elderly
thiazides are contraindicated in what types of patient
patients with gout
PSC Dx via
MRCP - and treat via ERCP
CA125 level
not shown to decrease mortality if detected in early stage
athlete with 2nd amenorrhea tx
Increase caloric intake
shinny raied demarcated skin with distinct boarder
erysipeala
if not demarcated = cellultis
fiscal policy
placing high tax rates on cigarettes
magnesium sulfate toxicity
respiratory distress
inheritance of muscular dystrophy
X linked - MOM MUST BE A CARRIER
most consistent powerful predictor of stroke
HTN
failed suicide attempt by handing results in
cerebral anoxia
- memory loss, restlessness and confusion
cardiac problem in Marphans
Aortic disection
same mode of inheritance as Ducenne muscular dystrophy
- any X-linked recessive disorder
G6PD
Clubbing is a clinical finding of COPD true or false
FALSE
clubbing in:
- lung cancer
- lung abbscess and bronchiectasis
elevation of serum alkaline phsphatase WITH 5 nucleotidase is most suggestive of a condition affecting what organ
LIVER
what drug causes pupil constriction
Oxycodone
only antidepressant affective in children is
FLUOXITINE (SSRI)
4 month year old with straidor
laryngomalacia
5% mild dehydration
1slight dry mucosal
increased thirst
decreased urine output
10% dehyration
dry buccal mucous membrane tachycardia little or NO urine output lethragy sunken eyes and frontonelle loss of skin turgor
15% severe dehydration
moderate plus a rapid thready pulse no tears cyanosis rapid breathing delayed capillary reful mottled skin and coma
factor to distinguish peripheral vs. central vertigo
Disappearance of nystagmus during visual fixation
commonest cause of proteinuria in children
orthostatic proteinuria
16 weeks gestation elevated alpha fetal protein , next step
Fetal ultrasonography
lab findings in heamolytic jaudice
Alk phosphatase
initial tx of bronchiolitis
trial of nebulizer albuterol
what prevents renal failure in contrast induced nephropathy
hydration with sodium bicarbonate
1 for status epilepticus Tx
lorazepam
MICROCYTIC ANEMIA how to distinguish b/w iron deficiency anemia or chronic disease
bone marrow biopsy for iron staining
pregnant patient positive for HebB surface antigen what do u do for her infant
HBIG and hepatitis B vaccine at BIRTH
1 Tx for OCD
FLUOXETINE
What feature of meningitis causes seizures refractory to medication
Hyponatremia from SIADH
AST:ALT ratio
nonalcoholic fatty liver disease
AST:ALT ratio >2 indicated
Alcoholic hepatitis
most common cause of child abuse in canada
Child neglet
weekend drinking of an alcoholic presents with ado pain radiating to the back
THINK ACUTE pancreatitis
Get ABDOMINAL CT
What is end stage result of GERD
Peptic strictures
presentation of gout in elderly vs. younger patient
Elderly: think involvement of upper extremity
Younger - podagra
most common cause of HTN in children
Renal parenchymal disease
female athlete traid
disordered eating
ammenorhea
osteoporosis
Exposed to harmful noise for long period of time results in what type of hearing loss
sensory hearing loss with tinnitis
FDA category C - what does this mean for pregnancy women
Animal studies demonstrate some risk to the fetus - no study done in women
scattered retinal heamorrages in 2 year old
Think Shaken baby syndrome
Tocolytics inidciation
preterm labor
live , immature fetus, intact membrane , cervix
What size is the greatest for an ectopic pregnancy inorder to use MTX
ectopic mass
specific gravity of 1.002 and urine ph 5.7 think
Excessive fluid intake
Will psoriasis run in family members
YES
tx of pertussis
Erythromycin
What is the most common nutritional deficiency worldwide
IRON deficiency
roatvirus vaccine when should the first dose be given
first dose should be given prior to 14 weeks of age
tx of canadiasis on penis
Systemic amphotericin
tx of cyaninde toxicity
Sodium thiosulfate
strongest risk factor for the most serious complication of GERD
MALE
complication = Barrets esophagus (10X more common in males)
tx of lyme disease
AMOICLLN
most common type of breast lump in adolescent girls
beign - firboadenoma
cyclical pain breast lump older adolescence
Fibrocystic breast disease
constant presence of disease or infectious agent in a given area or population what word is used
Endemic
synonymous with outbreak
Epidemic
early side effect of fluoxetine
loss of appetite
what is the most helpful to determine the prognosis of multiple myloma
Beta 2 micro globulin levels
IMMEDIATE tx of DKA
restore electrolytes losses and revere catabolic state
night blindness, hyperkarotic skin think what
vit A deficiency
similar to shin splints but tends to persist
tibial stress fracture
What is a risk factor for osteoarthritis
OBESITY high bone mass female hypothyroid weights bearing exercise
in patient w/ chronic renal failure what should be given?
- IRON - b/c anemia
2/ then EPO
tension pneumothorax is best dx by
clinical exam
BNP does what
inhibits RAAS
treatment of rotator cuff tear
surgery if tear was at least 6 weeks ago
what lab results are ass. w/ chronic rather than acute hepatitis
Chronic = LOW albumin
hypertensive encephalopathy is due to a serious complication of what medication
TCA and MAO-
best way to monitor tx for Wilson
look at urinary copper excretion
c3 and c4 are low think
LUPUS
what type of headache is ALWAYS unilateral
CLUSTER headache
PET uses a radioactive label taged t o what
GLUCOSE
rate control for a.fib
BETA BLOCKER
