mar 11 Flashcards

1
Q

in what age group is it normal to see the thymus on XRAY?

A

up to age 3

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2
Q

the ‘sail sign’ is characteristic of..

A

the thymus on XRAY in babies

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3
Q

why is IV phenobarbital not used to prevent additional seizures during status epilepticus?

A

it has a slow onset, significant sedation and respiratory depression effects

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4
Q

what medications can be used to prevent seizure recurrence in a patient with status epilepticus?

A

fosphenytoin, phenytoin, levetiracetam, valproic acid

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5
Q

characteristics of leukemoid reaction?

A

> 50 000 leukocytes, high LAP

-more metamyelocytes than myelocytes (more mature)

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6
Q

what is the LAP in chronic myeloid leukemia?

A

low

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7
Q

are there more metamyelocytes or myelocytes in chronic myeloid leukemia?

A

more myelocytes (immature cells)

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8
Q

girls with turner syndrome are at increased risk for which bone pathology?

A

osteoporotic fracture

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9
Q

why are girls with turner syndrome at increased risk for osteoporosis?

A

-streak ovaries -> estrogen deficiency -> increased bone resorption (estrogen inhibits osteoclasts)

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10
Q

treatment of dermatomyositis?

A

high potency steroids (and screening for malignancy_

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11
Q

path of type I RTA

A

impaired H excretion by alpha-intercalated cells in the distal tubule

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12
Q

what electrolyte abnormality occurs in type I RTA?

A

hypokalemia

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13
Q

what electrolyte abnormality occurs in type II RTA?

A

hypokalemia

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14
Q

what electrolyte abnormality occurs in type IV RTA?

A

hypERkalemia

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15
Q

what is failure mode and effect analysis?

A

a method where a team identifies steps in a process and finds solutions in advance

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16
Q

is failure mode and effect analysis prospective or retrospective?

A

prospective

17
Q

a patient has bilateral nonbloody nipple discharge, and has a normal endocrine profile (normal prolactin, no pregnancy, etc)… what is the next step?

A

reassurance - this is physiologic discharge

18
Q

ACE inhibitors reduce cardiac remodelling and improve survival after MI true or false

A

TRUE

19
Q

why do AIDs patients commonly develop non-hodgkin lymphoma?

A

reactivation of EBV