Rosh Flashcards
tx for essential tremor
(worse w/ movement, better with ETOH)
propanolol
People with travel to where have incr risk of histoplasmosis
Patient with a history of travel to Ohio/Mississippi river valleys and exposure to bird/bat droppings
tx for histoplasmosis
itraconazole
or
amphotericin B
which alzheimers drug is neuroprotective
memantine
2 tx options for alzheimers
Donepezil (cholinesterase inhibitor)
Memantine (NMDA antagonist)
microscopy of the brain showing:
amyloid plaques and neurofibrillary tangles
Alzheimers
test for sjorgen syndrome
Schirmer test
anti-Ro
anti-La
Sjorgen syndrome
tx for sjorgens
pilocarpine
Cevimeline
what med is used as the induction agent during intubation in patients with severe asthma?
ketamine
African American Female
+
Bilateral hilar lymphadenopathy
+
Erythema nodosum
Sarcoidosis
What is seen on labs w/ sarcoidosis
Elevated ACE
Elevated Calcium
what is seen on bx with sarcoidosis
noncaseating granulomas
what is seen on labs in reactive arthritis
HLA-B27
Optic neuritis
lhermitte sign
fatigue
heat sensitivity
MS
treatment for acute attacks in MS
glucocorticoids
what will CSF show in MS
↑ IgG protein, WBC pleocytosis
What are the 5 hallmarks of adrenal crisis
profound weakness
severe abdominal pain
peripheral vascular collapse
electrolyte abnormalities (hyponatremia, hyperkalemia)
shock.
tx for myasthenia gravis
pyridostigmine
what type of tumor is a/w myasthenia gravis
thymoma
“honecombing” on CXR or CT
idiopathic pulmonary fibrosis
which antihypertensive MCly causes pedal edema
amlodipine
what virus is associated with several types of hodgkin lymphoma
Epstein-Barr Virus
Reed-Sternberg Cells
Hodgkins lymphoma
what patients are at risk of developing heart failure
h/o myopathy
familial heart disease
rheumatic heart disease
hyperthyroidism
pheochromocytoma
dyslipidemia
diabetes mellitus
hypertension
sleep apnea
peripheral arterial disease
substance abuse
chemo/radiation to the chest.
What is the gold standard in the diagnosis of acute angle closure glaucoma
Gonioscopy
what is a possible SE of sildenafil
cyanopsia, or blue discoloration of vision
what other rheum condition is a/w polymyalgia rheumatica
giant cell arteritis
Mitral regurg vs mitral prolapse:
- A) Murmur= turbulent blood flow across redundant mitral valve tissue
- Late systolic murmur preceded by a click
- B) EARLY systolic murmur
- Holosystolic decrescendo murmur
- MV prolapse
- Murmur= turbulent blood flow across redundant mitral valve tissue
- Late systolic murmur preceded by a midsystolic click
- Murmur= turbulent blood flow across redundant mitral valve tissue
- Mitral regurg
- EARLY systolic murmur
- Holosystolic decrescendo murmur
1st line therapy for trigeminal neuralgia
carbamazepine
MCC death of patients with RMSF
myocarditis
Tx for RMSF if PCN allergy
chloramphenicol
(1st line, no PCN allergy= doxy)
acute tx of mitral regurg
nitroprusside, dobutamine, intra-aortic balloon pump, emergency surgery
chronic tx of mitral regurg
anticoagulation, CHF rx, valve replacement
tx for peripheral vascular disease
Aspirin, cilostazol, rosuvastatin, smoking cessation, and structured exercise
What lab findings are seen in RA
RF
anti-cyclic citrullinated peptide antibodies (more specific)
What bacteria MCly causes Erysipelas
strep pyogenes
tx for Erysipelas
- systemic symptoms: IV cefazolin, ceftriaxone or flucloxacillin
- Mild to moderate infections (without systemic symptoms): PO amoxicillin or cephalexin
which cholesterol med can cause hyperuricemia
niacin
what is the MC complication of ankylosing spondylitis
uveitis
someone with perioral dermatitis will most likely have what in their history
topical steroid use
tx for perioral dermatitis
Topical: metronidazole or erythromycin
Oral: Tetracyclines
NO TOPICAL CORTICOSTEROIDS
