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Kaplan Internal Medicine > Test 2 > Flashcards

Test 2 Flashcards

1
Q

palms and soles reveals painless macules

A

Janeway lesions

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2
Q

appropriate first step of managment for acute bacterial endocarditis

A

echocardiogram

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3
Q

what type of hemorrhage is seen in ICP

A

putamenal hemorrhage

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4
Q

pathophysiology for benign paroxsymal positional vertigo

A

granular masses that sit on cupola in inner ear, pushing the cilia

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5
Q

cholesteatoma causes

A

chronic otitis media

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6
Q

Meniere disease

A

vertigo
tinnitis
fluctuating hearing loss

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7
Q

Presbycusis

A

progressive loss of sensitivity to high frequency sounds with age

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8
Q

Basal ganglia stroke

A

strokes in patients with hypertension and diabetes

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9
Q

Progressive supranuclear palsy

A

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
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10
Q

triad for carcinoid syndrome

A

flushing
watery diarrhe
valvular heart disease

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11
Q

treatment for carcinoid syndrome

A

octerotide

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12
Q

S-100

A

neuroendocrine cells

melanoma

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13
Q

alpha-fetoprotein

A

testicular and ovarian tumor with yolk sac component

hepatocellular carcinoma

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14
Q

CA-125

A

some ovarian tumors

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15
Q

Leukocyte common antigen

A

lymphoid neoplasms

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16
Q

Difference between diarrhea in traveler’s diarrhea from E.coli and Giardia

A

E.Coli: day after they return from trip

Giardia: diarrhea one week later

17
Q

Instituting chemotherapy can result in tumor lysis syndrome? treatment

A

Allopurinol

18
Q

Treatment for Von Willebrand disease

A

cryoprecipitate

19
Q

treatment for idiopathic thrombocytopenic purpura

A

prednisone

if patient is actively bleeding: IVIG

20
Q

orphan Annie nuclei

A

papillary carcinoma of thyroid

21
Q

what lab study is used to follow low-molecular weight heparin

A

factor Xa

22
Q

what lab study is used to follow unfractionated heparin

A

PTT

23
Q

Acoustic neuroma

A
  • progressive sensorinerual hearing loss
  • tinnitus
  • sensation of fullness in ear
  • facial numbness
  • gait ataxia
24
Q

calculate BMI

A

weight/(height)^2

25
Q

sickle cell anemia patient has crisis, most likely virus

A

parvovirus

26
Q

what can be used for prophylaxis migraines

A

calcium channel blockers

27
Q

Sensation of a curtain passing across the visual field can be characteristic of

A

amaurosis fugax (more transient) or retinal detachment (more progressive)

28
Q

Primary prevention

A

reduce risk factors

29
Q

secondary prevention

A

early detection of existing pathologic state

30
Q

most effective prevention of diabetic foot ulcers are

A

appropriate instructions on self-care of the feet

31
Q

how do you differentiate discoid and systemic lupus

A

presence of dsDNA excludes discoid lupus

32
Q

patients who have absolute neutrophil count less than 500 are susceptible to what

A

gram negative bacteria

- pseudomonas

33
Q

what is found in the urine for acute tubular necrosis and acute interstitial nephritis

A

acute tubular necrosis: eosinophils

acute interstitial nephritis: granular casts

34
Q

what does the pleural fluid/serum fluid LDH ratio need to be for exudative

A

.6

35
Q

when do you drain a pleural effusion

A

organisms in fluid
pleural fluid leukocyte count of 50,000
low pH

36
Q

what is a positive reaction of TB for employee health worker

A

15mm of erythema and 10mm induration

37
Q

Lateral medullar infarction

A 
ataxia 
vertigo
nystagus
impaired pain and temperature sensation on ipsilateral face and contralateral body 
dysphagia
hoarsness
38
Q

cause of patient having sudden loss of strength in her legs without losing consciousness or feeling dizzy. “drop attacks”

A

transient vertebrobasilar ischemia

39
Q

management for renal abnormalities in SLE

A

renal biopsy

Kaplan Internal Medicine (2 decks)

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