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Shelf exams PK Edit > medicine- renal/ endo > Flashcards

medicine- renal/ endo Flashcards

1
Q

most common nephrotic syndrome in lymphoma?

A

MCD

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2
Q

AA with HIV, or heroin use –> nephrotic syndrome?

A

FSGS

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3
Q

infectious endocarditis associated with heart valves? with nosocomail UTI?

A

vlaves: staph
uti: enterococci

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4
Q

bleeding abnormality seen in UREMIA?

A

increased bleeding time –> platelet dysfunction

nl plt number, PT, PTT

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5
Q

desmopressin

A

ADH analogue

treat DI

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6
Q

CURB65

A 
C-confusion
U-uremia BUN> 19.6
R- resps >30
B-BP <90/60
>65 yo
2= admit to ward
3= admit to ICU
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7
Q

go to, non resistant, PNA abx?

A

azithromycin –> will cover atypicals like mycoplasma and chlamydophila

Levo is a big gun and used when fear of resistant strep pneumo

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8
Q

enthesitis

A

pain at insertion of tendons

seen in ankylosin spondy

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9
Q

common causes of RLS

A 
Fe def anemia
uremia
DM
MS
Parkinsons
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10
Q

drugs used to decrease pressure in acute angle glaumcoma

A

mannitol, beta blocker, acetazolamide, pilocarpine

MANNITOL is first line

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11
Q

how does osteomalacia cause defective mineralization of bone

A

ex: malabsorption –> do not absorb D–> dec Ca and Phos for mineralization –> causes hyperparathyroidism to maintain Ca, which inc Phos excretion in urine

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12
Q

treatment for GBS paralysis

A

IV Ig and plasmaphoresis

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13
Q

offenders of drug induced interstitial nephritis

A 
cephalosporins
penicillins
sulfas
NSAIDS
rifampin
allopurionl
phenytoin
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14
Q

signs of psuedotumor cerebri

A

opening pressure >250
papilledema
vision loss
CN palsy –>VI

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15
Q

acute flashes of light, gray appearing retina on opthalmascope

A

retinal tear

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16
Q

lambert eaton

A

PREsynaptic
absent DTR
proximal muscle weakness

17
Q

polymyositis/dermatomyositis

A

muscle fiber injury
paraneoplastic
gottron papules

18
Q

signs of glomerular hematuria

A

dysmorphic RBC
RBC casts
proteinuria

19
Q

nerve injured in humerus break

A

radial

wrist drop

20
Q

t/f: avascular necrosis of hip is complication of GC use?

A

true

21
Q

go to tx for PE in CKDIII and above?

A

unfractionated hep. Others are renally cleared.

Warfarin takes 5-7 days to be therapeutic, so you have to start with hep then bridge

22
Q

what is the problem in mineiers?

A

inc volume and pressure of endolymph

23
Q

treatment for pagets?

A

bisphosphonates

24
Q

“fuo” (kind of) with low white count with low neutrophil count

A

neutropenic fever, give broad anti pseudomomonal coverage like pip-taz, cefepime, meropenem

25
Q

t/f: TB is a common cause of constrictive pericarditis

A

true prease

26
Q

s/sx of PSGN

A

low C3, hematuria, periorbital swelling, proteinura, HTN

27
Q

polymyositis.

A 
PROXIMAL/ symmetrical muscle weakness
\+CK
\+ANA, anti jo, ESR
shoulders often affecte
treat with GCs
28
Q

can you culture PCP?

A

no. silver stain. BAL to see the org

29
Q

a sign that can differentiate between liver and heart pathology?

A

positive hepatojugular reflex –> heart related

indicates a failing right ventrice that cannot accept pressure

30
Q

s/sx of lacunar stroke

A

pure motor
pure sensory
develop slowly over 24-36 hours
no cortical signs like aphasia, neglect, aprxia,

31
Q

HSV vs VZV retinal necrosis in immunocompromised patient?

A

VZV is painless

32
Q

skin association: celiac

A

dermatitis herpetiformis

intensely pruritic, group vesicles on extensor surfaces and butt

33
Q

trichonella s/sx

A

myositis, periorbital edema, eosinophilia

34
Q

mixed cryoglobulinemia

A

assoc with chornic HCV

palpable purpura, renal injury, elevated ALT/AST, +RF

35
Q

nephrotic syndrome puts people at risk for

A

atherosclerosis –> inc lipoprotein synth in place of low albumin

thromboembolism–> loss of ATIII

Shelf exams PK Edit (40 decks)

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