May 2023 Flashcards

1
Q

Membrano-proliferative GN
Dx ?

A

Cryoglobinemia
HCV (+)
IV drug user
Skin rashes

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2
Q

Schistosomiasis
Dx ?
Rx ?

A

Portal HTN
Esophageal varies
Deranged LFTs
Increase Eosinophils
Rx - Praziquantal

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3
Q

Hip adductor spasticity
post-CVA
Rx ?

A

Botulism
(Baclofen - wrong)

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4
Q

Hemiplegic migraine
acute Rx ?

A

NSAIDs

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5
Q

DI Dx
h/o Lithium Rx
next step ?

A

plasma and urine osmolarities
(wrong deprivation - next step)

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6
Q

Nivolumab
A/E ?

A

autoimmune diseases (DM)
its used in malignant Melanoma Rx

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7
Q

Covid-19 lungs
PEEP ?

A

15

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8
Q

acute Gout + CKD
Rx ?

A

steroids
cochine/NSAIDs - C/I

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9
Q

Coeliac Dz pt, small bowel lymphoma suspicion
UGI Endoscopy biopsy normal
next step?

A

MRI abdomen

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10
Q

Pulmonary langerhan cell histiocytosis
Dx ?

A

Smoker 90 - 100%
upper lobe fibrosis

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11
Q

Lymphangiomyomatosis
Dx HRCT ?

A

Diffuse Cystic fibrosis pattern
non-smoker

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12
Q

intersticial nephritis
cells in renal biopsy ?

A

T-lymphocytes and monocytes
but blood - high eosinophils

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13
Q

diarrhea, weight loss, high BSR, necrotic skin rash
Dx ?

A

glucagonoma

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14
Q

cerebral lupus
next step ?

A

MRI brain

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15
Q

High alk phos
Ca + normal
Dx ?
Rx ?

A

pages’s dz
bisphosphonate

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16
Q

dapsone association ?

A

methemoglobinemia

17
Q

cutaneous leishmaniasis
Rx ?

A

paromomycin

18
Q

Brucelosis
Uncomplicated ?
with discitis ?

A

doxy + rifampicin
doxy + strepto

19
Q

TP53
Associations ?

A

small cell/squamous cell lung CA
tripple negative breast CA
Ovarian CA

20
Q

MSH2 ?

A

Gastric
small gut
gall bladder
upper urinary tract
endometrial
ovarian

21
Q

myc activation
association

22
Q

HER2

23
Q

holiday to nile resort
flu-like illness
cough/scattered crackles on chest

A

Schistosomiasis

24
Q

angio-edema

25
Q

ECG 3rd degree AV block
next most appropriate step ?

A

Atropine
(then TPM)

26
Q

purulent urethral discharge
left knee pain/swelling
fever
Rx ?

A

ceftriaxone
(gram Negative diplococci)
N gonorrhea

27
Q

HIV (+)
Meninigitis features
High TLC
Purpuric rash
Dx ?
Rx ?

A

meningococcal meningitis
ceftriaxone

28
Q

prolong QT interval
association ?

A

K+ channel inhibition

29
Q

MAHA
Renal failure
diarrhea - eat street food
cause ?

A

shiga toxin (E.coli)