jan 26 Flashcards

1
Q

treatment of transient synovitis?

A

rest and NSAIDs

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2
Q

what is craniotabes?

A

skull bones that depress with pressure

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3
Q

what is craniotabes a sign of?

A

rickets

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4
Q

what causes rickets?

A

vit D deficiency

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5
Q

bilateral widening of the wrist is a sign of…

A

rickets

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6
Q

frontal bossing is a sign of..

A

rickets

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7
Q

path of diamond-blackfan anemia?

A

congenital erythroid aplasia

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8
Q

clinical findings of diamond-blackfan anemia?

A
  • craniofacial abnormalities
  • triphalangial thumbs
  • increased risk of malignany
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9
Q

FBC findings in diamond-blackfan anemia?

A
  • macrocytic anemia
  • reticulocytopenia
  • normal platelets and white blood cells
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10
Q

treatment of diamond-blackfan anemia?

A
  • corticosteroids

- RBC transfusions

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11
Q

what is ‘salvage’ therapy?

A

an additional form of treatment for a disease after the initial therapy fails

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12
Q

what is legg-calve-perthes disease?

A

idiopathic osteonecrosis of the femoral head

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13
Q

management of legg-calve-perthes disease?

A
  • start with conservative: immobilization and splinting of limb
  • surgery is needed for displaced femoral heads
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14
Q

characteristics of systematic juvenile idiopathic arthritis?

A
  • daily fevers (for at least two weeks)
  • pink macular rash that worsens with fever
  • fixed arthritis lasting at least 6 weeks
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15
Q

what kind of stridor do patients with laryngomalacia have?

A

inspiratory stridor

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16
Q

effects of adenosine on the heart?

A

stimulates vascular smooth muscle cells -> vasodilation -> increased myocardial blood flow

17
Q

how does angiotensin II effect the glomerulus?

A

constricts the efferent arteriole

18
Q

what is a delayed sleep-wake phase disorder?

A

‘night owl’ - someone who has late night insomnia and excessive morning sleepiness - their natural circardian rhythym is to go to bed late and wake up late

19
Q

what is an advanced sleep-wake phase disorder?

A

someone who falls asleep very early in the evening and wakes up very early in the morning

20
Q

why may a patient with infective endocarditis have painful fingers?

A

osler nodes

21
Q

what skin infection may pseudomonas cause in an immunocompromised patient?

A

ecythema gangrenosum

22
Q

are the lesions of ecythema gangrenosum painful or non-painful?

A

non-painful

23
Q

are the lesions from a drug induced hypersensitivity SJS painful or non-painful?

A

painful

24
Q

treatment of legionella?

A

fluoroquinoline

25
Q

which has flat edges - cellulitis or erysipylas?

A

cellulitis

26
Q

which has raised edges - cellulitis or erysipylas?

A

erysipylas

27
Q

does food-protein induced enterocolitis present with bililous or non-bilious vomiting?

A

NON - bilious

28
Q

CSF findings of Creutzfield-Jakob?

A

positive 14-3-3 protein titers, positive RT-QuIC

29
Q

what are the musculoskeletal manifestations of rheumatoid arthritis?

A

osteoporosis/osteopenia

30
Q

what type of malignancy is hairy cell leukemia?

A

chronic B cell malignany

31
Q

clinical manifestations of hairy cell leukemia?

A

-pancytopenia (bone marrow fibrosis)
-splenomegaly
-

32
Q

diagnosis of hairy cell leukemia?

A
  • blood smear -> hairy cells

- bone marrow biopsy

33
Q

bactermia with C. septicim is associated with…

A

bowel cacer

34
Q

a patient with Clostriudium septicim should undergo which procedure?

A

colonoscopy

35
Q

what type of antibiotic is amikacin?

A

aminoglycoside

36
Q

Nitrofurantoin respiratory complications?

A

Acute- hypersensitivity reaction in lungs / pleural effusino

Chronic use - interstitial lung disease

37
Q

if an MRI should Multiple Sclerosis findings do you also need a LP before beginning treatment?

A

no

38
Q

path of exercise associated postural hypotension?

A

during strenous exercise the muscles exert significant force on the venous system -> venous return
Abrupt cessation -> venous return dramatically decreases -> transient postural hypotension and collapse

39
Q

does a patient remain conscious during an episode of exercise associated postural hypotension?

A

yes