Day 13 Review - Gyn1, Gyn2, Gyn3

Question 1

Blood cell pathology: Assoc w/ EBV, especially in Africa

Answer 1

Burkitt’s Lyphoma

Question 2

Blood cell pathology: Reed Sternberg cells

Answer 2

Hodgkin Disease

Question 3

Blood cell pathology: Bence Jones proteins, osteolytic lesions, High calcium

Answer 3

Multiple Myeloma; Npte: Hypercalcemia due to local osteolytic factors

Question 4

Blood cell pathology: t(14;18)

Answer 4

Follicular lymphoma

Question 5

Blood cell pathology: Most common lymphoma in US

Answer 5

Diffuse large B cell lymphoma

Question 6

Blood cell pathology: t(8;14)

Answer 6

Burkitt’s lymphoma

Question 7

Blood cell pathology: t(9;22)

Answer 7

CML (Philadelphia chromosome - 15% adult ALL’s also have this)

Question 8

Blood cell pathology: Most common form of Hodgkin lymphoma

Answer 8

Nodular sclerosis

Question 9

Blood cell pathology: Starry sky pattern due to phagocytosis of apoptotic tumor cells

Answer 9

Burkitt’s lymphoma

Question 10

Blood cell pathology: High H & H, pruritus (especially after hot bath/shower), burning pain in hands/feet

Answer 10

Polycythemia vera

Question 11

Blood cell pathology: Blood smear showing hair-like projections, Splenomegaly

Answer 11

Hairy B cell leukemia

Question 12

Distinguish orbital cellulitis v. periorbital cellulitis

Answer 12

ORBITAL: pain w/ eye movement, proptosis, ophthalmoplegia, double/decreased vision ; PERIORBITAL:

Question 13

Bupropion contraindications

Answer 13

Lowers seizure threshold; Contraindications: Eating disorders, seizure disorder, withdrawing from alcohol or benzos, & MAOis in last 2 wks

Question 14

Tx Serotonin syndrome

Answer 14

Stop serotingergic agent; Supportive (decrease muscle tone, may need sedation - benzos/intubation/paralysis); NOT use Dantrolene (reserved for neuroleptic malignant syndrome)

Question 15

BPPV dx & tx

Answer 15

Classic H & P: vertigious worse w/ rollover in bed, laydown, or raise head up; Dx w/ Dix-Hallpike maneuver; Tx - Maneuvers (e.g., Epley)

Question 16

Tx acute angle closure glaucoma

Answer 16

Different drugs may be used; Acetazolamide, Mannitol, Beta blockers, Alpha adrengergics, Prostaglandins, Cholinergic agonists (e.g., Pilocarpine)

Question 17

Antidotes: Organophosphate (anticholinesterase) toxicity

Answer 17

Atropine + Pralidoxime (reverse blockade of acetylcholinesterase)

Question 18

Antidotes: Mercury

Answer 18

Dimercaprol, also succimer

Question 19

Antidotes: Carbon monoxide

Answer 19

100% hyperbaric oxygen

Question 20

Antidotes: Heparin

Answer 20

Protamine sulfate

Question 21

Antidotes: Isoniazid

Answer 21

B6 (pyridoxine)

Question 22

Heart murmur: Diastolic murmur heard best LL sternum, increases with inspiration

Answer 22

Tricuspid stenosis

Question 23

Heart murmur: Late diastolic murmur w/ opening snap, no change with inspiration

Answer 23

Mitral stenosis

Question 24

Heart murmur: Systolic murmur heard best in 2nd R interspace

Answer 24

Aortic stenosis

Question 25

Heart murmur: Systolic heard best in 2nd L interspace

Answer 25

Pulmonic stenosis

Question 26

Heart murmur: Late systolic murmur heard best at apex

Answer 26

Mitral prolapse

Question 27

Heart murmur: Diastolic murmur with widened pulse pressure

Answer 27

Aortic regurgitation

Question 28

Heart murmur: Holosytolic murmur louder with inspiration, best heard in LL sternum

Answer 28

Tricuspid regurgitation

Question 29

Heart murmur: Holosytolic murmur, heard at apex, radiates to axilla

Answer 29

Mitral regurgitation