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BBC level 2 > Combank 2 > Flashcards

Combank 2 Flashcards

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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
Q

tics can be a SE of what class of drugs

A

stimulants; like for ADHD

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26
Q

causative agent of lymphogranuloma venereum and the tx

A

chlamydia

doxycycline

27
Q

lymphogranuloma venereum vs granuloma inguinale

A

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
Q

causative agent of granuloma inguinale

A

Klebseilla granulomatis

29
Q

the most common cause of epididymitis under and over 35yrs

A

under 35: chlamydia/gonorrhea
over 35: E. coli
(tx is the same no matter the age: ceftriaxone and doxy)

30
Q

empiric tx for meningitis in infant less than 30days old

A

acyclovir
ampicillin
cefotaxime or gent.

31
Q

drug known to cause cervical incompetence

A

diethylstilbestrol (DES)

32
Q

rheumatoid drugs that can lead to activation of latent TB

A

infliximab

etanercept

33
Q

m. involved in tennis elbow

A

extensor carpi radialis brevis

34
Q

DOC for pasteurella

A

amoxicillin-clavulanate

35
Q

the gold standard for sickle cell diagnosis

A

hemoglobin electropheresis

36
Q

what condition should you think of in: epistaxis, bleeding gums after brushing, increased bruising, petechiae, thrombocytopenia

A

ITP

37
Q

granular casts suggests..

A

these are the muddy brown casts of ATN

38
Q

syndesmophytes vs enthesophytes

A

enthes: bony growths in tendons
syndes: bony growths in ligments (like in ank. spondylitis)

39
Q

most common cause of large bowel obstrxn and the tx of any

A

neoplasm

fluids and NPO!

40
Q

GFR cutoff for metformin use

A

GFR<30

41
Q

goal HbA1c for diabetics

A

<7.0%

42
Q

top 3 causes of cancer-related DEATHS in men and women

A

Lung
Prostate/Breast
Colon

43
Q

a hypervascular mass of liver containing arteriovenous connections and what is the tx

A

focal nodular hyperplasia; observation

44
Q

drug class assoc with QRS widening

A

anticholingerics

45
Q

aspirin-related resp. dz presents with what kinds of sxs

A

similar to asthma, rhinosinusitis, congestion.. may even have nasal polyps that are mediated by leukotrienes–not IgE

46
Q

prophylaxis for those with esophageal varices

A

nonselective beta blockers (propranolol, nadolol, etc)

47
Q

Hemophilia C is deficient in what

A

factor XI; Ashkenazi jews

48
Q

warfarin can cause skin necrosis in what timeframe

A

within 1st wk of starting therapy

49
Q

what drug is given to chemo pts to prevent renal damage from break-down products

A

allopurinol and IV hydration to prevent uric acid stones

50
Q

routine DEXA screening for osteoporosis in females starts at what age

A

65

51
Q

should close contacts of scabies pts be txed with permethrin, too?

A

yes

52
Q

a couple drugs to alkalinize urine for uric acid stones

A

citrate

sodium bicarb

53
Q

the risk factor NOT assoc with pancreatic cancer

A

alcohol

54
Q

conditions with psammoma bodies

A 
Papillary thyroid
Serous papillary cystadenocarcinoma of ovary
A
Meningioma
Mesothelioma
55
Q

the transfusion product most likely to cause infxn bc it is stored at room temp

A

platelets

56
Q

first-line tx for priapism

A

intracavernosal phenylephrine

57
Q

complement levels in IgA vs post-strep glomerulonephritis

A

IgA: nml complement
post-strep: low complement
(*both occur after hx of URI)

58
Q

age at which pap smear screenings can be stopped

A

65

59
Q

drug class of budesonide

A

steroid; used in Crohn’s flare

60
Q

is prednisone safe in pregnancy?

A

yes, in low doses

61
Q

diabetes drug that has risk of pancreatitis

A

incretin mimetics (exenatide, liraglutide)

62
Q

DOC for neutropenic fever

A

monotherapy with ceftazidime

63
Q

tx for hot flashes in women who can’t take estrogen

A

SSRI

BBC level 2 (3 decks)

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