Day 7 Flashcards

1
Q

why do patients with preeclampsia get epigastric pain?

A

referred pain from capsular stretching of liver

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2
Q

what can happen in brain with patients who have preeclampsia? aside from seizure

A

can have acute ischemic stroke

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3
Q

what three meds for high BP in pregnancy

A

labetalol, hydralazine, nifedipine

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4
Q

can brachial cleft cysts drain fluid?

A

yes…especially if infected

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5
Q

what is time requirement for cyclothymic disorder?

A

2 years!!

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6
Q

what is rx for acute hereditary angioedema?

A

c1 inhibitor concentrate

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7
Q

what complement levels are low in hereditary angioedema?

A

c1 and c4

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8
Q

what are signs/sx of kallman syndrome?

A

primary amenorrhea, lack of smell, low FSH and LH

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9
Q

what is chromosome in CML?

A

9;22, BCR-ABL

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10
Q

what is rx of CML?

A

imatinib…tyrosine kinase inhibitor

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11
Q

what is treatment of severe versus mild histoplasmosis?

A

severe is Amphotericin B and mild is itraconazole

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12
Q

formula for sensitivity

A

TP/TP+FN

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13
Q

formula for specificity

A

TN/TN+FP

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14
Q

sensitivity is good at ruling in our out disease?

A

rule out…SnOUT

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15
Q

specificity is good at ruling in or out disease?

A

in…SpIN

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16
Q

what is normal 1hr glucose test?

A

less than 140

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17
Q

irregularly shaped hyperpigmented macules on face is what in a pregnant patient?

A

melasma

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18
Q

what is difference between ODD and CD?

A

ODD is basically you dont get along and talk back to authority figures..CD you actually break laws and break shit

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19
Q

apnea and vital sign instability can be early sign of what in infant?

A

NEC

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20
Q

what is classic sleep finding in MDD?

A

decreased REM sleep latency

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21
Q

what is next step in eval of acromegaly after finding elevated IGF?

A

glucose suppression test

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22
Q

what are CSF findings in cryptococcal meningitis?

A

low WBC, low glucose, and elevated protein

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23
Q

what coag study is often abnormal in anti phospholipid syndrome?

A

PTT prolongation

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24
Q

what hyperthyroid states have low iodine uptake?

A

thyroiditis and taking thyroid meds

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25
Q

how do you differentiate between thyroiditis and levothyroxine abuse when patient has low uptake on iodine scan?

A

measure thyroglobulin…thyroiditis is high and levothyroxine abuse will have low thyroglobulin

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26
Q

what are two issues with gastroschisis while baby in utero?

A

oligohydramnios and growth restriction

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27
Q

what virus causes croup?

A

parainfluenza

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28
Q

what imaging sign is associated with croup

A

steeple sign

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29
Q

rx of pjp infection

A

bactrim and roidds

30
Q

two imaging options for diagnosing kidney stones

A

US or NON contrast CT

31
Q

what is conservative management of adenomyosis?

A

OCPs/progestin IUD

32
Q

what is definite treatment of adenomyosis?

A

hysterectomy

33
Q

what is apnea of prematurity?

A

brief spells of baby not breathing and will desat but is fine between spells

34
Q

what is rx of apnea of prematurity?

A

caffeine and non invasive ventilation if needed

35
Q

what are potential complications of oligohydramnips?

A

meconium aspiration, preterm and cord compression

36
Q

what are potential complications of polyhydramnios?

A

cord prolapse, PPROM and preterm

37
Q

what should you do to a keratocanthoma?

A

excise it and biopsy

38
Q

describe a keratocanthoma

A

rapidly growing skin nodule wiht keratin pplug and ulceration

39
Q

what hip condition can you give steroid injection for?

A

trochanteric bursitis

40
Q

what metabolic acid base issue with bicarb leak?

A

met acidosis

41
Q

how does hypothyroidism cause amenorrhea?

A

due to high prolactin levels that lead to inhibition of GnRH

42
Q

what is leading cause of pneumonia in kids with CF?

A

staph aureus

43
Q

what is leading cause of penumonia in adults with CF?

A

pseuodomonas

44
Q

yellow white fluffy lesions on optho exam means what?

A

CMV retinitis

45
Q

what are sc of CMVretinitis?

A

blurred vision, floaters, flashing lights sensation

46
Q

who gets CMV retinitis?

A

AIDS

47
Q

what is rx of cmv retinitis?

A

valganciclovir

48
Q

what opioid meds cannot be given to patient with CKD?

A

morphine, codeine, tramadol

49
Q

bacterial meningitis CSF

A

wbc 1000+, low glucose, protein >250

50
Q

tuberculosis meningitis CSF

A

100-500 WBC mainly lymphocytes, low glucose, protein 100-500

51
Q

viral meningitis csf

A

wbc count 10-500 (lymph), 40-70 glucose, low protein

52
Q

GBS has what in CSF?

A

loads of protein

53
Q

what is management of functional constipation in an infant?

A

give them prune juice

54
Q

what is main difference between narcissist and histrionic?

A

the drama and erratic behavior of histrionics

55
Q

two antibiotics that cause distal symmetric neuropathy?

A

flagyl and fluoroquinolones

56
Q

case control studies use what for analysis?

A

odds ratio

57
Q

what labs are elevated in PSC?

A

bilirubin and alk phos

58
Q

what are CNS symtpoms of lyme diseae?

A

CN palsy, meningitis

59
Q

whatis cardiac sign of lyme disease?

A

2:1 av block

60
Q

what is rx of lyme disease?

A

doxy, but if have cardiac or neuro manifestations then need CTX

61
Q

what are the two common findings with entamoeba histolytica infection?

A

diarrhea, can be bloody then liver abscess

62
Q

what is rx of entamoeba?

A

flagyl and paromomycin

63
Q

what are two main outcomes in reyes syndrome?

A

liver failure and rapidly progressive encephalopathy w

64
Q

what labs are abnormal in reyes syndrome?

A

liver enzymes (except normal bilirubin), PT, PTT and iNR elevated

65
Q

what acid base disturbance in reyes syndrome

A

metabolic acidosis

66
Q

what is rx of reye syndrome?

A

supportive care

67
Q

what are presenting sx of HIV associated neurocognitive disorder?

A

Cd4 less than 200…leads to impaired memory, personality changes, impaired attention, can also have ataxia

68
Q

what is MSK finding of lung disease?

A

hypertrophic osteoarthropathy

69
Q

how much time between onset of stroke sx of fibrinolytic therapy?

A

has to be within 4.5 hours

70
Q

how do you diagnose malaria?

A

thin and thick blood smears

71
Q

what are blood findings in labs with malaria?

A

anemia and thrombocytopenia