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1
Q

Lyme dz Tx in preg/children

A

Amoxicillin, Cefuroxime (2nd gen)

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2
Q

Schilling test

A

Vit B12 def

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3
Q

Negative Prehn’s sign

A

no pain relief with testicular elevation = testicular torsion

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4
Q

Paget dz: most significant lab, Tx

A

incr ALP

-Tx: bisphosphonates

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5
Q

psoriasis Tx

A

steroids

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6
Q

nail pitting

A

psoriasis

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7
Q

salmon-colored papules

A

pityriasis rosea

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8
Q

tinea versicolor: organisma

A

malassezia furfur

oval macules, hyper/hypo pigmented

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9
Q

Hypersensitivity rxns

A

I: IgE. urticaria, angioedema (urticaria, angioedema)
II: Ab mediated
III: Ab-Ag
IV: delayed. cell-mediated (Erythema multiforme)

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10
Q

Erythema multiforme, SJS/TEN

A

EM minor: target lesions
EM major: mucous membr involvement

SJS/TEN: epidermal detachment

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11
Q

condyloma acuminata

A

HPV genital warts

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12
Q

cauliflower lesions

A

HPV genital warts

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13
Q

erythema nodosum assoc with what?

A

sarcoidosis

red shins

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14
Q

MC skin CA

A

basal cell

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15
Q

Tx BCC, SCC

A

BCC: electric desiccation, curettage

SCC: excision

melanoma: excision with LN Bx

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16
Q

impetigo MCC, Tx

A

MCC S aureus

Tx Mupirocin (Bactroban)

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17
Q

Nikolsky sign

A

Pemphigus vulgaris, SJS/TEN

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18
Q

bullous pemphigoid sx

A

blistering

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19
Q

Parkland formula for burns (IVF)

A

LR= 4mL x kg x BSA%

1/2 in 1st 8 hrs
1/2 in last 16 hrs

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20
Q

coxsackie A vs B

A

A: hand foot mouth

B: pericarditis, myocarditis

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21
Q

diabetic retinopathy changes

A

hard exudates

cotton wool spots
hemorrhages

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22
Q

HTN retinopathy changes

A

AV nicking, arterial narrowing (copper wiring, silver wiring), papilledema

cotton wool spots
hemorrhages

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23
Q

angle closure glaucoma sx, Tx

A

sx: unilat, ocular pain, peripheral vision loss, steamy cornea, nonreactive pupil, hard eye, IOP >21

Tx: acetazolamide IV
topical BB, pilocarpine

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24
Q

Vertigo: peripheral

A

Benign positional: episodic, no hearing loss
Meniere’s: episodic, hearing loss (tinnitus, ear fullness)– Dix Hallpike

Vestibular neuritis: cont, no hearing loss
Labyrinthitis: cont, hearing loss

ALL: horiz nystagmus, sudden

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25
Q

Vertigo: central

A

ALL: vert nystagmus, nonfatiguable, gait abnorm

26
Q

Tx bact conjunctivitis

A

top erythromycin

contact lenses: FQ, tobrex

27
Q

cherry red spot on macula

A

central retinal A. occlusion

28
Q

absent red reflex

A

cataracts (opaque lens)

retinoblastoma (WHITE PUPIL)

29
Q

Meniere’s Tx

A

meclizine
diuretics
avoid salt, caffeine, choc, ETOH

30
Q

conductive hearing loss, painless otorrhea

A

cholesteatoma

erodes ossicles

31
Q

MC location sialolithiasis

A

Wharton’s duct (submandibular)

not Stenson’s parotid

32
Q

Wickham striae

A

oral lichen planus- lacy

33
Q

white, can’t rub off, painless

A

oral leukoplakia

34
Q

oral hairy leaukoplakia- sx, assoc with what

A

sx white, feathery

EBV

35
Q

aphthous ulcers/ canker sore vs. herpetic stomatitis

A

aphthous ulcer: buccal, labial mucosa (free moving). Tx top corticosteroids

herpetic: gingiva, mucocutaneous lip jxn, POST pharynx (soft palate)

36
Q

ADR methimazole, PTU

A

agranulocytosis

monitor WBC

37
Q

Tx hyperparathyroid

A

loop diuretics- Lasix

IV saline

38
Q

ADR bisphosphonates

A

jaw osteonecrosis, pill esophagitis, pathological fx

39
Q

blue sclera, broken bones

A

osteogenesis imperfecta

40
Q

osteoporosis labs

A

normal Ca, phos, PTH, ALP

41
Q

adrenal layers: outer-> inner

A

zona glomerulosa: aldosterone

fasciculata: cortisol
reticularis: androgens/estrogen

42
Q

adrenal insuff: test, labs, Tx

A

ACTH/cosyntropin stim test (screening)= no incr cortisol

labs: hyperK, hypoglycemia, decr sex hormones females

Tx hydrocortisone

43
Q

presbyacusis

A

high freq loss

44
Q

meniere dz: hearing loss type

A

low freq, sensorineural

45
Q

sinusitis MCC

A

virus

common cold

46
Q

Tx sinusitis

A

symptomatic

abx if sx >10-14days

47
Q

acute pharyngitis: dx

A

Centor criteria:
no cough, tonsillar exudates, fever, cervical LAD

0-1: no abx
2-3: rapid strep test, treat if pos
4: abx

48
Q

test for Cushing’s

A

dexamethasone suppression test=
no suppression (Cushing’s syndr, all others)
suppression (Cushing dz)

49
Q

Biguanides

A

Metformin

MOA: decr glucose prod

ADR: LA, hep, renal

50
Q

Sulfonylureas

A

Glyburide, Glipizide

MOA: insulin release

ADR: hypoglycemia, disulfuram, wt gain

51
Q

Thiazolidinediones

A

-glitazone

MOA: incr insulin sensitivity

ADR: edema/CHF, MI

52
Q

DPP-4 inhibitors

53
Q

stratum corneum

A

keratin, fillagrin (protein, water), water barrier

surface

54
Q

melanoma excisional margins: melanoma in situ, breslow’s depth 2mm

A

melanoma in situ: 0.5cm

breslow’s depth 2mm: 2cm

55
Q

guttate psoriasis preceded by…

A

strep pharyngitis

56
Q

Tx psoriasis

A

mild: top steroids, vit D
severe: PUVA, retinoids, TNF inhib

57
Q

pityriasis rosea

A

spares palms/soles

no Tx

58
Q

actinic keratoses Tx

A

liquid nitrogen

->SCC

59
Q

rosacea Tx

A

topical/PO abx

60
Q

SJS/TEN (major erythema multiforme) MCC

A 
drugs: 
Sulfa
Allopurinol
PCN
Anticonvulsants
NSAIDs

PANCE (9 decks)

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