Combank 1 Flashcards

(60 cards)

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
Conditions associated with HLA DR3
``` SLE Type one diabetes Celiac disease Tuberculoid leprosy * SLE, give the insulin to me, diarrhea ```
25
Conditions associated with HLA DR4
RA
26
The most specific lab for RA
Anti-cyclic citrullinated peptide | Anti-CCP
27
Conditions associated with HLA DR5
JRA Kaposi's sarcoma Hashimoto's
28
A red swollen joint with low WBCs on aspiration should make you think of what
Osteomyelitis. Get an MRI
29
Method to determine if you ureteral damage has occurred during pelvic surgery
IV indigo carmine
30
What do variable decelerations indicate and what should be done
Cord compression; | Reposition fetus
31
How does smoking affect risk of colon cancer
No association
32
Two conditions that smoking decreases the likelihood of obtaining
Dementia | Ulcerative colitis
33
Mechanism of action of clomiphene
Removes negative feedback of Hi estrogen, Allowing for secretion of GnRH
34
Lesion that can be treated with topical cantharidin and then covered with clear tape
Molluscum contagiosum
35
The most common cause of IUGR
Chronic maternal hypertension; Associated vasospasm leads to decreased uterine flow and thus decreased fetal nutrition
36
Condition you should consider if mono lasts more and than six months
Chronic fatigue syndrome; usually occurs after infxn, like uri or mono
38
Timeframe that oseltamivir can be given for flu
Within 48 hrs of sxs, or whenever if hospitalized
39
gestational age at which moms should start being seeing every week until delivery
36 wks - delivery
40
Tumor markers for breast cancer include...
CEA CA 15-3 CA 27-29
41
psych drug class assoc with galactorrhea
typical antipsychotics like Haldol (block dopamine)
42
dexa scores of osteopenia vs osteoporosis
penia: -1 to -2.5 porosis: -2.5 and less
43
RDW and RI in iron def. anemia
``` decreased RI increased RDW (greater variability in RBC size: anisocytosis) ```
44
respiratory issue that pancreatitis can cause
ARDS d/t release of phospholipase A from pancrease that digests surfactant
45
significance of ApoE
the apolipoprotein E4 is assoc w development of Alzheimers
46
volumetric MRI can be used to identify Alzheimers by focusing on what finding
hippocampal asymmetry
47
Transmission rate of HIV through needlestick
0.3%
47
bile sludge on US of GB with sxs suggests what
Acalculous cholecystitis; | in calculous chole, will see stone, not sludge.
48
Gold standard to diagnose PE
Pulmonary angiography
49
First test to perform in suspected PE
Contrast enhanced CT
50
Most appropriate test to confirm ascending cholangitis
ERCP
51
Gram stain and shape of Haemophilis influenza
Gram neg coccobacilli
52
The most sensitive test for an ACL tear
Lachman's test
54
The most specific serum test for autoimmune hepatitis
Anti-smooth muscle antibodies
55
Hepatolenticular degeneration is assoc w what condition
Wilson's dz
56
what is WAGR syndrome
Wilm's tumor Aniridia GU abnormalities Retard (mentally)
57
the p waves in SVT
may not be discernible
58
medial epicondyle fracture can injury what nerve
ulnar n.
59
fracture of supracondylar humerus can injure what nerve
median n.
60
2-pt discrimination is testing what nerve endings
Merkel's receptor