Study Topics from Practice Exams Flashcards
Adam Stokes syncopy is related to what cardiac dysrhythmia?
3rd Degree AV Block
Hearing loss is associated with central or peripheral vertigo?
peripheral (non-CNS)
A pupil which does not react to light, but does react to accommodation and related to syphilis infection is called what?
Argyll Robertson Pupil
Which joint do heberden’s nodes affect?
DIP
which joint to bouchard’s nodes affect?
PIP (B before H)
Most common pediatric leukemia?
ALL
Most common pediatric brain malignancy?
medulloblastoma
brain lesion on pediatric patient above 4th ventricle…
medulloblastoma
Diet changes to prevent kidney stones…
hydration low protein low salt
slurred, wide QRS tachycardia on EKG
Wolff-Parkinson-White Syndrome
Tx for stable WPW
Procaineamide/amiodarone
Tx for unstable WPW
Sync Cardioversion
Definitive Tx of WPW
Radiofrequency Catheter Ablation
2 rate control drug classes for stable AF…
Beta 1 Blockers (atenolol, esmolol, metoprolol)
Non-Dihydropyridine CCBs (Dilt, Verapamil)
test used to assess need for anticoags in AF…
CHADS2VASC
Wide, fixed split S2 without respiratory variation with systolic ejection murmur at LUSB
ASD
Why are NSAIDs tx of choice for PDA?
inhibit prostaglandin synth (which is cause of PDA)
Harsh holosystolic murmur at left sternal border and right ventricular heave…
VSD murmur of Tetralogy of Fallot
Tx of cardiogenic shock
Oxygen
Pressers –> Intra-aortic balloon pump
avoid aggressive IV fluid
Etiology of PS…
congenital, young patients w/ rubella hx
harsh mid-systolic crescendo-decrescendo 2LICS increased with inspiration
Pulmonic Stenosis
mid-late systolic ejection click with murmur
sxs of autonomic dysfunction (CP, anxiety, palpitations)
MVP
Brief decrescendo early diastolic murmur with inspiration
2LICS
pulmonic regurgitation
mid-diastolic murmur at LLSB, worse with inspiration, opening snap
Tricuspid stenosis
holosystolic blowing, high-pitched murmur at subxiphoid area worse with inspiration
tricuspit regurgitation
Immediate surgical repair is required for a AAA of what size?
5.5cm or greater
AAA of 3-4cm mgmt…
screen yearly
Mgmt of AAA 4-4.5cm
US q 6 mo
A prolonged QT may result in what type of dysrhythmia?
VT
Transient ST elevations which resolve with sxs resolution
Non-exertional CP
vasospastic angina
vasospastic angina dx
ECG (screen), angio w/ ergonovine (Dx)
Screening and imaging of choice for dx of SPNs
CXR Screen
CT Chest for Dx
Syndrome of:
- periodic diarrhea
- flushing
- tachycardia
- bronchoconstriction
Carcinoid Syndrome
On bronchoscopy:
-tumor of pink/purple, well vascularized, centrally located
carcinoid
lung CA screening for smokers…
55-80 yo + 30 pack year hx even if quit in last 15 years.
Which lung CA?
- peripheral lesion
- MC type
adenocarcinoma
Which Lung CA?
- strongly a/w smoking
- Central location
- Cavitary lesion
- Hypercalcemia
- Pancoast syndrome
Squamous Cell
Which lung CA?
- central location
- a/w paraneoplastic syndromes
- no surgery
small cell/oat cell
Proximal muscle weakness
dry mouth
hyporeflexia
small cell lung CA
lambert-eaton syndrome
SVC syndrome a/w which type of tumor?
small cell bronchogenic
Apical tumor
shoulder/arm pain
Horner syndrome
weakness of hand muscles
a/w SCC lung CA
pancoast tumor
Post-exposure HAV prophylaxis age 1-40
HAV vaccine
post-exposure HAV prophylaxis for immunocompromised or liver disease
HAV vaccine + HAV Immunoglobulin
3 step approach to HBV serology
- Surface antigen (if (+), acute or chronic infx)
- Core Ab (IgM acute vs IgG distant)
- Surface Ab if antigen negative ( POS = vaccination or recovery)
What indicates vaccination with immunity to HBV?
Surface Ab only positive serology
