Review Flashcards

1
Q

What is the tetrad of CLL and how is it diagnosed?

A

Hepatosplenomegaly, lymphocytosis, recurrent indections, lymphadenopathy. It is dx by flow cytometry

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2
Q

Hepatopulmonary syndrome

A

Intravascular pulmonary dilation, leading to platypnea or orthopnea due to liver cirrhosis

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3
Q

What is PSC and PBC associated with

A

PSC with pANCA, PBC with anti mitochondrial abs

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4
Q

Most beneficial therapy for restricting diabetic nephropathy

A

Tight blood pressure control

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5
Q

Pes Anserian pain syndrome

A

Pain on medial side of the knee, no pain on valgus stress test (checks for MCL involvement)

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6
Q

Pseudogout associated with

A

Hemachromatosis

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7
Q

Behcet syndrome

A

Aphthous oral ulcers, genital ulcers and uveitis

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8
Q

Saline responsive and saline resistant metabolic alkalosis

A

Urine Cl less than 20 is saline responsive (vomiting, diarrhea, laxative abuse) and more than 20 is saline resistant (cushings, hyperaldosteronism, severe hyperkalemia)

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9
Q

Equation for osmolal gap

A

(2xNa + Glucose/18 + BUN/2.8), more than a gap of 10 is not normal

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10
Q

3 causes of asterixis

A

hypercapnia, hyperuremia and hepatic encephalopathy

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11
Q

2 nephropathies that happens after URI and how to differentiate between them

A

IgA nephropathy happens within 5 days of URI, PSGN happens after 10 to 21 days

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12
Q

What disease has the hallmark of enthesitis

A

Ankylosing spondylitis and psoriasis

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13
Q

What disease has the hallmark of enthesitis

A

Ankylosing spondylitis and psoriasis

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14
Q

Hallmark of RTA

A

Metabolic acidosis with hyperkalemia out of proportion to renal disease, usually happens in the elderly with poorly controlled diabetes

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15
Q

Tactile fremitus is only increased in what

A

Pneumonia

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16
Q

Empiric tx of community acquired pneumonia

A

In healthy patients: doxy or macrolides

In comorbid patients: floroquinolones or beta lactam + macrolides