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MKSAP > MKSAP 1 > Flashcards

MKSAP 1 Flashcards

1
Q

Rx crypto meningitis

A

Ampho B+flucytosine, consolidate to fluc

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2
Q

Ppx travelers diarrhea in high risk (IBD, CKD, IC)

A

rifaximin

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3
Q

urgent test after TIA

A

carotid US

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4
Q

ferric carboxy side effect

A

hypophos

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5
Q

Radiographic findings of osteonecrosis

A

Increased density of the femoral head (white) and then cysts (black) - associated with SLE

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6
Q

acute rehab how active

A

3 hrs therapy 5 days/week

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7
Q

Membranous nephropathy: typical antibody + next steps if negative

A

PLA2R (phospholipase A2 receptor) - if negative, look for malignancy

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8
Q

best discharge med for etoh cessation?

A

injectable naltrexone

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9
Q

workup for suspected BPH

A

UA: infectious or hematuria (s/o malignancy)

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10
Q

SBP rx in addition to abs?

A

Albumin if bili>4

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11
Q

Buerger test for PAD

A

pallor with foot elevation, rubor when dependent

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12
Q

Inclusion body vs polymyositis vs statin induced

A

Inclusion body: slow, also involves distal areas, usually symmetric. Poly: weeks to months, only proximal muscles.

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13
Q

Immune tolerant Hep B

A

HBeAG positive, antibody negative, DNA elevated, treatment not recommended

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14
Q

Transfusion associated GVHD

A

In immunocompromised patients after transfusion -exanthem that can progress to bullous, can be fatal - blood should be irradiated to prevent

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15
Q

CRT for what QRS

A

> 150

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16
Q

Meds after SAH

A

PO nimodipine

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17
Q

Positive PPD size

A

> 5 mm high risk, >10 possible exposure, >15 no risks

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18
Q

Graves vs. destructive thyroiditis how to rx

A

Grave’s: methimazole/PTU, >30% uptake. Destructive: atenolol

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19
Q

Still’s disease - sx and how to rx?

A

Salmon rash, joint effusion, pericardial rub - rx with anakinra (IL6 therapies)

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20
Q

Long PTT that doesn’t correct with mixing

A

Acquire hemophilia A (factor VIII deficiency) - rx with factor VII

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21
Q

AAA screening?

A

65-75 men who have smoked 5 packs of cigarettes in their lifetime!

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22
Q

chancroid organism, and distinction from syphilis

A

Hemophylis ducreyi, and painful, multiple, tender LAD

23
Q

VWF vs. Factor VIII deficiency

A

VWF with abnormal platelet fxn testing, also Hemophilia A is x linked recessive

24
Q

Heterozygous HFE mutation

A

No need for monitoring,

25
Q

Screening with testosterone for gender transition?

A

Hct

26
Q

ACROMEGALY DX?

A

Insulin-like GF 1 measurement

27
Q

Reduce CV death, MI, stroke in PAD?

A

Low dose rivaroxaban+aspirin

28
Q

Familial Mediterranean fever - features and rx?

A

fever, and pain, rash, arthritis x several days - lifeline daily colchicine - prevents attacks and renal amyloidosis

29
Q

Imaging if dementia suspected?

A

<3 years of sx - MRI or CT without contrast

30
Q

Refractory essential tremor

A

First line: propranolol, primidone, topiramate (c/I in kidney stones), after that DBS and US thalamotomy

30
Q

Refractory essential tremor

A

First line: propranolol, primidone, topiramate (c/I in kidney stones), after that DBS and US thalamotomy

31
Q

BPPV duration of symptoms

A

latency of 2-20 seconds, last <1 min, fatiguable with multiple maneuvers

32
Q

PE in pregnancy rx?

A

lovenox

33
Q

Treatment refractory RA

A

Triple therapy (MTX, hydroxychloroquine, sulfasalazine) or a biologic (s/a adalimumab)

34
Q

Cryoglubulinemia

A

Low C4, high RF, palp purpura, digital ischemia, neuropathy, arthralgia, glomerulonephritis (usually membranoproliferazive)

35
Q

first line for allergic rhinitis?

A

intranasal steroids

36
Q

Khorana score

A

Calculates risk of VTE in patients priort to starting chemo

37
Q

Clinical manifestations of cardiac sarcoid

A

new conduction disease and arrhythmia

38
Q

Nec fasc rx?

A

Clinda+penicillin (some Clostridium is resistant to clinda)

39
Q

Rx symptomatic PVCs

A

Beta blocker or non-dihydro calcium channel blocker (verapamil), beta blockers preferred if ventricular dysfxn. If >10% burden, can cause CM

40
Q

Migraine prevention

A

5+ days/month. SNRI, propranolol, timolol, venlafaxine, amitrip, topiramate, valproate, eptinezumab

41
Q

multiple myeloma on smear

A

roleaux

42
Q

Echinocytosis

A

RBC with small spurs around it - is from liver disease OR uremia

43
Q

Treatment low risk low back pain?

A

Non-pharm (heat, massage, etc) before NSAIDs

44
Q

CD4 counts for MAC vs. TB

A

MAC rarely if CD4>50

45
Q

Rx pseudo gout

A

intra-articular steroids

46
Q

DVT ppx in surgery for malignancy duration?

A

One month if abdominal or pelvic surgery and additional RF

47
Q

Rx CLL?

A

ibrutinib, IVIG to reduce risk of infection

48
Q

Anal cancer treatment?

A

Chemo and radiation, not surgery

49
Q

contraindications to anti-arrhythmic?

A

ischemic heart disease

50
Q

kidney stones after gastric bypass?

A

calcium oxalate (because fat malabsorption)=calcium also not excreted

51
Q

NMS drugs?

A

Antipsychotics OR withdrawal of sinemet

52
Q

TII RTA (=proximal)

A

NAGMA, low K, glycosuria, phos wasting - vs. TI: hypokalemic distal: low K, NAGMA, urine pH>6, stones, T IV=hyperk, Liddle=HTN, metabolic alkalosis, low k

53
Q

TPA window?

A

3 hrs

MKSAP (5 decks)

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