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COMAT Exams > Fam > Flashcards

Fam Flashcards

1
Q

Painless LAD, constitutional sx, no immunosuppression

A

Hodgkin Lymphoma

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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

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3
Q

EKG finding for PE

A

Sinus Tach

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4
Q

First step management of a Pt w/ Epiglottitis

A

Tracheal Intubation

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5
Q

Tx for C. diff

A

Acute: Vanc
Recurrent: Fidaxomicin

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6
Q

Type and Tx – Headache w/ band like tension, front. Most often during stress

A

Tension

NSAIDs

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7
Q

Non conducting P wave
Consistent PR interval
No QRS
His-Purkinjie dysfunction

A

Mobitz II

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8
Q

Incomplete SAB

A

Open Cervix
Bleeding
Partial POC delivered

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9
Q

Completed SAB

A

Closed Cervix
Contracted Uterus
Bleeding
All POC delivered

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10
Q

Inevitable SAB

A

Open Cervix
Bleeding
No POC delivered

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11
Q

Missed SAB

A

<20 wks
Closed Cervix
ASx – no bleeding
“Don’t ‘feel’ preggo anymore

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12
Q

Threatened SAB

A

Closed Cervix
Bleeding
Fetus still viable

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13
Q 
Bloody, watery diarrhea
Night Sweats
pANCA
Elevated ESR, CRP
Mucosal/Submucosal Inflammation
Abdominal Pain
A

UC

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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

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15
Q

This will be increased on a CBC w/ a Hgb-SS Pt.

A

Reticulocytes

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16
Q

Fe studies: Chronic Dz

A

Microcytic
Low Fe
High Ferritin
Normal/Low TIBC

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17
Q

Fe studies: Fe Deficient Anemia

A

Microcytic
Low Fe
Low Ferritin
High TIBC

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18
Q

Fe studies: Fe Overload

A

Normocytic
High Fe
High Ferritin
Low TIBC

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19
Q

Fe studies: Thalassemia

A

Microcytic

nl Fe, Ferritin, TIBC

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20
Q

Pt has osteoarthritis along w/ CHF. His arthralgia should be Tx w/

A

Duoxetine

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21
Q

NSAID that blocks COX-2>COX-1

A

Meloxicam

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22
Q

Absence of esophageal peristalsis
Impaired esophageal sprinter relaxation
Progressive difficulty in eating foods
Test? Dx?

A

Endoscopy

Achalasia

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23
Q

In areas w/o Fluoride in the water, Fluoride Tx may begin at

A

6mo

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24
Q

Rx to increase survival rate of ALS pts

A

Glutamine Release Inhibitor: Riluzole

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25
Q

Nerve Degeneration
Progressive, asymmetric muscle weakness and wasting
Affects upper and lower nerves
Test? Dx?

A

Electromyography

ALS

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26
Q

Pt at 34 wk presents w/ upset stomach, nausea, diarrhea along w/ constitutional Sx, what GI medication is contraindicated

A

Bismuth Salicylate, Cat D

Along w/ other NSAIDs, causes premature closure of ductus arteriosus.

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27
Q

Tender thyromegaly following a viral prodrome

A

Subacute Thyroiditis

Viral Illness&raquo_space; Thyrotoxicosis&raquo_space; Euthyroid&raquo_space; Hypothyroid&raquo_space; Recover

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28
Q 
AD
Pulmonary AV malformations on contrast echo
Epitaxis w/o apparent cause
Visceral lesion
Telengiectasias
Coag studies WNL
A

HHT/OWR Syn

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29
Q

Preggo and MDD, Tx?

A

CBT+SSRI&raquo_space; SNRI

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30
Q

Pt is preggo, when do you do a PAP

A

First visit

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31
Q

Pt is preggo, initial visit you screen for

A 
Rh
Ruebella
ABO
STI
HIV
Hep B + C
TB
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32
Q

Pt w/ SVT, Tx…

A

Vagal massage&raquo_space; Adenosine&raquo_space; Electric cardio version

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33
Q

Prophylaxis given after an animal bite

A

Amoxicilian + Clavulunate (Gr-/Anaerobe coverage)

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34
Q

When to give HD Amox for AOM

A

<6mo
6mo-2yo w/ bacterial OM or Fever >102.2
>2yo if bacterial OM AND Severe illness
High Risk f/u

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35
Q

Vaccines indicated for HIV Pt

A

Tdap
Hep-B
Influenza
Pneumococcal

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36
Q

Pt is a nonsmoker but has b/l panacinar bullae on CXR

A

Alpha 1 Antitrypsin Deficiency

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37
Q

Pt w/ CML has this finding on CBC

A

Basophillia
Leukocytosis
Thrombocytopenia
Tx w/ Ty-K inhibitor, Imatinib

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38
Q

Wide QRS, Reg P-P, No conducted P-waves

A

3˚ Heart Block

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39
Q

Pt <45yo has thrombosis + FHx of PE. Most likely mutation of Factor

A

V

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40
Q

“Fasting” for a lab meaning

A

no caloric intake w/n last 12h

no alcohol w/n last 24h

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41
Q

Dx test for cervical stenosis

A

MRI

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42
Q

Lab test for Paget Dz

A

Alk Phos

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43
Q

Pain b/t toes
Tight Shoes
Mulder Sign
Pain and numbness that radiates to proximal toes

A

Morton Neuroma

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44
Q

Mulder Sign

A

Palpable click on toes&raquo_space; Morton Neuroma

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45
Q

Vitals worsen following an albuterol Tx d/t

A

VQ Mismatch

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46
Q

Pt w/ Struma ovarii will present as

A

Hyperthyroid d/t teratoma secreting free T4

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47
Q

AFP is elevated w/

A

Yolk Sac Tumor

Hepatocellular Carcinoma

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48
Q

Ovarian Cancer marker

A

Ca125

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49
Q

Colorectal cancer marker

A

CEA

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50
Q

Pt is preggo at risk for HSV, Tx is

A

Tx recurrent episodes w/ acyclovir, begin daily Tx at 36wks.

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51
Q

Absence seizure Tx

A

Ethosuximide&raquo_space; Valproate

52
Q

Fixed non-tender testicular mass
Solid w/ necrotic center
Intratesticular
Secretes Beta-hcg

A

Testicular choriocarcinoma

53
Q

Pts on anti-virals should not take … for fear of hypotension

A

PDE-5 inhibitors

54
Q

Pt presents in excruciating pain w/ external hemorrhoids w/n 72 hrs of onset, Tx w/

A

Surgical excision

55
Q

Internal hemorrhoids that do not respond to Tx and do not protrude may be Tx w/

56
Q

When to Tx external hemorrhoids or low grade internal hemorrhoids w/ conservative Tx versus Surgery

A

w/n 72 hrs = Surgery

beyond 72hrs = Conservative

57
Q

Baby has premature closure of fontanels, next step

A

XR&raquo_space; CT

58
Q

Microcephaly is

A

head circumference below 3rd percentile

59
Q

Only medication used for asystole

60
Q

Flat lesion, abnormal color/border, <4mm

Next Step …

61
Q

Flat lesion, abnormal color/border, >4mm

Next Step …

A

Excisional Bx

62
Q

BCC larger than … gets excised

63
Q

Raised, non-pigmented, superficial lesion

Next Step …

64
Q

Adherent, greasy, scaly, stuck on appearance

A

Seborrheic Keratosis

Pt needs reassurance

65
Q

Imaging for TIA

A

Diffusion-weighted MRI

66
Q

Progressive prolonged PR, regular dropped QRS

A

Mobitz I (Wenckebach)

67
Q

Tay-Sachs findings

A 
AR
Cherry Red Spot 
Startle Easy
Hexosaminidase A Deficient
GM2 ganglioside accumulation
Death by 4 by Pneumonia
68
Q

Niemann Pick findings

A 
AR
Cherry Red spot
Sphingomyelinase deficient
Sphingomyelin accumulation
Hepatosplenomegaly
Death by 3
69
Q

Gaucher Dz findings

A 
AR
Beta Glucosidase deficient
Glucocerebroside accumulation
Tissue paper Macs
Erlenmyer Flask femurs
70
Q

Fabry findings

A 
X-linked
Alpha-galactoside A
Glycosphingolipids
Dark Red/Blue/Black Non-blanching spots
Increased clots
71
Q

Wide QRS, Reg P-P, no conduction of P-wave

A

Third degree heart block

72
Q

Narrow QRS, Reg/Irregular P-P, some conduction of P-wave

A

A-Flutterr

73
Q

Wide QRS, Reg P-P, some conduction of P-wave

74
Q

Narrow QRS, Reg P-P, slow conduction of P-wave

A

Mobitz I (Wenckebach)

75
Q

Narrow QRS, Irreg/Irregular P-P, some conduction of P-wave

76
Q

Non-blanch, non- tender, raised vulvar lesion confirm Dx w/…

77
Q

Most common vulvar neoplasm

78
Q

Vulvar neoplasms are often associated w/ longstanding

A

Lichen Sclerosis

79
Q

Epigastric pain
Hypotension
Pain relieved by eating
Dx and structure at risk …

A

Doudenal ulcers

Gastroduodenal artery at risk

80
Q

Give this to have rapid control of hyperthyroid Sx

A

Beta-blockers

81
Q

Hyperthyroid first line med

A

Methimazole

82
Q

Hyperthyroid first line med, pt preggo 1st trimester

83
Q

Hyperthyroid first line med, pt preggo 2nd/3rd trimester

A

Methimazole

84
Q

Rash that is hyper pigmented, scaly, thick, scaly, edematous papule and plaques.
Hx of Eczema/Psoriasis

A

Lichen Simplex Chronicus

85
Q

Herald Patch

A

salmon colored patch on the truck w/ central clearing

86
Q

Pityriasis Rosea findings

A

herald patch
Oval shaped macule in christmas tree pattern
b/l and Symm, spares hands feet and face

87
Q

Nevus Flammus, aka

A

port wine stain

88
Q

Nevus Simplex on newborn b/t eyes or on the nape of the neck

A

Nevus Simplex

89
Q

Severe pre-eclampsia should deliver by

90
Q

Mild/mod pre-eclampsia should deliver by

91
Q

Stages of CKD

A 
>90 = 1
60-89 = 2
30-59 = 3
15-29 = 4
<15 = 5
92
Q

Painless thyroid that does not move w/ swallowing
Mass effect
+/- abnl TSH
Dx by …

A

Open Bx, Riedel Thyroiditis

93
Q

When to perform a FNA on a goiter

94
Q

GAD first list

A

SSRI/SNRI

Buspirone (partial 5HT antagonist)

95
Q

Most potent risk factor for TIA and stroke

96
Q

Smooth, rubber, mobile, solitary, well-circumscribed, painless breast mass

A

Fibroadenoma

97
Q

Initial Dx test of AD-PKD

98
Q

Most likely complication of Nephrotic syndrome

A

Venous thrombosis

99
Q

Biliary Atresia of newborn presents as …

A 
1-8wk old
jaundice
pale stool
dark urine 
elevated direct bili (>20% total/>2 mg/dl)
100
Q

Breastfeeding jaundice d/t

A

inadequate milk supply

101
Q

Breastmilk jaundice d/t

A

milk quality, removes glucuronic of direct bili

102
Q

Colorectal Ca Screening

A

50 yo
Colonscopy q 10r
FOBT Annual
Flexisigmoidoscopy q 5yr

103
Q

Joint pain in elderly that is b/l and resolves w/n 30 min

A

Osteoarthritis

104
Q

Clots w/ gross hematuria in a child, next step is a …

A

U/S of kidney and bladder

105
Q

Pt w/ dyspnea has a flattened inspiratory loop and normal FVC and FE1/FVC ratio

A

Vocal Cord Dysfxn

106
Q

Most common cause of 2nd HTN

A

Renal Stenosis

107
Q

Adjustment disorder timeframe

A

If Sx don’t resolve w/n 3 months of the stressor being removed

108
Q

Expressive language disorder Sx

A

No babble at 1yr
No ords by 15 months
No intelligible words at 2yr

109
Q

Gr- Diplococcus

3rd leading Cz of Bacterial OM and rhinosinusitis

A

Morexella Catarrhalis

110
Q

Gr+, Cat-, Capsule, Diplococcus
Complement Dependent
Pneumolysin releases TNF-alpha and IL-1

A

S. Pneumo.

111
Q

Pt Dx w/ SBP, Tx w/

A

Cefotaxime

112
Q

Vaccines for pts >56yo + immunocompromised

A

Mening Poly (MCV-4)
Pneumo -13 (PCV13)
HiB

113
Q

Pt at 26wk, perform

A

DM Screen
CBC
Rhogam
Vacc - Flu/Tdap

114
Q

Contradictions for tetracyclines

A

Pregnant or <9yo

115
Q

Sizes of AAA and what to do

A 
<4cm = Nothing
4-5.4cm = Follow
>5.4cm = Surgery
116
Q

Marker for increased metabolic activity in the liver, bone or placenta

117
Q

Lytic lesions
corticol thickening
hearing loss
elevated al phos

118
Q

Pt suspected of Mono, you run these tests

A

CBC
Heterophile
Rapid Group A

119
Q

Newborn rash
Systemic Sx
Bx shows eosinophils
Spares palms/soles

A

Erythema toxicum neonatorum

120
Q

Releases PTH-like hormone and can cause hypercalcemia

121
Q

Pt w/ IBD has calcium oxalate stones. The stones are caused by …

A

decreased absorption of fatty acids and bleeding salts

122
Q

Bilious, non-projectile, non-bloody emesis in a neonate <1 month old

A

Abdominal malrotation – get an upper GI Barium Series

123
Q

Testicular torsion mechanism

A

congenital malformation of process vaginalis

124
Q

This condition(s) causes inaccurate A1c readings

A

CKD

– any condition that disrupts the nl lifespan of a RBC

125
Q

Pt 18mo-3yr has patella point forward but pt is pigeon toed, b/l
Cz…

A

Internal Tibial Rotation

126
Q

Pigeon toe <18 months, cz…

A

Metatarsus adductus

127
Q

NSAIDS damage kidneys by …

A

reducing prostaglandins&raquo_space;> reversible Renal ischemia

COMAT Exams (6 decks)

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