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Random 2 Flashcards

1
Q

Common etiologies of pediatric stroke

A

SCD
Prethrombotic disorders
Congenital cardiac disease
bacterial meningitis

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2
Q

Morton neuroma

A

numbness or pain between the 3rd and 4th toes

clicking sensation when palpating space between 3 and 4 metatarsal joints

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3
Q

Adjustment disorder

A

Behavioral symptoms due to a stressor within 3 months no longer than 6 months

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4
Q

Generalized anxiety disorder

A

Excessive worry for multiple things

>6 months

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5
Q

whistling noise after rhinoplasty> suspect ?

A

septal perforation

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6
Q

dimpling warm edematous lesions in breast? dx?

A

inflammatory breast cancer

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7
Q

varicella vaccine in HIV

A

withhold if CD4 < 200

Otherwise safe

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8
Q

PMH of CANCER
develops lower extremity motor weakness, hyperreflexia, bladder dysfunction along pain
Dx?

A

Epidural spinal cord compression

FIRST give glucocorticoids! then neurosurgery

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9
Q 
DMII
Necrolytic migratory erythema
weight loss 
diarrhea
anemia normo/normo
diagnosis?
A

Glucagonoma

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10
Q 
Palpable purpura
proteinuria
hematuria
HCV 
diagnosis?
A

Mixed cryoglobulinemia

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11
Q

Chronic myeloid leukemia

A 
WBC >100,000 
BCR ABL fusion
LAP score > low 
more myelocytes
Absolut basophilia present
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12
Q

ITP treatment in children

A

petechiaes only: observation

Bleeding: IVIg / Glucocorticoids

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13
Q

ITP treatment in adults

A

Platelets<30000 without bleeding: observe

platelets <30000 OR bleeding: IVIg or glucocorticoids

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14
Q

Neuropsychiatric symptoms
abdominal pain
Urinary porphobilinogen

A

Acute intermittent porphyria

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15
Q

Suspect pernicious anemia>

A 
northern europeans 
megaloblastic anemia 
atrophic glositis 
vitiligo
thyroid disease 
neurologic abnormalities
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16
Q

treatment of agitated delirium

A

Typical or atypical antipsychotics

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17
Q

serum sickness like reaction clues

A

fever
urticarial rash
arthralgia
lymphadenopathy

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18
Q

serum sickness like reaction associated to >

A

Penicillin / TMP SMX
acute hepatitis
immune complex formation

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19
Q

placenta previa recommendations>

A

NO intercourse or digital vaginal examination

transabdominal followed by transvaginal sonography

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20
Q

Niemann pick and Tay sachs disease difference

A

Common> 2-6 months, loss of motor milestones, hypotonia, feeding difficulties, Cherry red macula, hepatosplenomegaly
NPD&raquo_space;» arreflexia. sphingomyelinase
TSD»»>hyperreflexia, B hexosaminidase A

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21
Q

Breast cancer modifiable factors

A

hormone replacement therapy
nulliparity
increased age at first live birth
alcohol consumption

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22
Q

Offer BRCA testing

A

first degree relatives cancer before 50

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23
Q

Diagnosis of acute liver failure

A

ALT/AST >1000
Hepatic encephalopathy
INR >1.5

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24
Q

Differentiate Acute liver failure and hepatitis

A

hepatitis doesnt present with encephalopathy

25
Q

Main risk factor associated with Aortic abdominal aneurism worsening

A

SMOKING

26
Q

Recurrent calcium kidney stones prevention>

A

increase fluid consumption
dietary sodium and protein restriction
normal calcium consumption
Thiazides> increase passive calcium reabsorption

27
Q

Asymptomatic SIADH treatment

A

Fluid restriction

28
Q

Severe symptomatic hyponatremia due to SIADH

A

Hypertonic saline

29
Q

stroke like symptoms with allodynia> where is the lesion?

A

Thalamus

Thalamus pain syndrome

30
Q

Most common cause of asymptomatic elevation of alkaline phophatase in an elderly

A

Paget disease of the bone

31
Q

Chronic granulomatous disease diagnosis

A

Neutrophil function testing>

  • Dihydrorhodamine 123 test
  • nitroblue tetrazolium test
32
Q

Cyclosporine side effects

A 
Nephrotoxicity> most common 
hypertension 
neurotoxicity > headache visual disturbances 
glucose intolerance 
Infection 
Malignancy
hirsutism gum hyperthrophy
33
Q

Major toxicity of azathioprine????!!!!!

A

dose ralated diarrhea, leukopenia, hepatoxicity

34
Q

Major toxicity of mychophenolate

A

> > Bone marrow suppression

35
Q

Disseminated gonococcal infection

A

purulent monoarthritis AND/OR
tenosynovitis
dermatitis

36
Q

Earliest renal abnormality present in patients with DM

A

Hyperfiltration

37
Q

Scarlet fever

A

Group A streptococcus
fever, chills, toxicity, abdominal pain, pharyingitis
SAND PAPER LIKE RASH
desquamation after first week

38
Q

Bupropion contraindications

A

Seizure disorder history
Anorexia
Bulimia nervosa

39
Q

Alcohol withdrawal seizures peaks at:

A

12-48 hours

40
Q

Intrahospital Cyanide toxicity

A

Suspect if nitroprusside infusion

Altered mental status
Lactic acidosis
Seizures
Coma

41
Q

Breastfeeding contraindications

A 
Active untreated tuberculosis 
Maternal HIV 
Herpetic breast lesions 
Active varicella infection 
Chemotherapy or radiation therapy 
Active substance abuse
42
Q

Biliary cyst

A

Abdominal pain
Jaundice
Palpable mass

43
Q 
Lethargy 
Hypotonia 
Rapidly increasing head circumference 
Bulging fontanels 
In a premature 
Diagnosis ?
A

Intraventricular hemorrhage

Confirm with US

44
Q

Previous uterine incision contraindication for trial of delivery ?

A

Vertical cesarean delivery

Abdominal myomectomy with uterine cavity entry

45
Q

Laryngomalacia clue

A

Inspiratory stridor

improvement with prone positioning

46
Q

Stridor that improves with neck extension

A

Vascular ring

47
Q

Succinylcholine risks:

A

Cardiac arrhythmia due to severe hyperkalemia

48
Q

Osteoporosis risk factors

A 
RA
low body weight 
Female sex 
Smoking 
Postmenopausal 
Excess alcohol
49
Q

Reactive arthritis

A

Non gonococal urethritis
Asymmetric oligoarthritis
Conjunctivitis

50
Q

How to differentiate between mononucleosis and oral gonorrhea ?

A

Sexually active

EBV produces exudative pharyngitis and tender cervical lymphadenopathy

51
Q

Severe hypercalcemia clues

A

weakness
gastrointestinal distress
neuropsychiatric symptoms

52
Q

Severe hypercalcemia initial treatment

A

saline hydration

intravascular volume

53
Q

LAB to rule out CHF in a patient with dyspnea

A

BNP

Highly specific

54
Q

2 years
Solid tumor in abdomen
Serum catecholamines elevated
Most likely?

A

Wilms tumor

arising from neural crest cells > paravertebral sympathetic chain and adrenals

55
Q

Angiodysplasia

A

Cause of painless GI in elders

Caused by submucosal veins and arteriovenous malformations `

56
Q

Posterior urethral valves exclusive to….

A

boys

57
Q

Polymyositis clues

A

muscle weakness
elevated sedimentation rate and CK
NO MYALLGIAS

58
Q

Hypothyroid myopathy

A

myalgias
proximal weakness elevated CK
Delayed reflexes

CK (12 decks)

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