Exam1- Misc Flashcards

1
Q

icterus is associated w/ fasting, febrile illness, strenuous exercise, and stress?
all LFTs are normal
unconjugated hyperbilirubinemia dz
bilirubin ranges from ?

A

Gilbert’s Syndrome

bilirubin 5-6mg/dL

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2
Q

severe case of acute viral hepatitis suggested by ?

A

PT> 5s

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3
Q

LFTs that reflect necrosis?

A

ALT, AST

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4
Q

Wilson’s Dx, fatty liver of pregnancy, and Reye’s syndrome are ? causes of ?

A

metabolic, acute fulminant hep

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5
Q

toxic accumulation of copper in liver & brain?

A

Wilson’s disease

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6
Q

amanita phalloides (poison mushroom) = cause of?

A

acute fulminant hep

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7
Q

unconjugated hyperbilirubinemia:

  • too much bilirubin? 3
  • too little conjugation? 2
  • drugs? 2
  • physiologic? missing enzyme
A

hemolytic anemia, transfusion rxn, absorption of major hemorrhage
Gilbert’s syndrome, Crigler Najjar
rifampin, probenacid
neonatal jaundice

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8
Q

intrahepatic causes of cholestasis (4)

A

Primary Biliary Cirrhosis
Drugs (amitryptaline, bactrim, ampicillin, amoxicillin, chlorpromazine, anabolic steroids, OCP)
Pregnancy
Total parenteral nutrition

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9
Q

Uncommon causes of ?

  • alpha 1 antitrypsin deficiency
  • wilson’s dz
  • keiser-fleischer ring
A

cirrhosis

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10
Q

cirrhosis can have impaired ? metabolism

A

estrogen- gynecomastia, testicular atrophy, spider angiomata

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11
Q

to tell difference between old infection and vaccine look at the ?
it will only be in the ?

A

IgG anti-HBc Ab
old infix
***both have HBsAg

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12
Q

in HCV it is hard to detect/can’t always detect ? b/c it fluctuates

A

ALT

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13
Q

SLE- monitor dz & recurrence/progression via?

  • lupus anticoagulant along w/ antiphopholipid Ab
  • ? MCC of death
A

anti-dsDNA
anticardiolipin
RF

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14
Q

clawed hands
pursed mouth
rubber hose esophagus
characteristics of?

A

scleroderma

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15
Q

^ ESR in ?

A

RA

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16
Q

fatigue & pruritis in a pt with an ALP X2

A

primary biliary cirrhosis

17
Q

MC disorder of neuromuscular transmission/signal

A

Myasthenia Gravis