Systems Flashcards

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1
Q

What is presbycusis?

A

Sensorineural hearing loss caused by aging

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2
Q

What is the best initial test for vestibular schwannoma?

A

Audiometry

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3
Q

What kind of hearing loss does vestibular schwannoma cause?

A

Asymmetric sensorineural hearing loss

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4
Q

What structure in the eye is responsible for color perception?

A

Cones

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5
Q

Pseudomonas aeruginosa is a common cause of what type of ear infection?

A

External otitis

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6
Q

What is the initial therapy for Ménière’s disease?

A

Lifestyle modification including salt restriction

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7
Q

What does the Ishihara test test for?

A

Color vision

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8
Q

What is the gold standard for diagnosis of angle closure glaucoma?

A

Gonioscopy

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9
Q

What is the initial treatment for stage I hidradenitis suppurativa?

A

Topical clindamycin

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10
Q

What is the precursor lesion of squamous cell carcinoma?

A

Actinic keratosis

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11
Q

What is the precursor lesion of squamous cell carcinoma?

A

Actinic keratosis

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12
Q

What is an acrochordon?

A

A skin tag

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13
Q

What is Auspitz sign?

A

Pinpoint bleeding after removal of a psoriasis plaque

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14
Q

What is first line therapy for tinea capitis in children?

A

Griseofulvin

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15
Q

What is tinea manuum?

A

Dermatophyte infection of the hand

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16
Q

What is the first line treatment for onychomycosis?

A

Oral terbinafine

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17
Q

What is a carbuncle?

A

Several inflamed follicles that combine into a single inflammatory mass with purulent drainage

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18
Q

In heart failure with preserved ejection fracture, what is the EF?

A

50% or higher

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19
Q

In heart failure with reduced ejection fraction, what is the EF?

A

40% or less

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20
Q

What is a grade IV murmur?

A

Loud murmur with a palpable precordial thrill

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21
Q

What is initial pharmacological therapy for Raynaud’s?

A

Amlodipine

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22
Q

What is initial treatment for moderate to severe hypertriglyceridemia?

A

Omega 3 fatty acids

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23
Q

What is the preferred antibiotic for patients with prosthetic heart valve undergoing dental or oral procedures?

A

Amoxicillin

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24
Q

What type of murmur does mitral stenosis and aortic regurg cause?

A

Diastolic

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25
Q

What type of murmur does mitral regurg and aortic stenosis cause?

A

Systolic

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26
Q

Where is the point of maximal impulse?

A

Fifth intercostal space in the left midclavicular line

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27
Q

What is the next step for lowering LDL after high intensity statin therapy?

A

Ezetimibe

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28
Q

What nutrient should patients with hypertension increase in their diet?

A

K+

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29
Q

What eye problem are microaneurysms associated with?

A

Diabetic retinopathy

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30
Q

AV nicking, retinal arterial narrowing, and papilledema are associated with what diagnosis ?

A

Hypertension

31
Q

What hormone stimulates testosterone release by the testes?

A

Luteinizing hormone

32
Q

Which hormone can be used to differentiate primary from secondary adrenal insufficiency?

A

Adrenocorticotropic hormone

33
Q

Low serum cortisol and low plasma ACTH are seen in what type of adrenal insufficiency?

A

Secondary or tertiary

34
Q

Low serum cortisol and high ACTH is seen in what type of adrenal insufficiency?

A

Primary adrenal insufficiency

35
Q

Which cranial nerve controls tongue movement?

A

XII

36
Q

Which cranial nerve is the facial nerve?

A

VII

37
Q

Which cranial nerve is the acoustic nerve?

A

VIII

38
Q

What is initial pharmacological therapy for trigeminal neuralgia?

A

Carbamazepine (Tegretol)

39
Q

A positive McMurray test is indicative of what?

A

Meniscus tear

40
Q

HBsAg is a marker of what?

A

Hep B infectivity

41
Q

Anti HBs is a marker of what?

A

Hep B immunity

42
Q

Heberden nodes are seen in what?

A

Osteoarthritis

43
Q

What kind of valve disorder causes a murmur heard at the apex of the heart radiating to the axilla?

A

Mitral regurgitation

44
Q

What is a normal Vitamin B12 level?

A

Above 300

45
Q

What is a normal folate level?

A

Above 4

46
Q

Reed Sternberg cells are seen in which type of cancer?

A

Classic Hodgkin’s disease

47
Q

What is the normal range for MCHC?

A

32-36%

48
Q

What is the normal range for MCHC?

A

32-36%

49
Q

What type of anemia does thalassemia cause?

A

Microcytic, hypochromic

50
Q

What type of anemia does thalassemia cause?

A

Microcytic, hypochromic

51
Q

What is the most common hemophilia in the US?

A

Factor VIII deficiency

52
Q

Lachman and anterior drawer are used to evaluate what?

A

ACL

53
Q

Bouchard’s nodes are seen in what?

A

Osteoarthritis

54
Q

Is mitral regurg a systolic or diastolic murmur?

A

Systolic

55
Q

Is aortic stenosis a systolic or diastolic murmur?

A

Systolic

56
Q

Is mitral stenosis a systolic or diastolic murmur?

A

Diastolic

57
Q

Is aortic regurg a systolic or diastolic murmur?

A

Diastolic

58
Q

The mitral valve is located in what part of the heart?

A

Apex

59
Q

Which murmur radiates to the axilla?

A

Mitral regurg

60
Q

Which murmur radiates to the neck?

A

Aortic stenosis

61
Q

What produces the S1 heart sound?

A

Closure of the mitral and tricuspid valves

62
Q

What produces the S1 heart sound?

A

Closure of the mitral and tricuspid valves

63
Q

How do you manage atypical squamous cells of undetermined significance (ASC-US) in ages 21-24?

A

Repeat pap in 12 months

64
Q

How do you manage atypical squamous cells of undetermined significance (ASC-US) in ages 30+?

A

Co-testing for HPV

65
Q

How do you manage atypical squamous cells of undetermined significance (ASC-US) in ages 25-29?

A

Reflex HPV test

66
Q

How do you manage ASC and cannot exclude high grade lesion?

A

Refer for colposcopy

67
Q

How do you manage low grade squamous intraepithelial lesions in ages 21-24?

A

Repeat pap 12 months

68
Q

How do you manage low grade squamous intraepithelial lesions in ages 25-29?

A

Colposcopy

69
Q

How do you manage low grade squamous intraepithelial lesions in ages 30+?

A

Repeat pap 12 months

70
Q

How do you manage high grade intraepithelial lesions in ages 21-24?

A

Colposcopy

71
Q

How do you manage high grade intraepithelial lesions in ages 25+?

A

LEEP

72
Q

What intensity statin is atorvastatin 40-80mg?

A

High

73
Q

What intensity statin is rosuvastatin 20-40mg?

A

High