PANCE 2 Flashcards

1
Q

Mastitis

A

S. aureus

Dicloxacillin, amox, cephalexin

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2
Q

Tetralogy of Fallot

A

“PROVE”

  1. Pulmonary Stenosis
  2. RVH
  3. Overriding aorta
  4. VSD
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3
Q

Pernicious Anemia

and Vegans

A

-Autoimmune d/o act against IF.
-B12 binds to IF secreted by gastric parietal cells, absorbed in terminal ileum
-chronic atrophic gastritis
-Methylmalonic acid increased
-MCV +100 (macrocystic)
Tx: B12 IM, not PO

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4
Q

Dix-Hallpike vs. Epley

A

-Diagnostic- rotational nystagmus or vertigo

Treatment

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5
Q

Hand Foot & Mouth

A

Coxsackie A
Vesiculopapular lesions
Contagious till active lesions resolve

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6
Q

Diagnosis Gold Standard for TB

A

Sputum/tissue culture for AFB (Acid-fast bacilli)

PPD: Gold standard for latent TB

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7
Q

Phimosis and Paraphimosis

A

Phimosis- inability to retract
Para-inability to reduce
“PARA requires the PARAmedics”

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8
Q

SJS

A

<10% TBSA

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9
Q

TEN

A

+30% TBSA

+Nikolsky sign

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10
Q

EtOH w/drawl

A

Tremulousness
Hallucinations
Seizures
Delirium Tremens

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11
Q

SLE Labs

A

Antinuclear antibodies (ANA)
Anti Smith antibodies
Anti-dsDNA

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12
Q

contact diaper dermatitis vs canidae

A

contact spares inguinal folds

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13
Q

contact diaper dermatitis vs candida diaper rash

A

candida affects the creases

Tx: Nystatin ointment

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14
Q

1) Cat Bite

2) Cat Scratch

A

1) Pasteurella multocida

2) Bartonella henselae

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15
Q

Tx for CML

A
Allogenic HSCT (hematopoietic stem cell transplant-curative)
imatinib
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16
Q

“Honeycombing”

A

Pulmonary Fibrosis

Restrictive

17
Q

Features of Nephrotic Syndrome

A
"NAPHROTIC" 
Na dec
Albumin dec 
Protein +3.5 
HLD
Renal Vein Thrombosis 
Orbital Edema
Thromoboembolism
Infection
Coagulability
18
Q

Diagnostic for Cholecystits

A

U/S
GS = HIDA (hepatobililary iminodiacetic acid scan (nuclear))

MC cx’d by obstructing gall stone

19
Q

Sjogren Syndrome

A

exocrine glands

autoimmune

20
Q

Celiac’s dz

A
Gluten Free (Avoid BROW  
Barley, Rye, Oats, Wheat)

GS for dx = biopsy

Can eat CRAP (Corn, Rice, Arrowroot, Potatoes)

21
Q

Tinea Capitis

A

Trichophyton

Oral tx: terbinafine, itraconazole, fluconazoe

22
Q

Chancroid

A

Haemophilus Ducreyi
G- bacillus
multiple, PAINFUL ulcers/inguinal bubo

Tx: Azythromycin 1gm PO, ceftriazone 250mg IM, or cipro 500mg BIDx3d

23
Q

Ankle Sprain Grades

A

I- minimal
II- partial
III- complete

24
Q

FB aspiration

A
  • MC 3 yo, R bronchus,
  • ACUTE onset of coughing, wheezing, and stridor
  • Only 10% seen on CXR, f/u w/ bronchoscopy
25
Q

RF’s for Ovarian CA

A

1) Old
2) Fm Hx
3) Early menarche
4) Late menopause
5) Never pregnant

MC Epithelial

26
Q

Ultraviolet Keratitis

A

Snow blindness

Fluorescein staining reveals superficial punctate epithelial surface irregularities

27
Q

Molluscum contagiosum

muh-luhs-kum

A

Contagious
Sharing towels/clothing
Umbilicated lesions

28
Q

Kawasaki (vs Kwashiorkor)

A
"CRASH &amp; burn"
Conjunctivitis
Rash
Adenopathy
Strawberry tongue 
Hand/feet edema
Fever ~5days

<4yo

29
Q

Tx of UTI in Pregnancy

A

Cephalexin x 7d
Bactrim (not in 3rd)
Nitrofurantoin (not in 3rd)

30
Q

Painless, bright red bleeding in 3rd trimester

A

placenta previa

31
Q

Painful, bright red bleeding in 3rd trimester

A

placenta abruption

32
Q

Von Willebrand disease

A

V W factor is low –> bleeding

33
Q

Antiphospholipid Antibody Syndrome

A

Acquired, immune-mediate hypercoagulable state

1) Recurrent DVT’s
2) Recurrent Spontaneous abortions
3) Recurrent Cerebrovascular events
4) Thrombocytopenia

34
Q

Dx and tx of intusseception

A

“+Dance” sign: emptiness in RLQ
Dx: U/S
tx: air contrast enema or surgery

35
Q

Normal HCO3

A

22-26

36
Q

Normal CO2

A

35-45