Step3 5 Flashcards

1
Q

Clinical manifestations of Gastrinoma

A

Peptic ulcers

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2
Q

Clinical manifestations of Insulinoma

A

Hypoglycemia

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3
Q

Clinical manifestations of VIPoma

A

Secretory diarrhea, hypokalemia, hypochloremia

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4
Q

Clinical Manifestations of Glucagonoma

A

Hyperglycemia

Weight loss

Necrolytic migratory erythema: erythematous scaly rash with central clearing. Also, itchy and painful

Other symptoms: diarrhea, abdominal cramps, flushing

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5
Q

Screening lab test for Medullary thyroid cancer

A

Calcitonin

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6
Q

Iron studies in Iron deficiency anemia vs. Alpha and Beta Thalassemia

A

Iron deficiency:
Low ferritin and low iron
Increased TIBC

Thalassemias:
Normal or elevated

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7
Q

MCV in iron def. anemia vs. Alpha and Beta Thalassemia

A

Low in all

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8
Q

RDW in iron def. anemia vs. Alpha and Beta Thalassemia

A

Elevated in Iron deficiency

Normal in thalasemias

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9
Q

Common races that suffer from thalassemia

A

Indian, Mediterranean, Middle eastern, south east Asia, African

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10
Q

Treatment for pityriasis rosea

A

Topical cream: 80% effective

Ketokonazol
Terninafine
Clotrimazol
Selenium

Severe or resistant
Oral ketokonazol. clotrimazol, fluconazol

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11
Q

Tick paralysis clinical presentations

A

Rapidly progressive gait ataxia with ascending paralysis

4-7 days after tick attachment

Fever is uncommon

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12
Q

Treatment for cataplexy with MOA of the drug (3)

A

Venlafaxine (SNRI)

may add a TCA

Sodium oxybate (salt from hydroxybutyrate) can also help these symptoms but it is rarely used due to abuse potential

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13
Q

Presentation and diagnosis of intussusception

A

Colic pain
Currant jelly stools
Vomiting

Diagnose with air contrast enema

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14
Q

Risk factor for pyloric stenosis

A

First borne
Bottle-fed
Erythromycin or Azitromycin

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15
Q

Imaging test for Parkinson’s disease

A

Striatal dopamine transporter scan (DaTSCAN)

Low Ioflupane intake is diagnostic of the disease.

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16
Q

Parkinson disease treatment

A

C SALAD

COMT inhibitors: entacapone, tocalpone

Seligeline

Amatadine

Levodopa/carvidopa

Anticholinergics: benztropine

Dopamine agonist: bromocriptine, pramipexole, cabergoline

17
Q

Associated condition with Acanthosis nigricans (2)

A

Insulin resistance

GI Malignancy

18
Q

Skin condition associated with

Insulin resistance

GI Malignancy

A

Acanthosis nigricans

19
Q

Condition associated with:

Multiple skin tags

A

Insulin resistance

Pregnancy

Chron’s (perianal)

20
Q

Disease associated with pyoderma gangrenosum

A

Inflammatory bowel disease

21
Q

Antihypertensive medications that can be used until the day of surgery

A

ARA II
ACEI
Diuretics

Stop on the day of surgery unless patient is taking it due to heart failure

22
Q

Medication that increased risk for thrombotic events during surgery

A

Strogen modulators

Tamoxifen, Raloxifen

Stop 4 weeks before surgery

23
Q

Skin condition associated with:

Insulin resistance

Pregnancy

Chron’s (perianal)

A

Multiple skin tags

24
Q

Condition associated with:

Porphyria cutanea tarda

Cutaneous leukocytoclastic vasculitis secundary to cryoglobulinemia

A

Hepatitis C

25
Q

Skin condition associated with:

Hep C

A

Porphyria cutanea tarda

Cutaneous leukocytoclastic vasculitis secundary to cryoglobulinemia

26
Q

Condition associated with:

Dermatitis herpetiform

A

Celiac disease

27
Q

Skin condition associated with:

Celiac disease

A

Dermatitis herpetiform

28
Q

Condition associated with:

Severe seborrheic dermatitis

A

HIV

Parkinson

29
Q

Skin condition associated with:

HIV

Parkinson

A

Severe seborrheic dermatitis

30
Q

Skin condition associated with HIV

A

Sudden onset severe psoriasis

Recurrent herpes zoster

Disseminated molluscum contagiosum

Severe seborrheic dermatitis

31
Q

Skin condition associated with

GI malignancy

A

Explosive onset multiple itchy seborrheic keratosis

Acanthosis nigricans