Question Bank 1 Flashcards
What is the antibody for Churg Strauss Syndrome?
P ANCA
3 medical conditions associated with Churg Strauss Syndrome?
allergic rhinitis
asthma
peripheral neuropathy
breast cancer’s favored site of metastasis is?
bone
What type of worm is ancylostoma duodenale?
hook worm
two treatment options for GBS?
IVIG or plasmapheresis
What antibodies are most sensitive for drug induced lupus?
Anti histone
What antibodies are sensitive to lupus?
anti double stranded DNA
What antibodies for Sjogren?
anti SSA
what antibodies for limited systemic sclerosis?
anti centromere
what is the most common cause of overt painless lower GI bleed in adults?
colonic diverticular bleeding
pellagra is due to what deficiency?
niacin or vitamin b3
most commonly what is the first presenting sign of MS?
numbness
what is the effect of PTH?
kidney decreasing ca excretion, stomach increases calcium absorption, and bone releases calcium in blood
what is the drug of choice for schizophrenia that is resistant to medications?
clozapine
what is the most common agent causing conjucitvitis in newborns and at what day?
chlamydia, day 5-14
what nephrotic syndrome in kids under 6
3 features to remember
how to treat?
minimal change disease
edema, low albumin, and protein in urine
Prednsone
3 lab values for pyloric stenosis?
low chloride
low potassium
alkalosis
what extraintestinal condition to think of with Crohns?
with UC?
AS, any arthritic
primary sclerosing cholangitis
most common bug causing surgical site infections?
MRSA
4 p’s of lichen planus?
what body part to always remember is affected
pruitic, polygonal, purple, papule
gums, white crap
what is the fena, bun/Cr ratio in pre renal and ATN?
less than 1 and over 20
over 2 and less than 20
what type of esophageal cancer is most strongly associated with GERD?
adenocarcinoma
what is the enzyme with congenital adrenal hyperplasia
what lab value is diagnostic
what are first and second treatments
21 hydroxylase
17 hydroxyprogesterone
iv fluids and then steroid bolus
old person falls and hits head with bleed, what condition? what is bleeding?
subdural hematoma
bridging veins
how to calculate relative risk?
risk of exposed/risk of unexposed
what thumb actions are hindered in carpal tunnel?
thumb abduction, opposition, and flexion
what tumor is found at the common hepatic duct?
what is the most common presenting sign?
most common risk factor?
Klatskin tumor
painless jaundice from obstruction
primary sclerosing cholangitis
thyroid posterior chapman point
t2
what 3 tumors are found in Men type 1
tumors of the pituitary, pancreas, and parathyroid
what is the most common presenting sign of men type 1
hyperparathyroidism
what are the two most common tumors of the pancreas?
gatrinomas ( zollinger)
insulinoma causing hypoglycemia
two tumors of men type 2a and 2b
difference tumors in 2a and 2b
medullary thyroid and pheo
2a has para and 2 b has neuroma
what condition to think of with gray-white membrane over tonsils?
treatment for it?
diphtheria
erythromycin and antitoxin
what AR murmur sound like?
high pitched, blowing early diastolic murmur?
what is going on with pulse and BP in AR?
wide pulse pressure
what is going on with point of maximal impulse in AR?
displaced laterally and inferiorly
describe AS murmur sound?
mid systolic crescendo decrescendo
what does MR murmur sound like?
holosystolic blowing murmur at apex
what does MS sound like?
late diastolic blowing murmur proceeded by opening snap
what is the goal of premature ovarian failure as far as treatment?
try to treat the symptoms associated with the estrogen deficiency
what is the mechanism of the blisters in toxic epidermal necrolysis?
apoptosis of the keratinocytes
Common cause of SJS or toxic epidermal necrolysis?
medicine, like bactrim
what is the antibiotic of choice for chlamydia?
doxy
What is the abx of choice for chlamydia and gonorrhea?
doxy and ceftriaxone
triad of NPH and how to treat?
ataxia, dementia and urinary incontinence
high volume LP
What joints are affected in RA
proximal
what age cut off do we use for transitioning to breast ultra sound and mammogram for breast mass?
30
what disease if we see BCR-ABL1?
What is the treatment and why?
CML
imatinib, Tyrosine kinase inhibitor
describe what TR murmur sounds like?
blowing holosystolic murmur at left sternal border
biggest difference between left side and right sided heart murmurs with breath?
right sided are louder with inspiration and quieter with expiration
left sided opposite
