Fam Flashcards
1
Q
Painless LAD, constitutional sx, no immunosuppression
A
Hodgkin Lymphoma
2
Q
Rule of confinement for OB pt w/ regular 28 day cycle
A
From the date of last menses, add 7 days, minus 3 months
Example: Last menses: July 17.
Date of confinement: April 24th
3
Q
EKG finding for PE
A
Sinus Tach
4
Q
First step management of a Pt w/ Epiglottitis
A
Tracheal Intubation
5
Q
Tx for C. diff
A
Acute: Vanc
Recurrent: Fidaxomicin
6
Q
Type and Tx – Headache w/ band like tension, front. Most often during stress
A
Tension
NSAIDs
7
Q
Non conducting P wave
Consistent PR interval
No QRS
His-Purkinjie dysfunction
A
Mobitz II
8
Q
Incomplete SAB
A
Open Cervix
Bleeding
Partial POC delivered
9
Q
Completed SAB
A
Closed Cervix
Contracted Uterus
Bleeding
All POC delivered
10
Q
Inevitable SAB
A
Open Cervix
Bleeding
No POC delivered
11
Q
Missed SAB
A
<20 wks
Closed Cervix
ASx – no bleeding
“Don’t ‘feel’ preggo anymore
12
Q
Threatened SAB
A
Closed Cervix
Bleeding
Fetus still viable
13
Q
Bloody, watery diarrhea Night Sweats pANCA Elevated ESR, CRP Mucosal/Submucosal Inflammation Abdominal Pain
A
UC
14
Q
Benign flesh to erythematous colored annular plaques found on distal extremities of healthy adults and kids. Groups of 1-2 mm papule that coalesce into a >5cm plaque.
Neg scale, KOH, fluid
A
Granuloma annulare
15
Q
This will be increased on a CBC w/ a Hgb-SS Pt.
A
Reticulocytes
16
Q
Fe studies: Chronic Dz
A
Microcytic
Low Fe
High Ferritin
Normal/Low TIBC
17
Q
Fe studies: Fe Deficient Anemia
A
Microcytic
Low Fe
Low Ferritin
High TIBC
18
Q
Fe studies: Fe Overload
A
Normocytic
High Fe
High Ferritin
Low TIBC
19
Q
Fe studies: Thalassemia
A
Microcytic
nl Fe, Ferritin, TIBC
20
Q
Pt has osteoarthritis along w/ CHF. His arthralgia should be Tx w/
A
Duoxetine
21
Q
NSAID that blocks COX-2>COX-1
A
Meloxicam
22
Q
Absence of esophageal peristalsis
Impaired esophageal sprinter relaxation
Progressive difficulty in eating foods
Test? Dx?
A
Endoscopy
Achalasia
23
Q
In areas w/o Fluoride in the water, Fluoride Tx may begin at
A
6mo
24
Q
Rx to increase survival rate of ALS pts
A
Glutamine Release Inhibitor: Riluzole
25
Nerve Degeneration
Progressive, asymmetric muscle weakness and wasting
Affects upper and lower nerves
Test? Dx?
Electromyography
| ALS
26
Pt at 34 wk presents w/ upset stomach, nausea, diarrhea along w/ constitutional Sx, what GI medication is contraindicated
Bismuth Salicylate, Cat D
| Along w/ other NSAIDs, causes premature closure of ductus arteriosus.
27
Tender thyromegaly following a viral prodrome
Subacute Thyroiditis
Viral Illness >> Thyrotoxicosis >> Euthyroid >> Hypothyroid >> Recover
28
```
AD
Pulmonary AV malformations on contrast echo
Epitaxis w/o apparent cause
Visceral lesion
Telengiectasias
Coag studies WNL
```
HHT/OWR Syn
29
Preggo and MDD, Tx?
CBT+SSRI >> SNRI
30
Pt is preggo, when do you do a PAP
First visit
31
Pt is preggo, initial visit you screen for
```
Rh
Ruebella
ABO
STI
HIV
Hep B + C
TB
```
32
Pt w/ SVT, Tx...
Vagal massage >> Adenosine >> Electric cardio version
33
Prophylaxis given after an animal bite
Amoxicilian + Clavulunate (Gr-/Anaerobe coverage)
34
When to give HD Amox for AOM
<6mo
6mo-2yo w/ bacterial OM or Fever >102.2
>2yo if bacterial OM AND Severe illness
High Risk f/u
35
Vaccines indicated for HIV Pt
Tdap
Hep-B
Influenza
Pneumococcal
36
Pt is a nonsmoker but has b/l panacinar bullae on CXR
Alpha 1 Antitrypsin Deficiency
37
Pt w/ CML has this finding on CBC
Basophillia
Leukocytosis
Thrombocytopenia
Tx w/ Ty-K inhibitor, Imatinib
38
Wide QRS, Reg P-P, No conducted P-waves
3˚ Heart Block
39
Pt <45yo has thrombosis + FHx of PE. Most likely mutation of Factor
V
40
"Fasting" for a lab meaning
no caloric intake w/n last 12h
| no alcohol w/n last 24h
41
Dx test for cervical stenosis
MRI
42
Lab test for Paget Dz
Alk Phos
43
Pain b/t toes
Tight Shoes
Mulder Sign
Pain and numbness that radiates to proximal toes
Morton Neuroma
44
Mulder Sign
Palpable click on toes >> Morton Neuroma
45
Vitals worsen following an albuterol Tx d/t
VQ Mismatch
46
Pt w/ Struma ovarii will present as
Hyperthyroid d/t teratoma secreting free T4
47
AFP is elevated w/
Yolk Sac Tumor
| Hepatocellular Carcinoma
48
Ovarian Cancer marker
Ca125
49
Colorectal cancer marker
CEA
50
Pt is preggo at risk for HSV, Tx is
Tx recurrent episodes w/ acyclovir, begin daily Tx at 36wks.
51
Absence seizure Tx
Ethosuximide >> Valproate
52
Fixed non-tender testicular mass
Solid w/ necrotic center
Intratesticular
Secretes Beta-hcg
Testicular choriocarcinoma
53
Pts on anti-virals should not take ... for fear of hypotension
PDE-5 inhibitors
54
Pt presents in excruciating pain w/ external hemorrhoids w/n 72 hrs of onset, Tx w/
Surgical excision
55
Internal hemorrhoids that do not respond to Tx and do not protrude may be Tx w/
banding
56
When to Tx external hemorrhoids or low grade internal hemorrhoids w/ conservative Tx versus Surgery
w/n 72 hrs = Surgery
| beyond 72hrs = Conservative
57
Baby has premature closure of fontanels, next step
XR >> CT
58
Microcephaly is
head circumference below 3rd percentile
59
Only medication used for asystole
Epi
60
Flat lesion, abnormal color/border, <4mm
| Next Step ...
Punch Bx
61
Flat lesion, abnormal color/border, >4mm
| Next Step ...
Excisional Bx
62
BCC larger than ... gets excised
2mm
63
Raised, non-pigmented, superficial lesion
| Next Step ...
Shave Bx
64
Adherent, greasy, scaly, stuck on appearance
Seborrheic Keratosis
| Pt needs reassurance
65
Imaging for TIA
Diffusion-weighted MRI
66
Progressive prolonged PR, regular dropped QRS
Mobitz I (Wenckebach)
67
Tay-Sachs findings
```
AR
Cherry Red Spot
Startle Easy
Hexosaminidase A Deficient
GM2 ganglioside accumulation
Death by 4 by Pneumonia
```
68
Niemann Pick findings
```
AR
Cherry Red spot
Sphingomyelinase deficient
Sphingomyelin accumulation
Hepatosplenomegaly
Death by 3
```
69
Gaucher Dz findings
```
AR
Beta Glucosidase deficient
Glucocerebroside accumulation
Tissue paper Macs
Erlenmyer Flask femurs
```
70
Fabry findings
```
X-linked
Alpha-galactoside A
Glycosphingolipids
Dark Red/Blue/Black Non-blanching spots
Increased clots
```
71
Wide QRS, Reg P-P, no conduction of P-wave
Third degree heart block
72
Narrow QRS, Reg/Irregular P-P, some conduction of P-wave
A-Flutterr
73
Wide QRS, Reg P-P, some conduction of P-wave
Mobitz II
74
Narrow QRS, Reg P-P, slow conduction of P-wave
Mobitz I (Wenckebach)
75
Narrow QRS, Irreg/Irregular P-P, some conduction of P-wave
A-Fib
76
Non-blanch, non- tender, raised vulvar lesion confirm Dx w/...
Punch Bx
77
Most common vulvar neoplasm
SSC
78
Vulvar neoplasms are often associated w/ longstanding
Lichen Sclerosis
79
Epigastric pain
Hypotension
Pain relieved by eating
Dx and structure at risk ...
Doudenal ulcers
| Gastroduodenal artery at risk
80
Give this to have rapid control of hyperthyroid Sx
Beta-blockers
81
Hyperthyroid first line med
Methimazole
82
Hyperthyroid first line med, pt preggo 1st trimester
5-PU
83
Hyperthyroid first line med, pt preggo 2nd/3rd trimester
Methimazole
84
Rash that is hyper pigmented, scaly, thick, scaly, edematous papule and plaques.
Hx of Eczema/Psoriasis
Lichen Simplex Chronicus
85
Herald Patch
salmon colored patch on the truck w/ central clearing
86
Pityriasis Rosea findings
herald patch
Oval shaped macule in christmas tree pattern
b/l and Symm, spares hands feet and face
87
Nevus Flammus, aka
port wine stain
88
Nevus Simplex on newborn b/t eyes or on the nape of the neck
Nevus Simplex
89
Severe pre-eclampsia should deliver by
34 wks
90
Mild/mod pre-eclampsia should deliver by
37 wks
91
Stages of CKD
```
>90 = 1
60-89 = 2
30-59 = 3
15-29 = 4
<15 = 5
```
92
Painless thyroid that does not move w/ swallowing
Mass effect
+/- abnl TSH
Dx by ...
Open Bx, Riedel Thyroiditis
93
When to perform a FNA on a goiter
TSH is nl
94
GAD first list
SSRI/SNRI
| Buspirone (partial 5HT antagonist)
95
Most potent risk factor for TIA and stroke
HTN
96
Smooth, rubber, mobile, solitary, well-circumscribed, painless breast mass
Fibroadenoma
97
Initial Dx test of AD-PKD
Renal U/S
98
Most likely complication of Nephrotic syndrome
Venous thrombosis
99
Biliary Atresia of newborn presents as ...
```
1-8wk old
jaundice
pale stool
dark urine
elevated direct bili (>20% total/>2 mg/dl)
```
100
Breastfeeding jaundice d/t
inadequate milk supply
101
Breastmilk jaundice d/t
milk quality, removes glucuronic of direct bili
102
Colorectal Ca Screening
50 yo
Colonscopy q 10r
FOBT Annual
Flexisigmoidoscopy q 5yr
103
Joint pain in elderly that is b/l and resolves w/n 30 min
Osteoarthritis
104
Clots w/ gross hematuria in a child, next step is a ...
U/S of kidney and bladder
105
Pt w/ dyspnea has a flattened inspiratory loop and normal FVC and FE1/FVC ratio
Vocal Cord Dysfxn
106
Most common cause of 2nd HTN
Renal Stenosis
107
Adjustment disorder timeframe
If Sx don't resolve w/n 3 months of the stressor being removed
108
Expressive language disorder Sx
No babble at 1yr
No ords by 15 months
No intelligible words at 2yr
109
Gr- Diplococcus
| 3rd leading Cz of Bacterial OM and rhinosinusitis
Morexella Catarrhalis
110
Gr+, Cat-, Capsule, Diplococcus
Complement Dependent
Pneumolysin releases TNF-alpha and IL-1
S. Pneumo.
111
Pt Dx w/ SBP, Tx w/
Cefotaxime
112
Vaccines for pts >56yo + immunocompromised
Mening Poly (MCV-4)
Pneumo -13 (PCV13)
HiB
113
Pt at 26wk, perform
DM Screen
CBC
Rhogam
Vacc - Flu/Tdap
114
Contradictions for tetracyclines
Pregnant or <9yo
115
Sizes of AAA and what to do
```
<4cm = Nothing
4-5.4cm = Follow
>5.4cm = Surgery
```
116
Marker for increased metabolic activity in the liver, bone or placenta
Alk Phos
117
Lytic lesions
corticol thickening
hearing loss
elevated al phos
Pagets
118
Pt suspected of Mono, you run these tests
CBC
Heterophile
Rapid Group A
119
Newborn rash
Systemic Sx
Bx shows eosinophils
Spares palms/soles
Erythema toxicum neonatorum
120
Releases PTH-like hormone and can cause hypercalcemia
SCC
121
Pt w/ IBD has calcium oxalate stones. The stones are caused by ...
decreased absorption of fatty acids and bleeding salts
122
Bilious, non-projectile, non-bloody emesis in a neonate <1 month old
Abdominal malrotation -- get an upper GI Barium Series
123
Testicular torsion mechanism
congenital malformation of process vaginalis
124
This condition(s) causes inaccurate A1c readings
CKD
| -- any condition that disrupts the nl lifespan of a RBC
125
Pt 18mo-3yr has patella point forward but pt is pigeon toed, b/l
Cz...
Internal Tibial Rotation
126
Pigeon toe <18 months, cz...
Metatarsus adductus
127
NSAIDS damage kidneys by ...
reducing prostaglandins >>> reversible Renal ischemia
