Things i don't exactly know where to put other places

Question 1

MEN 1

Answer 1

prolactinoma

hyperparathyroidism

pancreatic tumor

*The most common pancreatic tumor associated with MEN1 is gastrinoma which causes increased activity of proton pumps and eventually causes gastric ulcers

Question 2

What is the most sensitive test for Duchene Muscular Dystrophy

Answer 2

The most sensitive test for Duchene is a

serum creatine kinase

a (-) result will rule out the disease while a (+) leads to further work-up.

Sensitive- rule in.

Question 3

what is the treatment for diabetic retinopathy?

Answer 3

treatment for diabetic retinopathy is with

VEGF inhibitors, photocoagulation, or vitrectomy

*There is a correlation between diabetic retinopathy and nephropathy- nephropathy generally preceeds retinopathy

Question 4

What antibodies are found in Sjogren?

Answer 4

if you suspect sjogren- test for

anti-Ro and anti-La antibodies

Question 5

Anti- Jo 1 is present in what disease?

Answer 5

dermatomyocytis

Question 6

difuse cutaneous systemic sclerosis antibody?

Answer 6

difuse cutaneous systemic sclerosis

anti- SCL 70 (anti-topoisomerase 1)

Question 7

Signs and symptoms of retinal detachment

Answer 7

Retinal detachment presents with:

bright lights or showers of floaters

curtain being pulled over eye

Question 8

What are the characteristics of

Bueger Dz (thrombongiitis obliterans)?

Answer 8

Bueger Dz

young, heavy smokers

dusky colored limbs

progressive claudication of feet/hands then to hands and arms

ischemic pain at rest

upper and lower limb involvement

Question 9

What is the most common benign parotid tumor?

Answer 9

The most common benign parotid tumor is a

pleomorphic adenoma (miked tumor)

The second most common is a Warthin tumor- this usually presents later in life.

*Pain or facial nerve involvement suggests malignancy. Pleomorphic adenoma and Warthin tumors are painless.

Question 10

What is Meniere’s Disease?

Answer 10

Meniere’s Disease

increased volume and pressure of endolymph in the inner ear

this leads to vertigo, hearing loss/tinitus, N/V, and a feeling of fullness in the ear

treatment is with a low sodium diet and diuretics

Question 11

bilateral hearing loss with a (+) family history of hearing loss?

Answer 11

otosclerosis

loss of stapedial reflex

Question 12

What are the CSF findings associated with Gullian- Barre Syndrome?

Answer 12

GBS

elevated protein.

Just fucking stop there.

you’ll have normal glucose, normal WBCs and normal RBCs (0)

Question 13

What are the three requirements of EMTALA?

Answer 13

EMTALA- Emergency Medical Treatment and Active Labor Act

1. hospital must provide medical screening to anyone coming to ED for help- physician must be involved
2. a patient that comes to the hospital with an emergency situation must be stabilized
3. you can’t transfer an unstable patient unless specific criteria are met