Challenge Bowl #3 Flashcards

1
Q

Exam of a pregnant woman: bluish cervix. What is this sign called?

A

Chadwick’s sign

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2
Q

A potentially life threatening of anti-psychotic therapy characterized by fever and muscle rigidity?

A

neuroleptic malignant syndrome

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3
Q

What are the names of the specific physical exam findings that are positive in carpal tunnel syndrome?

A

Phalen’s and tinel’s

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4
Q

Which class of commonly used asthma medication has the most rapid and slowest onset of effect?

A

Short acting beta2 agonists

Inhaled corticosteroids

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5
Q

What is the most common presenting sign of hodgkin’s disease?

A

Painless lymphadenopathy

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6
Q

What three drugs or drug classes can be used to slow the ventricular rate in a. fib?

A

CCB - nondihydropyradine
Beta blockers
Digoxin

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7
Q

What is the name given to avascular necrosis of the capital femoral epiphysis in children?

A

Leg calf perthes

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8
Q

A woman has been on the same OCP x 4months and complains to early - mid cycle bleeding? What should you do?

A

Increase estrogen and check adherence

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9
Q

Pt presents with chronic back pain, you find dec’d proprioception and vibration. Which portion of spinal column?

A

posterior columns

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10
Q

What two categories or class of medications can be used to tx an acute manic episode in a pt with BPAD?

A
mood stabilizers (Li, VPA)
atypical antipsychotics
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11
Q

Pg pt, where would you expect to find the fundus at 12 weeks and 20 weeks?

A

12 weeks: just outisde the pelvis
20 weeks: at the level of the umbilicus
1 cm qweek following

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12
Q

What is considered first line for GAD?

A

SSRI or SNRI

Benzo if rapid response

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13
Q

Distant heart sounds, midline trachea, and diffuse hyperresonance to percussion indicate what condition?

A

COPD

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14
Q

Pg woman develops DVT and is d/c on what anticoagulant therapy?

A

LMWH (Lovenox)

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15
Q

During the luteal phase what hormones are affecting the menstrual cycle?

A

Predominantly progesterone, as well as estrogen

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16
Q

What empiric tx is recommended in pts 1month - 50yrs for meningitis

A

Ceftriaxone and vanco

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17
Q

Name three RF for developing PE

A

Virchow’s triad: immobility, hypercoagulable state, endovascular injury

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18
Q

Three clinical uses for TCA’s?

A

depression, neuropathy, migraines

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19
Q

A dendritic ulcer on the eye is characteristic of what infection?

A

Herpes opthalmicus

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20
Q

What is the MC finding of a pt with long standing HTN on an EKG

A

LVH

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21
Q

T or F? Starting ibuprofen on a pt on warfarin will cause the INR to inc?

A

F - increased bleeding risk because antiplatelet, but not anticoagulation.

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22
Q

Name 4 IADL’s

A
Finances
Laundry
Shopping
Telephone
cooking
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23
Q

How long should sutures be left in place on the face?

A

3-5 days

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24
Q

For which condition is prostatic massage CI and why?

A

Acute prostatitis because risk of bacteremia

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25
Q

A mother brings her 3 month old infant; single red vascular, nodular growth on back; enlarges slightly but causes no impairment. Dx? Pt Ed?

A

Hemangioma; not causing problem should watch and let involute on its own

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26
Q

Pt with GDM, needs medication therapy should be treated with what?

A

Insulin

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27
Q

10y.o. obese boy presents with knee pain. X-ray shows posteriorly displaced femoral head.

A

SCFE

slipped capital femoral epiphysis

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28
Q

What type of hernia develops at the internal inguinal ring?

A

Indirect

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29
Q

What is the MC cause of community acquired pneumonia in kids >5yrs?

A

m. pneumo

s. pneumo (MC overall)

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30
Q

What endocrine AE monitoring is recommended for atypical antipsychotics?

A

Lipids, BG, BMI, and BP

31
Q

What are the three main components of advanced directives?

A

Health care agent
Living will
DNR

32
Q

40y.o. female has multiple painful ulcerative lesions on her labia. Dx?

A

HSV

33
Q

Child presents with complaints of sore throat: small vesicles with punched out lesions, vesicles on hands and feet.

A

Coxsackie virus; Hand foot and mouth

34
Q

When does the moro reflex start to disappear?

A

3-6 months

35
Q

Name three antihypertensive classes that can cause hyperkalemia?

A

K+ sparing diuretics

ACEI, ARBs

36
Q

What physical exam finding is specific for pericarditis?

A

Pericardial friction rub?

37
Q

Name two drugs that can cause kernicterus in neonates

A

TMP/SMX

Ceftriaxone

38
Q

Describe the features of the Colle’s fx

A

Transverse fx of distal radius with dorsal displacement

39
Q

What type of sz is characterized by periods of lack of awareness

A

Absence

40
Q

What AED is renally eliminated and can also be used to tx neuropathic pain?

A

gabapentin

41
Q

Pt presents with knee pain and laxity in valgus stress. Most likely injury?

A

MCL

42
Q

4 RF for pressure ulcers

A

dec’d mobility
nutrition
incontinence
friction, moisture

43
Q

which typical findings would be revealed on a colonoscopy with crohn’s

A

skip lesions

rectal sparing

44
Q

what are apropriate first line tx options for smoking cessation

A

nicotine replacement
bupropion
chantix
behavioral therapy

45
Q

what does the macula provide in regards to vision

A

sharp vision
central vision acuity
color - cones

46
Q

What are the three components of the human balance system?

A

biomechanical sensory, ne

47
Q

What is the MC traumatic head in jury in the elderly

A

subdural

48
Q

H. pylori positive pt should have what components of tx

A

antisecretory drug and antibiotics

49
Q

Kidney stone associated with pseudomonas

A

Struvite

50
Q

LDL, BP and A1C goals in DM

A

130/80, LDL 100, <7

51
Q

Swan neck deformity is associated with what autoimmune condition

A

RA

52
Q

What med should a pt with persistent asthma be on?

A

SABA and ICS

53
Q

What is the MC extrahepatic source of an elevated alk phos?

A

Bone

Comes from several different places: also placenta

54
Q

What is the endocrinologic manifested by anorexia, wt loss, low plasma cortisol levels, and hyperpigmentation

A

Addison’s disease

55
Q

TCA’s have high anticholinergic effects. What are some examples of these?

A

Anti-SLUD: dry mouth, dry eyes/blurred vision, constipation, urinary retention

56
Q

What organism causes botulism?

A

Clostridium botulinum

57
Q

What agent tx’s obesity by decreasing dietary fat absorption?

A

orlistat

58
Q

What skin condition is a greasy yellowish flaky collection involving the scalp?

A

Seborrheic dermatitis

59
Q

Which aminoglycoside is most effective against pseudomonas?

A

Tobramycin

60
Q

What is the best way to remove a tick?

A

Use a pick up to grasp the head

61
Q

Which generation of FQ’s has the best gram positive coverage?

A

4th generation (respiratory FQ’s)

62
Q

What are the two phases of roseola?

A
Fever phase x 3-5 days
Rash phase (on neck and trunk)
63
Q

Which class of medications are not recommended to tx Parkinson’s dz in pts >60y.o.?

A

anticholinergics because they can be sedating

64
Q

How many DTaPs and polio vaccines should be given by age 7?

A

5 DTaPs and 4 polios

65
Q

What are 4 recommended txs of osteoporosis?

A

Bisphosphonates
Calcium 1500mg
Vitamin D 800 IU
Wt bearing exercise

66
Q

What are 4 physical findings of kawasaki disease?

A
fever
erythema and edema of the hands and feet
desquamation of the hands and feet
cervical lymphadenopathy
Fissuring of the mouth/lips
Strawberry tongue
Conjunctivitis
Joint pain 
Abd pain/N/D
67
Q

Most significant different in the pharmacodynamics in older adults?

A

Dec’d renal clearance

68
Q

Pt presents with coryza, conjunctivitis, severe cough, Koplik spots, and fever. What is the dx?

A

measles

69
Q

What is the initial tx for a pt bitten by a black widow?

A

Antivenom

70
Q

Only indication for oral vancomycin?

A

c. diff

71
Q

Neonates have their eyes tx’d at birth to tx what infx?

A

N. gonorrhea

72
Q

What is the tx for a pt with a severe MS exacerbation?

A

prednisone (PO/IV)

73
Q

Why does polyuria occur in pts with untx’d diabetes?

A

osmotic diuresis

74
Q

When does the grasp reflex disappear?

A

3-6months