Smarty PANCE Practice Exam Stuff I Got Wrong Flashcards
WBC > 20,000
lymphocytes > 5,000
CLL
first line tx for htn in pregnancy
labetalol
normal methylmalonic acid
increased homocysteine
folic acid deficiency
increased methylmalonic acid
increased homocysteine
B12 deficiency
common s.e of SSRIs in elderly and CKD pt’s
SIADH -> hyponatremia
what is hutchinson’s sign
shingles on the tip of the nose -> suggests corneal involvement -> urgent ophthalmologist referral
best screening method for ADPKD
renal US
what type of tumor is a carcinoid tumor
neuroendocrine
hallmark presentation of botulism
blurry vision and vertical diplopia after prodromal GI sx
pathophys of botulism infxn
Ach antagonism
weird way Smarty PANCE described gout crystals
yellow crystals in parallel to the polarization filter
dyspareunia and dental caries
sjorgens
anti-DNA topoisomerase
scleroderma
anti microsomal abs
hashimoto thyroiditis
anti-Ro abs
sjorgens
anti-La abs
sjorgens
bloody diarrhea pathogens
salmonella
e.coli
entamoeba
campylobacter
shigella
yersinia
gradual progressive proximal muscle weakness and elevated creatinine phosphokinase
polymyositis
any increase in sputum production reported by a pt w. a hx of COPD requires
abx
eggshell calcifications of hilar lymph nodes
silicosis
interstitial fibrosis and pleural thickening
asbestos
what type of AKI are eosinophils associated w.
AIN
HIV pt w. CD4 count < 50, cough, fever, and hepatomegaly
myobacterium avium complex
early vs late signs of RA
early: soft tissue swelling, osteopenia, erosions, joint space narrowing
late: ulnar deviation, boutonniere/swan neck, ankylosis
joints most commonly affected by RA
PIP
MCP
MTP
if the DIP is involved you can probs rule out
RA
ABI that indicates need for immediate surgical consult
<0.41
s.e to know of macrolides
QT prolongation
elevated ALP, sclerotic/lytic lesions on XR
paget dz of the bone
3 indicaitons for IVC obstruction w. varicocele
what would you order if you see any of these 3 things
right sided
bilat
failure to disappear when lying down
order a CT abd
steps in management of refractory familial hypercholesterolemia
- high intensity statin
- ezetimibe
- PCSK9 inhibitor
management of an incidental pulmonary nodule in non smoking pt’s based. onage
<35 yo: CT
>35 yo: needle bx
4 hallmark features of delirium
fluctuating level of consciousness
hallucinations
disorientation
abnl vitals
3 mcc of myocarditis
adenovirus
coxsackie B
parvovirus B19
triad for reactive arthritis (reiter’s syndrome)
urethritis
arthritis
conjunctivitis
first line tx for reactive arthritis
nsaids
4 pathogens mc associated w. reactive arthritis
salmonella
shigella
yersinia
campylobacter
2 mcc of dilated cardiomyopathy
ischemia
long standing htn
tx for refractory ITP w. PLT counts < 20,000 x 6 weeks
splenectomy
2 mcc of mitral regurgitation
- MVP
- posterior MI
23 yo AA M w. cc of limp - he has pain his left groin that worsens with walking and has become worse over the past few months - he has had a history of painful attacks that occur once or twice a year and also involve his hands and back
SSA
pulmonary artery pressure consistent w. dx of pulmonary fibrosis
> /= 25
CSF findings associated w. guillain barre
glucose: normal
WBC count: normal
protein: elevated
asymptomatic pt of meditearranean origin w. isolated microcytic anemia
beta thalassemia minor
electrophoresis findings of beta thalassemia minor
Hgb A
thalassemia is associated with what 2 types of cells
target
teardrop
fever, microangiopathic hemolytic anemia, thrombocytopenia w. petechiae, renal dysfxn, AMS
thrombotic thrombocytopenic purpura
tx for tetanus
tetanus immune globulin
+
tetanus toxoid
+
metronidazole
with cirrhosis, what causes palmar erythema, gynecomastia, spider angiomas, and testicular atrophy
hyperestrinism
cirrhosis leads to elevated circulating estrogens
what test evaluates the excitability of the myocardium and is able to reproduce vtach
electrophysiology studies
2 abs associated w. hashimoto’s
anti thyroid peroxidase (anti-microsomal)
anti thyroglobulin
what abs are associated w. SLE
ANAs:
dsDNA
anti-SM
what lab value is elevated in 50-60% of SSA cases
ACE
mc virus of solid organ transplant recipients
CMV