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PRACTICE TESTS FACTOIDS > two > Flashcards

two Flashcards

1
Q

who gets polmyalgia rheumatic, where does it hurt, and what do you expect for ESR and CK

A

elevated ESR. women over 50. pelvic girdle and neck pain

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2
Q

inflammatory myopathy- what do you expect for ESR and CK

A

normal ESR, elevated CK

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3
Q

steroid induced myopathy what do you expect for ESR and CK

A

normal both

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4
Q

hypothyroid myopathy what do you expect for ESR and CK

A

normal ESR< high CK

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5
Q

polymyositis- what hurts and who gets it

A

women 40-60, proximal muscles

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6
Q

P in mud piles is

A

phenytoin

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7
Q

I in mudpiles is

A

isoniazid and iron

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8
Q

what causes a metabolic acidosis and respiratory alkalosis

A

aspirin

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9
Q

how to distinguish ASA from methanol ingestion

A

aspirin will have an abnormal winters where methanol will compensate . methanol will also cause blurry vision and ultimately blindness while aspirin will cause an increased RR< temperature, tinnitus, nausea, and vomiting

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10
Q

what is antifreeze

A

ethylene glycol

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11
Q

what do you expect int he vignette for ethylene glycol poisoning

A

flank pain, CN palsy, calcium oxalate crystals that are envelope shaped

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12
Q

triad of fat embolism

A

low oxygen, neuro changes, petechial rash

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13
Q

how long after insult do you get fat emboli

A

24-72 hours

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14
Q

what causes a tuboovarian abscess

A

PID

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15
Q

abdominal pain received by vomiting is

A

obstruction

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16
Q

epigastric pain that radiates to the back

A

aortic dissection/rupture or pancreatitis

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17
Q

what serum test helps with pancreatitis

A

amylase (or lipase)

18
Q

3 electrolyte changes that can cause PVC

A

HIGH calcium, LOW K and LOW mg

19
Q

how can dig cause arrhytmias

A

fucks with low k

20
Q

how does dig change calcium

A

more intracellular (so low serum calcium)

21
Q

effect of ahminoglycosides on the kidney

A

ATN

22
Q

name 5 things that can cause ATN

A

aminoglycosides, iodine-contrast, lead, cisplatin, crush injury

23
Q

name 4 thing that can cause AIN

A

diuretics, penicillin, PPIs, rifampin

24
Q

what symptom do you expect in AIN that you don’t get in ATN

A

fever in AIN

25
Q

what do you see with a microscope of ATN

A

muddy brown casts and renal TUBULAR cells

26
Q

fatty casts and oval fat bodies are

A

nephrotic syndrome

27
Q

2 causes of rbc casts

A

malignant hypertension and glomerulonephritis

28
Q

3 red flag signsthat suggest you need a colonoscop

A

change in bowel habits, anemia, blood in stool

29
Q

differential for watery diarrhea

A

C. diff, C perfringens, ETEC, protozoa (giardia and cryptosporidium), V. choler, and virus (norovirus, adenovirus, and rotavirus)

30
Q

3 invasive diarrhea bugss

A

campylobacter, non-typhoid salmonella, listeria

31
Q

what does ETEC cause

A

watery travelers diarrhea

32
Q

how does liver failure affect TBG

A

DOWN

33
Q

VERY LOW mag does what to the parathyroid gland

A

down PTH hormone

34
Q

liver failure meANS what will be low (electrolyte(

A

calcium

35
Q

side effect of risperidone includes

A

anti muscarinic including dry mouth!

36
Q

formula for serum osm calculation

A

(2*na)+ (BUN/2.8)+ (glucose/18)

37
Q

how to check for dehydration

A

BUN

38
Q

expect to see what with SIADH

A

urine osm >serum osm, low Na, EUVOLUEMIC

39
Q

DI changes sodium how

A

high sodium

40
Q

how do you diagnose salt losing nephropathy

A

low sodium, urine sodium >20

41
Q

name 3 causes of salt losing nephropathy

A

ATN, diuretics, low aldosterone

42
Q

urine spec and serum osm in DI

A

spec LOW (<1.006) and serum osm HIGH (>290)

PRACTICE TESTS FACTOIDS (10 decks)

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