Q-bank Flashcards
What is an common GI complication of UC that should be diagnosed w/ plain film x-ray?
Toxic Megacolon
Presents w/ fever, diarrhea, signs of shock
Physcians are ethically and legally obligated to report impaired colleagues to _______
Physician HealthProgram
What can most minor consent to w/o parental consent or notification?
Prenatal care
STI tx
Contraception
Drug/Alcohol rehabilitation
Can most minors consent to abortion?
No. 2/3 of the states require parental consent for abortion
From what cells do Renal Cell Carcinomas originate?
Epithelial cells of the PCT
What is the most common type of kidney tumor?
Clear Cell Carcinoma
Which renal cells cancers often form Papillary Tumors?
Transitional Cell Carcinomas
What is the cause of calcifications causing Aortic Stenosis?
Dystrophic calcification on damaged/necrotic tissue in the setting of NORMAL Ca levels
Describe the normal change that occur due to agin of the heart
Decreased LV chamber apex-to-base dimension
Development of sigmoid-shaped ventricle septum
Myocardial atrophy
Increased Collagen deposition
Accumulation of cytoplasmic Lipofuscin pigment
Vegetations associated w/ bacterial endocarditis are made up of what?
Fibrin and platelet deposition
How do Support and Empathy differ?
Support: expressing concern independent of understanding
Empathy: Physician expressed understanding and vicarious experience
In Acute Hepatitis, what is seen on microscopy?
Ballooning degeneration
Mononucular cell infiltrate
Councilman bodies (eosinophilic Apoptotic hepatocytes)
Chronic NSAID-use can lead to what in the kidney?
Papillary Necrosis
Interstitial Necrosis
Describe the murmur of Aortic Stenosis
(Diamond-shaped) Crescendo-decrescendo systolic murmur
For Hypertrophic Cardiomyopathy, what types of maneuvers will increase the murmur?
Those that decrease preload or afterload (Increase outflow tract obstruction)
Which maneuvers decrease preload and afterload?
Sudden standing
Valsalva
Nitroglycerine
Which maneuvers increase preload and afterload?
Squatting
Hand Grip
Passive leg raise
List the early findings in Rheumatic Fever
Migratory arthritis
Pancarditis
Sydenham chorea
What do the Brachiocephalic Veins drain?
Ipsilateral Jugular and Subclavian veins
Which areas do the External Jugular veins drain?
Scalp and lateral face
How do Strawberry-type Capillary Hemangiomas progress?
Initially grow in proportion to growth of child, then usually regress completely by age 7.
Crohn’s Disease is assoc w/ what in the kidney? How?
Ca-oxalate kidney stones–> Impaired bile acid reabs–> more lipids in gut–> lipids bind to Ca–> Calcium cannot bind oxalate for excretion–> oxalate reabs. and forms renal stones
Why do myocardial cells swell in MI?
ATP deficiency–> Ion pump failure–> increased intracellular Na and Ca –> draws in free H2O–> cells swell
What 3 questions should you ask to screen for elder abuse?
- Do you feel safe at home?
- Who prepares your meals?
- Who handles your checkbook?