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
RF's for Ovarian CA
1) Old 2) Fm Hx 3) Early menarche 4) Late menopause 5) Never pregnant MC Epithelial
26
Ultraviolet Keratitis
Snow blindness | Fluorescein staining reveals superficial punctate epithelial surface irregularities
27
Molluscum contagiosum | muh-luhs-kum
Contagious Sharing towels/clothing Umbilicated lesions
28
Kawasaki (vs Kwashiorkor)
``` "CRASH & burn" Conjunctivitis Rash Adenopathy Strawberry tongue Hand/feet edema Fever ~5days ``` <4yo
29
Tx of UTI in Pregnancy
Cephalexin x 7d Bactrim (not in 3rd) Nitrofurantoin (not in 3rd)
30
Painless, bright red bleeding in 3rd trimester
placenta previa
31
Painful, bright red bleeding in 3rd trimester
placenta abruption
32
Von Willebrand disease
V W factor is low --> bleeding
33
Antiphospholipid Antibody Syndrome
Acquired, immune-mediate hypercoagulable state 1) Recurrent DVT's 2) Recurrent Spontaneous abortions 3) Recurrent Cerebrovascular events 4) Thrombocytopenia
34
Dx and tx of intusseception
"+Dance" sign: emptiness in RLQ Dx: U/S tx: air contrast enema or surgery
35
Normal HCO3
22-26
36
Normal CO2
35-45