Jan 7 2021 Flashcards

1
Q

types of pleural effusion?

A

transudative and exudative

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2
Q

Lights criteria for an exudative effusion

A

One of:

  1. Pleural fluid protein/serum ratio >0.5
  2. Pleural fluid LDH > serum ratio > 0.6
  3. Pleural fluid LDH > 2/3 the upper limit of normal for serum LDH
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3
Q

is tympanic membrane erythema alone enough to warrant antibiotics?

A

no - not diagnostic of acute otitis media

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4
Q

shape of cysteine stone?

A

hexagonal

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5
Q

the absorption of which amino acids are impaired in cystinuria?

A

cystine, ornithine, arginine, lysine

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6
Q

what does a cyanide-nitroprusside test indicate?

A

whether there is elevated levels of cystine in the urine

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7
Q

path of common variable immunodeficiency?

A

-the inability of B cells to mature into plasma cells leading to low antibodies and reccurrent infection

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8
Q

treatment of CVID?

A

immunoglobulin replacement

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9
Q

most common cause of community-aquired bacterial meningitis?

A

strep pneumonia

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10
Q

conventional beta blockers are associated with increased risk of..

A

type II diabetes

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11
Q

how do conventional beta blockers lead to increased risk of diabetes?

A

by blocking beta-effects, alpha effects are unopposed. Alpha 1 vasoconstriction decreases glucose uptake into muscles - > increased glucose and icnreased insulin secretion

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12
Q

do all beta blockeres increase risk of diabetes?

A

No - some beta blcokers (carvedilol, labetolol) also block alpha effects

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13
Q

SCREENING and CONFIRMATORY antibodies in SLE?

A

screening: ANA
confirmatory: anti-ds DNA

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14
Q

which enzyme breaks down bradykinin?

A

ACE

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15
Q

presentation of anti-cholinergic toxicity?

A

confusion, tachycardia, temperature elevations, pupillary dilations, etc.

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16
Q

A baby born with hypospadias needs. .

A

karyotype analysis

17
Q

treatment of female pattern hair loss

A

topical minoxidil

18
Q

MOA of minoxidil

A

vasodilator - increases blood flow to the scalp

19
Q

most common cause of osteomyelitis?

A

s aureus

20
Q

tactile fremitis is ____ with pleural effusion

A

decreased

21
Q

tactile fremitis is ____ with consolidation

A

increased

22
Q

tactile fremitis is ____ with pneumothorax

A

decreased

23
Q

tactile fremitis is ____ with atelectasis

A

decreased

24
Q

symmetric proximal muscle weakness and rash on dorsum of fingers =

A

dermatomyositis

25
Q

dermatomyositis is a ..

A

paraneoplastic syndrome

26
Q

how to diagnose dermatomyositis?

A

muscle biopsy

27
Q

Are reflexes normal in lambert-eaton syndrome?

A

no - they are diminished

28
Q

what acid-base disturbance occurs with salcylate overose?

A

MIXED ACID-BASE
-respiratory alkalosis
-metabolic acidosis
= NEAR NORMAL PH

29
Q

UTI with a high pH indicates…

A

infection with a urease producing bacteria (proteus mirabilis or klebsiella)

30
Q

what is a normal JVP?

A

6-8 cm

31
Q

why are SGA babies at risk for polycythemia?

A

increased EPO in response to hypoxemia

32
Q

are SGA are risk for hypercalcemia?

A

NO - hypOcalcemia

33
Q

what kind of poisoning may occur from being in a house fire?

A

cyanide or carbon monoxide poisoning

34
Q

treatment of cyanide poisoning

A

hydroxocobalmin or sodium thiosulfate or inducing methemoglobinemia