PANCE Flashcards
MC etiology of endocarditis
Strep virridens (mitral valve) and staph aureus (tricuspid valve - IV drug users)
Murmurs decreased with squatting
Tetralogy of fallot, HOCM, Mitral valve prolapse
When is a postaglandin (PGE1) infusion necessary in infants?
When the patient has a ductal-dependent cardiac lesion that depends on a patent ductus arteriosus for optimal blood flow (like tetralogy of fallot, hypoplastic left heart syndrome, transposition of the great vessels, tricuspid atresia, etc.)
MAP calculation
MAP = DBP + (1/3)(SBP-DBP)
or
MAP = (CO x SVR) + (CVP)
Most common pathogen for onychomycosis
Trichophyton rubrum
First line onychomycosis
Terbinafine, itraconazole is alternative
MCP of tinea versicolor
Melassezia furfur
MCP of fingernail onychomycosis
candida
MCP in retropharyngeal abscesses
staph aureus, GAS
Complication of kawasakis disease
coronary artery aneurysm
5 symptoms/signs of kawasakis disease
fever of at least 5 days with 4 of the following: polymorphous rash, erythema of the lips and oral mucosa, conjunctivitis, cervical lymphadenopathy, edema and erythema of the extremities
Most common EKG finding in lyme carditis
an AV block
Which hematologic disorder has a JAK2 mutation?
Polycythemia vera
Which heme condition has ADAMST13
TTP
Where will nystagmus beat towards in peripheral vs. central causes of vertigo?
Peripheral: towards the unaffected side
Central: towards the affected side
MCP of erysipelas
strep pyogenes
MCP of opthalmia neonatorum
neisseria gonorrhoeae
What is the only disorder that will increase the MCHC?
Spherocytosis
Peripheral smear cells seen with hereditary spherocytosis
howell-jolly bodies
Egg on a string finding seen with
transposition of the great arteries
Murmur associated with rheumatic heart disease
mitral stenosis
MCP in epiglottitis
H. influenzae (decreased with HIB vaccine), Strep and staph secondary
PE finding that differentiates constrictive pericarditis from restrictive cardiomyopathy
S3 gallup or pericardial knock
MCP in fifths disease
parvovirus B19
Another name for measles
Rubeola
MCP of roseola
HHV 6 and 7
Are oral lesions present with bullous pemphigoid
No
What differentiates nummular eczema from psoriasis
Nummular has disc shaped lesions and are not sharply demarcated plaques as in psoriasis
MCP in bacterial strep pharyngitis
GAS
Most common cyanotic congenital heart defect
Tetralogy of fallot
What are combined alpha and beta blockers commonly used in aortic dissection?
esmolol and labetalol
Common arrythmia that can occur from taking antipsychotic agents
prolonged QT leading to torsades de pointes
pathogen noted to cause lichen planus
hepatitis c
Most common primary cardiac tumor
Atrial myxoma
MCP of conjunctivitis
Staph aureus
Strep pneumoniae
haemophilus influenzae
pseudomonas if contact wearing
Tram track markings on an xray suggest
bronchiectasis
Murmur best heard over left sternal boarder at the fourth intercostal space with the BELL
Tricuspid stenosis
This virus can cause aplastic crisis in people with sickle cell disease
parvovirus
MCP of parotitis
staph aureus (sometimes mumps if immunocompromised)
Most common valvular disease
Aortic Stenosis
Most common heart defect
VSD
MCC of mitral regurgitation in the US
Mitral valve prolapse
MCP in guillain barre syndrome
campylobacter jejuni
MCP in adult bacterial meningitis
s. pneumoniae, then n. menigitis
Calcium typically has an inverse relationship to ___
phosphate
