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PANCE > ExamMaster > Flashcards

ExamMaster Flashcards

1
Q

exacerbating factors atopic derm

A

changes in temp/humidity
exercise
stress

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2
Q

definitive dx for S. typhi

A

blood cx

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3
Q

what test to order to differentiate ZE from other causes of hypergastronemia

A

stimulatory test w/ secretin

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4
Q

adjunct to levodopa to reduce levodopa-induced dyskinesia in Parkinsons pts

A

Amantidine

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5
Q

CN6

A

abducens

paralysis of nerve = esotropia

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6
Q

contrast image for PE shows

A

partial enhancement of arteries - look for lack of vasculature

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7
Q

glaucoma med reduces aqueous humor secretion

A

betablockers (timolol)

diuretics (acetazolamid - carbondic anhydrase inhibitor)

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8
Q

glaucoma rx enhances aqueous humor drainage via canal of Schlemm

A

cholinomimetics - pilocarpine, physostigmine

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9
Q

tx of choice for open-angle glaucoma

A

cholinomimetics (pilocarpine, physostigmine); enhance drainage

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10
Q

glaucoma tx that increases outflow through trabecular meshwork at the anterior chamber angle

A

Alpha agonists - brimonidine

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11
Q

How does tenofivir work

A

blocks the viral enzyme in reverse transcriptase (NRTI)

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12
Q

Hyperchlorhydra + epigastric pain + red flags = dx? complication

A

ZE

complication of intestinal ulcers b/c continuous acid

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13
Q

venous hum over epigastric/umbilical area

A

hepatic cirrhosis

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14
Q

CN3

A 
superior rectus
inferior rectus
medial rectus = unopposed ABDuction eye
inferior oblique
levator palpebrae = ptosis if damaged
pupilloconstrictor
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15
Q

mood stabilizer preferred over Li b/c no weight gain

A

Depakote (divalproex)

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16
Q

“coin lesion” on CXR

A

pulmonary hamartoma (benign) - no cells on FNA

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17
Q

Is regular, long term exercise recommended for CF?

A

yes

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18
Q

utureus large for gest length + high hCG + NO fetal parts/heart sounds

A

choriocarcinoma

neoplams that is most sensitive to chemo

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19
Q

if female pt is on what type of med she should be on OCP

A

valproic acid and other anticonvulsants

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20
Q

failure to respont to bactrim
high fever + chills + pleuretic CP + cough
CXR = peribroncial thickening and infiltrates

A

Mycoplasma PNA

rx: azithromycin

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21
Q

B blocker for HTN ok in COPD

A

selective beta 1 antagonists:
metoprolol
atenolol

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22
Q

MCC erythema multiform - recurrent swollen painful lips + targetoid rash

A

HSV

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23
Q

fx of olecranon causes?

A

injury to ulnar nerve = no sensation to pinkie palmar surface

24
Q

ANA or RF+

CXR = peripheral reticular opacities at lung bases, honeycombing, lower lobe volume loss

A

idiopathic pulm fibrosis

25
Q

bronch lavage for idiopathic pulm fibrosis

A

neutrophilia + eosinophilia

26
Q

mypathic gait

A

weakness 1 side

Trandelenburg +

27
Q

cerebellar ataxia gait

A

staggering, unsteady, wide-based

Romberg sign+

28
Q

Sensory ataxia gait

A

feet thrown forward-out-down = 2-slap sound

polyneuropathy or posterior column damage

29
Q

steppage gait

A

foot drop or lifts knee high up to slap foot against ground

lower neuron disease

30
Q

tx invasive aspergillosis

A

voriconazole

31
Q

when is backup contraception mandatory for missed OCP

A

more than 2 missed pills; take 2 pills per day until caught up

32
Q

SE ethambutol

A

retrobulbar neuritis (posterior optic nerve) = red/green color blindness

33
Q

gram- cocci pairs
COPD
cough + CP + fever
infiltrates on lower lobe

A

M Cat lobar pneumonia COPD

Augmentin

34
Q

joint pain worse w/ mvmt

fever + swelling + warmth

A

septic arthritis

35
Q

1st degree AV block assoc w/

A

blowing diastolic murmur (but no mitral regurg), probably just stiff mitral valve

36
Q

delayed carotid upstroke assoc w/

A

aortic stenosis

37
Q

hemorrhagic gastritis MCC upper GI bleed in pts taking what?

A

NSAIDS (stop prostaglandin synthesis)

38
Q

familial adenomatosis polyposis syndrome

A

APC mutation

39
Q

MEN2: medullary thryoid, PTH adenomas, pheo

A

RET gene mutation

40
Q

when to recheck scoliosis XR for growing kid

A

Q3mon (1yr too long)

41
Q

epiglottitis: best way to confirm and initially manage pt

A

endotrach tube

42
Q

MCC common cold

A

rhinovirus - HA, runny nose, sore throat, nasal congestion

43
Q

apthous ulcers/stomatitis

A

chlorhexidine mouth wash to relieve pain and aid healing

44
Q

antimicrobial that cab be used in pt that can’t tolerate cholestyramine for PBC tx

A

Rifampin

45
Q

Can cause theophyline toxicity (via cytochrome 450 inhibition)

A

cimetidine

46
Q

what should pt’s w/ anal fissures avoid to help healing

A

spicy foods

47
Q

postpartum psychosis

A

sx interfere w/ mom’s ability to func and care for child

48
Q

laryngitis for 2+ weeks in heavy smoker

A

thinck squamous cell carcinoma larynx

refer to otolaryngologist

49
Q

cardiogenic shock

A

decreased tissue perfusion = cyanosis, AMS
HoTN from low CO
cutis marmorata from vasoconstriction

50
Q

neurogenic shock

A

vasodilation
BRADYcardia
diaphoresis
parasympathetic dominance

51
Q

septic shock

A

SIRS + evidence infxt, end organ dysfunction, refractory HoTN

52
Q

tx for wide spread impetigo - vesicles/bullae

A

dicloxacillin

53
Q

ARDS

A

ratio of PaO2/FIO2 < 200 + bilateral interstitial infiltrates

54
Q

tx ARDS

A

PEEP to improve oxygenation by opening alveoli

55
Q 
hx pressure change
ringing in ear
dizziness
HA
buldging TM
A

barotrauma

PANCE (7 decks)

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