Card/Nephro Flashcards
what is the most common type of cardiomyopathy and what type of hypertrophy does it cause?
dilated
eccentric hypertrophy of the left ventricle
what is the timing of postinfectious GN?
1-3 weeks
What will biopsy show for Postinfectious GN?
IgG and C3 deposit
bag of worms testicles, what am I thinking for diagnosis and which side?
varicocele
left side
which inflammatory bowel disease do I think of with Ankylosing?
Crohns
what age are children screened for FAP?
10-12
how to provide immunization for tetanus with dirty, contaminated wound and unknown shot history?
tdap and tetanus Immunoblobulin
hypocalcemia leads to what on ECG?
prolonged QT
baby, harsh, holosystolic murmur with thrill, what is diagnosis?
VSD
what to use to prevent NSAID induced ulcers?
Misoprostol
classic physical exam finding for ASD is?
wide, split fixed s2
classic exam finding for PDA?
what to give to close it after birth?
continuous machine line murmur
indomethacin
3 lab values to remember for hemochromatosis?
elevated iron, ferritin and decreased TIBC
what condition to think of with obturator sign?
appendicitis
one main difference in the question stem for subclavian steel and thoracic outlet syndrome?
no response to head tilting with blood pressure discrepancy
what nuerological condition is associated with lyme disease to remember?
facial nerve palsy
caucasian woman, elevated BP, start an ace, and now bump in Cr over 30%, what am I thinking?
renal artery stenosis
what is the most common type of family high cholesterol?
type 2a
what are the two conditions to remember that are bilirubin storage problems?
dubin and rotor
What is the distingusing factor for Dubin and Rotor?
dubin, black liver
rotor, urine coproprophyrin
What are the two bilirubin conditions that have problems conjugating?
Crigler najar
gilberts
what is the fluid of choice for DKA?
isotonic
what type of injury leads to central cord syndrome?
hyoerextension
classical presenting symptoms of central cord syndrome?
weakness greater in UE and cape like distribution of pain and temp sensation
what is the most sensititive and specific test for cholecystitis?
HIDA
what to remember with shiga toxin in kids?
HUS
when to do surgery on hematomas?
thickness greater than 10 mm
midline shift greater than 5mm
What is the cause of nephrotic syndrome if there are nodular sclerosis in the glomerulus?
Diabetes
First line agent for nephrotic syndrome?
Second line agent?
First line agent to slow progression of diabetic nephropathy?
prednisone
cyclophosphamide
ace
CT finding for renal papillary necrosis?
What two risk factors to remember for RPN?
medullary ring shadows
NSAIDS and sickle cell
How to proceed after a testicular mass is confirmed with ultrasound and serum markers?
radical orchiectomy
fena less than 1%, what type of AKI?
fena over 2%, what type of AKi?
pre
intra
If the question points towards nephritic syndrome, which condition to remember?
berger or IgA nephropathy
How long after getting an infection does berger who up vs post strep GN
2-3 days berger, 10-14 days post strep
most common nephrotic syndrome cause after infection
post strep
top 2 causes of epididymitis in males 35 or younger?
how to treat?
clahmydia 1
n gon 2
ceftriaxone and doxy
where does coarctation of the aorta most commonly occur?
just distal to the left subclavian artery
What is standard of care for mobitz type1?
What two heart blocks do we do surgical evaL/
asymptomatic Mobitz type 1, observe, but if they are symptomatic
Mobitz type 2 and third degree
what pain med to think of in ESRD?
methadone
what two classes of anti hypertensives for blacks?
calcium channel blocker and thiazides
what bug is the most common cause of surgical site infections?
MRSA
do varoceles transilluminate?
no
What are the three negatives to remember for Shigella
non motile, non h2s, non lactose
How to treat shigella that is different from other diarrhea bacteria?
antibiotics
cipro, azithro, centriazone
what is the classic image finding for coarctation?
rib notching
what is the actual cause of the pain when you have a kidney stone?
renal capsular distension
what med to give for superficial thrombophlebitis?
ibuprofen
what is the imaging choice for renal cell carcinoma?
CT
two top causes of peptic ulcer disease?
H Pylori or NSAIDS
What is triple and quad therapy for H pylori?
PPI, clarithromycin, Amox or metro
PPI, bismuth, tetra and metro