Comquest Q Bank 2 Flashcards
At what age should kids be able to kick a ball?
Hop on one foot?
2
4
What is the most common cause of sideroblastic anemia?
Excessive alcohol
What is the patho of NSAIDS causing kidney damage?
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.
Suspect what valve problem with an Austin flint murmur?
AR
What is first line treatment for primary dysmenorrhea?
NSAIDS
2 hormones elevated with PCOS?
3 things it causes?
2 strong associations?
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)
In HIV patients who take antiretroviral meds, what medication is a no no and what is the interaction?
PDE 5 blockers causing severe hypotension. The antiretroviral increase PDE 5 levels
What will a symptomatic VSD present like in a baby?
Poor feeding and sweating, failure to thrive and signs of congestive heart failure with a holosystolic murmur at lower left sternal border
Women with normal BMI should gain how much weight during pregnancy?
35-35 pounds
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?
No uterine tone
Uterine massage
When mom is hypertensive
What is the only med for Asystole?
Epi
What to think of with signet ring sign or honeycombing in the lung?
Bronchiectasis
What is the diagnostic technique of choice for most raised skin lesions?
What about melanoma?
Shave biopsy
Need to do a punch biopsy
When someone presents with a nodule on their thyroid, how do we proceed?
Check TSH. If it is normal, do FNA biopsy.
If it is low, then do thyroid uptake scanning with T99 or radioactive iodine uptake
4 medications causing causing ototoxicity?
Loops, aminoglycosides, aspirin, and chemo drugs
Maternal screening of alpha fetoprotein is recommended when ad can detect what two things?
What two things can cause an elevated AFP?
16-18 looking for genetic defects and neural tube problems
Neural tube defects and multiple gestation can elevate it
Pulmonary histoplasmosis is endemic to what area of the US and what is seen on chest x ray?
Ohio and Mississippi River valley
Bilateral hilar LAD
Coccidiodomycosis is endemic to what area of the US?
Southwestern
What vein is involved with lower GI bleed in cirrhosis with painless bright red blood in poop?
Superior rectal vein
What is the major difference in presentation with bleeding from inferior and superior rectal veins?
Inferior is painful bloody poop
Superior is painless bloody poop
Patient presents with prolonged painless LAD and constitutional symptoms, what are we thinking?
How do we make the diagnosis?
Lymphoma
Lymph node biopsy
What is the two step process in the management or premature suture closing?
X-ray then CT
How to treat Herpes Simplex Virus in pregnant women?
Give acyclovir for an acute attacks and give a daily dose starting at 36 weeks until delivery
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?
Nicotine replacement therapy like the gum or patch.
Bupropion, but not in alcoholics
