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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
Main risk factor associated with Aortic abdominal aneurism worsening
SMOKING
26
Recurrent calcium kidney stones prevention>
increase fluid consumption dietary sodium and protein restriction normal calcium consumption Thiazides> increase passive calcium reabsorption
27
Asymptomatic SIADH treatment
Fluid restriction
28
Severe symptomatic hyponatremia due to SIADH
Hypertonic saline
29
stroke like symptoms with allodynia> where is the lesion?
Thalamus | Thalamus pain syndrome
30
Most common cause of asymptomatic elevation of alkaline phophatase in an elderly
Paget disease of the bone
31
Chronic granulomatous disease diagnosis
Neutrophil function testing> - Dihydrorhodamine 123 test - nitroblue tetrazolium test
32
Cyclosporine side effects
``` Nephrotoxicity> most common hypertension neurotoxicity > headache visual disturbances glucose intolerance Infection Malignancy hirsutism gum hyperthrophy ```
33
Major toxicity of azathioprine????!!!!!
dose ralated diarrhea, leukopenia, hepatoxicity
34
Major toxicity of mychophenolate
>> Bone marrow suppression
35
Disseminated gonococcal infection
purulent monoarthritis AND/OR tenosynovitis dermatitis
36
Earliest renal abnormality present in patients with DM
Hyperfiltration
37
Scarlet fever
Group A streptococcus fever, chills, toxicity, abdominal pain, pharyingitis SAND PAPER LIKE RASH desquamation after first week
38
Bupropion contraindications
Seizure disorder history Anorexia Bulimia nervosa
39
Alcohol withdrawal seizures peaks at:
12-48 hours
40
Intrahospital Cyanide toxicity
Suspect if nitroprusside infusion Altered mental status Lactic acidosis Seizures Coma
41
Breastfeeding contraindications
``` Active untreated tuberculosis Maternal HIV Herpetic breast lesions Active varicella infection Chemotherapy or radiation therapy Active substance abuse ```
42
Biliary cyst
Abdominal pain Jaundice Palpable mass
43
``` Lethargy Hypotonia Rapidly increasing head circumference Bulging fontanels In a premature Diagnosis ? ```
Intraventricular hemorrhage Confirm with US
44
Previous uterine incision contraindication for trial of delivery ?
Vertical cesarean delivery | Abdominal myomectomy with uterine cavity entry
45
Laryngomalacia clue
Inspiratory stridor | improvement with prone positioning
46
Stridor that improves with neck extension
Vascular ring
47
Succinylcholine risks:
Cardiac arrhythmia due to severe hyperkalemia
48
Osteoporosis risk factors
``` RA low body weight Female sex Smoking Postmenopausal Excess alcohol ```
49
Reactive arthritis
Non gonococal urethritis Asymmetric oligoarthritis Conjunctivitis
50
How to differentiate between mononucleosis and oral gonorrhea ?
Sexually active | EBV produces exudative pharyngitis and tender cervical lymphadenopathy
51
Severe hypercalcemia clues
weakness gastrointestinal distress neuropsychiatric symptoms
52
Severe hypercalcemia initial treatment
saline hydration | intravascular volume
53
LAB to rule out CHF in a patient with dyspnea
BNP Highly specific
54
2 years Solid tumor in abdomen Serum catecholamines elevated Most likely?
Wilms tumor arising from neural crest cells > paravertebral sympathetic chain and adrenals
55
Angiodysplasia
Cause of painless GI in elders | Caused by submucosal veins and arteriovenous malformations `
56
Posterior urethral valves exclusive to....
boys
57
Polymyositis clues
muscle weakness elevated sedimentation rate and CK NO MYALLGIAS
58
Hypothyroid myopathy
myalgias proximal weakness elevated CK Delayed reflexes

CK (12 decks)

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