three more days... Flashcards
What does glycemic control prevent with diabetes?
Microvascular complications (retinopathy, nephropathy)
What is called when a person has screwed up feet because of nerve damage?
Charcot joint
What can be done at 10+ weeks gestation for mom’s concerned about aneuploidy?
Cell-Free Fetal DNA testing
A patient has s/s of a pituitary tumor, but imaging shows calcification. What is this? What should be done?
Craniopharyngioma
Surgery
An HIV patient has AMS and a brain MRI shows a solitary, irregular, weakly ring-enhancing mass in the periventricular area and PCR of CSF shows EBV DNA. What is likely going on?
Primary CNS lymphoma
What are some possible complications of anorexia nervosa?
Dysfunction of hypothalamus-pituitary axis…downstream effects
Elevated cholesterol and carotene levels
Cardiac arrhythmias (prolonged QT)
Euthyroid sick syndrome
Increased risk of IUGR or premature pregnancies
A patient has a penetrating wound to one eye…then later on the other eye starts having issues. What is going on?
Sympathetic ophthalmia…uncovering of “hidden” antigens
A patient has s/s of parkinson’s disease + orthostatic hypotension, impotence, incontinence, and other autonomic symptoms. What should be considered?
Multiple System Atrophy
A patient is immunocompromised and has s/s of meningitis. What should be give prophylactically?
Vancomycin + Ampicillin + Cefepime or ceftazidime
Patient attempted suicide via caustic ingestion…what should be done?
IV fluids, serial x-rays
Get an EGD w/in 24hrs to assess damage to esophagus
A person keeps pulling his or her hair out. What is this disorder called? Treatment?
Trichotillomania
Cognitive behavioral therapy
What heart murmur is most commonly associated with infective endocarditis?
MVP…or mitral regurgitation
Patient has orthostatic hypotension and increased urine sodium and potassium. What is going on?
Diuretic abuse
Quad screen shows decreased AFP, increased beta-hCG, decreased estriol, and increased inhibin A. What is the likely diagnosis?
Down Syndrome
A kid has a history of delayed umbilical cord separation and now has recurrent skin and mucosa infections. What is this?
Leukocyte adhesion deficiency
Why is there an increased risk of infection via encapsulated bugs with asplenia?
Decreased opsonizing antibody
How is OCD treated?
CBT + High-dose SSRI
…deep-brain stimulation if refractory
A kid has s/s of meningococcemia + petechiae/purpura + becomes hypotensive non-responsive to fluids…and dies. What happened?
adrenal hemorrhage…Waterhouse-Friderichsen syndrome
What is the most common inherited hyper coagulable state?
Factor V Leiden
When do growing pains occur? Where?
At night in thighs and/or calves
A patient has s/s of Marfan’s…but then it says something about ‘fair complexion’, ‘intellectual disability’, ‘thromboembolic events’. What is this? What else is a difference between this and Marfan’s?
Homocysteinuria (auto recessive deficiency of cystathionine synthase)
Lens displacement goes DOWN with homocysteinuria
Lens displacement goes UP with Marfan’s
Cat bite. What is the bug? What is the treatment?
Pasteurella
Amox/clav
A person with rheumatoid arthritis develops kidney problems. What should be considered?
AA amyloidosis
Congo staining…apple-red bifringence
An SLE patient is started on hydroxychloroquine because of skin and joint issues. What is the concern?
Eye problems
What is seen on bone marrow biopsy of multiple myeloma?
Plasma cell proliferation
