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Step 3 > Internal medicine > Flashcards

Internal medicine Flashcards

1
Q

tx of acute CHF exacerbation?

A

NO LIP

nitrates, oxygen, loop diuretics, inotropic drugs, positioning

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2
Q

Medications that help with aortic regurg?

A

ACEI/CCB

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3
Q

vasculitis of kidney upper airway and lungs?

A

wegeners - granulomatosis with polyangiitis

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4
Q

vasculitis of kidney and GI tract, spares lungs

A

PAN

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5
Q

vasculitis with palpable purpura of legs, associated with IgA

A

henoch schonlein

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6
Q

vasculitis in young asthmatic

A

churg strauss- eosinophilic granulomatosis with polyangitis

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7
Q

vasculitis in young male smoker

A

berger - thromboangiitis obliterans

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8
Q

vasculitis of 2 year old asian girl with strawberry tongue and desquamation of hands/feet

A

kawasaki

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9
Q

vasculitis of asian woman with weak pulses in upper extremities

A

takayasu

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10
Q

vasculitis of elderly woman with unilateral headache and jaw claudication

A

giant cell arteritis

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11
Q

vasculitis associated with Hep B

A

PAN

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12
Q

Vasculitis associated wqith perforation of the nasal septum

A

wegeners

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13
Q

vasculitis associated with polymyalgia rheumatica

A

giant cell arteritis

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14
Q

medications whih reduce mortality in patients with CHF

A

ACEI/ARBs, beta blockers, aldosterone antagonists

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15
Q

Two types of aortic dissection? TX of each?

A

stanford A - asc aorta involved
- surgical repair, iv beta blockers, icu

stanford b - only descending aorta
- medical management

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16
Q

tx of prolactinoma?

A

dopamine agonist - bromocriptine, cabergoline

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17
Q

pt in shock with hyponatremia, hyperkalemia, hypoglycemia. Cause? management?

A

adrenal crisis

fluids, steroids, iv glucose, electrolytes, tx cause

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18
Q

tx of pheochromocytoma?

A

phentolamine or phenoxybenzamine (alpha blockers)

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19
Q

diagnosis of bone pain, lytic lesions, enlarged skull wioth normal calcium, phosphate, creatinine, and hgb?

A

paget disease

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20
Q

malignancy associated with tumor marker: AFP

A

hepatocellular carcinoma, testicular, gastric

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21
Q

malignancy associated with tumor marker: alkaline phosphatase

A

bone mets

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22
Q

malignancy associated with tumor marker: CA-125

A

ovarian cancer

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23
Q

malignancy associated with tumor marker: CA 19-9

A

pancreatic

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24
Q

malignancy associated with tumor marker: CEA

A

colon cancer, pancreatic cancer

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25
Q

malignancy associated with tumor marker: PSA

A

prostate

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26
Q

malignancy associated with tumor marker: S-100

A

melanoma, schwannoma

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27
Q

malignancy associated with chronic hep B?

A

hepatocellular CA

28
Q

patient with diarrhea, abd pain, flushing, elevated 5-HIAA. Dx? site of tumor? medical tx?

A

carcinoid, small intestine, somatostatin analog (octreotide, lanreotide)

29
Q

tumor with elevated gastrin? associated with what?

A

gastrinoma, associated with MEN1 (hyperpara, pit adenoma, pancreatic tumor)

30
Q

paraneoplastic syndrome associated with small cell lung cancer?

A

SIADH, cushing, lambert-eaton myasthenic syndrome

31
Q

paraneoplastic syndrome associated with squamous cell lung ca?

A

hypercalcemia (PTHrP)

32
Q

pneumoconiosis associated with ship building, roofing, plumbing, brake mechanics?

A

asbestosis

33
Q

pneumoconiosis associted with foundries, sandblasting and mining

A

silicosis

34
Q

pneumoconiosis associated with coal mines, large urban centers and tobacco smoke

A

coal worker’s

35
Q

pneumoconiosis associated with exposure in the nuclear and aerospace industry

A

berylliosis

36
Q

vent settings for ARDS?

A

low tidal volume, high PEEP

37
Q

tx of histoplasmosis?

A

itraconazole, ampho

38
Q

tx of blastomycosis?

A

itraconazole, ampho

39
Q

tx of coccidiodomycosis

A

fluconazole. ketoconazole, itraconazole

40
Q

tx of acute gout?

A

NSAIDS, colchicine, glucocorticoids

41
Q

tx of chronic gout?

A

allopurinol, febuxostat, probenecid

42
Q

patient with l.eft sided chest pain, malaise, fever, and joint pains. photosensitivity rash, anemic. Dx? initial test for diagnosis? serologic test most specific?

A

SLE

ANA

anti-dsDNA abd
anti-smith abd

43
Q

asymmetric arthritis preceded by GI or GU infection?

A

reiters

44
Q

inflammatory back pain + “bamboo spine on xray

A

ankylosing spondylitis

45
Q

skin plaques with silvery scaling _ pitting of the nails _ arthritis?

A

psoriatic arthritis

46
Q

patient with RA, what specific lab test confirms diagnosis? How is diagnosis treated?

A

anti-citrullinated protein antibody

DMARDS - sulfasalazine, methotrex
NSAIDS
glucocorticoids

47
Q

medications that cause drug induced lupus?

A

SHIPP

sulfonamides
hydralazine
isoniazid
phenytoin
procainamide
48
Q

disorder associated with anti-dsDNA

A

lupus

49
Q

disorder associated with anti-histone

A

drug induced lupus

50
Q

disorder associated with anti-La/SSB

A

sjogren syndrome

51
Q

disorder associated with anti-smith

A

lupus

52
Q

disorder associated with anti-topoisomerase

A

scleroderma

53
Q

disorder associated with anticentromere

A

CREST scleroderma

54
Q

first line tx for raynauds?

A

CCB nifedipine, amlodipine

55
Q

contraindication of sildanafil?

A

taking nitros

56
Q

vitamin deficiency with macrocytic anemia and hypersegmented neutrophils?

A

B12 or folate defn

57
Q

vitamin deficiency with swollen gums, poor wound healing, bleedin gmucous membranes, spots on the skin

A

vit C defn

58
Q

vitamin deficiency with dermatitis, diarrhea, dementia

A

niacin (vit B3) defn

59
Q

vitamin deficiency with hermorrhagic disease

A

vit K

60
Q

vitamin deficiency with neural tube defects

A

folate defn

61
Q

vitamin defn with pernicious anemia?

A

vit B12

62
Q

vitamin defn which may result from kidney disease

A

vit D

63
Q

vitamin defn with bitot spots, keratomalacia, xerophthalmia

A

vit A

64
Q

vitamin defn with cheilosis and glossitis

A

vit B (B2, B3, B9, B12)

65
Q

v itamin dwefn with dilated cardiomyopathy, edmea, polyneuropathy

A

vitamin B1 (thiamine)

66
Q

non surgical options for BPH?

A

alpha 1 blockers - doxazosin, terazosin, tamsulosin

5alpha reductase inhibitors - finasteride, dutasteride

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