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MJ- Internal Med EOR > Rosh > Flashcards

Rosh Flashcards

1
Q

tx for essential tremor

(worse w/ movement, better with ETOH)

A

propanolol

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2
Q

People with travel to where have incr risk of histoplasmosis

A

Patient with a history of travel to Ohio/Mississippi river valleys and exposure to bird/bat droppings

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3
Q

tx for histoplasmosis

A

itraconazole

or

amphotericin B

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4
Q

which alzheimers drug is neuroprotective

A

memantine

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5
Q

2 tx options for alzheimers

A

Donepezil (cholinesterase inhibitor)

Memantine (NMDA antagonist)

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6
Q

microscopy of the brain showing:

amyloid plaques and neurofibrillary tangles

A

Alzheimers

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7
Q

test for sjorgen syndrome

A

Schirmer test

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8
Q

anti-Ro

anti-La

A

Sjorgen syndrome

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9
Q

tx for sjorgens

A

pilocarpine

Cevimeline

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10
Q

what med is used as the induction agent during intubation in patients with severe asthma?

A

ketamine

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11
Q

African American Female

+

Bilateral hilar lymphadenopathy

+

Erythema nodosum

A

Sarcoidosis

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12
Q

What is seen on labs w/ sarcoidosis

A

Elevated ACE

Elevated Calcium

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13
Q

what is seen on bx with sarcoidosis

A

noncaseating granulomas

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14
Q

what is seen on labs in reactive arthritis

A

HLA-B27

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15
Q

Optic neuritis

lhermitte sign

fatigue

heat sensitivity

A

MS

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16
Q

treatment for acute attacks in MS

A

glucocorticoids

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17
Q

what will CSF show in MS

A

↑ IgG protein, WBC pleocytosis

18
Q

What are the 5 hallmarks of adrenal crisis

A

profound weakness

severe abdominal pain

peripheral vascular collapse

electrolyte abnormalities (hyponatremia, hyperkalemia)

shock.

19
Q

tx for myasthenia gravis

A

pyridostigmine

20
Q

what type of tumor is a/w myasthenia gravis

A

thymoma

21
Q

“honecombing” on CXR or CT

A

idiopathic pulmonary fibrosis

22
Q

which antihypertensive MCly causes pedal edema

A

amlodipine

23
Q

what virus is associated with several types of hodgkin lymphoma

A

Epstein-Barr Virus

24
Q

Reed-Sternberg Cells

A

Hodgkins lymphoma

25
Q

what patients are at risk of developing heart failure

A

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.

26
Q

What is the gold standard in the diagnosis of acute angle closure glaucoma

A

Gonioscopy

27
Q

what is a possible SE of sildenafil

A

cyanopsia, or blue discoloration of vision

28
Q

what other rheum condition is a/w polymyalgia rheumatica

A

giant cell arteritis

29
Q

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
A
  • MV prolapse
    • Murmur= turbulent blood flow across redundant mitral valve tissue
      • Late systolic murmur preceded by a midsystolic click
  • Mitral regurg
    • EARLY systolic murmur
    • Holosystolic decrescendo murmur
30
Q

1st line therapy for trigeminal neuralgia

A

carbamazepine

31
Q

MCC death of patients with RMSF

A

myocarditis

32
Q

Tx for RMSF if PCN allergy

A

chloramphenicol

(1st line, no PCN allergy= doxy)

33
Q

acute tx of mitral regurg

A

nitroprusside, dobutamine, intra-aortic balloon pump, emergency surgery

34
Q

chronic tx of mitral regurg

A

anticoagulation, CHF rx, valve replacement

35
Q

tx for peripheral vascular disease

A

Aspirin, cilostazol, rosuvastatin, smoking cessation, and structured exercise

36
Q

What lab findings are seen in RA

A

RF

anti-cyclic citrullinated peptide antibodies (more specific)

37
Q

What bacteria MCly causes Erysipelas

A

strep pyogenes

38
Q

tx for Erysipelas

A
  • systemic symptoms: IV cefazolin, ceftriaxone or flucloxacillin
  • Mild to moderate infections (without systemic symptoms): PO amoxicillin or cephalexin
39
Q

which cholesterol med can cause hyperuricemia

A

niacin

40
Q

what is the MC complication of ankylosing spondylitis

A

uveitis

41
Q

someone with perioral dermatitis will most likely have what in their history

A

topical steroid use

42
Q

tx for perioral dermatitis

A

Topical: metronidazole or erythromycin

Oral: Tetracyclines

NO TOPICAL CORTICOSTEROIDS

MJ- Internal Med EOR (4 decks)

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