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V Flashcards

1
Q

used for diabetics with acute exacerbation of gastroparesis

A

eryhtromycin

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2
Q

signs of acute hemolytic reaction from blood ABO incompatibility

A

fever, flank pain, hemoglobinuria, renal failure, DIC
within 1 hr transfusion
+ direct coombs test and pink plasma

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3
Q

what has + direct coombs test

A

acute hemolytic blood transfusion reaction

delayed hemolytic reaction

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4
Q

clinical presentaiton varicocele

A

soft scrotal mass that decreases in supine and increases with standing or valsalva
can cause subfertility and testicular atrophy

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5
Q

Tx varicocele

A

gonadal vein ligation

scrota support and NSAIDs

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6
Q

acute episodes of hypersensitivity pneumonitis

A

cough, breathlessness, fever, maliase

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7
Q

chronic exposure of hypersensitivity pneumonitis

A

weight loss, clubbing, honeycombing of the lung

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8
Q

common organism to infect after get contact dermatitis

A

staph epidermidis

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9
Q

what causes increased A-a gradient in lungs

A

diffusion limitation
shunt
V/Q mismatch

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10
Q

what lung issues correct with suplemental O2

A

reduced inspired O2 tension
hypoventilation
diffusion limitation

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11
Q

most common site infective endocarditis

A

mitral valve

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12
Q

common cause of B12 deficiency

A

loss of IF from gastric resection or autoimmune gastritis

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13
Q

what can make it difficult to correct K levels

A

hypomagesemia

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14
Q

triad of reactive arthritis

A

nongonococcal urethritis, asymmetric oligoarthritis, conjunctivits

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15
Q

Tx reactive arthritis

A

NSAIDs

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16
Q

what primary tumors commonly mets to liver

A

GI tract, lung, breast

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17
Q

Lynch syndrome

A

hereditary non polyposis colorectal CA

icnreased risk endometrial CArcinoma

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18
Q

which metabolic abnormality can cause decrease in PTH secretion and decrease responsiveness to PTH

A

hypo Mg

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19
Q

most effective Tx for trigeminal neuralgia

A

carbamazepine

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20
Q

Bengin parozysmal positional vertigo

A

triggered by change sin head position

confirmed by Dix Hallpike maneuver

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21
Q

best acute management frsotbite

A

rapid rewarming with warm water

22
Q

symptoms of graves opthalmopathy

A

gritty or sandy sensation, redness, photophobia, pain, excess tearing

23
Q

risk factors for graves opthalmopathy

A

female sex, advancing age and smoking

24
Q

kussmauls sign

A

increase in JVD with inspiration

25
Q

most common cause of thyrotoxicosis with reduced thyroid uptake

A

subacute lymphocytic (painless) thyroiditis
subacute granulomatous thyroiditis
levothyroxine overdose
iodine-induced thyrotoxicosis

26
Q

intense pain in thyroid region

A

subacute granulomatous (de quervains)

27
Q

gross proteinuria with no hematuria

A

minimal change

28
Q

intermittent asthma

A

daytime Sx

29
Q

mild persistent asthma

A

Sx >2 days/week

nighttime awakenings 3-4x/month

30
Q

moderate persistent asthma

A

> 2 days/week

nighttime awakenings weekly

31
Q

severe persistent asthma

A

Sx thorughout the day
frequent nighttime awkenings
limited activity

32
Q

What drugs induce peripheral neuropathy

A

chemo

vincristine, taxanes

33
Q

Sx chemo induced peripheral neuropathy

A

symmetric distal sensory neuropathy in stocking glove pattern

34
Q

nodular glomeruloscleross

A

diabetic nephropathy

35
Q

Sx of CML

A

fatigue, malaise, low grade fever, anorexia, abdominal pain and weight loss

36
Q

increased immature myelocytes on peripheral blood smear

A

CML

37
Q

fusion in CML

A

9;22 BCR ABL1

38
Q

lab finding in CML

A

low alkaline phosphatase

39
Q 
patient has dizziness, inability to walk, pain in right side of face
L pupil larger than R
dec corneal reflex
partial ptosis of R eye
horizontal and rotational nystagmus
gag reflex diminished
loss of pain and temp on right face L trunk and limbs
location of lesion?
A

lateral medulla

wallenberg syndrome

40
Q

sensory Sx of wallenberg syndrome

A

loss pain and temp of ipsi face and contra trunk and limbs

41
Q

autonomic dysfunction in wallenberg syndrome

A

ipsi horners
hiccups
sleap apnea

42
Q

which aa cause wallenberg syndrome

A

intracranial vertebral a occlusion

43
Q

what vasculature is compromised in subdural hematoma

A

tearing of bridging veins

44
Q

lens shaped epidural bleed

A

middle meningeal

45
Q

what vaccines are contraindicated in HIV CD4

A

MMR, varicella, zoter, live attenuated influenza

all live vaccines

46
Q

what vaccines are absolutely Contraindicated in HIV regardless of CD4 count

A

bcg, anthrax, oral thyphoid, oral polio, yellow fever

47
Q

high insulin levels and c peptide with severe hypoglycemia

A

beta cell tumor

48
Q

skin rash in glucagonoma

A

necrotic migratory erythema

49
Q

TSH and T4 levels in secondary hyperthyroidism

A

both are high

so MRI of pituitary

50
Q

low TSH and high T4 with low radioactive uptake

A

measure serum thyroglobulin
if high- thyroiditis or iodide exposure
if low- exogenous hormone

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