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Family Shelf > Comquest Q Bank 2 > Flashcards

Comquest Q Bank 2 Flashcards

1
Q

At what age should kids be able to kick a ball?

Hop on one foot?

A

2

4

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2
Q

What is the most common cause of sideroblastic anemia?

A

Excessive alcohol

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3
Q

What is the patho of NSAIDS causing kidney damage?

A

Cox inhibitors which blocks arachidonic acid from producing leukotrienes and prostaglandins. Prostaglandins are responsible for VD of the arteries to the kidney. Without them, there is VC and ischemia.

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4
Q

Suspect what valve problem with an Austin flint murmur?

A

AR

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5
Q

What is first line treatment for primary dysmenorrhea?

A

NSAIDS

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6
Q

2 hormones elevated with PCOS?
3 things it causes?
2 strong associations?

A

LH and Androgen
Amenorrhea (or irregular periods. An ovulation and cysts. Androgen stops the growth of follicles so a dominant one if never picked.), hair on women’s face and acne
Obesity and insulin resistance (acanthosis nigricans)

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7
Q

In HIV patients who take antiretroviral meds, what medication is a no no and what is the interaction?

A

PDE 5 blockers causing severe hypotension. The antiretroviral increase PDE 5 levels

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8
Q

What will a symptomatic VSD present like in a baby?

A

Poor feeding and sweating, failure to thrive and signs of congestive heart failure with a holosystolic murmur at lower left sternal border

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9
Q

Women with normal BMI should gain how much weight during pregnancy?

A

35-35 pounds

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10
Q

What is the most common cause of postpartum hemorrhage and what is the first line intervention to correct it?
When is methylergometrine contraindicated for postpartum bleeding?

A

No uterine tone
Uterine massage
When mom is hypertensive

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11
Q

What is the only med for Asystole?

A

Epi

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12
Q

What to think of with signet ring sign or honeycombing in the lung?

A

Bronchiectasis

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13
Q

What is the diagnostic technique of choice for most raised skin lesions?
What about melanoma?

A

Shave biopsy

Need to do a punch biopsy

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14
Q

When someone presents with a nodule on their thyroid, how do we proceed?

A

Check TSH. If it is normal, do FNA biopsy.

If it is low, then do thyroid uptake scanning with T99 or radioactive iodine uptake

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15
Q

4 medications causing causing ototoxicity?

A

Loops, aminoglycosides, aspirin, and chemo drugs

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16
Q

Maternal screening of alpha fetoprotein is recommended when ad can detect what two things?
What two things can cause an elevated AFP?

A

16-18 looking for genetic defects and neural tube problems

Neural tube defects and multiple gestation can elevate it

17
Q

Pulmonary histoplasmosis is endemic to what area of the US and what is seen on chest x ray?

A

Ohio and Mississippi River valley

Bilateral hilar LAD

18
Q

Coccidiodomycosis is endemic to what area of the US?

A

Southwestern

19
Q

What vein is involved with lower GI bleed in cirrhosis with painless bright red blood in poop?

A

Superior rectal vein

20
Q

What is the major difference in presentation with bleeding from inferior and superior rectal veins?

A

Inferior is painful bloody poop

Superior is painless bloody poop

21
Q

Patient presents with prolonged painless LAD and constitutional symptoms, what are we thinking?
How do we make the diagnosis?

A

Lymphoma

Lymph node biopsy

22
Q

What is the two step process in the management or premature suture closing?

A

X-ray then CT

23
Q

How to treat Herpes Simplex Virus in pregnant women?

A

Give acyclovir for an acute attacks and give a daily dose starting at 36 weeks until delivery

24
Q

What is first line treatment for smoking cessation in all patients? What else can be first line but what patient population do we not use it in?

A

Nicotine replacement therapy like the gum or patch.

Bupropion, but not in alcoholics

25
Q

Tetracyclines are contraindicated in what two patient populations?

A

Pregnant women and kids under 8

26
Q

Which hemorrhoids are painful?

A

External. Internal are painless

27
Q

At what age can we start fluoride supplementation for infants?

A

6 months

28
Q

Drug of choice for c diff?

A

Vancomycin

29
Q

What is the greatest risk factor for periductal mastitis of the breast?

A

Smoking

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