Test 2 Flashcards
palms and soles reveals painless macules
Janeway lesions
appropriate first step of managment for acute bacterial endocarditis
echocardiogram
what type of hemorrhage is seen in ICP
putamenal hemorrhage
pathophysiology for benign paroxsymal positional vertigo
granular masses that sit on cupola in inner ear, pushing the cilia
cholesteatoma causes
chronic otitis media
Meniere disease
vertigo
tinnitis
fluctuating hearing loss
Presbycusis
progressive loss of sensitivity to high frequency sounds with age
Basal ganglia stroke
strokes in patients with hypertension and diabetes
Progressive supranuclear palsy
mid brain and basal ganglia
- symmetric parkinsonism with vertical gaze limitation and axial rigidity
- falling is earliest symptom
- mild-to-moderate dementia
- slow response to L-dopa/carbidopa
triad for carcinoid syndrome
flushing
watery diarrhe
valvular heart disease
treatment for carcinoid syndrome
octerotide
S-100
neuroendocrine cells
melanoma
alpha-fetoprotein
testicular and ovarian tumor with yolk sac component
hepatocellular carcinoma
CA-125
some ovarian tumors
Leukocyte common antigen
lymphoid neoplasms
Difference between diarrhea in traveler’s diarrhea from E.coli and Giardia
E.Coli: day after they return from trip
Giardia: diarrhea one week later
Instituting chemotherapy can result in tumor lysis syndrome? treatment
Allopurinol
Treatment for Von Willebrand disease
cryoprecipitate
treatment for idiopathic thrombocytopenic purpura
prednisone
if patient is actively bleeding: IVIG
orphan Annie nuclei
papillary carcinoma of thyroid
what lab study is used to follow low-molecular weight heparin
factor Xa
what lab study is used to follow unfractionated heparin
PTT
Acoustic neuroma
- progressive sensorinerual hearing loss
- tinnitus
- sensation of fullness in ear
- facial numbness
- gait ataxia
calculate BMI
weight/(height)^2
sickle cell anemia patient has crisis, most likely virus
parvovirus
what can be used for prophylaxis migraines
calcium channel blockers
Sensation of a curtain passing across the visual field can be characteristic of
amaurosis fugax (more transient) or retinal detachment (more progressive)
Primary prevention
reduce risk factors
secondary prevention
early detection of existing pathologic state
most effective prevention of diabetic foot ulcers are
appropriate instructions on self-care of the feet
how do you differentiate discoid and systemic lupus
presence of dsDNA excludes discoid lupus
patients who have absolute neutrophil count less than 500 are susceptible to what
gram negative bacteria
- pseudomonas
what is found in the urine for acute tubular necrosis and acute interstitial nephritis
acute tubular necrosis: eosinophils
acute interstitial nephritis: granular casts
what does the pleural fluid/serum fluid LDH ratio need to be for exudative
.6
when do you drain a pleural effusion
organisms in fluid
pleural fluid leukocyte count of 50,000
low pH
what is a positive reaction of TB for employee health worker
15mm of erythema and 10mm induration
Lateral medullar infarction
ataxia vertigo nystagus impaired pain and temperature sensation on ipsilateral face and contralateral body dysphagia hoarsness
cause of patient having sudden loss of strength in her legs without losing consciousness or feeling dizzy. “drop attacks”
transient vertebrobasilar ischemia
management for renal abnormalities in SLE
renal biopsy