PANCE Flashcards

1
Q

Bilateral intranuclear ophthalmoplegia

A

MS

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2
Q

Constant PR intervals, then a QRS is dropped

A

2nd degree AV block type II (Mobitz)

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3
Q

PR interval widens, then QRS is dropped

A

2nd degree AV block type I (Wenchebach)

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4
Q

Facial pink or flesh colored papule with pearly, translucent quality, telangectasias, ulceration

A

Basal cell carcinoma

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5
Q

Tx of choice for pinworms (any intestinal parasite)

A

Mebendazole

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6
Q

Pupils in cocaine use?

A

Mydriasis (large pupils)

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7
Q

Pupils in opiate use?

A

Miosis (pinpoint)

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8
Q

Test for stones

A

Ct w/o contrast

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9
Q

Hallmark symptom of herniated disc dz

A

Lumbosacral ridiculopathy

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10
Q

TOC for cardiogenic shock

A

Dobutamine

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11
Q

Tram track markings

A

Bronchiectasis

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12
Q

UTI abx during pregnancy

A

Nitrofurantoin

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13
Q

Most common location for osteomyelitis

A

hip, spine

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14
Q

Most effective therapy for allergic rhinitis

A

Intranasal steroid

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15
Q

diploplia, dysarthria, dysphagia

A

Botulism

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16
Q

Boot shaped heart on cxr

A

Tet of fallot

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17
Q

TOC for reynauds

A

Nifedipine

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18
Q

Which maneuver will increase HCM mumur

A

Valsalva

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19
Q

Do benign diastolic murmors exist

A

no

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20
Q

AB=bdominal pain out of proportion to exam

A

Ischemic bowel

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21
Q

crescendo-decrescendo murmur

A

Aortic stenosis

22
Q

Most common valve in endocarditis

A

tricuspid

23
Q

Criteria for orthostatic hypotension

A

Decrease in BP of 20 and increase in HR of 15

24
Q

Most common cause of restrictive cardiomyopathy

A

Amyloidosis

25
Q

TOC dilated cardiomyopathy

A

Lisinopril

26
Q

Duration of abx for endocarditis

A

6 weeks

27
Q

Post-partum dilated cardiomyopathy

A

Can present from 1 month before delivery to 5 months after. Heart failure, fatigue cardiomegaly

28
Q

TOC for printzmetal angina

A

CCB (dilt, verapamil)

29
Q

Dig OD

A

Halos around lights, yellow vision. Mustache ECG

30
Q

Type A aortic dissection

A

Ascending aorta

Surgical intervention

31
Q

Type B dissection

A

Descending aorta

More conservative mgmt

32
Q

SLE patients are at risk for which heart condition

A

Pericarditis

33
Q

Most common complication following AAA repair?

A

MI

34
Q

1 risk factor for aortic dissection

A

HTN

35
Q

Earliest CHF symptom

A

exertional dyspnea

36
Q

most common pacemaker complication

A

infection

37
Q

VWd labs and tx

A

Prolonged bleeding time

DDAVP

38
Q

Immune mediated thrombocytopenia tx

A

Steroids

39
Q

Hemophilia A labs and tx

A

aPTT will be prolonged
Normal PT INR
Tx with concentrated factor VIII or Cryo

40
Q

HIV patient with ring enhancing lesions

A

Toxoplasmosis

tx with sulfadiazine and pyrimethamine

41
Q

Prophylaxis of toxoplasmosis in HIV

A

Bactrim

42
Q

Blue discoloration of cervix and vagina

A

Chadwiks sign

Pregnancy

43
Q

Melena suggests bleeding proximal to what landmark?

A

Ligament of treitz

SIgmoidoscopy would not be useful

44
Q

Do steroids have any effect of carpel tunnel?

A

No

45
Q

Azotemia

A

Elevation of BUN, Crea

46
Q

Most common cause of secondary HTN

A

Renal parenchymal dz

47
Q

How much should birth weight increase by 1 year of age?

A

It will tripple

48
Q

Most reliable sign of AOM

A

Immobility of TM

49
Q

Acutely tender, swollen staph infxn of upper or lower eyelid

A

Hordeolum (stye)

Tx with warm compresses

50
Q

Estrogen causes mammary ducts to

A

Proliferate

51
Q

Progesterone effect of breast tissue

A

Causes alveoli and lobules to grow

52
Q

Progesterone is secreted from the corpus

A

Luteum