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MS3 - Shelfs > IM > Flashcards

IM Flashcards

1
Q

tx of lyme dz in pregnancy or kids less than 8

A

oral amoxicillin

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2
Q

MCC of osteo in IVDU

A

s. areus

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3
Q

dx leprosy with

A

full thickness skin biopsy

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4
Q

upper lobe cavitary lesion in an HIV pos pt

A

reactivation TB, nocardia

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5
Q

do not vaccinate HIV pos pt for what if CD4 <200

A

varicella, zoster, MMR

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6
Q

periorbital edema, myositis, eosinophilia

A

trichinellosis

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7
Q

tx of crypto meningitis

A

ampho and flucytosine for 2 wks, fluconazole for 8

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8
Q

MCC erysipleas

A

GAS - s. pyo

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9
Q

partially acid fast, gram pos, aerobic bacteria with branching, filamentous growth

A

nocardia

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10
Q

tx of nocardia

A

TMP-SMX

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11
Q

linear esophageal ulcers in HIV pt, on biopsy there are intracytoplasmic and intranuclear inclusions

A

CMV

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12
Q

tx of CMV

A

ganciclovir

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13
Q

neurocytircyrcosis is caused by

A

taneia soleium (pig tapeworm)

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14
Q

need to give with INH

A

pyridoxine (B6)

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15
Q

MCC of IE in IVDU

A

s. areus

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16
Q

PCP proph

A

TMP-SMX,

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17
Q

MAI proph

A

azithromycin, clarithromycin

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18
Q

grey mucosal patches, diffuse rash (palms and soles), condyloma lata, hepatitis

A

secondary syphilis

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19
Q

toxo proph

A

TMP-SMX

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20
Q

tx of apergillosus

A

voriconizole

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21
Q

MCC of epididymitis in a man older than 35

A

E.coli

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22
Q

dissentary with a liver cyst

A

e. hystolytica amebiasis

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23
Q

tx of e. histolytica

A

metro

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24
Q

bloody low volume diarrhea in HIV pt with CD4 less than 50

A

CMV

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25
Q

dx of CMV colitis

A

colonoscopy with biopsy

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26
Q

pts on immunosppresant therapy with recent solid organ transplant need to be proph for

A

PCP and CMV

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27
Q

endemic mold of SW that causes CAP, arthralgias, erythema nodosum, or EM

A

coccidioides

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28
Q

histo and blasto are more common in what areas of the US

A

central and midwest

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29
Q

PCP pneumo usually has elevated

A

LDH levels

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30
Q

tx of legionella

A

macrolide or fluroquinolone

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31
Q

penumonia with high fever, GI symptoms, neuro symproms, hyponatermia, and hepatic dysfunction

A

atypical penumo from legionella

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32
Q

Tx of pasturella

A

Amos-clav (augmentin)

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33
Q

egg-shell calcification of hepatic cyst

A

hydatid cyst from echinococcus

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34
Q

risk factor of echinococcus

A

close contact with dogs

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35
Q

tx of echinococcus

A

albendazole and surgical resection

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36
Q

empiric tx of human bite wounds

A

amoxicillin clav

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37
Q

choice of tx of lyme

A

single dose doxy

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38
Q

endocarditis with recent nosocomial UTI is ML caused by

A

enterococci

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39
Q

endocarditis with recent dental procedure is ML cause by

A

viridens strep

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40
Q

tx of inpt pyelonephritis

A

IV ceftriaxone

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41
Q

tx of outpt pyelonephritis

A

PO cipro

42
Q

tx of uncomplicated UTI

A

TMP-SMX, nitrofuratoin, fosfomycin

43
Q

transaminases in the 1,000s

A

HAV

44
Q

tx of bartonella

A

doxy or erythromycin

45
Q

constitutional s/s, organ involvement, red/purple cutaneous lesions on body of HIV pt with CD4 less than 100

A

bartonella angiomatosis

46
Q

cavitary chest lesions post influenza

A

MRSA penumonia

47
Q

anaerobe coverage

A

metro and amox, amox/clav, clinda

48
Q

MAP equations

A

Dbp + 1/3 pulse pressure OR, CO x systemic vascular resistance

49
Q

Shock in the sett no of hypoNa, hypotension

A

Adrenal crisis

50
Q

Post MI pts allergic to asa should be given

A

Clopidogrel

51
Q

Fever, pleuritic chest pain, hemoptysis, nodules with ground glass opacities on chest CT

A

Invasive pulmonary aspergillosis

52
Q

progressive orthopnea, afib, displacement of L mainstem broncus on CXR

A

rheumatic heart dz leading to long standing mitral stenosis

53
Q

pleaural plaques on CXR

A

asbestosis, can cause bronchogenic ca

54
Q

hypotension, JVD, RBBB

A

massive PE

55
Q

charcots triad - cholangitis

A

fever, jaundice, RUQ pain

56
Q

ASA OD causes

A

mixed resp acidosis and met alkalosis

57
Q

electrical alterans on ECG (QRS magnitude variation)

A

pericardial effusion

58
Q

2 MCC of bacterial brain abcesses

A

viridans strep, staph

59
Q

palpable purpura, renal disease, fatigue, arthralgias, neuropathy in the setting of HCV or SLE

A

mixed cryogobulinemia syndrome

60
Q

dermatits, diarrhea, dementia

A

pellegra - niacin def

61
Q

respiratory suppression, miosis, sedation

A

opioid OD

62
Q

imaging needed to r/o intracranial bleeding in the setting of TIA

A

noncontrast head CT

63
Q

gilbert disease causes elevated levels of

A

unconjugated/indirect bili

64
Q

contralateral lower facial weakness sparing the forehead

A

central nervous system lesion af`fecting the facial nucelus

65
Q

envelope shaped crystals in the urine

A

ca oxalate crystals indicative of ethylene glycol poisoning

66
Q

needle shaped crystals in the urine

A

uric acid stones

67
Q

empiric therapy for meningitis

A

vanco, ceftriaxone, dexamethasone

68
Q

add to meningitis therapy for pt >50 yo to tx for listeria

A

ampicillin

69
Q

H pylori tx

A

Amox, clarith, PPI

70
Q

Quickest relief of cluster HA

A

100% o2

71
Q

polyarthralgia, tenosinovitis, painless vesiculopapular lesions

A

disseminated gonoccal infection

72
Q

skin, intestine, liver issues in BM transplant pt

A

GVHD

73
Q

tx of actinomyces

A

2-6 wks of penicillin

74
Q

Aquagenic puritis, HSM, HA, secondary gout

A

Polycythemia vera

75
Q

renal v thrombosis is the MC manifestation of

A

hypercoaguability in nephrotic syndrome

76
Q

hypotonic hyponatremia with euvolemia in a pt on SSRIs

A

SIADS

77
Q

post-URI hematuria with normal complement levels

A

Ig-A nephropathy

78
Q

HIV related nephropathy

A

focal segmental glomerulosclerosis

79
Q

flank pain, fever, hematuria in a pt with nephrotic syndrome

A

membranous glomerulopathy

80
Q

hyponatremia and dilute urine in a psych pt

A

primary polydypsia

81
Q

normotensive, hyponatremia, concentrated urine (Uosm >100) and high Una (>25)

A

SIADH

82
Q

requirements for acute liver failure dx

A

signs of acute liver injury (inc LFTs), signs of hepatic encephalopathy, synthetic liver dysfunction

83
Q

tx of guillan barre

A

IvIg or plasmapharesis with supportive care

84
Q

tx of myasthenia gravis

A

pyridostigmine, cyclocporine

85
Q

oral med for stress incontenence

A

oxybutinin (antimuscarinic)

86
Q

cyanide poisioning antidotes

A

hydroxycobalamin, sodium thiosulfate

87
Q

Pulses parvus et tardus (decreased amplitude of atrial pulse and delayed peak) is seen in

A

Aortic stenosis

88
Q

middiastolic knock

A

constrictive pericarditis

89
Q

becks triad

A

JVD, muffled heart sounds, hypotension

90
Q

chagas (tryp cruzi, a proazoan) disease causes

A

megaesophagus, megacolon, cardiac dysfunction

91
Q

holosystolic murmur heard after acute MI

A

mitral regurge d/t papillary mm displacement

92
Q

proximal mm weakness, anti-jo-1 abs

A

polymyositis

93
Q

how to differentiate btwn leukamoid rxn and CML

A

CML has decreased LAP

94
Q

middle aged woman with fatigue, puritis, xanthomas, antimitochondrial ab

A

primary biliary cholangitis - autoimmune bile duct destruction

95
Q

emperic therapy for spontaneous bacterial perotinitis

A

3rd gen cephalosporins

96
Q

SAAG greater than 1.1 is indicative of ascites as a result of

A

portal HTN

97
Q

melanosis coli is ass’d with

A

laxative abuse

98
Q

Pain, pallor, poikilothermia, pulselessness, parathsias, paralysis

A

Acute limb ischemia - post MI = art thrombus

99
Q

post prandial crampy epigastric pain, food aversion, wt loss in the setting of vascular dz

A

chronic mesenteric ischemia at the SMA or celiac a

100
Q

MCC of spontaneous lobar hemmorage in adults >60

A

amyloid angiopathy

101
Q

inflammatory arthritis, splenomegaly, neutropenia

A

Felty syndrome

MS3 - Shelfs (6 decks)

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