Week 3 Flashcards

1
Q

what immunodeficiency presents with delayed umbillical cord separation, recurrent skin, mucosal infections, and severe periodontal disease?

A

LAD

look for high PMN count

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2
Q

pronator drift is a sensitive and specific sign of what dysfunction?

A

UMN/pyramidal tract disease

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3
Q

management of infantile hydrocele?

A

observations until 1 year/it disappears

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4
Q

TCA overdose:

NaHCO3 _____ serum pH and ____ extracellular sodium, thereby alleviating the cardio-depressant action on ____ channels.

A

increases, increases;

sodium

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5
Q

how do nitrates exert their anti-ischemic effect?

A

vasodilation –> decreased LVEDV and decreased wall stress –> decreased MVO2

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6
Q

oral estrogens ____ levels of TBG –> causing a ____ requirement for levothyroxine in patients with hypothyroidism

A

increased; decrease

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7
Q

adrenal insufficiency is characterized by _____ sodium and ____ potassium

A

low, elevated

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8
Q

initial treatment of choice in a patient with hyponatremia from SIADH?

A

fluid restriction

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9
Q

what defect is characteriszed by a harsh, holosystolic murmur heard best at the left lower sternal border?

A

VSD

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10
Q

alkalosis causes dissociation of hydrogen ions from ____, increased binding of calcium, and a _____ in ionized calcium

A

albumin; decreased

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11
Q

Patients with CML have a ___ leuk alk phos score

A

LOW

reaction to infection would have a high LAP score

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12
Q

lichen _________ causes intense pruritis and white atrophic plauqes involving the vulva but not the ______

A

sclerosus;
vagina

e.g. thin, white crinkled skin;
severe retraction

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13
Q

treatment of lichen sclerosus?

A

topical steroids

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14
Q

first line treatment for renal artery stenosis?

A

ACEi or ARB

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15
Q

what vaginal disease is characterized by a thickened, leatherly textured skin? what about thin, excoriated skin?

A

lichen simplex chronicus = thick;

lichen sclerosus = thin

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