Systems Flashcards
What is presbycusis?
Sensorineural hearing loss caused by aging
What is the best initial test for vestibular schwannoma?
Audiometry
What kind of hearing loss does vestibular schwannoma cause?
Asymmetric sensorineural hearing loss
What structure in the eye is responsible for color perception?
Cones
Pseudomonas aeruginosa is a common cause of what type of ear infection?
External otitis
What is the initial therapy for Ménière’s disease?
Lifestyle modification including salt restriction
What does the Ishihara test test for?
Color vision
What is the gold standard for diagnosis of angle closure glaucoma?
Gonioscopy
What is the initial treatment for stage I hidradenitis suppurativa?
Topical clindamycin
What is the precursor lesion of squamous cell carcinoma?
Actinic keratosis
What is the precursor lesion of squamous cell carcinoma?
Actinic keratosis
What is an acrochordon?
A skin tag
What is Auspitz sign?
Pinpoint bleeding after removal of a psoriasis plaque
What is first line therapy for tinea capitis in children?
Griseofulvin
What is tinea manuum?
Dermatophyte infection of the hand
What is the first line treatment for onychomycosis?
Oral terbinafine
What is a carbuncle?
Several inflamed follicles that combine into a single inflammatory mass with purulent drainage
In heart failure with preserved ejection fracture, what is the EF?
50% or higher
In heart failure with reduced ejection fraction, what is the EF?
40% or less
What is a grade IV murmur?
Loud murmur with a palpable precordial thrill
What is initial pharmacological therapy for Raynaud’s?
Amlodipine
What is initial treatment for moderate to severe hypertriglyceridemia?
Omega 3 fatty acids
What is the preferred antibiotic for patients with prosthetic heart valve undergoing dental or oral procedures?
Amoxicillin
What type of murmur does mitral stenosis and aortic regurg cause?
Diastolic
What type of murmur does mitral regurg and aortic stenosis cause?
Systolic
Where is the point of maximal impulse?
Fifth intercostal space in the left midclavicular line
What is the next step for lowering LDL after high intensity statin therapy?
Ezetimibe
What nutrient should patients with hypertension increase in their diet?
K+
What eye problem are microaneurysms associated with?
Diabetic retinopathy
AV nicking, retinal arterial narrowing, and papilledema are associated with what diagnosis ?
Hypertension
What hormone stimulates testosterone release by the testes?
Luteinizing hormone
Which hormone can be used to differentiate primary from secondary adrenal insufficiency?
Adrenocorticotropic hormone
Low serum cortisol and low plasma ACTH are seen in what type of adrenal insufficiency?
Secondary or tertiary
Low serum cortisol and high ACTH is seen in what type of adrenal insufficiency?
Primary adrenal insufficiency
Which cranial nerve controls tongue movement?
XII
Which cranial nerve is the facial nerve?
VII
Which cranial nerve is the acoustic nerve?
VIII
What is initial pharmacological therapy for trigeminal neuralgia?
Carbamazepine (Tegretol)
A positive McMurray test is indicative of what?
Meniscus tear
HBsAg is a marker of what?
Hep B infectivity
Anti HBs is a marker of what?
Hep B immunity
Heberden nodes are seen in what?
Osteoarthritis
What kind of valve disorder causes a murmur heard at the apex of the heart radiating to the axilla?
Mitral regurgitation
What is a normal Vitamin B12 level?
Above 300
What is a normal folate level?
Above 4
Reed Sternberg cells are seen in which type of cancer?
Classic Hodgkin’s disease
What is the normal range for MCHC?
32-36%
What is the normal range for MCHC?
32-36%
What type of anemia does thalassemia cause?
Microcytic, hypochromic
What type of anemia does thalassemia cause?
Microcytic, hypochromic
What is the most common hemophilia in the US?
Factor VIII deficiency
Lachman and anterior drawer are used to evaluate what?
ACL
Bouchard’s nodes are seen in what?
Osteoarthritis
Is mitral regurg a systolic or diastolic murmur?
Systolic
Is aortic stenosis a systolic or diastolic murmur?
Systolic
Is mitral stenosis a systolic or diastolic murmur?
Diastolic
Is aortic regurg a systolic or diastolic murmur?
Diastolic
The mitral valve is located in what part of the heart?
Apex
Which murmur radiates to the axilla?
Mitral regurg
Which murmur radiates to the neck?
Aortic stenosis
What produces the S1 heart sound?
Closure of the mitral and tricuspid valves
What produces the S1 heart sound?
Closure of the mitral and tricuspid valves
How do you manage atypical squamous cells of undetermined significance (ASC-US) in ages 21-24?
Repeat pap in 12 months
How do you manage atypical squamous cells of undetermined significance (ASC-US) in ages 30+?
Co-testing for HPV
How do you manage atypical squamous cells of undetermined significance (ASC-US) in ages 25-29?
Reflex HPV test
How do you manage ASC and cannot exclude high grade lesion?
Refer for colposcopy
How do you manage low grade squamous intraepithelial lesions in ages 21-24?
Repeat pap 12 months
How do you manage low grade squamous intraepithelial lesions in ages 25-29?
Colposcopy
How do you manage low grade squamous intraepithelial lesions in ages 30+?
Repeat pap 12 months
How do you manage high grade intraepithelial lesions in ages 21-24?
Colposcopy
How do you manage high grade intraepithelial lesions in ages 25+?
LEEP
What intensity statin is atorvastatin 40-80mg?
High
What intensity statin is rosuvastatin 20-40mg?
High