Compre 2018 Flashcards
electronic fetal heart rate monitoring: presence of late decelerations in more than 50% of a twenty minute tracing.
A. negative
B. positive
C. reactive
D. non-reactive
B. Positive
CST:
(-) no late or significant variable decelerations, good sign as baby can adapt to contractions
(+) late decelerations following 50% or more contractions, non-reassuring FHR pattern, should do cesarean section!
Contraction Stress Test vs. Non-Stress Test
Which assesses uteroplacental insufficiency?
Which assesses fetal condition?
Contraction Stress Test vs. Non-Stress Test
Which assesses uteroplacental insufficiency? Contraction
Which assesses Non-Stress Test?
Assessment of fetal condition?
Assessment for uteroplacental insuffiiency?
Assessment of fetal condition? - Non-stress test
Assessment for uteroplacental insuffiiency? - Contraction Stress Test
Prominent U waves can signify
Hypokalemia
Sinus brady
Type 1A Antiarrhythmics (Quinidine)
Prolonged QT interval can signify
Hypokalemia
Hypomagnesemia
Hypocalcemia
Decrease K, Mg, Ca
The culture grew small Gram negative cocobacilli occurring singly on chocolate agar only, which is oxidase positive. The mode of drug resistance of this organism is the production of: A. Group B carbapenemase B. bla-imp C. bla-vim D. B-Lactamases
D.
JONES CRITERIA
Jones Criteria = evidence of GAS antecedent infection + 2 major
OR
1 major and 2 minor manifestations
Major - Carditis, Polyarthritis, Chorea, Erythema marginatum, Subcutaneous nodules
Minor - Clinical findings of arthralgia and fever; Laboratory findings of elevated ESR, CRP, Prolonged PR interval
Supporting evidence of GAS infection - Positive throat culture or rapid streptococcal antigen test, or elevated or rising ASO or antiDNAse B
At 37 weeks AOG, the recommended screening test for
pregnant women to avoid sepsis in a neonate is:
A. MRSA screening test
B. ESBL screening test
C. GBS screening test
D. Carbapenemase screening
C. GBS screening test
D/t STREPTOCOCCUS AGALACTIAE
Pulsus alterans
alternating strong and weak beats. Indicates severe left ventricle failure
Pulsus parvus et tardus:
physical exam finding in aortic valve stenosis. The term “parvus” means weak and “tardus” means late, thus the pulse is weak and late.
Corrigan’s pulse:
A pulse that is forceful and then suddenly collapses. It is usually found in patients with aortic regurgitation
Pulsus paradoxus:
Abnormally large decrease in stroke volume, systolic blood pressure and pulse wave amplitude during inspiration.
ECG showed atrial fibrillation with rapid ventricular response and the ejection fraction is 30%. She should be given intravenous (IV): A. verapamil B. digoxin C. esmolol D. amiodarone
DIGOXIN
Atrial Fibrillation with Rapid Ventricular Response
Ejection Fraction 30%
Exudate vs Transudate
Saan low glucose?
Saan high ang LDH?
Saan low glucose? - EXUDATE
Saan high ang LDH? - EXUDATE
The biopsy of her pericardial sac showed confluent aggregates of
epithelioid histiocytes, the differential diagnosis will NOT include this
condition:
A. Mycobacterium tuberculosis infection B. Bartonella quintana infection C. Sarcoidosis D. Amyloidosis
Amyloidosis hindi kasama
If the previous renal biopsy of this patient showed positive immunofluorescence to IgM, IgG, IgA, C3 and C1q, you will request for this test in order to confirm the diagnosis: A. Rheumatoid Factor B. ASO titer C. dsDNA D. TSH
C. dsDNA
Full house pattern: staining on all 5 major immunohistochemical stains Classic situation in lupus nephritis
SLE is diagnosed with dsDNA antibodies.
If you are considering leptospirosis as the cause of his renal failure, this information is important in the history:
A. age of the patient B. occupation
C. smoking history D. alcoholic intake
B
The best diuretic to address oliguria is: A. spironolactone B. hydrochlorothiazide C. furosemide D. indapamide
C. Furosemide
Spironolactone – Potassium-sparing
Furosemide - acts on the luminal NKCC channel
Hydrochlorothiazide, Indapamide - inhibits Na reabsorption in DCT by inhibiting
Spironolactone – Potassium-sparing
Furosemide - acts on the luminal NKCC channel
Hydrochlorothiazide, Indapamide - inhibits Na reabsorption in DCT by inhibiting
skl hahaha
In most cases, the diagnosis of Leptospirosis is confirmed
serologically by this method done in a reference laboratory:
A. dark-field microscopy
B. complement fixation test
C. microagglutination test
D. neutralization test
The MAT, which uses a battery of live leptospiral strains, and the enzyme-linked immunosorbent assay (ELISA), which uses a broadly
reacting antigen, are the standard serologic procedures. (Harrison’s 20th ed.)
This histomorphologic characteristic favors a benign ulcer
over a malignant ulcer:
A. heaped-up margins
B. sharply punched-out defect C. presence of hemorrhage
and necrosis
D. mucosal margin overhangs
the base
34 2nd yr Compre 2018
B sharply punched-out defect
H. pylori-associated chronic gastritis most commonly occurs in the: A. body B. fundus C. antrum D. corpus
C antrum
The effect of Aspirin (2 years intake) on the patient’s platelets:
A. depression of platelet production in the bone marrow
B. interference with platelet function
C. shortened lifespan of platelets in the peripheral blood
D. production of anti-platelet antibodies
B. interference with platelet function
Mechanism: irreversible inhibition of cyclooxygenase → decreased prostaglandin and thromboxane levels (TXA needed for platelet aggregation)
This determines whether a treatment is obligatory:
A. high success rate of treatment
B. acceptability of treatment by most practitioners
C. gold standard treatment
D. good prognosis and minimal
cost of the treatment
D. good prognosis and minimal
cost of the treatment
