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True Learn Assessment Flashcards

1
Q

Organophosphate poisoning initial tx and definitive tx

A

Atropine then Pralidoxime

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2
Q

Cocaine-induced chest pain tx

A

BZD

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3
Q

Next step in COPD exacerbation where patient is in respiratory failure? After that?

A

Noninvasive positive pressure ventilation (the mask)

Then intubate

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4
Q

MCC of infectious endocarditis

A

Staph aureus

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5
Q

Can giant cell arteritis causes fever of unknown origin?

A

Yes

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6
Q

What is temporal arteritis associated with?

A

Polymyalgia rheumatica

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7
Q

Tx for CO poisoning

A

100% O2

Not hyperbaric

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8
Q

Pregnant women with HSIL what to do?

A

Colposcopy next

Then depends on grade, will defer management postpartum 6 weeks unless invasive

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9
Q

Tx and duration of whipped disease

A

12 months of TMPSMX or ceftriaxone

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10
Q

Confirmatory test for ascending cholangtitis

A

ERCP

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11
Q

Radon

A

Lung cancer

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12
Q

Benzene

A

AML

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13
Q

Wood dust

A

Nasopharyngeal cancer

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14
Q

Thorium

A

Liver cancer

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15
Q

WBC casts, WBCs, eosinophils

A

Acute interstitial nephritis

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16
Q

Chronic bronchitis definition

A

At least 3 months in a year for 2 consecutive years

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17
Q

Iliopsoas counterstrain

A

Bilateral hi fleet ion with sidebending towards

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18
Q

Spinal infarct leads to

A

Anterior spinal artery syndrome

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19
Q

Anterior spinal artery syndrome

A

Loss of pain and temp below lesion
Complete motor paralysis below lesion
Autonomic dysfunction depending on lever

Retained proprioception and vibration

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20
Q

Focal segmental glomerulosclerosis lab association and why?

A

Hyperlipidemia

As protein is lost by the kidneys, decrease oncotic pressure. Liver responds by increasing lipoproteins

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21
Q

When to do amniocentesis

A

15-20 weeks

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22
Q

When to do chorionic vilest sampling

A

10-12 weeks

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23
Q

Under periosteum, limited by suture lines in a newborn

A

Cephalohematoma

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24
Q

Under periosteum, not limited by suture lines in newborn

A

Caput succedaneum

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25
Q

Unlateral pure motor hemiparesis, what kind of stroke? What vessel

A

Lacunar infarct; lenticulostraite branches

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26
Q

Granulomatosis with polyangiitis tx

A

Cyclophosphamide and corticosteroids

27
Q

Trigger finger fancy name

A

Stenosing flexor tenosynovitis

28
Q

Dura mater attachments

A 
Cranium 
Foramen magnum
C2
C3
S2
29
Q

NMS tx

A

Bromocriptine or dantrolene

30
Q

Acute dystonia to

A

Diphenhydramine or benztropine

31
Q

Akathisia tx

A

Propranolol

32
Q

Serotonin syndrome tx

A

Cyproheptadine

33
Q

Initial eval of hypertension

A 
Fasting blood glucose
CBC
Lipid panel
BMP
TSH
UA
EKG
Urinary albumin-creatinine ration if CKD or DM
34
Q

Pt has a hx of cervical insufficiency, now has vaginal spotting
Cervix is short for 19 weeks, tx?

35
Q

RA drugs that reactivate TB

A

TNF alpha inhibitor

Etanercept and infliximab

36
Q

Stable angina tx?

A

Beta blockers

37
Q

Contraindications to MTX for ectopic pregnancy

A 
HCG >5000
<4 cm
Fetal cardiac activity
Breastfeeding
Allergy
Active pulmonary disease
PUD
38
Q

Tx for lead and mercury toxicity

Or arsenic

A

Dimercaprol or succimer

39
Q

Tx of posterior epistaxis

A

Posterior packing, admit to hospital, ENT consult

40
Q

WAGR syndrome

A

Wilms tumor
Aniridia
GU abnorm
Retardation

41
Q

Hyperaldosteronism pH disturbance

A

Metabolic alkalosis

42
Q

Etiology of PML

What does it affect

A

JC virus

Oligodendrocytes

43
Q

Postpartum endometriosis tx in breastfeeding mom

A

Clindamycin, ampicillin, gentamicin

Can’t use metronidazole when breastfeeding

44
Q

Best tx for diabetic retinopathy

A

Laser photocoagulation

45
Q

Tx for azole resistant candida

A

Echinocandin or micafungin

46
Q

Drugs that cause SJS

A

Lamotrigine, allopurinol, NSAIDS, antibiotics, anticonvulants

47
Q 
Patient has multiple myeloma
K 3.1
Cr 2.1
Bicarbonate 12
Urine pH 5.2

Dx? Pathophys

A

Type II RTA

Decreased reabsorption of bicarbonate by PCT

48
Q

Type I RTA
Pathophys
Features

A

Deficiency in H+ secretion in distal collecting tubule

Hypokalemia, non-anion gap acidosis, urine pH >5.5

49
Q

Temporary treatment for increased ICP

A

Hyperventilating patient

50
Q

Multiple myeloma diagnosis

A

Bone marrow biopsy plus end-organ damage

51
Q

Prophylactic therapy for migraines

A

Propranolol, CCB, TCA, valproate, SNRIs, topiramate

52
Q

What closes PDA

A

Indomethacin, ibuprofen

53
Q

What opens PDA

54
Q

Acute epiglottitis tx

A

Vancomycin and ceftriaxone

55
Q

When to start subQ insulin after insulin drip is stopped

A

2 hours before

56
Q

At what Cobb angle is there decreased pulmonary vital capacity

A

60 degrees

57
Q

At what Cobb angle is there increased risk of cor pulmonale and cardiac failure

A

> 100 degrees

58
Q

What produces AFP

A

Yolk sac and liver

59
Q

Schiller-Duval bodies

A

Yolk sac tumor

60
Q

Confirmatory test for PAN

A

Tissue biopsy

61
Q

Migratory thrombophlebitis

A

Pancreatic Adenocarcinoma

62
Q

A typical glandular cells,w hat next

A

Colposcopy and endometrial biopsy

63
Q

50 y//o female, rash for. A few months, now plaque like on arms and legs. Biopsy shows Pautrier’s microabscesses

Dx?

A

Mycosis fungoides

64
Q

Most sensitive test for muscular dystrophy

A

Serum creatine kinase

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