question bank 2 Flashcards
what is the problem with Wilson disease?
defieicny of?
treatment?
copper build up
ceruloplasmin
penicillinamine
treatment for hemachromatosis?
deferoxamine
what to supplement babies with right away that are breast fed exclusively, and if not, what can it cause?
What to supplement as well at about 4 months?
vitamin d
rickets
iron
two lab values to remember with VIPOMAS?
low potassium and high glucose
patient faking illness for secondary gain, what do we call this?
malingering
what is first line therapy for tourettes?
guanfacine or clonidine
features of donor twin in twin to twin?
hypovolemia, anemia, and oligo fluid
features of recipient twin?
hypervolemia, poly fuid, jaundice and congestive heart failure
what is first line treatment for cdiff?
oral vanc or oral fidaxomicin
Pentad of TTP
fever, hemolytic anemia, purpura, neurologic symptoms and renal dysfunction
What does ITP lack that is very important?
anemia
most common precceding infection to GBS
camp je
most effective birth control?
IUD
Most common bug causing respiratory infection in CF
pseudomonas..then staph
leukocyte alkaline phosphatase is the classic lab finding for what?
leukamoid reaction
what is the most common cause of inherited cognitive impairment?
fragile x
3 clinical features of fragile x to rememebr?
long face, large ears and large testes
what thyroid level change happens during pregnancy?
increased t4
what two agents to treat rosacea?
topical metronidazole or topical ivermectin
what to think if I see rapidly progressive dementia with myoclonus or extrapyramidal symptoms?
CJD, get MRI
what is the difference between brief psychotic disorder, schizophreniform disorder, and schizophrenia?
less than 1 month
1-6 months
over 6 months
dexa score for osteopenia?
dexa score for osteoperosis?
-1 and -2.5
below -2.5
placenta is stuck on the uterine wall and difficult to remove, what am I thinking?
What is the major risk factor
placenta accreta
revious c section
first line therapy for narcolepsy?
first line therapy for narcolepsy when cataplexy is involved?
modafinil
pitolisant
what bug causes meningitis in the following age groups?
neonate to 3 months?
3 months to 9 years?
teenagers and young adults?
older adults?
group b strep
strep pneumonia
neiserria
strep p
what lymph nodes drain the ovaries and tests?
para aortic lymph nodes
how to empirically cover for gonorrhea and chalmydia?
ceftriaxone and doxy
What abx for syphillis?
penicillin
unilateral, soul smelling nasal discharge in a child is most likely?
foreign body
first and second line treatment for lice?
topical spinosad
ivermectin
when do we use t scores and when do we use z scores
t scores when we estimate data, z scores when data is known
what medicine do we use for hemorrhagic prophylaxis in cirrhotic patients?
propranolol or Nadolol
teenager has meningitis, what 3 meds can be given to close contacts as prophylaxis?
rifamipin, ceftriaxone, or cipro
What is the first stage of labor?
contractions to complete dilation of cervix 10cm?
What is the latent and active phase of first stage of labor?
0-6 cm
6-10
What are normal length of time for latent and active phase of stage 1 of labor
20 hours for first time moms
14 hours for multi moms
what is normal second and third stage of labor?
full dilated to birth
delivery of placenta
What is prolonged second stage of labor?
First time moms push more than 3 hours
multi mom push more than 2 hours
What is meant by protracted active phase of first stage of labor?
cervix is dilating slower than 1 cm per hour
what is the most sensitive test for SLE?
What is the most specific test for SLE?
ANA
Anti ds DNA and anti amith
pagets disease of the breath means what
underlying breast cancer
Top 2 cancers that go to bone?
prostate and breast
top 3 infections causing eshopagitis in HIV patients?
candida
HSV
CMV
most common leukemia in kids?
ALL
most common leukemia for patients over 60?
CLL
What to remember about CML?
Philadelphia chromosome
9:22 translocation
bcr abl fusion which is active tyrosine kinase
How do you treat CML?
imatinib
What it the most common leukemia in adults over 30?
AML
What are symptoms of AML related to?
pancytopenia
worldwide, what is the most common cause of hypothyroidism?
iron deficiency
What is the most common cause of hypothyroidism in developed countries and what is causing it?
hashimotos
antibodies again TPO
What is the most common cause of hyperthyrodism and cause?
graves
antibodies against TSh
most common cause of thyroid cancer?
papillary
is cancer a cold or warm thyroid nodule
cold
what cardiac thing to think about with Turner syndrome?
bicuspid aortic valve or coarctaton of the aorta
men type 1 tumors
men type 2a tumors
men type 2b tumors
pituitary, parathyroid, pancreas
parathyroid, medullary thyroid, and pheo
mucosal neuroma, medullary thyroid, and pheo
what is the most specific test for m gravis?
acetylcholine receptor antibody test
antidote for serotonin syndrome?
cyproheptadine
