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Level 3 > Card/Nephro > Flashcards

Card/Nephro Flashcards

1
Q

what is the most common type of cardiomyopathy and what type of hypertrophy does it cause?

A

dilated
eccentric hypertrophy of the left ventricle

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2
Q

what is the timing of postinfectious GN?

A

1-3 weeks

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3
Q

What will biopsy show for Postinfectious GN?

A

IgG and C3 deposit

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4
Q

bag of worms testicles, what am I thinking for diagnosis and which side?

A

varicocele
left side

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5
Q

which inflammatory bowel disease do I think of with Ankylosing?

A

Crohns

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6
Q

what age are children screened for FAP?

A

10-12

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7
Q

how to provide immunization for tetanus with dirty, contaminated wound and unknown shot history?

A

tdap and tetanus Immunoblobulin

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8
Q

hypocalcemia leads to what on ECG?

A

prolonged QT

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9
Q

baby, harsh, holosystolic murmur with thrill, what is diagnosis?

A

VSD

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10
Q

what to use to prevent NSAID induced ulcers?

A

Misoprostol

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11
Q

classic physical exam finding for ASD is?

A

wide, split fixed s2

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12
Q

classic exam finding for PDA?
what to give to close it after birth?

A

continuous machine line murmur
indomethacin

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13
Q

3 lab values to remember for hemochromatosis?

A

elevated iron, ferritin and decreased TIBC

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14
Q

what condition to think of with obturator sign?

A

appendicitis

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15
Q

one main difference in the question stem for subclavian steel and thoracic outlet syndrome?

A

no response to head tilting with blood pressure discrepancy

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16
Q

what nuerological condition is associated with lyme disease to remember?

A

facial nerve palsy

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17
Q

caucasian woman, elevated BP, start an ace, and now bump in Cr over 30%, what am I thinking?

A

renal artery stenosis

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18
Q

what is the most common type of family high cholesterol?

A

type 2a

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19
Q

what are the two conditions to remember that are bilirubin storage problems?

A

dubin and rotor

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20
Q

What is the distingusing factor for Dubin and Rotor?

A

dubin, black liver
rotor, urine coproprophyrin

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21
Q

What are the two bilirubin conditions that have problems conjugating?

A

Crigler najar
gilberts

22
Q

what is the fluid of choice for DKA?

A

isotonic

23
Q

what type of injury leads to central cord syndrome?

A

hyoerextension

24
Q

classical presenting symptoms of central cord syndrome?

A

weakness greater in UE and cape like distribution of pain and temp sensation

25
Q

what is the most sensititive and specific test for cholecystitis?

A

HIDA

26
Q

what to remember with shiga toxin in kids?

A

HUS

27
Q

when to do surgery on hematomas?

A

thickness greater than 10 mm
midline shift greater than 5mm

28
Q

What is the cause of nephrotic syndrome if there are nodular sclerosis in the glomerulus?

A

Diabetes

29
Q

First line agent for nephrotic syndrome?
Second line agent?
First line agent to slow progression of diabetic nephropathy?

A

prednisone
cyclophosphamide
ace

30
Q

CT finding for renal papillary necrosis?
What two risk factors to remember for RPN?

A

medullary ring shadows
NSAIDS and sickle cell

31
Q

How to proceed after a testicular mass is confirmed with ultrasound and serum markers?

A

radical orchiectomy

32
Q

fena less than 1%, what type of AKI?
fena over 2%, what type of AKi?

A

pre
intra

33
Q

If the question points towards nephritic syndrome, which condition to remember?

A

berger or IgA nephropathy

34
Q

How long after getting an infection does berger who up vs post strep GN

A

2-3 days berger, 10-14 days post strep

35
Q

most common nephrotic syndrome cause after infection

A

post strep

36
Q

top 2 causes of epididymitis in males 35 or younger?
how to treat?

A

clahmydia 1
n gon 2
ceftriaxone and doxy

37
Q

where does coarctation of the aorta most commonly occur?

A

just distal to the left subclavian artery

38
Q

What is standard of care for mobitz type1?
What two heart blocks do we do surgical evaL/

A

asymptomatic Mobitz type 1, observe, but if they are symptomatic

Mobitz type 2 and third degree

39
Q

what pain med to think of in ESRD?

A

methadone

40
Q

what two classes of anti hypertensives for blacks?

A

calcium channel blocker and thiazides

41
Q

what bug is the most common cause of surgical site infections?

A

MRSA

42
Q

do varoceles transilluminate?

A

no

43
Q

What are the three negatives to remember for Shigella

A

non motile, non h2s, non lactose

44
Q

How to treat shigella that is different from other diarrhea bacteria?

A

antibiotics
cipro, azithro, centriazone

45
Q

what is the classic image finding for coarctation?

A

rib notching

46
Q

what is the actual cause of the pain when you have a kidney stone?

A

renal capsular distension

47
Q

what med to give for superficial thrombophlebitis?

A

ibuprofen

48
Q

what is the imaging choice for renal cell carcinoma?

A

CT

49
Q

two top causes of peptic ulcer disease?

A

H Pylori or NSAIDS

50
Q

What is triple and quad therapy for H pylori?

A

PPI, clarithromycin, Amox or metro
PPI, bismuth, tetra and metro

Level 3 (17 decks)

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