Random Questions Flashcards

1
Q

SIADH

A
HIV
Small Cell CA
Carbamazepine
Cyclophosphamide
SSRI
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2
Q

Cushing’s syndrome

A
HTN
Hyperglycemia
Osteoporosis
Hypokalemia
Metabolic alkalosis
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3
Q

Viral meningitis in peds

A

Enterovirus

Arbovirus

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4
Q

OA

A

spares MCP joints

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5
Q

RA

A

compromises PIP and MCP

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6
Q

Propanolol in thyroid storm

A

decreases conversion of T4 to T3

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7
Q

ASA in thyroid storm

A

displaces thyroid hormone from TH binding proteins at high doses

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8
Q

HCTZ on Na

A

can induce HypoNa

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9
Q

Demeclocyline and lithium

A

blunt the response of collecting tubule cells to ADH, increasing excretion of water

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10
Q

post herpetic neuralgia tx

A

TCA (amitriptyline)
topical capsaicin (increases release of substance P and prevents reaccumulation in nerve fibers
gabapentin
long-acting oxycodone

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11
Q

SIBO tx

A

metoclopramide
rifaximin
amoxicillin-clavulanate

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12
Q

Noonan syndrome

A

AD
Short stature
facial dysmorphism
Congenital heart disease (pulmonic stenosis, ASD, hypertrophic cardiomyopathy)

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13
Q

Isotretinoin

A
hyperglycemia
hepatoxicity
mucocutaneous reactions
blood dyscrasias
ocular toxicity
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14
Q

angiodysplasia

A

Aortic stenosis

ESRD

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15
Q

Parinaud’s syndrome

A
loss of pupillary reaction
vertical gaze paralysis
loss of optokinetic nystagmus
ataxia
--> pineal tumor: can secrete hcg
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16
Q

Varicocele can cause…

A

testicular atrophy

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17
Q

Anterior pituitary horomes

A
ACTH
TSH
FSH
LH
GH
Prolactin
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18
Q

Posterior pituitary

A

oxytocin

vasopressin (ADH)

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19
Q

Asthma PFTs

A

Reduced FEV1/FVC

Normal or increased TLC and DLCO

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20
Q

Anklyosing spondylitis

A
Anterior uveitis
Aortic regurgitation
Pulmonary fibrosis
IgA nephropathy
Restrictive lung disease
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21
Q

Pellagra

A
niacin deficiency
dementia
diarrhea
dermatitis
stomatitis
cheiolosis
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22
Q

Rubella

A

posterior cervical LAD, rash that starts on face and spreads caudally
–> measles is much more ill-appearing

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23
Q

when to start statin

A

known atherosclerosis
LDL >190
age 40-75 with DM
10-year risk >7.5

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24
Q

Botulism

A

causes descending paralysis

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25
Q

valgus

A

abductor

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26
Q

varus

A

adductor

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27
Q

Addison’s disease

A

hyperkalemia, anion gap acidosis, prerenal azotemia, hypoglycemia

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28
Q

Splenic vein thrombosis

A

isolated gastric varices, complication of chronic recurrent pancreatitis

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29
Q

Portal vein thrombosis

A

gastric and esophageal varices

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30
Q

Vaccines at 12months

A

HiB, MMR, PVC, Varicella, HepA

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31
Q

paralytic ileus

A

hypokalemia

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32
Q

Herpangina

A

CoxA, vesicles on the posterior oropharynx

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33
Q

Primary HSV1

A

gingivostomatitis, perioral skin vesicles

34
Q

21-hydroxylase

A
decrease cortisol & aldosterone
increase testosterone
increase 17-hyrodxyprogesterone
salt wasting
hypotension
hyponatremia
hyperkalemia
hypoglycemia
35
Q

11beta-hydroxylase

A
decrease cortisol & aldosterone
increase testosterone
increase 11-deoxycorticosterone
Fluid & salt retention
hypertension
36
Q

17a-hydroxylase

A
decrease cortisol & testosterone
increase mineralcorticoids
increase corticosterone
fluid and salt retention
hypertension
37
Q

Nelson’s syndrome

A

pituitary enlargement, hyperpigmentation and visual field defect following bilateral adrenalectomy

38
Q

NF1

A
cafe au lait spots
lisch nodules (iris hamartomas)
pheochromocytoma
optic gliomas
bone dysplasia
axillary freckling
39
Q

NF2

A

cafe au lait spots
lisch nodules
bilateral acoustic neuromas

40
Q

MEN1

A
parathyroid tumors
pituitary tumors (GH, prolactin)
pancreatic tumors (Z-E syndrome, insulinomas, VIPomas, glucagonomas
41
Q

MEN2

A

Medullary thyroid CA
Parathyroid tumors
Pheochromocytoma

42
Q

MEN2B

A

Medullary thyroid CA
oral/intestinal ganlgioneuromatosis
Pheochromocytoma
Marfinoid habitus

43
Q

SAAG

A

Serum albumin minus the ascitic fluid albumin. Value >1.1 indicates presence of portal hypertension while a value of <1.1 indicates the absence of portal hypertension

44
Q

Thiazolidinedione medications (ie: pioglitazone)

A

can result in fluid retention via PPAR-y agonist effects on the renal collecting tubule resulting in sodium reabsorption. This effect is usually seen in patients with underlying heart failure.

45
Q

Digoxin toxicity

A

verapamil
quinidine
amiodarone
spironolactone

46
Q

Lights Criteria

A

an exudate if one or more of the following → pleural fluid protein/serum protein ratio >0.5
pleural fluid LDH/serum fluid LDH >0.6
or pleural fluid LDH > ⅔ upper limit of normal for serum LDH

47
Q

Adenosine Contraindication

A

pts with asthma or bronchospasm

48
Q

pap smears for immunocompromised

A

at onset of sexual activity

49
Q

Ondansetron on EKG

A

QT prolongation

50
Q

antibiotic that causes thrombocytopenia

A

linezolid

51
Q

antibiotic that causes CPK and myotoxicity

A

Daptomycin

52
Q

Thalassemia iron studies

A

microcyctic anemia

normal iron studies

53
Q

Iron deficiency anemia

A

Low iron
high TIBC
low ferritin

54
Q

Anemia of chronic disease

A

low iron
low TIBC
normal ferritin

55
Q

Sideroblastic anemia

A

high iron
high TIBC
normal ferritin

56
Q

Hyperthyroidism in pregnancy

A

PTU first trimester

MMI second and beyond

57
Q

celiac disease on biopsy

A

villous blunting

lymphocytic and plasma infiltration

58
Q

Antibiotics triggering seizures

A

penicillins, cephalosporins, monobactams, carbapenems (including imipenem), and fluoroquinolones

59
Q

electrolyte imbalance with TURP

A

hyponatremia

60
Q

best prognostic factor for acute Hep B episode

A

prothrombin time

61
Q

ASA overdose

A

high anion gap metabolic acidosis
respiratory alkalosis
transient hepatotoxicity

62
Q

Drugs affecting lithium levels

A
Diuretics
NSAIDs, except ASA
SSRI
ACE/ARB
Antiepileptics
63
Q

androgens and glucocorticoids on TFTs

A

decrease TBG: decrease levo requirement

64
Q

Pregnancy and TB

A

INH
Rifampin
Ethambutol

65
Q

Way to diagnose bronchiectasis

A

CT scan

66
Q

Drugs that increase warfarin effect

A
NSAIDs, Acetaminophen
Antibx, antifungals
Amidarone
Cranberry juice, ginkgo, VitE
Omeprazole
Thyroid Hormone
SSRIs
67
Q

Drugs that decrease warfarin effect

A
Rifampin
Carbamazepine
OCPs
Ginseng
St. John's wart
Green veggies
68
Q

Glasgow Coma Scale

A

Eyes: 4 (spontaneous) 3 (speech) 2 (pain) 1 (none)
Verbal: 5 (oriented) 4 (confused) 3 (inappropriate) 2 (incomprehensible) 1 (none)
Motor: 6 (obeys commands) 5 (localizes to pain) 4 (withdraws to pain) 3 (flexion to pain) 2 (extension to pain) 1 (none)

69
Q

hypercalcemia

A

shortened QT, confusion, decreased appetite

70
Q

BK polyomavirus

A

prominent basophilic intranuclaer inclusions

71
Q

migraine ppx

A

calcium channel blockers

beta blockers

72
Q

esophagitis pills

A
alendronate
tetracyclines
NSAIDs
iron
potassium
73
Q

Drugs that cause depression

A

interferon alpha

ribavarin

74
Q

Wegner’s granulmatosis can cause

A

diffuse alveolar hemmorhage

75
Q

drug that causes diabetes

A

olanzapine

76
Q

Joint aspiration leukocyte count

A

100,000: infectious

77
Q

Femoral hernias lie

A

medial to the femoral vein

inferior to the inguinal ring

78
Q

muddy brown casts in renal

A

contrast induced nephropathy

renal ischemia

79
Q

allopurinol

colchicine

A

allopurinol: decreases serum uric acid
colchicine: decreases inflammation

80
Q

Odds ratio

A

AD/BC

81
Q

Positive likelihood ratio

A

A/(A+C)/B/(B+D)