FM COMAT 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: VancRecurrent: Fidaxomicin
6
Q
Type and Tx – Headache w/ band like tension, front. Most often during stress
A
TensionNSAIDs
7
Q
Non conducting P waveConsistent PR intervalNo QRSHis-Purkinjie dysfunction
A
Mobitz II
8
Q
Incomplete SAB
A
Open CervixBleedingPartial POC delivered
9
Q
Completed SAB
A
Closed CervixContracted UterusBleedingAll POC delivered
10
Q
Inevitable SAB
A
Open CervixBleedingNo POC delivered
11
Q
Missed SAB
A
<20 wksClosed CervixASx – no bleeding”Don’t ‘feel’ preggo anymore
12
Q
Threatened SAB
A
Closed CervixBleeding Fetus still viable
13
Q
Bloody, watery diarrheaNight SweatspANCAElevated ESR, CRPMucosal/Submucosal InflammationAbdominal 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
MicrocyticLow FeHigh FerritinNormal/Low TIBC
17
Q
Fe studies: Fe Deficient Anemia
A
MicrocyticLow FeLow FerritinHigh TIBC
18
Q
Fe studies: Fe Overload
A
NormocyticHigh FeHigh FerritinLow 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 peristalsisImpaired esophageal sprinter relaxationProgressive difficulty in eating foodsTest? Dx?
A
EndoscopyAchalasia
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 DegenerationProgressive, asymmetric muscle weakness and wastingAffects upper and lower nervesTest? Dx?
ElectromyographyALS
26
Pt at 34 wk presents w/ upset stomach, nausea, diarrhea along w/ constitutional Sx, what GI medication is contraindicated
Bismuth Salicylate, Cat DAlong 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
ADPulmonary AV malformations on contrast echoEpitaxis w/o apparent causeVisceral lesionTelengiectasiasCoag 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
RhRuebellaABOSTIHIVHep B + CTB
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
<6mo6mo-2yo w/ bacterial OM or Fever >102.2>2yo if bacterial OM AND Severe illnessHigh Risk f/u
35
Vaccines indicated for HIV Pt
TdapHep-BInfluenzaPneumococcal
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
BasophilliaLeukocytosisThrombocytopeniaTx 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 ShoesMulder SignPain 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 TumorHepatocellular 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 massSolid w/ necrotic centerIntratesticularSecretes 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 = Surgerybeyond 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, <4mmNext Step ...
Punch Bx
61
Flat lesion, abnormal color/border, >4mmNext Step ...
Excisional Bx
62
BCC larger than ... gets excised
2mm
63
Raised, non-pigmented, superficial lesionNext Step ...
Shave Bx
64
Adherent, greasy, scaly, stuck on appearance
Seborrheic KeratosisPt needs reassurance
65
Imaging for TIA
Diffusion-weighted MRI
66
Progressive prolonged PR, regular dropped QRS
Mobitz I (Wenckebach)
67
Tay-Sachs findings
ARCherry Red Spot Startle EasyHexosaminidase A DeficientGM2 ganglioside accumulationDeath by 4 by Pneumonia
68
Niemann Pick findings
ARCherry Red spotSphingomyelinase deficientSphingomyelin accumulationHepatosplenomegalyDeath by 3
69
Gaucher Dz findings
ARBeta Glucosidase deficientGlucocerebroside accumulationTissue paper MacsErlenmyer Flask femurs
70
Fabry findings
X-linkedAlpha-galactoside AGlycosphingolipidsDark Red/Blue/Black Non-blanching spotsIncreased 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 painHypotensionPain relieved by eatingDx and structure at risk ...
Doudenal ulcersGastroduodenal 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 patchOval shaped macule in christmas tree patternb/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 = 160-89 = 230-59 = 315-29 = 4<15 = 5
92
Painless thyroid that does not move w/ swallowingMass effect+/- abnl TSHDx by ...
Open Bx, Riedel Thyroiditis
93
When to perform a FNA on a goiter
TSH is nl
94
GAD first list
SSRI/SNRIBuspirone (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 oldjaundicepale stooldark 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 yoColonscopy q 10rFOBT AnnualFlexisigmoidoscopy 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 1yrNo ords by 15 monthsNo intelligible words at 2yr
109
Gr- Diplococcus3rd leading Cz of Bacterial OM and rhinosinusitis
Morexella Catarrhalis
110
Gr+, Cat-, Capsule, DiplococcusComplement DependentPneumolysin 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 ScreenCBCRhogam Vacc - Flu/Tdap
114
Contradictions for tetracyclines
Pregnant or <9yo
115
Sizes of AAA and what to do
<4cm = Nothing4-5.4cm = Follow>5.4cm = Surgery
116
Marker for increased metabolic activity in the liver, bone or placenta
Alk Phos
117
Lytic lesions corticol thickeninghearing losselevated al phos
Pagets
118
Pt suspected of Mono, you run these tests
CBCHeterophileRapid Group A
119
Newborn rashSystemic SxBx shows eosinophilsSpares 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/lCz...
Internal Tibial Rotation
126
Pigeon toe <18 months, cz...
Metatarsus adductus
127
NSAIDS damage kidneys by ...
reducing prostaglandins >>> reversible Renal ischemia
