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BBC level 2 > Combank 1 > Flashcards

Combank 1 Flashcards

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1
Q

initial tx of choice for condyloma accuminatum

A

topical podophyllin or trichloroacetic acid

cryosurgery or excision for refractory cases

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2
Q

what is pyridoxine the antidote for

A

INH

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2
Q

What does a SAAG greater than or less than 1.1 mean

A

> 1.1: ascites d/t portal hypertension

<1.1: ascites D/T non-portal cause (Pancreatic disease, TB, peritoneal metz)

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3
Q

What does ascites total protein determine

A

Helps differentiate between causes of portal hypertension >2.5: heart disease
<2.5: liver disease

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4
Q

What general class of drugs should those with Crohn’s disease avoid

A

NSAIDs

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5
Q

Iron level in lead poisoning and sideroblastic anemia

A

Hi

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6
Q

Diameter cut off for malignant melanoma

A

6 mm

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7
Q

Margins of surgical excision of melanoma if initial excisional biopsy shows malignancy

A

.5 cm Margin if in situ
1 cm Margin if <2 mm thick
2 cm margin if >2 mm thick

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8
Q

H. Pylori triple therapy versus quadruple therapy

A

Triple:
PPI + clarithromycin + amoxicillin(Metronidazole if allergy)
Quadruple:
PPI + bismuth + metronidazole + tetracycline

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9
Q

How does sustained handgrip effect preload or afterload

A

Increases preload

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10
Q

Drug class of benztropine

A

Anticholinergic

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11
Q

Causative organism of pneumonia in someone with dementia, decreased gag reflex, or multiple focal neurologic deficits

A

Anaerobic bacteria from aspiration pneumonia

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12
Q

Sarcoidosis, Multiple myeloma, and amyloidosis cause what type of cardiomyopathy

A

Restrictive

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13
Q

Hemachromatosis and Chagas disease cause what type of cardiomyopathy

A

Dilated

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14
Q

The most common primary cardiac tumor

A

Atrial myxoma

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15
Q

List the general classifications Of asthma

A

Mild intermittent
Mild persistent
Moderate persistent
Severe persistent

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16
Q

Conn’s syndrome

A

Overproduction of aldosterone; Usually from an aldosterone secreting tumor (Adrenal adenoma)

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17
Q

Prognosis in pancreatic cancer that involves the tail

A

Poorer prognosis because Whipple procedure wouldn’t be effective.

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18
Q

Involvement of what artery in pancreatic cancer indicates a decent prognosis

A

Gastroduodenal artery involvement because Whipple procedure still be performed

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19
Q

Criteria for diagnosing metabolic syndrome

A 
3 of the following:
TG >150
HDL <40 men or <50 women
BP >130/85 or on antihypertensive
FSG >100
Waist circ. >40in men or >35in women
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20
Q

List the glycogen storage diseases in order

A 
I: Von Gierke (von/one)
II: pompe
III: Cori
V: McArdle
* Very poor carb metabolism
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21
Q

Condition associated with Pel-Ebstein fevers and alcohol induced nodal pain

A

Hodgkin’s lymphoma

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22
Q

Condition associated with HLA A3

A

Hemachromatosis

* A 3-iron

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23
Q

Conditions associated with HLA DR2

A

Narcolepsy

MS

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24
Q

Conditions associated with HLA DR3

A 
SLE
Type one diabetes
Celiac disease
Tuberculoid leprosy
* SLE, give the insulin to me, diarrhea
25
Q

Conditions associated with HLA DR4

A

RA

26
Q

The most specific lab for RA

A

Anti-cyclic citrullinated peptide

Anti-CCP

27
Q

Conditions associated with HLA DR5

A

JRA
Kaposi’s sarcoma
Hashimoto’s

28
Q

A red swollen joint with low WBCs on aspiration should make you think of what

A

Osteomyelitis. Get an MRI

29
Q

Method to determine if you ureteral damage has occurred during pelvic surgery

A

IV indigo carmine

30
Q

What do variable decelerations indicate and what should be done

A

Cord compression;

Reposition fetus

31
Q

How does smoking affect risk of colon cancer

A

No association

32
Q

Two conditions that smoking decreases the likelihood of obtaining

A

Dementia

Ulcerative colitis

33
Q

Mechanism of action of clomiphene

A

Removes negative feedback of Hi estrogen, Allowing for secretion of GnRH

34
Q

Lesion that can be treated with topical cantharidin and then covered with clear tape

A

Molluscum contagiosum

35
Q

The most common cause of IUGR

A

Chronic maternal hypertension; Associated vasospasm leads to decreased uterine flow and thus decreased fetal nutrition

36
Q

Condition you should consider if mono lasts more and than six months

A

Chronic fatigue syndrome; usually occurs after infxn, like uri or mono

38
Q

Timeframe that oseltamivir can be given for flu

A

Within 48 hrs of sxs, or whenever if hospitalized

39
Q

gestational age at which moms should start being seeing every week until delivery

A

36 wks - delivery

40
Q

Tumor markers for breast cancer include…

A

CEA
CA 15-3
CA 27-29

41
Q

psych drug class assoc with galactorrhea

A

typical antipsychotics like Haldol (block dopamine)

42
Q

dexa scores of osteopenia vs osteoporosis

A

penia: -1 to -2.5
porosis: -2.5 and less

43
Q

RDW and RI in iron def. anemia

A 
decreased RI
increased RDW (greater variability in RBC size: anisocytosis)
44
Q

respiratory issue that pancreatitis can cause

A

ARDS d/t release of phospholipase A from pancrease that digests surfactant

45
Q

significance of ApoE

A

the apolipoprotein E4 is assoc w development of Alzheimers

46
Q

volumetric MRI can be used to identify Alzheimers by focusing on what finding

A

hippocampal asymmetry

47
Q

Transmission rate of HIV through needlestick

A

0.3%

47
Q

bile sludge on US of GB with sxs suggests what

A

Acalculous cholecystitis;

in calculous chole, will see stone, not sludge.

48
Q

Gold standard to diagnose PE

A

Pulmonary angiography

49
Q

First test to perform in suspected PE

A

Contrast enhanced CT

50
Q

Most appropriate test to confirm ascending cholangitis

A

ERCP

51
Q

Gram stain and shape of Haemophilis influenza

A

Gram neg coccobacilli

52
Q

The most sensitive test for an ACL tear

A

Lachman’s test

54
Q

The most specific serum test for autoimmune hepatitis

A

Anti-smooth muscle antibodies

55
Q

Hepatolenticular degeneration is assoc w what condition

A

Wilson’s dz

56
Q

what is WAGR syndrome

A

Wilm’s tumor
Aniridia
GU abnormalities
Retard (mentally)

57
Q

the p waves in SVT

A

may not be discernible

58
Q

medial epicondyle fracture can injury what nerve

A

ulnar n.

59
Q

fracture of supracondylar humerus can injure what nerve

A

median n.

60
Q

2-pt discrimination is testing what nerve endings

A

Merkel’s receptor

BBC level 2 (3 decks)

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