Study Topics from Practice Exams Flashcards

1
Q

Adam Stokes syncopy is related to what cardiac dysrhythmia?

A

3rd Degree AV Block

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2
Q

Hearing loss is associated with central or peripheral vertigo?

A

peripheral (non-CNS)

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3
Q

A pupil which does not react to light, but does react to accommodation and related to syphilis infection is called what?

A

Argyll Robertson Pupil

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4
Q

Which joint do heberden’s nodes affect?

A

DIP

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5
Q

which joint to bouchard’s nodes affect?

A

PIP (B before H)

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6
Q

Most common pediatric leukemia?

A

ALL

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7
Q

Most common pediatric brain malignancy?

A

medulloblastoma

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8
Q

brain lesion on pediatric patient above 4th ventricle…

A

medulloblastoma

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9
Q

Diet changes to prevent kidney stones…

A

hydration low protein low salt

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10
Q

slurred, wide QRS tachycardia on EKG

A

Wolff-Parkinson-White Syndrome

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11
Q

Tx for stable WPW

A

Procaineamide/amiodarone

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12
Q

Tx for unstable WPW

A

Sync Cardioversion

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13
Q

Definitive Tx of WPW

A

Radiofrequency Catheter Ablation

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14
Q

2 rate control drug classes for stable AF…

A

Beta 1 Blockers (atenolol, esmolol, metoprolol)

Non-Dihydropyridine CCBs (Dilt, Verapamil)

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15
Q

test used to assess need for anticoags in AF…

A

CHADS2VASC

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16
Q

Wide, fixed split S2 without respiratory variation with systolic ejection murmur at LUSB

A

ASD

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17
Q

Why are NSAIDs tx of choice for PDA?

A

inhibit prostaglandin synth (which is cause of PDA)

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18
Q

Harsh holosystolic murmur at left sternal border and right ventricular heave…

A

VSD murmur of Tetralogy of Fallot

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19
Q

Tx of cardiogenic shock

A

Oxygen

Pressers –> Intra-aortic balloon pump

avoid aggressive IV fluid

20
Q

Etiology of PS…

A

congenital, young patients w/ rubella hx

21
Q

harsh mid-systolic crescendo-decrescendo 2LICS increased with inspiration

A

Pulmonic Stenosis

22
Q

mid-late systolic ejection click with murmur

sxs of autonomic dysfunction (CP, anxiety, palpitations)

A

MVP

23
Q

Brief decrescendo early diastolic murmur with inspiration

2LICS

A

pulmonic regurgitation

24
Q

mid-diastolic murmur at LLSB, worse with inspiration, opening snap

A

Tricuspid stenosis

25
Q

holosystolic blowing, high-pitched murmur at subxiphoid area worse with inspiration

A

tricuspit regurgitation

26
Q

Immediate surgical repair is required for a AAA of what size?

A

5.5cm or greater

27
Q

AAA of 3-4cm mgmt…

A

screen yearly

28
Q

Mgmt of AAA 4-4.5cm

A

US q 6 mo

29
Q

A prolonged QT may result in what type of dysrhythmia?

A

VT

30
Q

Transient ST elevations which resolve with sxs resolution

Non-exertional CP

A

vasospastic angina

31
Q

vasospastic angina dx

A

ECG (screen), angio w/ ergonovine (Dx)

32
Q

Screening and imaging of choice for dx of SPNs

A

CXR Screen

CT Chest for Dx

33
Q

Syndrome of:

  • periodic diarrhea
  • flushing
  • tachycardia
  • bronchoconstriction
A

Carcinoid Syndrome

34
Q

On bronchoscopy:

-tumor of pink/purple, well vascularized, centrally located

A

carcinoid

35
Q

lung CA screening for smokers…

A

55-80 yo + 30 pack year hx even if quit in last 15 years.

36
Q

Which lung CA?

  • peripheral lesion
  • MC type
A

adenocarcinoma

37
Q

Which Lung CA?

  • strongly a/w smoking
  • Central location
  • Cavitary lesion
  • Hypercalcemia
  • Pancoast syndrome
A

Squamous Cell

38
Q

Which lung CA?

  • central location
  • a/w paraneoplastic syndromes
  • no surgery
A

small cell/oat cell

39
Q

Proximal muscle weakness

dry mouth

hyporeflexia

small cell lung CA

A

lambert-eaton syndrome

40
Q

SVC syndrome a/w which type of tumor?

A

small cell bronchogenic

41
Q

Apical tumor

shoulder/arm pain

Horner syndrome

weakness of hand muscles

a/w SCC lung CA

A

pancoast tumor

42
Q

Post-exposure HAV prophylaxis age 1-40

A

HAV vaccine

43
Q

post-exposure HAV prophylaxis for immunocompromised or liver disease

A

HAV vaccine + HAV Immunoglobulin

44
Q

3 step approach to HBV serology

A
  1. Surface antigen (if (+), acute or chronic infx)
  2. Core Ab (IgM acute vs IgG distant)
  3. Surface Ab if antigen negative ( POS = vaccination or recovery)
45
Q

What indicates vaccination with immunity to HBV?

A

Surface Ab only positive serology

46
Q
A