CME exam Flashcards
most common histology for germ cell CA (testicular cancer)
seminoma
What is the marker for seminoma?
HCG
Spondylolisthesis
is a slipping the vertebral body
Spondylolysis
scotty dog (before the slip)
What electrolyte abnormality is seen in Sarcoidosis?
Hypercalcemia
Apical cavitation in the lung = what dx?
TB
what cardiac disorder would cause the A wave of the internal jugular vein?
Atrial Fib b/c there is no atrial contraction
best method to evaluate cancers of solid organs?
CT with contrast
courvoisier sign
enlarged, palpable gallbladder in patients with obstructive jaundice caused by tumors of the biliary tree or by pancreatic head tumors
what is Potts disease?
TB of the spine
should symptomatic aortic stenosis pt have dobutamine pharm stress test, stress echo, or treadmill EKG?
dobutamine! do not put symptomatic aortic stenosis patients on the treadmill
X-ray show thickened pleural and calcified plaques = what dx?
asbestosis
do schizophrenic meds surpress estrogen and increase bon e loss?
yes
what way to dx nephrotic-type of proteinuria?
24 hour urine
Infant is vomiting, lethargy, grossly bloody stools and RLQ mass what is the dx and tx
intussispetion, use air enema
double bubble sign is for?
pyloric stenosis
acronym to remember medications that cannot be administered via the endotracheal tube?
NAVAL (narcan, atropine, epinephrine, valium, lidocaine)
infant with continuous machine like holosystolic and holodiatolic best heard over the left sternal border. what type of murmur is this?
PDA (most frequent in premature infants)
hearing is mediated by what nerve
O(smell)O(optic)O(occulomotor)TT(trigeminal)AF(facial)VFVAH
treatment for severe psoriasis?
TNF (tumor necrosis factor) alpha inhibitor drugs
is a chest xray okay in pregnancy?
yes
What is the most common cause of secondary dysmenorrhea in a 35 year
endometriosis
if a patient has mono and tonsils are enlarged to the point of having difficulty swallowing, what can be given?
Prednisone
is acyclovir approved for use in tx of EBV (mono)?
no, but may be given to pts with AIDs
Lamictal should be avoided in kids under the age of 16 cut to what concern
steven johnson syndrome
diminished biceps curl and her biceps reflex is diminished, what nerve root
C6
extra articular manifestations of RA include?
nodules on extensor surfaces, lung, cardiac, vasculitic and skin changes
what is the most common presenting PE finding in serotonin syndrome?
Hyperreflexia/clonus
what bone has the greatest potential for blood loss when associated with a fracture
FEMUR
most common treatment for antiphospholipid antibody syndrome in a pt with SLE who has lost 3 pregnancy losses
Low molecular weight heparin injections
if a pt wakes up with a stroke can you use TPA, what is the next step
no TPA is pt wakes up with stroke symptoms , observe pt and admit to neuro
best medical therapy for hypertropic cardiomyopathy?
beta blockers
66 man with a cold leg, loud S1, and Afib, what is the dx
aortic valve stenosis
which hormone is primarily responsible for proliferative endometrium?
estrogen
If an older patient has hematuria and a UTI what do you need to do as the next step?
follow up to be sure that hematuria resolves, #1 genitourinary cancer is bladder cancer
what is the most common cause of chronic cough in adults?
postnasal drip syndrome
what nerve does Bell’s palsy affect?
CN 7
exam finding for peritonsilar abscess
trismus-hot potato voice
initial treatment for sinusitis
amoxicillin or augmentin
Common ENT symptom in CF kids
nasal polyps
