PANCE MASTER Flashcards
What is the primary method of screening for neural tube defects?
maternal serum alpha fetoprotein levels
What anatomical location does Crohn’s disease most commonly affecft?
distal ileum
main side effect of clozapine
agranulocytosis
What is a normal QTC?
<450
Tx for temporal arteritis
Begin oral prednisone immediately
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?
Cervical Biopsy (colposcopy w/biopsy)
Physical exam finding for chronic dry eye syndrome
punctate epithelial erosions stain positively with fluorescein
occipital headaches occurring mainly in the mornings that typically resolve by mid-day
Essential HTN (severe)
MC presenting symptom in diabetic gastroparesis and what is the tx?
vomiting several hrs after meals
tx w/ metoclopramide
Tx of RSV in those w/ severe disease or who are intubated
Ribavirin
What anti-body titer would be elevated in a patient with primary biliary cirrhosis?
anti mitochondrial Abs
idiopathic autoimmune d/o of intrahepatic small bile ducts
Primary Biliary Cirrhosis
Typical presentation in primary biliary cirrhosis
fatigue = first sx
pruritis, hepatomegaly, RUQ discomfort, jaundice
hallmark finding of PBC
anti-mitochondrial antibiodies
cholestatic pattern: Increased ALP & GGT
Tx for PBC
ursodeoxycholic acid - 1st line
cholestyramine & UV light for pruritis
MC benign bone tumor
osteochondroma
systemic vasculitis of medium arteries & associated with Hepatitis B
Polyarteritis Nodosa
palpable purpura and mottled reticular vascular pattern on upper thighs (livedo reticularis)
Polyarteritis Nodosa
HTN, fever, myalgias, arthritis, neuropathy, purpura
Polyarteritis Nodosa
Dx for polyarteritis nodosa
Increased ESR
ANCA negative
Renal or Mesenteric angiography: microaneurysms w/abrupt cut off of arteries
Polyarteritis Nodosa Tx
Corticosteroids
MCC of acute prostatitis if <35
chlamydia & gonorrhea
MCC of prostatits if >35
E coli
Typical presentation of acute prostatitis
fever/chills, low back pain, painful urination, increased frequency, pain with ejaculation and sex
PE in acute prostatitis would be what kind of prostate?
tender, hot boggy prostate
Dx for prostatitis
UA & urine culture
What do you want to avoid in a pt with acute prostatitis?
prostatic massage as it can lead to septicemia
HTN + proteinuria + edema in after 20 weeks gestation
Preeclampsia
What is the BP cut off for Severe Preeclampsia?
>160/110
What is the cure for severe preeclampsia?
prompt delivery (do not need to give steroids to mature lungs)
philadelphia chromosome
CML (myelogenous leukemia)
ankylosiing spondylitis typical presentation
chronic low back and hip pain due to axial skeleton and sacroiliac joint arthropathy w/progressive stiffnesss
bamboo spine on X ray
ankylosing spondylitis
chronic low back and hip pain
morning stiffness with decreased ROM
stiffness decreases w/exercise & activity
ankylosing spondylitits
Lab markers in Ankylosing Spondylitis
Increased ESR
+ HLA-B27
Tx for ankylosing spondylitis
NSAIDS
PT
idiopathic softening/fissuring of the patellar. articular cartilage
Patellofemoral syndrome
anterior knee pain “behind” or around the patella
Patellofemoral Syndrome
Tx for patellofemoral syndrome
NSAIDS, rest, rehab
blue sclera & brittle bones
Osteogenesis Imperfecta
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
polymyalgia rheumatica
dx for polymyalgia rheumatica
clinical diagnosis
polymyalgia rheumatica tx
low dose CS
