DIT rapid review Flashcards
MCC of bacterial meningitis in neonate
GBS
MCC of bacterial meningitis in childrenn
N. meningitidis, S. pneumonia
MCC of bacterial meningitis in adults
S. pneumo
Osteomyelitis in an IV drug user
S. aureus, Pseudomonas
Osteomyelitis in a sickle cell pt
Salmonella
Osteomyelitis in young sexually active pt
N. Gonorrhea
MC reportable STD
Chlamydia
Non-painful, indurated, ulcerated genital lesion
Primary syphilis
Painful, indurated, ulcerated genital lesion with exudate
Chancroid
Stippled vaginal epithelial cells on a wet prep of vaginal discharge
Clue cells of bacterial vaginosis
Common tx for syphilis
Penicillin G
Tx for Trichomonas
Metronidazole
Tx for Chlamydia
Doxycycline or azithromycin
Tx for Gonorrhea
Ceftriaxone
Boy with self-mutilating behavior, intellectual disability and gout
Lesch Nyhan syndrome (HGPRT def)
Orotic acid in the urine, elevations in serum ammonia
OTC deficiency
Orotic acid in the urine, no elevation in serum ammonia
Orotic aciduria
Megaloblastic anemia that does not improve with folate and B12?
Orotic aciduria
What’s the most common drug prescribed for ADHD
Methylphenidate (ritalin)
Most common medication for Bulimia pts
SSRI (fluoxetine)
Medical tx for alcohol withdrawal
Benzodiazepine
Most effective tx for alcohol abuse
Alcoholics anonymous
Atrophy of the mammilary bodies
Wernicke encephalopathy
tx for central Diabetes insipidus?
Desmopressin
Tx for nephrogenic diabetes insipidus
HCTZ, indomethacin, amiloride
Tx for lithium-induced nephrogenic diabetes insipidus
Amiloride
What are the causes of an increased anion gap metabolic acidosis?
"MUDPILES" Methanol Uremia DKA Propylene glycol Isoniazid/iron tablets Lactic acidosis Ethylene glycol Salicylates
Nodular hyaline deposits in the glomeruli
Kimmelstiel-Wilson nodules (diabetic nephropathy)
Glomerulnephritis plus pulmonary vasculitis
Wegener’s, Goodpasture’s syndrome
Red cell casts
Acute Glomerulonephritis
Waxy casts
Acute pyelonephritis
Thyroid-like appearance of kidney
Chronic pyelonephritis
MC renal tumor
Renal cell carcinoma
MC type of renal stone
Calcium stones
Type of renal stone associated with Proteus vulgaris
Struvite stone
MC tumor of the adrenal gland
Benign, non-functioning adrenal adenoma
MC tumor of the adrenal medulla in adults
Pheochromocytoma
MC tumor of the adrenal medulla in kids
Adrenal Neurblastoma
MCC of primary hyperaldosteronism
Adrenal adenoma
Medical tx for hyperaldosteronism
Spironolactone or eplerenone
Medical tx for pheochromocytoma
Non-selective alpha blocker (phenoxybenzamine or phentolamine)
Pheochromocytoma, medullary thyroid cancer and hyperparathyroidism
MEN2A
Pheochromocytoma, medullary thyroid cancer, mucosal neuromas
MEN2B
Adrenal dz associated with skin hyperpigmentation
Primary adrenal insufficiency (Addison’s dz)
HTN, hypokalemia, metabolic alkalosis?
Hyperaldosteronism (Conn syndrome)
MC thyroid cancer
Papillary carcinoma
Cold intolerance
Hypothyroidism
Enlarged thyroid cells with ground-glass nuclei
Papillary cancer of the thyroid (“Orphan-Annie eye nuclei”)
Standard tx for DKA
IV fluids, IV insulin, potassium replacement
Standard tx for type 1 DM
Insulin
Standard tx for type 2 DM
Low-carb diet, weight loss, oral hypoglycemic drugs, insulin
MCC of hypercalcemia
Primary hyperparathyroidism (Parathyroid adenoma/Parathyroid hyperplasia)
MCC of primary hyperparathyroidism
Parathyroid adenoma
MCC of secondary hyperparathyroidism
Chronic renal failure
-hypocalcemia
MCC of hypoparathyroidism
Accidental parathyroidectomy during thyroid surgery
Facial muscle spasm when tapping on the cheek
Chvostek sign of hypocalcemia
Parathyroid, Pancreatic, Pituitary tumors
MEN1
Smudge cells
CLL
“Punched out” lytic bone lesions
Multiple myeloma
Rouleaux formation
Multiple myeloma
Monoclonal antibody spike
Multiple myeloma, MGUS, Waldenstrom macroglobulinemia
Reddish-pink rods in the cytoplasm of leukemic blasts
Auer rods (AML)
Dark purple nodules on the skin of an HIV pt
Kaposi sarcoma (HHV-8)
Large cells with owl’s eye inclusions
CMV
Treatment for CMV
Gancyclovir
MC opportunistic infection in HIV pts
Pneumocystic jerovecii
Drug used to prevent Pneumocystis pneumonia
TMP-SMX (Dapsone if sulfa allergy, but watch out for G6PD!)