IM Flashcards
1
Q
tx of lyme dz in pregnancy or kids less than 8
A
oral amoxicillin
2
Q
MCC of osteo in IVDU
A
s. areus
3
Q
dx leprosy with
A
full thickness skin biopsy
4
Q
upper lobe cavitary lesion in an HIV pos pt
A
reactivation TB, nocardia
5
Q
do not vaccinate HIV pos pt for what if CD4 <200
A
varicella, zoster, MMR
6
Q
periorbital edema, myositis, eosinophilia
A
trichinellosis
7
Q
tx of crypto meningitis
A
ampho and flucytosine for 2 wks, fluconazole for 8
8
Q
MCC erysipleas
A
GAS - s. pyo
9
Q
partially acid fast, gram pos, aerobic bacteria with branching, filamentous growth
A
nocardia
10
Q
tx of nocardia
A
TMP-SMX
11
Q
linear esophageal ulcers in HIV pt, on biopsy there are intracytoplasmic and intranuclear inclusions
A
CMV
12
Q
tx of CMV
A
ganciclovir
13
Q
neurocytircyrcosis is caused by
A
taneia soleium (pig tapeworm)
14
Q
need to give with INH
A
pyridoxine (B6)
15
Q
MCC of IE in IVDU
A
s. areus
16
Q
PCP proph
A
TMP-SMX,
17
Q
MAI proph
A
azithromycin, clarithromycin
18
Q
grey mucosal patches, diffuse rash (palms and soles), condyloma lata, hepatitis
A
secondary syphilis
19
Q
toxo proph
A
TMP-SMX
20
Q
tx of apergillosus
A
voriconizole
21
Q
MCC of epididymitis in a man older than 35
A
E.coli
22
Q
dissentary with a liver cyst
A
e. hystolytica amebiasis
23
Q
tx of e. histolytica
A
metro
24
Q
bloody low volume diarrhea in HIV pt with CD4 less than 50
A
CMV
25
dx of CMV colitis
colonoscopy with biopsy
26
pts on immunosppresant therapy with recent solid organ transplant need to be proph for
PCP and CMV
27
endemic mold of SW that causes CAP, arthralgias, erythema nodosum, or EM
coccidioides
28
histo and blasto are more common in what areas of the US
central and midwest
29
PCP pneumo usually has elevated
LDH levels
30
tx of legionella
macrolide or fluroquinolone
31
penumonia with high fever, GI symptoms, neuro symproms, hyponatermia, and hepatic dysfunction
atypical penumo from legionella
32
Tx of pasturella
Amos-clav (augmentin)
33
egg-shell calcification of hepatic cyst
hydatid cyst from echinococcus
34
risk factor of echinococcus
close contact with dogs
35
tx of echinococcus
albendazole and surgical resection
36
empiric tx of human bite wounds
amoxicillin clav
37
choice of tx of lyme
single dose doxy
38
endocarditis with recent nosocomial UTI is ML caused by
enterococci
39
endocarditis with recent dental procedure is ML cause by
viridens strep
40
tx of inpt pyelonephritis
IV ceftriaxone
41
tx of outpt pyelonephritis
PO cipro
42
tx of uncomplicated UTI
TMP-SMX, nitrofuratoin, fosfomycin
43
transaminases in the 1,000s
HAV
44
tx of bartonella
doxy or erythromycin
45
constitutional s/s, organ involvement, red/purple cutaneous lesions on body of HIV pt with CD4 less than 100
bartonella angiomatosis
46
cavitary chest lesions post influenza
MRSA penumonia
47
anaerobe coverage
metro and amox, amox/clav, clinda
48
MAP equations
Dbp + 1/3 pulse pressure OR, CO x systemic vascular resistance
49
Shock in the sett no of hypoNa, hypotension
Adrenal crisis
50
Post MI pts allergic to asa should be given
Clopidogrel
51
Fever, pleuritic chest pain, hemoptysis, nodules with ground glass opacities on chest CT
Invasive pulmonary aspergillosis
52
progressive orthopnea, afib, displacement of L mainstem broncus on CXR
rheumatic heart dz leading to long standing mitral stenosis
53
pleaural plaques on CXR
asbestosis, can cause bronchogenic ca
54
hypotension, JVD, RBBB
massive PE
55
charcots triad - cholangitis
fever, jaundice, RUQ pain
56
ASA OD causes
mixed resp acidosis and met alkalosis
57
electrical alterans on ECG (QRS magnitude variation)
pericardial effusion
58
2 MCC of bacterial brain abcesses
viridans strep, staph
59
palpable purpura, renal disease, fatigue, arthralgias, neuropathy in the setting of HCV or SLE
mixed cryogobulinemia syndrome
60
dermatits, diarrhea, dementia
pellegra - niacin def
61
respiratory suppression, miosis, sedation
opioid OD
62
imaging needed to r/o intracranial bleeding in the setting of TIA
noncontrast head CT
63
gilbert disease causes elevated levels of
unconjugated/indirect bili
64
contralateral lower facial weakness sparing the forehead
central nervous system lesion af`fecting the facial nucelus
65
envelope shaped crystals in the urine
ca oxalate crystals indicative of ethylene glycol poisoning
66
needle shaped crystals in the urine
uric acid stones
67
empiric therapy for meningitis
vanco, ceftriaxone, dexamethasone
68
add to meningitis therapy for pt >50 yo to tx for listeria
ampicillin
69
H pylori tx
Amox, clarith, PPI
70
Quickest relief of cluster HA
100% o2
71
polyarthralgia, tenosinovitis, painless vesiculopapular lesions
disseminated gonoccal infection
72
skin, intestine, liver issues in BM transplant pt
GVHD
73
tx of actinomyces
2-6 wks of penicillin
74
Aquagenic puritis, HSM, HA, secondary gout
Polycythemia vera
75
renal v thrombosis is the MC manifestation of
hypercoaguability in nephrotic syndrome
76
hypotonic hyponatremia with euvolemia in a pt on SSRIs
SIADS
77
post-URI hematuria with normal complement levels
Ig-A nephropathy
78
HIV related nephropathy
focal segmental glomerulosclerosis
79
flank pain, fever, hematuria in a pt with nephrotic syndrome
membranous glomerulopathy
80
hyponatremia and dilute urine in a psych pt
primary polydypsia
81
normotensive, hyponatremia, concentrated urine (Uosm >100) and high Una (>25)
SIADH
82
requirements for acute liver failure dx
signs of acute liver injury (inc LFTs), signs of hepatic encephalopathy, synthetic liver dysfunction
83
tx of guillan barre
IvIg or plasmapharesis with supportive care
84
tx of myasthenia gravis
pyridostigmine, cyclocporine
85
oral med for stress incontenence
oxybutinin (antimuscarinic)
86
cyanide poisioning antidotes
hydroxycobalamin, sodium thiosulfate
87
Pulses parvus et tardus (decreased amplitude of atrial pulse and delayed peak) is seen in
Aortic stenosis
88
middiastolic knock
constrictive pericarditis
89
becks triad
JVD, muffled heart sounds, hypotension
90
chagas (tryp cruzi, a proazoan) disease causes
megaesophagus, megacolon, cardiac dysfunction
91
holosystolic murmur heard after acute MI
mitral regurge d/t papillary mm displacement
92
proximal mm weakness, anti-jo-1 abs
polymyositis
93
how to differentiate btwn leukamoid rxn and CML
CML has decreased LAP
94
middle aged woman with fatigue, puritis, xanthomas, antimitochondrial ab
primary biliary cholangitis - autoimmune bile duct destruction
95
emperic therapy for spontaneous bacterial perotinitis
3rd gen cephalosporins
96
SAAG greater than 1.1 is indicative of ascites as a result of
portal HTN
97
melanosis coli is ass'd with
laxative abuse
98
Pain, pallor, poikilothermia, pulselessness, parathsias, paralysis
Acute limb ischemia - post MI = art thrombus
99
post prandial crampy epigastric pain, food aversion, wt loss in the setting of vascular dz
chronic mesenteric ischemia at the SMA or celiac a
100
MCC of spontaneous lobar hemmorage in adults >60
amyloid angiopathy
101
inflammatory arthritis, splenomegaly, neutropenia
Felty syndrome
