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PNCE > Practice Test > Flashcards

Practice Test Flashcards

1
Q

macular degeneration hallmark

A

drusen bodies
central vision loss
affects detail and color vision

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2
Q

Charcot joint

A

destructive neuropathic joint arthropathy, assoc w/ DM

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3
Q

fleck fracture

A

fx at base of 2nd metatarsal
highly suspicious for lisfranc injury

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4
Q

PKD patients are at risk for

A

MVP, diverticulosis, berry aneurisms (subarachnoid hemorrhage)

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5
Q

stills murmur

A

mid systolic, musical, vibratory, noisy, high pitched murmur on inferior aspect of LLSB and apex

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6
Q

venous hum

A

grade 1 or 2 harsh systolic ejection murmur on LUSB

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7
Q

graham steell murmur

A

high pitched early diastolic murmur left sternal edge 2nd ICS w/ patient in full inspiration
assoc w/ pulmonary HTN

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8
Q

phenelzine can cause hypertensive crisis by combo with

A

tyramine containing foods (aged cheese and wines)

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9
Q

pill rolling tremor
shuffling gait with lack of arm movements
fixed facial expression
seborrhea of the skin

A

parkinson

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10
Q

Parkinson tx

A

levidopa/ carbidopa

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11
Q

first line tx idiopathic pulmonary fibrosis

A

CCB: reduces pulmonary arterial pressure

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12
Q

Menkel diverticulum from what embryonic structure

A

vitelline duct

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13
Q

isotrentinoin AE

A

teratogenic, psych AE, hepatitis, inc triglycerides, hypercholesterolemia

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14
Q

increased estrogen
increased LH, increased FSH

A

FH/LSH secreting pituitary adenoma

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15
Q

decreased estrogen, decreased LH, decreased FSH

A

hypothalamic or pituitary failure

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16
Q

mixing study results in no correlation of increased PTT

A

clotting factor inhibitor (antiphospholipid syndrome)

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17
Q

meds that can be used in severe hypercalcemia

A

furosemide
IV NS
calcitonin, bisphosphonates

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18
Q

legg calve perthes classic presentation

A

loss of abduction and internal rotation of leg

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19
Q

MC therapeutic agents that can be used intrapleurally for pleurodesis in recurrent malignant pleural effusions

A

bleomycin

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20
Q

diverticulitis MC site

A

sigmoid colon

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21
Q

anthrax causative agent

A

bacillus anthracis

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22
Q

Q fever causative agent

A

coxiella burnetii

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23
Q

chancroid causative agent

A

Haemophilus ducreyi

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24
Q

conn’s syndrome tx

A

spironolactone

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25
Q

protocol for chemical exposure in eye

A

irrigation -> check pH -> visual acuity

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26
Q

med that can decrease psychotic episodes in patients w/ resistance to 1st line meds

A

clozapine

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27
Q

blurring of optic disk w/ optic disk swelling + neurologic sx diagnosis

A

head CT to r/o cranial tumor

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28
Q

sarcoidosis tx

A

oral prednisone

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29
Q

dubin johnson syndrome labs

A

isolated direct (conjugated) bilirubinemia

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30
Q

isolated increased indirect bilirubin

A

gilbert syndrome
criggler najjar syndrome

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31
Q

poison ivy presentation

A

erythematous pruritic rash arranged in linear or streak like configurations (where plant made contact w/ skin)

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32
Q

tx urge incontinence

A

oxybutinin

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33
Q

tx stress incontinence

A

pseudoephedrine

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34
Q

dawn phenomenon

A

decreased insulin sensitivity from nightly surge in glucagon and cortisol during nighttime fasting (normal glu evening then increased during late night or early morning, elevated when awake)

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35
Q

somogyi effect

A

nocturnal hypoglycemia then rebound early morning hyperglycemia. normal evening glucose then early morning hypoglycemia then hyperglycemia when waking

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36
Q

pronator syndrome

A

median nerve compression at level of proximal forearm

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37
Q

best treatment modality for patient w/ neuroleptic malignant syndrome

A

bromocriptine

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38
Q

tx trigemical myalgia

A

carbamazepine

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39
Q

atrial flutter tx

A

CCB (verapamil)

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40
Q

mycobacterium avium complex tx

A

clarithromycin + ethambutol or rifampin

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41
Q

Test for lithium induced nephrogenic DI vs central DI

A

Arginine vasopressin challenge test

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42
Q

high dose dexamethasone suppression test

A

Cushing’s syndrome

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43
Q

fluid challenge test

A

suspected prerenal azotemia

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44
Q

PCA occlusion

A

visual hallucinations, ipsilateral cranial nerve deficits, comas, drop attacks
contralateral muscle weakness

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45
Q

acute anterolateral infarction PE

A

4th heart sound

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46
Q

empiric management bacterial meningitis

A

IV ceftiaxone + IV vancomycin

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47
Q

Bowen’s disease

A

SCC in situ: epidermal and dermal cells w/ large pleomorphic hyper chromatic nuclei

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48
Q

refractory ITP tx

A

splenectomy

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49
Q

patho of positive sx in schizophrenia

A

excess dopamine receptors in mesolimbic pathway

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50
Q

patho of negative sx of schizophrenia

A

dopamine dysfunction in mesocortical pathway

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51
Q

parkinson pathology

A

idiopathic dopamine depletion in substantial nigra

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52
Q

bilateral hilar lymphadenopathy, noncaseating granuloma

A

sarcoidosis

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53
Q

swollen painful LN in groin, axilla, and cervical w/ multiple flea bites. safety pin appearance

A

yersinia pestis

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54
Q

which cell isn’t affected by polycythemia vera

A

lymphocyte line

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55
Q

med that can cause hypokalemia

A

furosemide (loop diuretic)

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56
Q

most important RF for cervical carcinoma

A

HPV infx

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57
Q

1st line sickle cell crisis

A

IVF and oxygen

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58
Q

adrenocortical insufficiency ABG

A

metabolic acidosis

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59
Q

MMR vaccine CI

A

hx of HIV and CD4 of 100

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60
Q

PCP pneumonia presentation

A

immunocomp (CD4<200), F, dyspnea, O2 desat, extremely high LDH, bilateral diffuse interstitial infiltrates

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61
Q

PCP pneumonia tx

A

bactrim

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62
Q

hypermagnesemia presentation

A

decreased DTR

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63
Q

Panama, F, cough, anorexia, light red spotted maculopapular rash w/ photosensitivity and joint pain

A

rubella

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64
Q

COPD which pneumonia etiology

A

H. flu

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65
Q

abnormal gait, weakness leg > arm, abulia, urinary incontinence, which artery occluded

A

anterior cerebral artery occlusion

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66
Q

neuroleptic malignant syndrome sx

A

1-2wks after initiating or increasing dose of DA antagonist (1st gen antipsychotics)
autonomic instability, incontinence, hyper salivation, hyperthermia, lead pipe rigidity, hyporeflexia, possible rhabdo

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67
Q

serotonin syndrome sx

A

autonomic instability, tremors, hyperthermia
mydriasis, diarrhea, abdominal cramps

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68
Q

erythema marginatum

A

rheumatic fever: macular, erythematous nonpruritic enlarging annular rash w/ rounded sharp demarcated edges, no central clearing, blanches w/ pressure

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69
Q

erythema migrans

A

lyme, target appearance

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70
Q

erythema nodosum

A

painful erythematous inflammatory nodules on anterior shins. increased estrogen exposure (pregnancy), sarcoidosis, TB, fungal infx

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71
Q

erythema multiforme

A

type IV hypersensitivity reaction. dusty violet red purpuric macules w/ vesicles or bull in center (target appearance)

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72
Q

erythema infectiosum

A

5th disease, slapped cheek appearance

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73
Q

cryptococcus meningitis test

A

india ink

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74
Q

MC cancer for smokers

A

adenocarcinoma

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75
Q

huntington disease sx

A

behavioral changes, chorea, dementia

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76
Q

parkinsons sx

A

resting tremor. bradykinesia, rigidity

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77
Q

thoracid outlet syndrome test

A

adson test: loss of radial pulse when head is turned to the affected side

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78
Q

pheochromocytoma test

A

24h urine vanillylmandelic acid levels

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79
Q

aseptic (viral) meningitis CSF

A

increased WBC count, normal glu, lymphocytosis
etiology: enterovirus

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80
Q

causative agent hairy leukoplakia

A

EBV

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81
Q

Medication used for Parkinson pill rolling tremor in young patients

A

benztropine

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82
Q

auspitz sign

A

psoriasis: punctate bleeding spots when the plaques of psoriasis are unroofed

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83
Q

guttate psoriasis classic description

A

small erythematous discrete papules w/ fine scales

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84
Q

class 2 anti arrhythmic that blocks alpha 1, beta 1, and beta 2

A

carvedilol
labetalol

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85
Q

cardioselective BB that affect beta 1 receptor only

A

atenolol
metoprolol

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86
Q

nonselective BB that block beta 1 and beta 2

A

propranolol
nadolol

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87
Q

first line tx osteomyelitis w/ beta lactamase positivity

A

IV nafcillin

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88
Q

first line tx TTP

A

plasmapheresis

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89
Q

TOC tumor lysis syndrome from chemotherapy

A

allopurinol + IVF

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90
Q

ALS sx

A

difficulty swallowing, abn speech w/ hoarseness, progressive weakness. atrophic tongue w/ fasciculations, increased DTR, babinski sign w/ muscle atrophy on head neck and torso (mixed UMN/LMN sx)

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91
Q

mittelschmertz

A

ovulation pain: low abd or pelvic pain during ovulation

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92
Q

IT band syndrome sx

A

lateral knee pain and tenderness
runners MC

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93
Q

chondromalacia sx

A

anterior knee pain behind or around patella

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94
Q

hematuria test <40yo

A

UA and culture

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95
Q

hematuria test >40yo

A

cystoscopy
IV pyelogram
urine cytology

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96
Q

RF bladder cancer

A

white male, cyclophosphamide, pioglitazone, dye exposure, rubber and leather, schistosomiasis infx, chronic bladder infx

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97
Q

close PDA

A

indomethacin

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98
Q

keep PDA open

A

prostaglandins

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99
Q

aortic stenosis sx

A

pulses parvus et tarsus (weak and delayed pulse)
fixed cardiac output

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100
Q

aortic regurgitation sx

A

bounding pulses
wide pulse pressure

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101
Q

pyloric stenosis test

A

US

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102
Q

PTSD first line

A

paroxetine (SSRI)

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103
Q

first line tx for long term schizophrenia

A

olanzapine (2nd gen antipsychotic)

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104
Q

Parkinson patho

A

idiopathic depletion of dopamine in basal ganglia

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105
Q

EKG severe chronic bronchitis

A

negative QRS in lead 1, positive QRS lead AVF (RAD from hypoxemia)

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106
Q

longstanding systemic HTN or aortic stenosis EKG

A

depth in S wave V1 + height of R wave V6 >35mm

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107
Q

lansoprazole AE

A

macrocytic anemia

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108
Q

tx hepatitis C

A

pegylated alpha interferon + ribavirin

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109
Q

toxoplasmosis presentation

A

hx HIV, F, body aches, HA. ring enhancing lesion on CT

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110
Q

toxoplasmosis RF

A

cat exposure

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111
Q

patho psoriasis

A

keratin hyperplasia in stratum basale and spinous due to T cell activation

112
Q

type 2 hypersensitivity in basement membrane

A

bulbous pemphigoid

113
Q

autoimmune disruption of desmosome later

A

bulbous pemphigoid

114
Q

MC benign ovarian neoplasm

A

dermoid cystic teratomas

115
Q

endometrial hyperplasia tx

A

progesterone only if want to preserve possibility of fertility
hysterectomy if do not want to preserve fertility

116
Q

chancroid etiology

A

H. ducreyi

117
Q

thrombocytopenia classic presentation

A

petechiae

118
Q

MC clinical presentation in sickle cell

A

episodic hematuria

119
Q

dequervain (subacute) thyroiditis lab

A

positive ESR

120
Q

smooth muscle antibodies

A

autoimmune hepatitis
cirrhosis

121
Q

PANCA

A

UC, microscopic polyangiitis, primary sclerosing cholangitis, churg-strauss

122
Q

anti mitochondrial antibodies

A

primary biliary cirrhosis

123
Q

endomysial antibodies

A

celiac disease

124
Q

streptomycin AE

A

ototoxic
nephrotoxic

125
Q

myersons sign

A

parkinsons
tap bridge of nose causes sustained blink

126
Q

lhermittes sign

A

MS, inc DTR

127
Q

positive ice pack test

A

myasthenia gravis

128
Q

myasthenia gravis sx

A

diplopia, ptosis, generalized weakness (including respiratory), bulbar weakness (slurred speech, dysphasia)

129
Q

best med for lowering isolated triglycerides

A

fibrates

130
Q

MC presentation sickle cell

A

dactylitis

131
Q

rash associated w/ celiac

A

dermatitis herpetiformis

132
Q

kawasaki tx

A

aspirin + IVIG

133
Q

MC echo and blood culture findings in endocarditis (no IVDU)

A

streptococcus viridian’s
mitral valve

134
Q

MC echo and blood culture findings in endocarditis w/ IVDU

A

S. aureus
tricuspid valve

135
Q

med that can cause hypothyroidism

A

amiodarone

136
Q

chlamydia pneumophilia sx

A

atypical sx
sinusitis

137
Q

mycoplasma pneumoniae sx

A

bulbous myringitis
pharyngitis

138
Q

klebsiella pneumoniae sx

A

alcoholics and debilitated patients
cavitary lesions
currant jelly sputum

139
Q

lacunar infart sx

A

Hx HTN and DM. dysarthria, clumsy hand syndrome. punched out hypotenuse lesions near basal ganglia

140
Q

MC intrinsic kidney injury in hospitalized patients

A

ATN: oliguria, inc BUN/Cr

141
Q

epithelial cell or muddy brown casts

A

ATN

142
Q

ATN MCC

A

prolonged prerenal azotemia
contrast dye
ahminoglycosides (gentamicin)

143
Q

sunburst
hair on end appearance

A

osteosarcoma

144
Q

glyburide MOA

A

sulfonylureas: stimulates pancreatic beta cell insulin release in non-glucose dependent fashion

145
Q

MOA metformin

A

decreases hepatic glucose production with no effect on pancreatic beta cells (biguanides)

146
Q

acarbose and miglitol MOA

A

delays intestinal absorption of glucose (alpha glucosidase inhibitors)

147
Q

pioglitazone and rosiglitazone MOA

A

increases insulin sensitivity at peripheral receptor sites of adipose and muscle tissues (thiazolidinedione)

148
Q

liraglutide and eventide MOA

A

lowers glucose by mimicking incretin (glucagon like peptide 1 agonst

149
Q

CI use of MTX in ectopic pregnancy

A

serum hCG >5000
ruptured ectopic pregnancy
hx TB
presence of fetal heart activity

150
Q

DOC narrow complex SVT

A

adenosine

151
Q

MC etiology from deli meats and unpasteurized cheeses that is gram positive bacilli

A

listeria monocytogenes

152
Q

listeria tx

A

IV ampicillin

153
Q

anthrax sx

A

painless black eschar
widened mediastinum

154
Q

Ludwig angina sx

A

swelling and erythema to upper neck and chin. pus on floor of mouth

155
Q

Vincents angina

A

trench mouth: profuse gingival bleeding, severe gingival pain, interdental papilla w/ ulcerative necrosis

156
Q

zofran MOA

A

serotonin antagonist

157
Q

serotonin syndrome sx

A

tachycardia, BP fluctuations, hyperthermia, hyperreflexia, myoclonus, dilated pupils, agitation, hyperactive GI tract

158
Q

serotonin syndrome tx

A

cyproheptadine
benzo (for hyperthermia)

159
Q

MS CSF

A

increased oligoclonal bands

160
Q

GBS CSF

A

high protein w/ increased WBC (polymorphonuclear neutrophils) w/ dec glucose

161
Q

vibrio cholera sx

A

diarrhea, grey w/ no odor, pus, or blood. ingesting shellfish

162
Q

salmonella sx

A

invasive diarrhea, bloody, pea soup colored

163
Q

Zollinger Ellison syndrome test

A

gastrin secretin in gastronomes not inhibited by secretin

164
Q

management of choice localized renal cell carcinoma

A

radial nephrectomy

165
Q

L4 disc herniation sx

A

pain and paresthesia along anterior leg, weakness w/ ankle dorsiflexion, loss knee jerk reflex

166
Q

S1 disc herniation sx

A

pain and paresthesia posterior calf and plantar surface of foot w/ weakness when plantar flexion, loss ankle jerk reflex, walking on toes harder than on heels

167
Q

TOC mycoplasma pneumoniae

A

fluid filled blisters on TM
macrolide or doxy
if child <8yo, azithromycin

168
Q

patients w/ coarctation of aorta usually has

A

bicuspid aortic valve

169
Q

cyclophosphamide AE

A

hemorrhagic cystitis
increase risk of bladder cancer

170
Q

cimetidine AE

A

CP450 inhibition, gynecomastia, impotence

171
Q

septic arthritis tx for gram negative diplococcus

A

gonorrhea: IV ceftriaxone

172
Q

PE classic presentation tests

A

westermarks sign
hamptons hump

173
Q

mainstay tx long term for chronic asthma

A

inhaled fluticasone

174
Q

screening test for SLE

A

ANA (not specific)

175
Q

anti histone ab

A

drug induced lupus

176
Q

medications that increase incidence of myasthenia gravis

A

gentamicin
BB, FQ, aminoglycosides

177
Q

tx nosocomial pneumonia (HAP)

A

piperacillin/ tazobactam + gentamicin

178
Q

+ ASO titers

A

post streptococcus glomerulonephritis

179
Q

diphtheria tx

A

diphtheria antitoxin + penicillin

180
Q

Tx pleural effusion

A

thoracentesis

181
Q

meds that increase prolactin levels

A

1st gen antipsychotics (haloperidol)

182
Q

organophosphate poisoning tx

A

atropine + pralidoxime

183
Q

organophosphate poisoning sx

A

HA, muscle spasm, tremors, convulsions, visual changes, chest tightness. diffuse wheezing, sweating, lacrimation

184
Q

echo from restrictive cardiomyopathy

A

diastolic dysfunction w/ dilation of both atria

185
Q

HIV med associated w/ vivid dreams and neurologic disturbances

A

efaviranz

186
Q

tx infectious mastitis

A

warm compress, dicloxacillin
continue to breastfeed

187
Q

MCC myocarditis

A

viral (enteroviruses)

188
Q

neurogenic shock hallmark

A

hypotension w/ bradycardia, decreased pulmonary capillary wedge pressure

189
Q

brown recluse spider bite presentation

A

local burning at site then blanching with red halo around ischemic center -> hemorrhagic bullae -> eschar formation

190
Q

AE beta blockers

A

fatigue, depression, impotence, masks sx hypoglycemia, hypotension, bradycardia, 2nd/ 3rd heart block, bronchospasm

191
Q

first line tx acute active bleeding from esophageal varices

A

endoscopic ligation of bleeding vessel

192
Q

treatment acute dystonia

A

diphenhydramine

193
Q

acute dystonia sx

A

trismus, protruding of tongue, facial grimace, torticollis, difficulty speaking

194
Q

paroxysmal nocturnal hemoglobinuria sx

A

hemolytic anemia, venous thrombosis of large vessels, pancytopenia

195
Q

methimazole AE

A

myelosupression (agranulocytosis), hepatotoxicity

196
Q

doxorubicin AE

A

dilated cardiomyopathy, alopecia, bone marrow suppression

197
Q

biots breathing

A

irregular respirations, quick shallow breaths of equal depth w/ irregular periods of apnea (opioid induced respiratory depression)

198
Q

PID tx

A

IV doxycycline + ceftriaxone

199
Q

C diff colitis tx

A

metronidazole
PO vancomycin if severe

200
Q

when to do percutaneous nephrolithotomy

A

stones >10mm, struvite stones, and stag horn calculi

201
Q

first line myesthenia crisis

A

plasmapheresis

202
Q

initial tx HIT

A

argatroban

203
Q

thiazolidinedione AE

A

rosiglitazone and pioglitazone. cardiotoxicity, CHF, hepatotoxicity, fx

204
Q

Tx hypotonic isovolemic hyponatremia

A

fluid restriction and tx underlying cause

205
Q

test for syphilis in presence of chancre or condyloma

A

darkfield microscopy

206
Q

test for nephrogenic DI from central DI

A

desmopressin stimulation test

207
Q

low AFP, high bHCG, low estradiol

A

trisomy 21

208
Q

high alpha fetoprotein in triple screen

A

neural tube defect
multiple gestation
underestimate gestational age

209
Q

low alpha fetoprotein, low estradiol, low bHcG

A

trisomy 18

210
Q

H shaped vertebrae

A

sickle cell anemia

211
Q

tx warm antibody autoimmune hemolytic anemia

A

CS

212
Q

tx lyme meningitis

A

ceftriaxone

213
Q

glioblastoma multiforme hallmarks

A

non homogenous mass w/ hypotenuse variable ring of enhancement w/ surrounding edema w/ butterfly appearance if it crosses corpus callosum

214
Q

medullary thyroid carcinoma secretes

A

calcitonin

215
Q

herpes simplex virus associated encephalitis CSF

A

increased protein w/ normal glucose and increased lymphocyte count

216
Q

class 1 anti arrhythmic that prolongs ventricular depolarization and refractory period

A

procainamide

217
Q

other electrolyte imbalance associated w/ hypocalcemia

A

hypomagnesemia

218
Q

meningiomas location

A

MC in convex of hemispheres and parasagittal regions. often attached to dura

219
Q

light wisp of cotton to test corneal reflex evaluates which CN

A

CN 5: trigeminal

220
Q

Test abdominal aortic aneurysm

A

abdominal US

221
Q

TOC acute exacerbations of MS

A

IV high dose CS

222
Q

TOC neisseria meningitis

A

IV penicillin G

223
Q

ITP tx

A

IVIG in kids
CS in adults

224
Q

MC indication for hysterectomy

A

leiomyomas

225
Q

which med decrease progression of relapsing remitting form of MS

A

glatiramr acetate

226
Q

clozapine 2 major AE

A

agranulocytosis
myocarditis

227
Q

med given before surgery of pheochromocytoma

A

phenoxybenzamine (nonselective alpha blockers)

228
Q

management nephrogenic DI

A

indomethacin
HCTZ

229
Q

MC pathogen post op surgical sites

A

S. aureus

230
Q

coal workers pneumoconiosis xray

A

small opacities in upper lung fields

231
Q

silicosis xray

A

small round opacities throughout lungs
calcified hilar lymph nodes

232
Q

asbestosis xray

A

interstitial fibrosis
thickened pleura

233
Q

test intussusception

A

barium enema diagnostic and therapeutic

234
Q

pathogen in stream water
dyspepsia, loose stool

A

giardia lamblia

235
Q

congenital abnormality associated with tracheoesophageal fistula

A

esophageal atresia

236
Q

pertussis tx

A

azithromycin or bactrim

237
Q

dew drop on a rose petal

A

varicella

238
Q

social phobia tx

A

SSRI

239
Q

celiac test to confirm diagnosis

A

small bowel biopsy

240
Q

test to confirm hepatitis B vaccination

A

anti- HBs (surface antibody)

241
Q

transmural inflammation

A

crohns

242
Q

increase incidence of hip dysplasia

A

first born
left hip
female, breech

243
Q

myotome triceps and extension of arm

A

C7

244
Q

warfarin clotting factors

A

2, 7, 9, 10

245
Q

RF preeclampsia

A

multiple gestation, nulliparity, advanced maternal age, AA, obesity

246
Q

medication that affects INR of patient taking warfarin

A

bactrim

247
Q

venous hemorrhages, disk swelling, cotton wool spots, dark dusky retinal background

A

CRVO

248
Q

pain when extend elbow, arm pronated, and extend fingers and wrist against resistance

A

lateral epicondylitis

249
Q

pain from resisted pronation or flexion of wrist

A

medial epicondylitis

250
Q

vaccine CI in patient undergoing chemo

A

MMR

251
Q

antihypertensive med to avoid in asthma patients

A

non beta 1 selective BB (propranolol)

252
Q

penicillin MOA

A

inhibits cell wall synthesis

253
Q

MC malignant primary tumor of bone

A

osteosarcoma

254
Q

cardiac biomarker that rises in 1-4h, peaks at 6-7h, and returns to normal after 24h

A

myoglobin

255
Q

endometritis tx

A

clindamycin
gentamicin

256
Q

MOA delays gastric emptying, stimulating pancreatic insulin response to glucose, reducing glucagon release after meals

A

liraglutide (GLP1)

257
Q

reduce breakdown of endogenous GLP1, making higher levels of GLP1

A

DDP4

258
Q

lesion right optic tract posterior to chiasm

A

left homonymous hemianopsia

259
Q

RBBB + ST elevation in V1-V3

A

brugada syndrome

260
Q

anti arrhythmic that inhibit T3 to T4 conversion

A

amiodarone

261
Q

nerve root for patellar reflex

A

L3/L4

262
Q

MC pathogen bullous myringitis

A

mycoplasma pneumonia

263
Q

dacryostenosis tx

A

digital massage
lacrimal duct probing if persistent

264
Q

metformin MOA

A

decreases hepatic glucose production and increases peripheral glucose uptake

265
Q

suppurative complication of GAS pharyngitis

A

peritonsillar abscess

266
Q

ligament injured in gamekeepers thumb

A

ulnar collateral ligament

267
Q

sign associated w/ idiopathic intracranial HTN

A

papilledema

268
Q

furosemide monitor for

A

hypokalemia

269
Q

MRSA abscess tx

A

I&D + clindamycin

270
Q

impairs absorption of iron, avoid immediately before or after taking

A

calcium

271
Q

CI for use of stool DNA test for colorectal cancer

A

hx of IBD

272
Q

tx outpatient diverticulitis

A

metronidazole and cipro

273
Q

pain along joint line with deep squatting

A

meniscal injury

274
Q

anti seizure med with AE gingival hyperplasia

A

phenytoin

275
Q

MCC erectile dysfunction

A

vascular disease

276
Q

post strep glomerulonephritis UA

A

RBC casts

277
Q

MCC heart failure in US

A

coronary artery disease q

PNCE (33 decks)

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