UW 3 Flashcards

1
Q

SIADH in Lung cancer

A

Hyponatremia
Small cell
Low plasma osmolality
High urine osmolality and urince concentration

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2
Q

TX for SIADH w lung cancer

A

Fluid restriction to < 800mL/day

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3
Q

Presentation of Renal Cell carcinoma

A
Triad:
Flank pain
Hematuria
Palpable abd renal mass
Others: scrotal varicocele (L) that fails to empty when recumbant
Ectopic EPO = Polycythemia
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4
Q

Most sensitive DX test for Renal Cell Carcinoma

A

CT Abdomen

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5
Q

Causes of elevated BUN/Creatinine

A

Bacterial breakdown of Hgb in GIT (Peptic duodenal ulcer)
Systemic steroids
Prerenal azotemia

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6
Q

S4 + exertional dyspnea

A

Diastolic HF
Stiff LV
Restrictive CM
LVH = prolonged HTN

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7
Q

Cyanosis in first 24 hours

A

Transposition of GV’s

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8
Q

Acyanotic heart disease

A
ASD
VSD
PDA
Coarctation of the aorta
Dextrocardia
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9
Q

Tet of Fallot Presentation

A

Single S2
Systolic murmur - PS
Cyanosis

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10
Q

Transposition of GV’s Presentation

A

Cyanosis in first few hrs of life
Infants of DM mothers
Males
Single loud S2 + NO murmur

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11
Q

Afebrile + blood tinged sputum

A

Acute Bronchitis

TX: Supportive care and observation

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12
Q

HIT Type I Presentation

A

Non-immune platelet degradation
Occurs w/in 48 hrs
Mild and transient effect on platelets

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13
Q

HIT Type II Presentation

A

Immune-mediated - abs to heparin-platelet factor 4 complexes
Platelet activation, thrombocytopenia, thrombosis
Necrotic lesions at injection site
Occurs 5-10 days after heparin OR within 1 day if heparin exposure in last 1 month

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14
Q

Management for HIT

A

type I - continue heparin and observe

type II - stop heparin, use alternate anticoagulant

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15
Q

Antibodies ass’d w acute and chronic hepatitis

A

Anti-smooth muscle abs

Anti LKM abs

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16
Q

Presentation of sympathetic ophthalmia

A

Damage to one eye after penetrating injury to other eye

Hidden Antigens uncovered

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17
Q

Signs of RV Infarct

A

Clear lung fields
HypoTN
JVD
With inferior MI

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18
Q

Management for Inferior wall MI of RV infarct

A

Fluid resuscitation
Avoid nitrates
Dobutamine if IVF doesn’t increase CO

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19
Q

OCD is ass’d with what

A

Tourette

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20
Q

TX for OCD

A

SSRIs

21
Q

Presentation of Trichotillomania

A

Recurrent hair pulling resulting in hair loss
Distressed pts
Not due to medical condition

22
Q

TX for Trichotillomania

A

CBT

23
Q

Comorbidity ass’d with Trichotillomania

A

OCD

24
Q

Presentation of Trichophagia

A

Swallowing of hair
Form trichobozoars
Abd Pain + bowel obstruction

25
Q

Hep A Presentation

A
Acute 
Incubation period 30 days
Malaise, anorexia, fatigue
Vomiting, abd pain
Aversion to smoking
HSM
26
Q

Triad of Kartagener’s

A

Dextrocardia
Bronchiecstasis
Recurrent sinusitis

27
Q

Pregnancy screening at 1st Prenatal visit

A

VDRL/RPR
HIV
Hep B
(CHeck these)

28
Q

Analgesic nephropathy kidney damage?

A

Papillary necrosis

tubulointerstitial nephritis

29
Q

Which cells make Inhibin?

Feedback inhibition of what?

A

Granulosa cells of ovarian follicle

Feedback Inhibition of pituitary FSH release

30
Q

Drooling seen in epiglotittis or croup?

A

E

31
Q

Follicular conjunctivitis and pannus formation/neovascularization in cornea

A

Trachoma

32
Q

When do we TX elevated BP in pts w acute ischemic stroke

A

>

33
Q

Define Diastolic Dysfunction

A

BP

34
Q

Causes of High output Heart Failure

A

Anemia

35
Q

Presentation Acalculous Cholecystitis

A

C

36
Q

Mitral stenosis presentation

A

MS-> LA Dilattion

Murmur

37
Q

TX for Tourette

A

APs

Pimozide

38
Q

Aspirin-exacerbated respiratory dz

A

P

39
Q

Cerebellar tumor presentatin

A

Gait

40
Q

Gastrinoma

A

mC

41
Q

Milk alkali triad

A

H

42
Q

Diabetic neuropathy

A

22

43
Q

Theophylline tox

A

Cipro

44
Q

Lewy body dementia Presentatin

A

26

45
Q

PML Presntation

A

29

46
Q

Anti-topoisomerase Abs

A

34

47
Q

Fibromyalgia

A

38

48
Q

Pulsus paradoxus

A

40