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BBC level 2 > Combank 2 > Flashcards

Combank 2 Flashcards

1
Q

eye exam in acute angle glacoma

A

mid-dilated, fixed, NONREACTIVE pupil

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2
Q

a hi or lo AFP is most commonly caused by

A

inaccurate dating; bc expected AFP levels are based on gestational age.
Only done from 16-18 wks!

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3
Q

quad screen components

A

AFP
estriol
hCG
inhibin A

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4
Q

Down’s quad screen

A 
lo AFP
lo estriol
hi HCG--the only trisomy that this is high in
hi inhibin
(hi PAPP-A)
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5
Q

Edward’s triple screen

A

lo AFP
lo estriol
lo HCG
(all low)

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6
Q

NT in trisomy 21, 18, and 13

A

all increased nucal translucency

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7
Q

PAPP-A in trisomy 21, 18, and 13

A

all low

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8
Q

condition assoc w wt loss, htn, fever, anorexia, myalgias, weekness, testicular pain, abd pain, renal dz, neuritis….

A

polyarteritis nodosa

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9
Q

confirmatory test for polyarteritis nodosa

A

bx of medium vessels showing necrotizing arteritis

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10
Q

voyeurism

A

the peeping tom

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11
Q

other common autoimmunities assoc w vitiligo

A 
hashimoto
Addison's
pernicious anemia
DM I
SLE
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12
Q

what acid-base disorder should you expect to see in an asthma exacerbation and what clues you into impending respiratory failure

A

resp. alk; if pCO2 is nrml (and not low, like it should be), prepare to intubate

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13
Q

what is the starry sky pattern in burkitts

A

sheets of lymphocytes with interspersed macrophages

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14
Q

an infant with hypotonia, decreased activity, macroglossia, MR, and umbilical hernia probably has what condition

A

congenital hypothyroidism

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15
Q

the best tx for allergic rhinitis

A

intranasal steroids

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16
Q

first test to be done in suspected SBO

A

supine and upright abd xray

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17
Q

what are these bence jones proteins everyone talks about

A

monoclonal protein casts found in the urine

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18
Q

fibrinogen levels in DIC

A

low

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19
Q

the condition assoc w postauricular/occipital lymphadenopathy and rash that begins on face

A

rubella (german measles)

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20
Q

innervation of supraspinatus m.

A

suprascapular n.

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21
Q

mm. innervated by dorsal scapular n.

A

rhomboids and levator scapula mm.

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22
Q

how Parkinson’s is diagnosed

A

clinically, by physical exam!

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23
Q

tidal vol change in pregnancy

A

TV increases, altho TLC decreases

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24
Q

aldosterone level in pregnancy

A

increases (activation of RAAS)

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25
tics can be a SE of what class of drugs
stimulants; like for ADHD
26
causative agent of lymphogranuloma venereum and the tx
chlamydia | doxycycline
27
lymphogranuloma venereum vs granuloma inguinale
both start with painless ulcer. LV develops inguinal buboes later on. GI can have inguinal lymphadenopathy, but they don't open up to skin
28
causative agent of granuloma inguinale
Klebseilla granulomatis
29
the most common cause of epididymitis under and over 35yrs
under 35: chlamydia/gonorrhea over 35: E. coli (tx is the same no matter the age: ceftriaxone and doxy)
30
empiric tx for meningitis in infant less than 30days old
acyclovir ampicillin cefotaxime or gent.
31
drug known to cause cervical incompetence
diethylstilbestrol (DES)
32
rheumatoid drugs that can lead to activation of latent TB
infliximab | etanercept
33
m. involved in tennis elbow
extensor carpi radialis brevis
34
DOC for pasteurella
amoxicillin-clavulanate
35
the gold standard for sickle cell diagnosis
hemoglobin electropheresis
36
what condition should you think of in: epistaxis, bleeding gums after brushing, increased bruising, petechiae, thrombocytopenia
ITP
37
granular casts suggests..
these are the muddy brown casts of ATN
38
syndesmophytes vs enthesophytes
enthes: bony growths in tendons syndes: bony growths in ligments (like in ank. spondylitis)
39
most common cause of large bowel obstrxn and the tx of any
neoplasm | fluids and NPO!
40
GFR cutoff for metformin use
GFR<30
41
goal HbA1c for diabetics
<7.0%
42
top 3 causes of cancer-related DEATHS in men and women
Lung Prostate/Breast Colon
43
a hypervascular mass of liver containing arteriovenous connections and what is the tx
focal nodular hyperplasia; observation
44
drug class assoc with QRS widening
anticholingerics
45
aspirin-related resp. dz presents with what kinds of sxs
similar to asthma, rhinosinusitis, congestion.. may even have nasal polyps that are mediated by leukotrienes--not IgE
46
prophylaxis for those with esophageal varices
nonselective beta blockers (propranolol, nadolol, etc)
47
Hemophilia C is deficient in what
factor XI; Ashkenazi jews
48
warfarin can cause skin necrosis in what timeframe
within 1st wk of starting therapy
49
what drug is given to chemo pts to prevent renal damage from break-down products
allopurinol and IV hydration to prevent uric acid stones
50
routine DEXA screening for osteoporosis in females starts at what age
65
51
should close contacts of scabies pts be txed with permethrin, too?
yes
52
a couple drugs to alkalinize urine for uric acid stones
citrate | sodium bicarb
53
the risk factor NOT assoc with pancreatic cancer
alcohol
54
conditions with psammoma bodies
``` Papillary thyroid Serous papillary cystadenocarcinoma of ovary A Meningioma Mesothelioma ```
55
the transfusion product most likely to cause infxn bc it is stored at room temp
platelets
56
first-line tx for priapism
intracavernosal phenylephrine
57
complement levels in IgA vs post-strep glomerulonephritis
IgA: nml complement post-strep: low complement (*both occur after hx of URI)
58
age at which pap smear screenings can be stopped
65
59
drug class of budesonide
steroid; used in Crohn's flare
60
is prednisone safe in pregnancy?
yes, in low doses
61
diabetes drug that has risk of pancreatitis
incretin mimetics (exenatide, liraglutide)
62
DOC for neutropenic fever
monotherapy with ceftazidime
63
tx for hot flashes in women who can't take estrogen
SSRI

BBC level 2 (3 decks)

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