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PANCE review > CME exam > Flashcards

CME exam Flashcards

1
Q

most common histology for germ cell CA (testicular cancer)

A

seminoma

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2
Q

What is the marker for seminoma?

A

HCG

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3
Q

Spondylolisthesis

A

is a slipping the vertebral body

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4
Q

Spondylolysis

A

scotty dog (before the slip)

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5
Q

What electrolyte abnormality is seen in Sarcoidosis?

A

Hypercalcemia

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6
Q

Apical cavitation in the lung = what dx?

A

TB

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7
Q

what cardiac disorder would cause the A wave of the internal jugular vein?

A

Atrial Fib b/c there is no atrial contraction

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8
Q

best method to evaluate cancers of solid organs?

A

CT with contrast

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9
Q

courvoisier sign

A

enlarged, palpable gallbladder in patients with obstructive jaundice caused by tumors of the biliary tree or by pancreatic head tumors

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10
Q

what is Potts disease?

A

TB of the spine

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11
Q

should symptomatic aortic stenosis pt have dobutamine pharm stress test, stress echo, or treadmill EKG?

A

dobutamine! do not put symptomatic aortic stenosis patients on the treadmill

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12
Q

X-ray show thickened pleural and calcified plaques = what dx?

A

asbestosis

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13
Q

do schizophrenic meds surpress estrogen and increase bon e loss?

A

yes

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14
Q

what way to dx nephrotic-type of proteinuria?

A

24 hour urine

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15
Q

Infant is vomiting, lethargy, grossly bloody stools and RLQ mass what is the dx and tx

A

intussispetion, use air enema

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16
Q

double bubble sign is for?

A

pyloric stenosis

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17
Q

acronym to remember medications that cannot be administered via the endotracheal tube?

A

NAVAL (narcan, atropine, epinephrine, valium, lidocaine)

18
Q

infant with continuous machine like holosystolic and holodiatolic best heard over the left sternal border. what type of murmur is this?

A

PDA (most frequent in premature infants)

19
Q

hearing is mediated by what nerve

A

O(smell)O(optic)O(occulomotor)TT(trigeminal)AF(facial)VFVAH

20
Q

treatment for severe psoriasis?

A

TNF (tumor necrosis factor) alpha inhibitor drugs

21
Q

is a chest xray okay in pregnancy?

A

yes

22
Q

What is the most common cause of secondary dysmenorrhea in a 35 year

A

endometriosis

23
Q

if a patient has mono and tonsils are enlarged to the point of having difficulty swallowing, what can be given?

A

Prednisone

24
Q

is acyclovir approved for use in tx of EBV (mono)?

A

no, but may be given to pts with AIDs

25
Q

Lamictal should be avoided in kids under the age of 16 cut to what concern

A

steven johnson syndrome

26
Q

diminished biceps curl and her biceps reflex is diminished, what nerve root

A

C6

27
Q

extra articular manifestations of RA include?

A

nodules on extensor surfaces, lung, cardiac, vasculitic and skin changes

28
Q

what is the most common presenting PE finding in serotonin syndrome?

A

Hyperreflexia/clonus

29
Q

what bone has the greatest potential for blood loss when associated with a fracture

A

FEMUR

30
Q

most common treatment for antiphospholipid antibody syndrome in a pt with SLE who has lost 3 pregnancy losses

A

Low molecular weight heparin injections

31
Q

if a pt wakes up with a stroke can you use TPA, what is the next step

A

no TPA is pt wakes up with stroke symptoms , observe pt and admit to neuro

32
Q

best medical therapy for hypertropic cardiomyopathy?

A

beta blockers

33
Q

66 man with a cold leg, loud S1, and Afib, what is the dx

A

aortic valve stenosis

34
Q

which hormone is primarily responsible for proliferative endometrium?

A

estrogen

35
Q

If an older patient has hematuria and a UTI what do you need to do as the next step?

A

follow up to be sure that hematuria resolves, #1 genitourinary cancer is bladder cancer

36
Q

what is the most common cause of chronic cough in adults?

A

postnasal drip syndrome

37
Q

what nerve does Bell’s palsy affect?

A

CN 7

38
Q

exam finding for peritonsilar abscess

A

trismus-hot potato voice

39
Q

initial treatment for sinusitis

A

amoxicillin or augmentin

40
Q

Common ENT symptom in CF kids

A

nasal polyps

PANCE review (19 decks)

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