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Mixed > UW 8 > Flashcards

UW 8 Flashcards

1
Q

Causes of acute viral arthritis

A 
Parvo B19
Hep B
Hep C
HIV
Rubella
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2
Q

Parvo B19 Adult presentation

A 
Polyarticular, symmetric arthritis
Peripheral joints - hands, wrists, knees, ankles
Fever
Fatigue
Diarrhea
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3
Q

Dx for Parvo B19

A

Anti-B19 IgM abs in serum

Within 10-15 days

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4
Q

Morning stiffness in RA

A

Lasts more than 1 hour

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5
Q

Risk factor for brain abscess

A

Cyanotic congenital heart disease - tet of fallot

Recurrent sinusitis

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6
Q

Presentation of medulloblastoma

A

HAs = morning/nocturnal

Cerebellar dysnfnc - Ataxia, incoordination

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7
Q

When do we do peritoneal lavage

A

To detect intraperitoneal bleeding in BAT when US for fast exam not available

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8
Q

OCPs are protective against what?

A

Endometrial cancer
Ovarian cancer
Reduction in benign breast disease

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9
Q

Risk factors with OCPs

A

Venous thromboembolism
HTN
Hepatic Adenoma
Stroke/MI (Rare)

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10
Q

Best initial test in preconception counseling w patient at risk for thalassemia

A

CBC

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11
Q

Best initial test in African for preconception counseling

A

Hemoglobin electrophoresis with CBC

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12
Q

Difference b/t Ehlers-Danlos and Marfans

A

ED: no tall stature, lens dislocation, pectus carinatum

Marfans: Fibrillin-1 mutation, tall, long thin extremities, joint hypermobility, aortic root dilation

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13
Q

Are gallstone radio-opaque or radiolucent?

A

Radiolucent - Cholesterol and mixed stones = majority

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14
Q

Confirmatory test for ALL

A

Bone Marrow BX

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15
Q

When do we do ERCP

A

Recurrent pancreatitis

draining pancreatic pseudocysts

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16
Q

PT presents with severe epigastric pain radiating to back. Next step?

A

Check amylase and lipase levels

THen CT

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17
Q

Where do we see spinothalamic tract lesions

A

Contralateral loss of pain and temp

Start 2 levels below the level of the lesion

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18
Q

Right sided lateral spinothalamic tract lesion at T10 presents with what deficit?

A

Left sided loss of pain and temp beg at T12

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19
Q

MGUS v MM

What is next best step in management in pt with monoclonal spike on protein electrophoresis

A

MGUS - no renal insufficiency, hypercalcemia, anemia, lytic bone lesions

Do metastatic skeletal bone survey

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20
Q

Pt suspected of MM - next step

A

Serum immunoelectrophoresis

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21
Q

When do we order bone scan in MM

A

Never.
MM causes lytic lesions in bone - not seen on bone scan
- must do skeletal survery = xray for lytic lesions

22
Q

Presentation of fat embolus

A 
Severe respiratory distress
Petechial rash
Subconjuctival hemorrhage
Tachycardia
Tachyypnea
Fever
23
Q

When does fat embolus occur

A

12- 72 hours after injury

24
Q

Pt w cholelithiasis refuses cholecystectomy - TX?

A

Ursodeoxycholic acid

25
Q

Acute otitis media in children Tx?

A

Oral Amoxicillin 10 days

26
Q

Tx for Vaginismus

A

Relaxation
Kegel exercises
Insertion of dilators, fingers for desensitization

27
Q

Hormones in Turner syndrome

A

Ovarian dysgenesis ->
LOW estrogen = unable to menstruate
Poor ovarian function = HIGH FSH bc lack of negative feedback

28
Q

TX for placenta previa with stable mother and fetus at term

A

Scheduled C section

29
Q

Causes of Immediate (w/in hrs) post-op fever (>100.4)

A 
Prior Infxn/trauma
Inflammation during surgery
Malignant Hyperthermia
Meds
Blood products given during surgery
30
Q

Causes of acute post op fever

When and what

A

Within first week
Nosocomial Infxn
PE

31
Q

Causes of subacute post of fever

When and what

A

More than 1 week
Drug fever
Surgical site infxn
PE

32
Q

What is SIBO

A

Small intestinal bacterial overgrowth

33
Q

What are some causes of SIBO

A

Anatomic - strictures, surgery
Motility disorders - DM, scleroderma
Others - ESRD, AIDS, cirrhosis

34
Q

What are si/sx’s of SIBO

A 
Abdominal pain
Diarrhea
Bloating
Excess flatulence
Malabsorption 
Wt loss
Anemia
Nutritional deficiency
35
Q

How do we Dx SIBO

A

Endoscopy w jejunal aspirate

Hydrogen breath test w lactulose = rapid lactulose metabolism causes early peak in hydrogen

36
Q

How does serum sickness present

A 
Young children
Post Tx of viral infxn w/abx
Fever
Urticaria
Arthralgias
37
Q

What drugs MC cause serum sickness

A

PCN
Amoxicillin
TMP-SMX
Cefaclor

38
Q

Young boy presents with URI. Treated w PCN and improves. 10 days later, fever, skin rash, fleeting joint pain in LE, urticaria, palpable LNs. MCC?

A

Serum Sickness

39
Q

How does Rheumatic fever present?

A 
Polyarthritis 
Carditits
Erythema marginatum rash
Subcutaneous nodules
Chorea
40
Q

Infective endocarditis

A 
Fever
Bacteremia
Heart murmur
Osler nodes - fingers and toes
Janeaway lesions
41
Q

Hereditary spherocytosis Presentation

A

Hemolytic anemia
Jaundice
Splenomegaly

Autosomal Dominant

42
Q

Labs of Hereditary spherocytosis

A 
Increased MCHC
Increased osmotic fragility
Spherocytes on PS
Negative Coombs
Abnormal eosin-5-maleimide binding test
43
Q

ABO Incompatibility (isoimmune hemolytic dz of NB) and AIHA Presentation

A

Decreased Hb
Increased LDH
Hyperbilirubinemia
Positive Coombs

44
Q

Coombs tes in Ab mediated hemolysis

A

Positive Coombs test

45
Q

Polyarticular symmetric arthritis of acute onset and short duration + low grade fever

A

Viral arthritis

46
Q

Viral Infxn that cause arthritis

A 
Parvo
Hepatitis
HIV
Mumps
Rubella
47
Q

What inflammatory markers may be elevated in viral arthritis?

A

Rheumatoid factor

ANA

48
Q

Infant hypoxia that fails to improve w inhaled oxygenation

A

Congenital heart defect

- May need PGE2 to keep PDA patent

49
Q

Congenital heart defects that depend on PDAs

A 
Coarctation of aorta
Transposition of Great arteries 
Hypoplastic left heart syndrome
TAPVR
Tricuspid Atresia
50
Q

Presentation of Behcet’s syndrome

A

Recurrent oral ulcers + 2 of:

  • Recurrent genital ulcers
  • Anterior/Posterior uveitis
  • Skin lesions like: Erythema nodosum, acneiform ondules, papulopustular lesions
  • Retinal vascularization
  • Positive pathergy test
51
Q

How does Erythema nodosum present

A

Painful
Nodular
Areas of hyperpigmentation

Mixed (19 decks)

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