Combank 1 Flashcards
initial tx of choice for condyloma accuminatum
topical podophyllin or trichloroacetic acid
cryosurgery or excision for refractory cases
what is pyridoxine the antidote for
INH
What does a SAAG greater than or less than 1.1 mean
> 1.1: ascites d/t portal hypertension
<1.1: ascites D/T non-portal cause (Pancreatic disease, TB, peritoneal metz)
What does ascites total protein determine
Helps differentiate between causes of portal hypertension >2.5: heart disease
<2.5: liver disease
What general class of drugs should those with Crohn’s disease avoid
NSAIDs
Iron level in lead poisoning and sideroblastic anemia
Hi
Diameter cut off for malignant melanoma
6 mm
Margins of surgical excision of melanoma if initial excisional biopsy shows malignancy
.5 cm Margin if in situ
1 cm Margin if <2 mm thick
2 cm margin if >2 mm thick
H. Pylori triple therapy versus quadruple therapy
Triple:
PPI + clarithromycin + amoxicillin(Metronidazole if allergy)
Quadruple:
PPI + bismuth + metronidazole + tetracycline
How does sustained handgrip effect preload or afterload
Increases preload
Drug class of benztropine
Anticholinergic
Causative organism of pneumonia in someone with dementia, decreased gag reflex, or multiple focal neurologic deficits
Anaerobic bacteria from aspiration pneumonia
Sarcoidosis, Multiple myeloma, and amyloidosis cause what type of cardiomyopathy
Restrictive
Hemachromatosis and Chagas disease cause what type of cardiomyopathy
Dilated
The most common primary cardiac tumor
Atrial myxoma
List the general classifications Of asthma
Mild intermittent
Mild persistent
Moderate persistent
Severe persistent
Conn’s syndrome
Overproduction of aldosterone; Usually from an aldosterone secreting tumor (Adrenal adenoma)
Prognosis in pancreatic cancer that involves the tail
Poorer prognosis because Whipple procedure wouldn’t be effective.
Involvement of what artery in pancreatic cancer indicates a decent prognosis
Gastroduodenal artery involvement because Whipple procedure still be performed
Criteria for diagnosing metabolic syndrome
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
List the glycogen storage diseases in order
I: Von Gierke (von/one) II: pompe III: Cori V: McArdle * Very poor carb metabolism
Condition associated with Pel-Ebstein fevers and alcohol induced nodal pain
Hodgkin’s lymphoma
Condition associated with HLA A3
Hemachromatosis
* A 3-iron
Conditions associated with HLA DR2
Narcolepsy
MS
Conditions associated with HLA DR3
SLE Type one diabetes Celiac disease Tuberculoid leprosy * SLE, give the insulin to me, diarrhea
Conditions associated with HLA DR4
RA
The most specific lab for RA
Anti-cyclic citrullinated peptide
Anti-CCP
Conditions associated with HLA DR5
JRA
Kaposi’s sarcoma
Hashimoto’s
A red swollen joint with low WBCs on aspiration should make you think of what
Osteomyelitis. Get an MRI
Method to determine if you ureteral damage has occurred during pelvic surgery
IV indigo carmine
What do variable decelerations indicate and what should be done
Cord compression;
Reposition fetus
How does smoking affect risk of colon cancer
No association
Two conditions that smoking decreases the likelihood of obtaining
Dementia
Ulcerative colitis
Mechanism of action of clomiphene
Removes negative feedback of Hi estrogen, Allowing for secretion of GnRH
Lesion that can be treated with topical cantharidin and then covered with clear tape
Molluscum contagiosum
The most common cause of IUGR
Chronic maternal hypertension; Associated vasospasm leads to decreased uterine flow and thus decreased fetal nutrition
Condition you should consider if mono lasts more and than six months
Chronic fatigue syndrome; usually occurs after infxn, like uri or mono
Timeframe that oseltamivir can be given for flu
Within 48 hrs of sxs, or whenever if hospitalized
gestational age at which moms should start being seeing every week until delivery
36 wks - delivery
Tumor markers for breast cancer include…
CEA
CA 15-3
CA 27-29
psych drug class assoc with galactorrhea
typical antipsychotics like Haldol (block dopamine)
dexa scores of osteopenia vs osteoporosis
penia: -1 to -2.5
porosis: -2.5 and less
RDW and RI in iron def. anemia
decreased RI increased RDW (greater variability in RBC size: anisocytosis)
respiratory issue that pancreatitis can cause
ARDS d/t release of phospholipase A from pancrease that digests surfactant
significance of ApoE
the apolipoprotein E4 is assoc w development of Alzheimers
volumetric MRI can be used to identify Alzheimers by focusing on what finding
hippocampal asymmetry
Transmission rate of HIV through needlestick
0.3%
bile sludge on US of GB with sxs suggests what
Acalculous cholecystitis;
in calculous chole, will see stone, not sludge.
Gold standard to diagnose PE
Pulmonary angiography
First test to perform in suspected PE
Contrast enhanced CT
Most appropriate test to confirm ascending cholangitis
ERCP
Gram stain and shape of Haemophilis influenza
Gram neg coccobacilli
The most sensitive test for an ACL tear
Lachman’s test
The most specific serum test for autoimmune hepatitis
Anti-smooth muscle antibodies
Hepatolenticular degeneration is assoc w what condition
Wilson’s dz
what is WAGR syndrome
Wilm’s tumor
Aniridia
GU abnormalities
Retard (mentally)
the p waves in SVT
may not be discernible
medial epicondyle fracture can injury what nerve
ulnar n.
fracture of supracondylar humerus can injure what nerve
median n.
2-pt discrimination is testing what nerve endings
Merkel’s receptor
