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GK PANCE > PANCE MASTER > Flashcards

PANCE MASTER Flashcards

1
Q

What is the primary method of screening for neural tube defects?

A

maternal serum alpha fetoprotein levels

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2
Q

What anatomical location does Crohn’s disease most commonly affecft?

A

distal ileum

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3
Q

main side effect of clozapine

A

agranulocytosis

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4
Q

What is a normal QTC?

A

<450

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5
Q

Tx for temporal arteritis

A

Begin oral prednisone immediately

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6
Q

A 23 year old woman presents for routine PAP smear. She is sexually active and has been for over 6 years, she also has a history of smoking and some recreational drug use. Her PAP smear results in atypical glandular cells of undetermined significance (AGCUS). What is the next step in the evaluation of this patient?

A

Cervical Biopsy (colposcopy w/biopsy)

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7
Q

Physical exam finding for chronic dry eye syndrome

A

punctate epithelial erosions stain positively with fluorescein

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8
Q

occipital headaches occurring mainly in the mornings that typically resolve by mid-day

A

Essential HTN (severe)

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9
Q

MC presenting symptom in diabetic gastroparesis and what is the tx?

A

vomiting several hrs after meals

tx w/ metoclopramide

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10
Q

Tx of RSV in those w/ severe disease or who are intubated

A

Ribavirin

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11
Q

What anti-body titer would be elevated in a patient with primary biliary cirrhosis?

A

anti mitochondrial Abs

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12
Q

idiopathic autoimmune d/o of intrahepatic small bile ducts

A

Primary Biliary Cirrhosis

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13
Q

Typical presentation in primary biliary cirrhosis

A

fatigue = first sx

pruritis, hepatomegaly, RUQ discomfort, jaundice

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14
Q

hallmark finding of PBC

A

anti-mitochondrial antibiodies

cholestatic pattern: Increased ALP & GGT

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15
Q

Tx for PBC

A

ursodeoxycholic acid - 1st line

cholestyramine & UV light for pruritis

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16
Q

MC benign bone tumor

A

osteochondroma

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17
Q

systemic vasculitis of medium arteries & associated with Hepatitis B

A

Polyarteritis Nodosa

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18
Q

palpable purpura and mottled reticular vascular pattern on upper thighs (livedo reticularis)

A

Polyarteritis Nodosa

19
Q

HTN, fever, myalgias, arthritis, neuropathy, purpura

A

Polyarteritis Nodosa

20
Q

Dx for polyarteritis nodosa

A

Increased ESR

ANCA negative

Renal or Mesenteric angiography: microaneurysms w/abrupt cut off of arteries

21
Q

Polyarteritis Nodosa Tx

A

Corticosteroids

22
Q

MCC of acute prostatitis if <35

A

chlamydia & gonorrhea

23
Q

MCC of prostatits if >35

24
Q

Typical presentation of acute prostatitis

A

fever/chills, low back pain, painful urination, increased frequency, pain with ejaculation and sex

25
Q

PE in acute prostatitis would be what kind of prostate?

A

tender, hot boggy prostate

26
Q

Dx for prostatitis

A

UA & urine culture

27
Q

What do you want to avoid in a pt with acute prostatitis?

A

prostatic massage as it can lead to septicemia

28
Q

HTN + proteinuria + edema in after 20 weeks gestation

A

Preeclampsia

29
Q

What is the BP cut off for Severe Preeclampsia?

30
Q

What is the cure for severe preeclampsia?

A

prompt delivery (do not need to give steroids to mature lungs)

31
Q

philadelphia chromosome

A

CML (myelogenous leukemia)

32
Q

ankylosiing spondylitis typical presentation

A

chronic low back and hip pain due to axial skeleton and sacroiliac joint arthropathy w/progressive stiffnesss

33
Q

bamboo spine on X ray

A

ankylosing spondylitis

34
Q

chronic low back and hip pain

morning stiffness with decreased ROM

stiffness decreases w/exercise & activity

A

ankylosing spondylitits

35
Q

Lab markers in Ankylosing Spondylitis

A

Increased ESR

+ HLA-B27

36
Q

Tx for ankylosing spondylitis

37
Q

idiopathic softening/fissuring of the patellar. articular cartilage

A

Patellofemoral syndrome

38
Q

anterior knee pain “behind” or around the patella

A

Patellofemoral Syndrome

39
Q

Tx for patellofemoral syndrome

A

NSAIDS, rest, rehab

40
Q

blue sclera & brittle bones

A

Osteogenesis Imperfecta

41
Q

pain/stiffness of proximal joints (shoulder, hip, neck) in pts > 50y/o

bilateral proximal joint aching/stiffness

morning stiffness > 30mins of the pelvic, neck & shoulder girdle

A

polymyalgia rheumatica

42
Q

dx for polymyalgia rheumatica

A

clinical diagnosis

43
Q

polymyalgia rheumatica tx

A

low dose CS

GK PANCE (26 decks)

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