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Missed questions Flashcards

1
Q

Drugs that cause folic acid deficiency

A

Phenytoin
Trimethoprim (dihydrofolate reductase)
Methotrexate (DHFR) leucovorin rescue

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2
Q

Pruritis after shower, dizziness, headache, HTN, facial plethora, hypercellular BM

A

PCV

  • Primary = LOW EPO, JAK2 mutation
  • Secondary = Normal/high EPO, hypoxemia, renal tumor, hepatic tumor, testosterone replacement
  • can precipitate GOUT attack
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3
Q

Immune-mediated drug reaction by captopril

A

Membranous GN

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4
Q

35 weeks gestation, HTN, dec urinary output, thrombocytopenia

A

Preeclampsia w/ severe features (pul edema, LFTs, SBP >160, inc Cr) –> hydralazine or labetalol then mag sulfate

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5
Q

93 y/o vaginal bleeding, odor, mass, no mets

A

SCC –> resect 2cm or poor surgical candidate

Combination chemotherapy stage III, IV

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6
Q

High non-response rate, use only hospital-based patients, loss of study patients type of bias

A

Selection bias

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7
Q

Improves mortality in CHF

A

ACE, BBs, spironolactone

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8
Q

Exudative pleural effusions

A

Protein >0.5, LDH >0.6 that of normal
Infection, auto-immune, neoplasm
INC CAPILLARY PERMEABILITY

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9
Q

Low TSH, high T4, T3, no signs of Grave disease, low RAIU

A

Facticious or exogenous thyrotoxicosis = LOW serum thyroglobulin

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10
Q

Low TSH, high T4, T3, no signs of Grave disease, high RAIU

A 
Diffuse = Grave
Nodular = toxic adenoma or mulitnodular goiter
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11
Q

Tachycardia with buried P-waves, chest pain, diaphoresis, normal BP, hx anxiety, dizziness

A

SVT = Adenosine

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12
Q

Bone pain, difficulty walking, cramps, pseudofractures

A

Osteomalacia = INC PTH, alk phos + LOW Ca, phos, 25D-OH

  • malabs, chronic liver, kidney, intestinal bypass, celiac
  • # 1 = vit d deficiency
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13
Q

Fever, back pain w/ local tenderness, recent UTI, NO leukocytosis, INC ESR/CRP, normal x-rays

A

Osteomyelitis –> MRI –> CT guided aspiration

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14
Q

White edematous retina following retinal arterioles, curtain falling over eye

A

Retinal emboli –> carotid doppler

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15
Q

Painless loss of vision, boxcar segmentation, cherry fovea, pallor or hyperemic disc

A

CRAO

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16
Q

Mallory bodies and neutrophilic infiltrate on liver bx

A

Alcoholic hepatitis = completely reversible w/ etOH cessation
Regenerative nodules = cirrhosis = irreversible

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17
Q

Encapsulated yeast

A

Cryptococcus neoformans = amphotericin B + flucytosine –> fluconazole for 1 yr
Itraconazole does NOT cross BBB

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18
Q

DOC for Lyme disease < 8/yo

A

Amoxicillin or cefuroxime

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19
Q

HIV pt, pancytopenia, palatal ulcers, hepatosplenomegaly, intetstitial pneumonitis

A

Histoplasma

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20
Q

New DOE, swelling of head, neck, arms, plethora of face, no LE edema, ascities

A

SVC syndrome –> CXR for NHL or lung CA

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21
Q

DVT –> heparin therapy –> 6th day new right sided weakness, aphasia, 50,000 platelets, skin necrosis, normal CT, heart RRR, no fibrin split products

A

HIT type 2 (antibody platelet activation)

  • –> binds PF4 –> IgG –> activates Fc receptor leading to platelet activation
  • –> ARTERIAL or venous THROMBOSIS
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22
Q

HIV esophagitis work-up

A
  1. Candida –> oral fluconazole
  2. esophagoscopy + bx, cytology, culture w/o improvement
HSV = round/ovoid ulcers + perioral ulcers
CMV = linear ulcers
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23
Q

Common findings in anorexic patients

A
  1. Osteoporosis
  2. Elevated cholesterol and carotene
  3. Prolonged QT
  4. Euthyroid sick syndrome
  5. HPA axis - amenorrhea, anovulation, dec estrogen
  6. HypoNa
  7. Small for gestational age baby, intellectual impairment, miscarriage, depression, hyperemesis, c/s
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24
Q

Southern US + tick bite + thrombocytopenia + leukopenia, fever, malaise, inc LFTs, inc LDH, intracytoplasmic morulae

A

Ehrlichiosis –> doxycycline

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25
Q

32 w/ hx seizures, migraines, bipolar –> slurred speech, very drowsy, unsteady gait, normal resp, normal pupils, no nystagmus

A

Benzo overdose

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26
Q

65 w/ PNA sx + very high WBC, 84% lymphocytes w/ smudge cells.”

A

CLL –> flow cytometry

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27
Q

RBCs 1-6hrs later fever, chills, malaise

A

Nonhemolytic transfusion rxn = leukoreduction (red HLA, CMV)

Anaphylaxis w/ PRBCs = IgA deficiency = wash cells 1st

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28
Q

Eczematous, itchy rash over nipple, no other hx of skin problems

A

Paget disease of breast = underlying adenocarcinoma

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29
Q

Truncus arteriosus, micrognathia, no thymus, cleft lip

A

DiGeorge = hypoCa

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30
Q

Thickening of pre-vertebral tissues, neck pain, fever next step

A

IV abx, IVFs & surgical drainage

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31
Q

Uncontrolled DM, weight loss, neuropathy, 3months of N/V, dec appetite

A

Gastroparesis —> gastric scintography

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32
Q
  1. Hepatitis uses reverse transcriptase

2. Hepatitis coats itself in LDL

A
  1. HBV

2. HCV –> IF-a

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33
Q

Infective endocarditis bugs

  1. dentition
  2. IVDU
  3. UTI
A
  1. HACEK group, strep viridan/sanguis
  2. SA, staph epi/CoagN
  3. Enterococcus faecalis
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34
Q

Tx of hypercalcemia

A 
Asx = avoid thiazides, lithium, dehydration
Sx = nothing immediate or see severe
Severe/malignancy = NS + calcitonin short term --> zoledronic acid long term
Granulomatous = steroids to reduce VitD
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35
Q

Shoulder dystocia –> extended forearm, MCP, flexed PIP/DIPs, horner syndrome, ABSENT grasp reflex

A

C8, T1 injury = Klumpe’s palsy

—> massage and gentle PT

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36
Q

COPD w/ inhaled salmeterol, duonebs, theophylline –> recent URI w/ cipro –> HA, N/V, insomnia, multifocal atrial tachycardia

A

Theophylline toxicity –> check serum level

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37
Q

1st febrile UTI <24mo work-up

A

7-14d abx

renal and bladder US (also if recurrent or do not respond to abx)

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38
Q

Physiology of CHF w/ peripheral edema

A

Dec circulating BV –> inc angiotensin & aldosterone release –> constrict renal arterioles & reabsorb salt and water –> increased BV which exacerbates CHF further

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39
Q

Muscle aches and pains, HIGHLY ELEVATED CPK, mild elevation in LFTs

A

Stop statins - muscle injury –> rhabdomyolysis & RF

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40
Q

Hazard ratio >1

A

More likely to occur in tx group
1 = no difference
<1 = more likely in control

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41
Q

Teen, gradual difficulty walking, speech problems, falling down, scoliosis, hammer toes

A

Freidrich ataxia

- Cardiomyopathy –> death

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42
Q

Gestational bleeding

  1. HTN, contractions
  2. Painless, C/S, smoking, multiple gestation
  3. Painless bleeding + rapidly deteriorating fetal tones
A
  1. Abruption
  2. Previa
  3. Vasa previa
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43
Q

Young obese female on OCPs, steroids, Vit A, tetracycline, has dull HA for 3 weeks, papilledema

A

Benign intracranial HTN –> blindness

1. weight reduction, acetazolamide then shunt and optic nerve fenestration

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44
Q

A.A. woman with pelvic heaviness + constipation + urinary frequency and posterior uterine mass and enlargement and HEAVY, prolonged periods WITHOUT spotting

A

Uterine leiomyoma/fibroid

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45
Q

Hypotension, bradycardia, cold, clammy, AV block - unresponsive to IVFs and atropine

A

Glucagon

- BB overdose (w/ wheezing), CCBs

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46
Q

A.A. male w/ fam hx of fatal blood disorder, recurrent otitis media, HAV –> nocturia, frequency

A

Hyposthenuria - sickling in vasa recta impairs water re-absorption

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47
Q

HSM, anemia, thrombocytopenia, night sweats, HA, dizziness, visual problems, pain and numbness in extremities, IgM spike

A

Waldenstrom’s macroglobulinemia

  • MM have IgG or IgA
  • MGUS = Asx
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48
Q

Winter’s formula for acid-base compensation

A

PCO2 = 1.5 (HCO3-) + 8

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49
Q

Post- transplant fever, chills, sputum production + RLL consolidation + branching, beaded gram + rods

A

Nocardiosis (partially acid-fast) —> TMP-SMX

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50
Q

Anterior MI + muffled heart sounds, S3, bibasilar crackles and dyspnea next step

A

Flash pulmonary edema –> lasix –> dec preload, pulm capillary pressure

Avoid BBs in this setting

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51
Q

When can exposure odds ratio from a case-control study = relative risk?

A

Prevalence of disease is low

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52
Q

S/P CABG with ventricular rhythm narrow QRS irregular tachycardia, hypotensive

A

AFIB –> DC cardioversion

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53
Q

Failure to pass meconium, 1st step XR –> marked bowel dilation & r/o pneumoperitoneum next step

A

Contrast enema –> microcolon for CF –> Gastrografin enema

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54
Q

Central/above pons Facial nerve palsy vs. peripheral/below pons

A

Central = CL weakness + preserved forehead, eyebrow, eyelid function

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55
Q

Co-morbidities in Turner syndrome

A

Osteoporosis
Coarctation of aorta

Congenital lymphedema (non pitting), short 4th digit, nail dysplasia, horseshoe kidney

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56
Q

Young male anterior mediastinal mass + bHCG + AFP

A

NON-seminimatous germ cell tumor (AFP+)

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57
Q

Acyclovir + acute renal failure cause

A

Insoluble –> crystalluria –> renal tubular OBSTRUCTION

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58
Q

Mood disorder and paranoia, hallucinations –> mood improves but paranoia remains

A

Schizoaffective disorder

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59
Q

Tx OCD

A

SSRIs

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60
Q

When to hospitalize anorexic pt

A

Dehydration, hypoK, hypoPhos, bradycardia, severe weight loss —> refeeding syndrome w/ electrolyte abn, arrhythmia and heart failure

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61
Q

Tx in anorexia and bulimia

A

1st is nutritional and CBT
Buproprion is CI d/t SEIZURE

anorexia = olanzapine
bulimia = SSRI
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62
Q

Dysparenunia, dysmenorrhea, DYSCHEZIA, cyclical pelvic pain, infertility, CMT

A

Endometriosis –> OCPs + NSAIDs

Unrelieved –> laparoscopy

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63
Q

Precursor to GB adenocarcinoma

A

Porcelain gallbladder

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64
Q

Cyanotic infant w/ LEFT axis deviation, no R waves in precordial leads, dec pulmonary markings, tall peaked P waves, LLSB holosystolic murmur

A

Tricuspid valve atresia

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65
Q

Conservative vs. laparoscopy in SBO

A

Laparoscopy

- tachycardia, leukocytosis, fever, acidosis, peritoneal signs

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66
Q

Inc QRS from 0.8 –> 0.13 with inc HR during stress test result of what drug?

A

Flecainide

  • ventricular arrhythmia and SVTs like AFIB
  • use-dependence block of Na channels
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67
Q

Post-partum patient, fever, chills, WBC 11,000, uterus firm, non-tender, bloody discharge with clots –> pale –> yellow/white next step

A

Reassurance

  • lochia foul smelling = endometritis
  • fever normal in first 24hrs or so
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68
Q

HL treated 20 years ago w/ chemo and radiation –> now circular mass on xray dx?

A

Secondary malignancy

- also breast, thyroid, bone, GI

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69
Q

Russian immigrant, fatigue, cough, fever, weight loss, upper lung lesion + hyperNa, hypoK, hypoglycemia, eosinophilia acid-base abnormality?

A

Normal anion gap metabolic acidosis d/t primary adrenal insufficiency

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70
Q

Mechanism of hypoxia in pt with AIDS, interstitial crackles

A

PCP –> Dec A-a oxygen gradient

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71
Q

HIV pt with hearing loss + dull hypomobile TM

A

Serous/non-infectious otitis media

- HIV LAD or obstructing lymphoma

72
Q

Manic episode on Lithium + high-risk behaviors, no drug use

A

Anti-psychotic + hospitalization –> check lithium level

73
Q

Tx duodenal hematoma

A

NG tube + TPN —> resolves in 1-2wks

74
Q

2x2cm midline, hard, non-mobile mass on hard palate, no drug use

A

Torus palatinus = congenital

75
Q

Lack of fetal movement felt for 2 days next steps + no doppler tones

A

Ultrasound for fetal heart movement –> autopsy to identify cause

76
Q

SLE on prednisone, normal menstruation, monomorphous pink papules w/o comedones

A

Steroid acne

77
Q

U/L cervical adenitis in kid, no pet or TB exposure = tx?

A

I&D + Clindamycin

- staph and strep #1

78
Q

Kid w/ fever, nasal discharge, fatigue + 2+ urine protein, no other abn

A

Repeat dip w/ >2 specimens

Normal proteinuria in kids - fever, exercise, stress, dehydration

79
Q

Prevent hemorrhagic cystitis w/ chemo

A

Mesna = d/t cyclophosphamide

80
Q

HSM, cervical LAD, hypotonia, regression of milestones, cherry red macula

A

Niemann-pick = sphingomyelinase

Tay-sachs = Hyperacusis and seizures

81
Q

Wide matching QRS complex @ 100bpm following MI, stable patient next step

A

Sustained monomorphic V-tach

  • stable = amiodarone
  • unstable = cardioversion

If narrow PSVT = carotid massage, cold water immersion = affects AV node conductivity

82
Q

Precocious puberty, large cafe-au-lait spots w/ irregular borders, multiple bone defects, moon-like face

A

McCune-Albright

  • Precocious puberty
  • Pigmentation
  • Polyostotic fibrous dysplasia
83
Q

DMARD SEs

  1. MTX
  2. Hydroxychloroquine
  3. TNF-a
A
  1. Liver, oral ulcers/stomatitis, cytopenia, alopecia
  2. Retinopathy
  3. Infection/TB, malignancy, CHF
84
Q

HIV + acid-fast oocysts in stool + diarrhea

A

Cryptosporidium parvum&raquo_space;> Isospera belli

85
Q

How to unmask confounding variables

A

stratified analysis - etOH vs. non-etOH vs. smoking and non-smoking –> cirrhosis

86
Q

Watery diarrhea, flushing, valvular heart disease

A

Carcinoid syndrome

- tryptophan –> serotonin production in carcinoid INSTEAD of —> NIACIN

87
Q

Pyogenic liver abscess bug

A

Bacteroides

88
Q

Test sensitive for rotator cuff pathology besides arm drop

A

Neer test - affected limb’s hand to opposite should and raise elbow –> pain –> inject lidocaine for relief

89
Q

Kid DM-1 + weight loss, low MCV anemia, erythematous vesicles on extensor surfaces, stool occult (-)

A

Celiac - anti-tissue transglutaminase ab

90
Q

1 complication of sickle cell TRAIT

A

Hematuria

- also isothenuria –> polyuria, nocturia

91
Q

Tx endometritis

A

Polymicrobial = Clinda + Gent

92
Q

Re-warm frostbite

A

Warm water

93
Q

1 injury in supracondylar fx

A

Brachial artery

94
Q

Chronic HA + painless hematuria cause?

A

Papillary necrosis d/t analgesic nephropathy - vasoconstriction in vasa recta

95
Q

Address anxiety by substituting behavior that is the exact opposite of own unacceptable feelings

A

Reaction formation

96
Q

Double vision after reading, cramps in jaw after chewing a steak, voice/throat funny after talking on the phone for a while, normal CPK, normal reflexes

A

Myasthenia gravis –> CT chest to r/o thymoma

97
Q

Signs of cholinergic toxicity/organophosphate poisoning

A

Bradycardia, miosis, fasciulations, salivation, lacrimation, diarrhea, urination —> atropine & remove clothing

98
Q

Older man w/ back pain w/ normal exam + anemia, Inc Cr, Inc Ca, Inc ESR, Inc total protein w/ normal albumin

A

Multiple myeloma –> serum immunoelectrophoresis

99
Q

Nagging epigastric pain + weight loss, jaundice, food intolerance, enlarged non-tender GB

A

Pancreatic CA = dilation of intra and extrahepatic ducts

100
Q

Cafe au lait, macrocephaly, feeding problems, optic glima, short stature and learning disabilities

A

NF-1

101
Q

Number needed to treat

A

1/ARR

102
Q

S3

A

Elevated LV filling pressure = CHF

103
Q

Homeless man hematuria, flank pain, ARF, hypoCa, metabolic acidosis

A

Ethylene glycol intoxication –> fomepizole

104
Q

Inc leukocyte alkaline phosphatase

A

Leukemoid rxn d/t infection or inflammation

105
Q

1st step in torticollis?

A

XR to r/o AA subluxation, retropharyngeal abscess

106
Q

Prurititis at night in middle aged woman, destruction of intrahepatic bile ducts, IgM, xanthelasmas

A

PBC = anti-mitochondrial abs —> UDCA

107
Q

20+ yr Ankylosing spondylitis + fall –> severe back pain dx?

A

Vertebral fx

108
Q

Hypertonia, hyperreflexia in legs b/l, feet pointing down and in in newborn infant

A

Cerebral palsy = PREMATURITY infection, hemorrhage, drug esp in pt with no dystrophic features

109
Q

HA, retro-orbital eye pain, blurred vision, constipation, urinary retention in Parkinson pt d/t what med?

A

Trihexyphenidyl - anti-cholinergic excess with acute glaucoma

110
Q

Complication following infectious mononucleosis

A

Auto-immune hemolytic anemia & thrombocytopenia d/t IgM cold agglutinin + anti-I antibodies (Coombs +)

111
Q

Test for lactose intolerance

A

Hydrogen breath test

112
Q

Hexagonal urine crystals + positive urine nitroprusside

A

Cystinuria - amino acid transport

113
Q

IE w/ strep mutans highly susceptible to PCN drugs of choice

A

IV PCN G or IV ceftriaxone, NOT oral

114
Q

Tx hypovolemic hyperNa

A

NS

115
Q

External effect + or - affects outcome (family hx)

A

Effect modification (Vs.confounding)

116
Q

Cough, hemoptysis, chronic purulent rhinosinusitis, ulcer with rolled, undermined borders on leg , RBC casts, protienuria

A

Wegeners - cyclophosphamide

117
Q

Flank pain w/ crohn disease or other fat malabsorption syndrome

A

Hyperoxaluria - Ca binds excess fat in gut and not oxalate

118
Q

Effect of BB therapy in Pheochromocytoma

A

Rapid increase in BP d/t unopposed alpha vasoconstriction

119
Q

Chest pain, NSTEMI, dilated pupils, atrophic nasal mucosa

A

Cocaine use –> benzo then aspirin, nitrates and CCBs

BBs are CI

120
Q

PPx for uric acid stones

A

Hydration

Potassium citrate to alkalinize urine

121
Q

Sequelae of seizures >5 min, status epileptics, recurrent seizures etc

A

Cortical atrophy/laminar necrosis - hyper intensity on MRI

122
Q

Spherocytosis
+ Coombs
- Coombs

A

Auto-immune hemolytic - warm (IgG)

Hereditary - osmotic fragility

123
Q

Leukocytosis, inc segmented neutrophils, bands, older woman w/ weight loss & night sweats

A

CML = LOW leukocyte alkaline phosphatase + Philadelphia Chr

124
Q

Hearing loss, tinnitus, hold cell phone in other ear, EAR FULLNESS, spinning for 1-2hrs

A

Meniere disease - endolymph, inner ear disease

125
Q

Kidney finding w/ HBV

A

Membranous

126
Q

Cause of distended bowels s/p vertebral fx or retro peritoneal hemorrhage, absent bowel sounds

A

Paralytic ileus

Pseudo-obstruction = only large bowel dilated, tympanic hyper bowel sounds

127
Q

Inc ventricular wall thickness w/ normal dimensions, easy bruising, normotensive, protienuria, waxy thickening of skin + diastolic CHF

A

Amyloidosis - tissue bx abd fat pad

128
Q

Precocious puberty or regression of menopausal sx + bleeding + estrogen producing (breast, hair development) U/L solid pelvic mass

A

Granulosa cell tumor

Sertoli-leydig produce masculinization

129
Q

Pre-menopausal woman done having children w/ complex hyperplasia w/o atypia next step?

A

Cyclic progestin

130
Q

Psoas abscess 1st step?

A

CT abd

(-) CT –> laparoscopy
Percutaneous drainage
Hematogenous spread from skin = SA

131
Q

HOCM murmur and tx

A

INC w/ standing or valsalva = dec VR/preload

Tx = BBs or diltiazem to slow HR and prolong diastole for better filling

132
Q

Broad flat t-waves, U-waves, ST-depression, weakness, fatigue, muscle cramps cause

A

HypoK

133
Q

Isolated systolic HTN cause

A

Rigid arterial walls/decreased elasticity

134
Q

anti-CCP abs

A

RA

135
Q

HIV, A.A, nephropathy

A

FSGS

136
Q

HBV nephropathy

A

Membranous

137
Q

HCV, jaundice, confused, lowNa and K, Normal UA, Cr 3.5 –> NS bolus has no chg in Cr

A

Hepatorenal syndrome –> infection, hemorrhage & death

LIVER TRANSPLANT

138
Q

Tx HyperNa

A 
Euvolemic = water
Hypovolemic = NS then D5W
139
Q

Mech of CO hypoxia, acidosis

A

Dec DELIVERY of O2 to tissues - unable to unload O2

140
Q

Young school teacher w/ acute symmetric b/l arthritis of MCP, PIP, wrists, knees, morning stiffness 10-15min

A

B19 infection

141
Q

Tx acute HBV

A

Normal = IF-a
W/ HIV not on therapy = IF-a + emtracitabine + tenofovir
W/ HIV on therpay = lamivudine + adenofovir

142
Q

Next step w/ LSIL

A 
25-29 = colpo
>30 = HPV --> colpo of +
143
Q

Human & animal bite drug tx

A

Augmentin

Clinda + cipro if allergic

144
Q

RAIU findings w/ hyperthyroidism

  1. Heterogenous
  2. Homogenous
  3. Focal
  4. NO uptake
A
  1. Toxic multinodular/Plummer’s disease
  2. Grave
  3. Functioning Adenoma
  4. Facticia or exogenous like struma ovarii or subacute thyroiditis
145
Q

Cause of type 1 RTA

A

Non-anion gap metabolic alkalosis
Seen in Sjogren syndrome –> kidney stones

Distal tubule can’t excrete H+ –> high urine pH >5.5

146
Q

Cause of type 2 RTA

A

Non-anion gap metabolic alkalosis

Proximal tubule can’t re-abs PHOSPHATE, normal urine pH

147
Q

Cause of type 4 RTA

A

Can’t secret K+ = lost effect of aldosterone –> HYPOTENSION

148
Q

Nail finding w/ psoriasis

A

Onycholysis

149
Q

Thin concave nails w/ raised ridges cause

A

Koilonchyia - iron deficiency

150
Q

Work-up for Neutropenic fever

A

Blood, urine, sputum cultures & CXR –> Pip/tazo

Fever after abx = fungal –> amphotericin B

151
Q

Poisonings

  1. HA, convulsions, GARLIC breath
  2. Bitter almond breath
  3. Hyperhidrosis, narrow vision, tachy, HTN, neuropathy
  4. Salivation, lacrimation, urination, blurred vision, brady
A
  1. Arsenic
  2. Cyanide –> amyl nitrite or thiosulfate
  3. Mercury –> succimer, dimercaprol, penacillamine
  4. Organophosphate –> atropine
152
Q

Anemia in CKD/RF/ESRD

A

EPO deficiency - normocytic, normochromic

<30
SE - HTN, HA, flu

153
Q

Infusion reactions

  1. F/C w/in 6hrs
  2. Fever, flank pain, DIC, RF w/in 1hr
  3. Fever, anemia 2-10 after infusion
  4. Angioedema, RDS w/in seconds
  5. Urticaria, flushing w/in hours
  6. RDS, pulmonary edema w/in 6hrs
A
  1. Febrile non-hemolytic (#1) = cytokines in stored blood
  2. Acute hemolytic = ABO mismatch, + Coombs
  3. Delayed hemolytic = anamnestic ab response
  4. Anaphylaxis = IgA deficiency
  5. Allergic = Recipient IgE
  6. TRALI = donor anti-leukocyte abs
154
Q

Erythema multiforme vs.

SJS

A

Erythema multiforme - follows HSV infection, sudden targetoid lesions

SJS - sulfa, NSAIDs, phenytoin, sudden targetoid lesions + MUCOSAL involvement, AMS, hypotension, conjunctivitis, fever

155
Q

Young male, morning back stiffness, bloody diarrhea, painful nodules on shins, anemia, P-ANCA

A

IBD - UC

156
Q

Whipple procedure

A

Pancreatic CA in head

- remove pancreas, GB, duodenum, proximal jejunum and distal stomach

157
Q

Next step in pt with atypical glandular cells (AGC) on cervical cytology

A

Colposcopy + endometrial bx

- AGC much more likely to be malignant and squamous cells

158
Q

Goal BP for ppl >60 y/o

A

150/90

159
Q

Night time teeth grinding + ear pain

A

TMJ dysfunction

160
Q

Zoster + Bell Palsy

A

Ramsay-Hunt syndrome

161
Q

Fasted –> large meal + RUQ pain, N/V cause

A

Biliary colic = viscous distention

162
Q

Fxn of hormones during pregnancy

  1. hcg
  2. progesterone
  3. estrogen
A
  1. Maintain corpus luteum
  2. Inhibit contractions
  3. Stimulate prolactin
163
Q

Infant w/ vomiting, poor weight gain, hypoglycemia, cataracts

A

Galactosemia = G1P-uridyl transferase deficiency

ONLY cataracts = galactokinase

164
Q

CT w/ multiple hypodense, non-enhancing lesions w/ no mass effect in HIV pt

A

PML

165
Q

CT w/ multiple ring-enhancing lesions in the basal ganglia

A

Toxo

166
Q

CT w/ solitary, weakly-enhancing ring lesion, periventricular

A

Primary CNS Lymphoma = EBV DNA

167
Q

LOW RAIU causes

A 
Subacute painless thyroiditis
Subacute granulomatous thyroiditis (DeQuervain)
Iodine-induced
Levothyroxine OD
Struma ovarii
168
Q

Age of spontaneous closure of umbilical hernia

A

1yr

3-4yrs, >2cm, larger = surgery

169
Q

Enlarged rubbery goiter w/ anti-TPO abs sequelae?

A

Hashimoto –> LYMPHOMA

- suspect w/ rapid enlargement of thyroid, compressive sx, pseudocystic pattern on US

170
Q

Conditions w/ inc BUN/Cr

A

Pre-renal renal failure
GI bleed
Steroids

171
Q

Restrictions in exercise when pregnant

A

Multiple gestation, previa, aburption, fluid leak, preeclampsia

No contact, high fall risk, scuba, hot yoga

172
Q

Correct hypoNa too quickly –>?

A

Central pontine myelinolysis

173
Q

Tx social anxiety

  1. Generalized - going to a party, meeting new people
  2. Performance - public speaking
A
  1. SSRI

2. BB or benzo

174
Q

HIV pt, w/ rapid necrotizing retinitis, painful visual loss cause

A

HSV

CMV = painLESS, fluffy, granular lesions

175
Q

1 cause of large bowel obstruction

A

Neoplasm

176
Q

Repeated miscarriages with cervical dilation

A

Cervical incompetence - DES –> adenocarcinoma of vagina

-Cerclage placement

177
Q

Spinal shock vs. neurogenic shock

A

Spinal shock = ABSENT bulbocavernosus reflex

It is present in SC damage - neurogenic shock

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