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1
Q

black widow

A

muscle cramping, CNS excitation, mindfuck

there is an antivenom if severe

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2
Q

brown recluse

A

local tissue destruction

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3
Q

actinic keratosis leads to

A

SCC

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4
Q

salicylate toxicity

A

resp alkalosis and anion gap metabolic acidosis

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5
Q

idiopathic intracranial htn (pseudotumor cerebri)

A

young obese female
h/o Vit A toxicity, steroids, tetracyclines
HA and visual sxs
acetazolamide, serial LPs

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6
Q

what labs will diabetes insipidus show?

A

increased plasma osmolality, decreased urine osmolality

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7
Q

primary adrenal insufficency (Addison’s)

A

abdominal pain, N/V/D, fever, confusion
hyperpigmented skin
hyponatremia and hyperkalemia
give IV hydrocortisone

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8
Q

SCC

A

red, scaly, hyperkeratotic nodule /papule that does not itch

a/w sun exposure but may also be from wounded, scarred, burnt skin

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9
Q

mgmt of thyroid storm

A

1-BB
2-PTU/Methimazole
3-Iodine
4-steroids

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10
Q

neutropenic fever

A

> 38 for 1 hour + ANC<500

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11
Q

caloric reflex testing

A

COWS
cold opposite
warm same

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12
Q

pneumonia PE

A

dullness to percussion, increased fremitus, bronchial/egophony

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13
Q

pleural effusion PE

A

dullness to percussion, decreased fremitus, decreased breath sound

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14
Q

pneumothorax PE

A

resonant percussion, decreased fremitus, decreased breath sounds

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15
Q

CLL

A

smudge cells

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16
Q

DKA tx

A

NS
when BS is around 200, switch to D51/2NS
may require K repletion

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17
Q

Kerion

A

h/o tinea capitis
scalp that is boggy and inflamed withpurulent nodules and plaques
tx oral griseofulvin

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18
Q

frontotemporal dementia

A

behavior/personality change

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19
Q

polyarteritis nodosa

A

tender lumps under skin on legs

livedo reticularis

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20
Q

CRVO

A

blood and thunder, hemorrhages

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21
Q

if TSH is high, check….

A

T4

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22
Q

which oral DM med causes most hypoglycemia

A

glyburide

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23
Q

sickle cell people are at risk of what type of infection for osteomyelities

A

salmonella

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24
Q

how is amphotericin metabolized

A

kidneys

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25
Q

subarachnoid

A

MCC aneurysm

give nimodipine

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26
Q

treat intracranial hemorrhage with

A

IV nicardipine

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27
Q

thryoid storm is MCC by

A

infection

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28
Q

erythema multiforme

A

acute onset target lesions

MCC HSV

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29
Q

ant cerebral artery stroke

30
Q

middle cerebral artery stroke

A

upper, contralateral paralysis

31
Q

posterior cerebral artery stroke

A

LOC, N/V, visual

32
Q

ranson criteria

A 
to assess pancreatitis
age>55
WBC>16K
glucose>200
LDH>350
AST>250
33
Q

anterior cord

A

loss of motor function below the lesion, retains proprioception and vibratory sensation
flexion or vascular accident
POOR prognosis

34
Q

Brown-Sequard

A

ipsilateral motor/vibration function loss
contralateral pain/temp sensation loss
penetrating trauma, GOOD prognosis

35
Q

central cord

A

b/l motor paresis and sensory impairment

forced hyperextension

36
Q

asthma classification

A

Mild intermittent-<2 night symptoms
Mild Persistent-3-4 night symptoms p/month
Mod Persistent->5 night symptoms p/month

37
Q

celiac

A

anti-endomysial AB

dermatitis herpetiformis

38
Q

what to monitor for pts on amiodarone

A

thyroid, liver function

yearly CXR

39
Q

Acute subdural hematoma is within how many days

A

3

Crescent

40
Q

Idiopathic pulmonary fibrosis

A

honeycombing

41
Q

Lung nodule sizing

A

<6mm no follow up

6-8 f/u CT

42
Q

Spontaneous bacterial peritonitis

A

History of liver disease with fevers, chills
TX with 3rd gen ceph
Types of insulin

43
Q

MAP

A

DBP + 1/3(SBP−DBP)

44
Q

How to dx vitilgo

A

woods lamp

45
Q

Bronciectasis

A

Dilated, thickened bronchi
Tram track
CF

46
Q

How early do you give insulin

A

15 min before meal

47
Q

Mcc blepharitis

A

Meiobian gland dysfunxtion

48
Q

CT smoking guidelines

A

recommended to undergo screening for lung cancer with low-dose computed tomography in adults aged 55 to 80 who have a 30 pack-year smoking history and currently smoke or who have quit within the past 15 years. Screening should be discontinued once a person has not smoked for 15 years or develops a health problem that substantially limits life expectancy or the ability or willingness to have lung surgery.

49
Q

Onychomycosis tx

A

terbinafine

50
Q

MCC choleastoatoma

A

eustachian tube dysfunction

51
Q

How to TX TB in person with ESRD

52
Q

Pretibial myxedema

A

hyperthyroid

53
Q

Hyperparathyroid kabs

A

hypercalcemia

decreased phosphate

54
Q

MC breast cancer

55
Q

Metabolic cause of post op ileus

A

hypokalemia

56
Q

pityriasis rosea tx

A

no tx required, can use topical/sys steroids or antihistamines

57
Q

tinea versicolor dx and tx

A

KOH

selenium sulfide shampoo

58
Q

serous otitis media tx

59
Q

globe rupture

A

+ Seidel sign

60
Q

acutue iritis

A

perilimal flushing

61
Q

TM bullae think

A

mycoplasma

62
Q

labyrinthitis

A

continuous vertigo, follows URI

63
Q

central vertigo

A

no loss of hearing or tinnitus

tumors*

64
Q

acoustic neuroma

A

unlateral sensinoneural hearing loss

65
Q

EBV

A

heterophile AB

66
Q

Ramsey-Hunt

A

ear herpes

67
Q

when to start dialysis

A

creatinine >8

68
Q

5 Ws of post-op fever

A 
Wind-pneumonia, 24-48 hours (atelectasis)
Water, UTI, 48-72
Wound, >72
Walking, >72, DVT
Wonder drug, 1 week
69
Q

HIV/immunosuppresion can lead to this type of cancer

70
Q

bacterial conjunctivitis may lead to

A

infectious keratitis

71
Q

ethylene glycol poison

A

sudden onset flank pain, hematuria, oliguira with high anion gap metabolic acidosis
urine microscopy shows calcium oxalate crystals

PANCE (15 decks)

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