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shelf IM > II > Flashcards

II Flashcards

1
Q

clinical features glucagonoma

A 
necorylytic migratory erythema-- with central clearing
DM
GI symptoms
weight loss
ataxia, dementia
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2
Q

Neuroleptic malignant syndrome cause

A

1st gen antipsychotics

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3
Q

cause of death with anaerobic infection in mouth from teeth

A

asphyxiation

need to intubate

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4
Q

digital clubbing and COPD

A

hypertrophic OA
sudden onset arthropathy
need CXR for underlying cause

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5
Q

hydatid cyst

A

echinococcus granulosus

dogs-tapeworm that makes cyst in liver, calcified

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6
Q

Tx for migraine

A

prochloperazine

NDAIDs or Triptans

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7
Q

clinical features of thyroid storm

A 
fever high
tachycardia
HTN
agitation delirium
goiter lidlag tremor
nausea vomiting diarrhea
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8
Q

acute Tx thyroid storm

A

beta blocker
PTU with iodine
glucocorticoids

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9
Q

next step in finding a painless hard testicular mass

A

take it out

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10
Q

Amyloidosis in kidneys can be secondary to

A 
inflammatory arthritis
chronic infections
IBD
malignancy
vasulitis
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11
Q

acute Tx cluster HA

A

100% O2

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12
Q

meds that inc theophylline (COPD) toxicity

A

ciprofloxacin

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13
Q

healthy patient gets venous trhomboembolism out of blue, next step after anticoag therapy

A

CT chest abdomen and pelvis to look for cause– malignancy

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14
Q

tick borne illness looks like malaria

asplenic patient with jaundice

A

babebiosis

do giemsa stain and thin blood smear

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15
Q

Tx babesiosis

A

quinine-clindamycin

atovaquone-azithromycin

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16
Q

signs of zenker diverticulum

A

dysphagia, coughing, regurg, halitosis, neck mass

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17
Q

causes of zenkers diverticulum

A

sphincter dysfunction and esophageal dysmotility

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18
Q

rubella vs measles

A

rubellas rash is quick head to toe. measles is drawn out and with higher fever

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19
Q

necrotic nasal septum with maxillary infection

what bacteria

A

rhizpous, mucormycosis

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20
Q

vaccines for asplenic patients

A

pneumococcal, haemophilus, meningococcal
and before operations take penicillin
also penicillin 3-5 years post splenectomy

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21
Q

Dx for toxic megacolon

A

XR of colonic distention + >3:

  • fever>38
  • HR >120
  • Neutrophils 10.500
  • Anemia

must have 1:

  • volume depletion
  • altered sensorium
  • electrolyte disturbances
  • hypotension
22
Q

bacteria in urinary tract that canc ause infective endocarditis

A

enterococcus

23
Q

signs chikungunya

A

high fevers, polyathralgias
HA myalgias, conjunctivitis, maculopapular rash
lymphopenia, thormbocytopenia and inc liver enzymes

24
Q

Whipples disease

A 
chronic malabsorptive diarrhea
non deforming arthritis
lymphadenopathy
damage to eye CNS and myocardium
Tropheryma whippelii
small intestine Bx shows PAS + macrophages
25
Q

cause of ipsilateral ataxia

A

cerebellar tumor

26
Q

patient walking with legs wide apart

feet lifted higher than usual and have a foot drop

A

tabes dorsalis

27
Q

how is the gait in a hemiparesis patient

A

will swing leg in semi circle with it extended and affecte arm is adducted

28
Q

waddling gait

A

due to affected gluteal muscles

seen in muscular dystrophy

29
Q

Trichinellosis

A

abdominal pain, nausea, vomiting diarrhea
then up to 4 weeks later
myositis, feer, subungal splinter hemorrhages, periorbital edema
eosinophila and maybe increased CPK

30
Q

Acute mitral regurg

A

probably papillary muscle rupture

increased left atrial pressure

31
Q

endopthalmitis

A

most commonly postoperative within 6 weeks surgery

pain and decreased visual acuity, swollen eyelids and conjunctiva, hypopyon, corneal edema and infection

32
Q

when do you not take away beta blockers, Ca channels in nitrates for a stress test

A

when they have known CAD

33
Q

symptoms signs of gestational trophoblastic disease

A

irregular vaginal bleeding, enlarged uterus, pelvic pain

34
Q

malignant forms of gestational trophoblastic disease

A

invasive gestational trophoblastic neoplasia and choriocarcinoma

35
Q

most common place for mets of a choriocarcinoma

A

lungs

have SOB and dyspnea

36
Q

Dx lab for choriocarcinoma

A

beta hCG

37
Q

Cause of death in someone with acromegaly

A 
congestive cardiac failure from high GH and IGF-I !!!!!!!
strokes
colon CA
renal failure
adrenal failure
38
Q

lab clues for legionella pneumonia

A

hyponatremia
hepatic dysfunction
hematuria and proteinuria
sputum gram stain many neutros, few microorganisms

39
Q

ichthyosis vulgaris

A

gradual progression to dry scaly skin
hereditary or acquired
all over limbs with horny plates

40
Q

what causes the hypoxemia in penumonia

A

increase in alveolar arterial oxygen gradient

41
Q

warfarin inhibits what

A

vit K dependent clotting factors II VII IX X and protein C and S

42
Q

paresthesias in someone who receieved blood transfusion

A

the citrate in the transfused blood chelates Ca

43
Q

most common cause of disappearing bile ducts

A

primary biliary cirrhosis

44
Q

most common causes of acute liver failure

A

acute viral hepatits, acetominophen toxicity or ischemic hepatopathy

45
Q

elevated serum protein with normal albumin

A

multiple myeloma
amyloidosis
waldenstroms macroglobulinemia
monoclonal gammopathy of undetermied significance

46
Q

how to differentiate multiple myeloma from monoclonal gammopathy of undetermined significance

A

MM >10% plasmacells in bone marrow and >3 g/ml protein

MGUS is opposite.

47
Q

how to Dx esophgeal perforation

A

water soluble esophagram

48
Q

elderly with smudges cells

A

CLL

49
Q

skin signs of sarcoidosis

A

erythema nodosum and eveitis

50
Q

what type of cardiac failure is caused by AV fistual

A

high output because shunting blood increasing preload

shelf IM (12 decks)

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