Packrat review Qs Flashcards
what ages does the first tooth erupt in an infant?
6-8mo
S+S of morton’s neuroma and what is the txt?
pain on plantar surface of foot in third metatarsal head (inflammed/compressed intertarsal nerve)
txt: NSAIDs, foot cushion, PT
(failed conservative –> steroid injection , then Sx)
S+S ganglion cyst + txt?
swelling along tendon sheath (MC dorsal wrist) +/- pain. txt: watch (50% spont resolve), immobilize, aspirate
weight loss, diarrhea, steatorrhea, + antiendomysial antibody (AEA)… what is the Dx?
celiac sprue (celiac dz)
what is “whipples dz”: MC population, S+S?
tropheryma whippelii - MC farmers around contaminated soil. = malabs: weight loss, steatorrhea, fever, lymphadenopathy, nondeforming arthritis, neurologic symptoms, rhythmic motion of eye muscles while chewing. (“whipping up stomach, whipping eyeballs”
Dx of whipples dz
duodenal bx = periodic acid-schiff (PAS) - positive macrophages, non acid-fast bacilli, dilation of lacteals (lymphatic vessels of small intestine)
txt of whipples dz
PCN or tetracycline for 1-2 years
confirmed pulseless ventricular tachycardia. IV access is obtained following the second shock given. Which of the following medications is to be administered immediately?
epinephrine
what med is given for slow pulseless PAEA or asystole?
atropine
Dx test of choice for toxoplasmosis? what is the result?
MRI of brain = ring-enhancing mass lesions
(ECG) shows a sinus rhythm with varying T wave heights, axis changes every other beat and a wandering baseline. Which of the following is most likely the diagnosis?
pericardial effusion
ECG: artifact vs poor lead placement?
artifact: wandering baseline (no Axis changes)
poor lead placement: you see something youve never seen before or the limb leads show negative q and PRS
As a rule, solid foods such as cereal and fruits are best introduced into an infant’s diet at approximately what age?
4-6mo
mitral regurg from papillary muscle rupture (post MI) - what is the txt?
mitral valve replacement
pain is elicited with palpation below the anterior acromion. Anterior shoulder pain is also reported when
the patient flexes and extends his arm
impingement
Dx of shoulder nerve impingement?
Dx lidocaine injection (subacromial) = transient but dramatic improvement
pericarditis txt
anti-inflammatories (i.e. indomethacin)
chest pain with inspiration, fever and general
malaise. Cardiac examination reveals a rub with muffled heart sounds. Labs show an elevated erythrocyte
sedimentation rate (ESR) and leukocytosis.
pericarditis
Anti-Saccharomyces cerevisiae antibodies (ASCA) = Dx?
crohns (most likely, although positive in some w/ UC)
Antineutrophil cytoplasmic antibodies (ANCA)
Ulcerative colitis (and less likely crohns)
what are the established risk factors for osteoporosis?
low body weight, female sex, advanced age, Caucasian race, and bilateral oophorectomy before menopause without estrogen replacement.
(NOT parity)
endometrial biopsy and is diagnosed with
atypical adenomatous hyperplasia. What is the next step in the management of this patient
total abdominal hysterectomy
The radioactive iodine uptake is
elevated while the thyroid hormone levels are increased with TSH levels being suppressed. Which of the following is the most likely diagnosis?
grav’es dz
The source of pain experienced during a migraine headache is a result of activation of which nerve?
trigeminal