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Level 3 > question bank 2 > Flashcards

question bank 2 Flashcards

1
Q

what is the problem with Wilson disease?
defieicny of?
treatment?

A

copper build up
ceruloplasmin
penicillinamine

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2
Q

treatment for hemachromatosis?

A

deferoxamine

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3
Q

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?

A

vitamin d
rickets
iron

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4
Q

two lab values to remember with VIPOMAS?

A

low potassium and high glucose

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5
Q

patient faking illness for secondary gain, what do we call this?

A

malingering

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6
Q

what is first line therapy for tourettes?

A

guanfacine or clonidine

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7
Q

features of donor twin in twin to twin?

A

hypovolemia, anemia, and oligo fluid

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8
Q

features of recipient twin?

A

hypervolemia, poly fuid, jaundice and congestive heart failure

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9
Q

what is first line treatment for cdiff?

A

oral vanc or oral fidaxomicin

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10
Q

Pentad of TTP

A

fever, hemolytic anemia, purpura, neurologic symptoms and renal dysfunction

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11
Q

What does ITP lack that is very important?

A

anemia

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12
Q

most common precceding infection to GBS

A

camp je

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13
Q

most effective birth control?

A

IUD

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14
Q

Most common bug causing respiratory infection in CF

A

pseudomonas..then staph

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15
Q

leukocyte alkaline phosphatase is the classic lab finding for what?

A

leukamoid reaction

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16
Q

what is the most common cause of inherited cognitive impairment?

A

fragile x

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17
Q

3 clinical features of fragile x to rememebr?

A

long face, large ears and large testes

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18
Q

what thyroid level change happens during pregnancy?

A

increased t4

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19
Q

what two agents to treat rosacea?

A

topical metronidazole or topical ivermectin

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20
Q

what to think if I see rapidly progressive dementia with myoclonus or extrapyramidal symptoms?

A

CJD, get MRI

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21
Q

what is the difference between brief psychotic disorder, schizophreniform disorder, and schizophrenia?

A

less than 1 month
1-6 months
over 6 months

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22
Q

dexa score for osteopenia?
dexa score for osteoperosis?

A

-1 and -2.5
below -2.5

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23
Q

placenta is stuck on the uterine wall and difficult to remove, what am I thinking?
What is the major risk factor

A

placenta accreta
revious c section

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24
Q

first line therapy for narcolepsy?
first line therapy for narcolepsy when cataplexy is involved?

A

modafinil
pitolisant

25
Q

what bug causes meningitis in the following age groups?
neonate to 3 months?
3 months to 9 years?
teenagers and young adults?
older adults?

A

group b strep
strep pneumonia
neiserria
strep p

26
Q

what lymph nodes drain the ovaries and tests?

A

para aortic lymph nodes

27
Q

how to empirically cover for gonorrhea and chalmydia?

A

ceftriaxone and doxy

28
Q

What abx for syphillis?

A

penicillin

29
Q

unilateral, soul smelling nasal discharge in a child is most likely?

A

foreign body

30
Q

first and second line treatment for lice?

A

topical spinosad
ivermectin

31
Q

when do we use t scores and when do we use z scores

A

t scores when we estimate data, z scores when data is known

32
Q

what medicine do we use for hemorrhagic prophylaxis in cirrhotic patients?

A

propranolol or Nadolol

33
Q

teenager has meningitis, what 3 meds can be given to close contacts as prophylaxis?

A

rifamipin, ceftriaxone, or cipro

34
Q

What is the first stage of labor?

A

contractions to complete dilation of cervix 10cm?

35
Q

What is the latent and active phase of first stage of labor?

A

0-6 cm
6-10

36
Q

What are normal length of time for latent and active phase of stage 1 of labor

A

20 hours for first time moms
14 hours for multi moms

37
Q

what is normal second and third stage of labor?

A

full dilated to birth
delivery of placenta

38
Q

What is prolonged second stage of labor?

A

First time moms push more than 3 hours
multi mom push more than 2 hours

39
Q

What is meant by protracted active phase of first stage of labor?

A

cervix is dilating slower than 1 cm per hour

40
Q

what is the most sensitive test for SLE?
What is the most specific test for SLE?

A

ANA
Anti ds DNA and anti amith

41
Q

pagets disease of the breath means what

A

underlying breast cancer

42
Q

Top 2 cancers that go to bone?

A

prostate and breast

43
Q

top 3 infections causing eshopagitis in HIV patients?

A

candida
HSV
CMV

44
Q

most common leukemia in kids?

A

ALL

45
Q

most common leukemia for patients over 60?

A

CLL

46
Q

What to remember about CML?

A

Philadelphia chromosome
9:22 translocation
bcr abl fusion which is active tyrosine kinase

47
Q

How do you treat CML?

A

imatinib

48
Q

What it the most common leukemia in adults over 30?

A

AML

49
Q

What are symptoms of AML related to?

A

pancytopenia

50
Q

worldwide, what is the most common cause of hypothyroidism?

A

iron deficiency

51
Q

What is the most common cause of hypothyroidism in developed countries and what is causing it?

A

hashimotos
antibodies again TPO

52
Q

What is the most common cause of hyperthyrodism and cause?

A

graves
antibodies against TSh

53
Q

most common cause of thyroid cancer?

A

papillary

54
Q

is cancer a cold or warm thyroid nodule

A

cold

55
Q

what cardiac thing to think about with Turner syndrome?

A

bicuspid aortic valve or coarctaton of the aorta

56
Q

men type 1 tumors
men type 2a tumors
men type 2b tumors

A

pituitary, parathyroid, pancreas
parathyroid, medullary thyroid, and pheo
mucosal neuroma, medullary thyroid, and pheo

57
Q

what is the most specific test for m gravis?

A

acetylcholine receptor antibody test

58
Q

antidote for serotonin syndrome?

A

cyproheptadine

Level 3 (17 decks)

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