Week 4 Flashcards

1
Q

Cyclosporine

A
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2
Q

Pancoast tumors

A
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3
Q

Tremors

A
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4
Q

Alzhemimer MIR findings

A

Early AD, MRI may be normal

Later stages-Temporal lobe atrophy which is most prominent in the hippocampi and surrounding medial temporal lobes

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5
Q

Acute nitrofuratonin induced pulmonary injury

A

Lung injury

acute hypersenstivity pneumonitis

Long term can lead to interstitial lung disease

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6
Q

Microbiology associations of infective endocarditis

A
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7
Q

Initial stabilization of acute ST elevation MI

A

Diuretics recomented for acute pulmonary edema

B blocers standard therapy in MI but should be avoided in patients with decompensated congestive heart failure or bradycardia

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8
Q

Wallenberg syndrome

A
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9
Q

Primary renal causes of nephrotic syndrome

A
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10
Q

Causes of hyperandrogenism in women

A

Primary ovarian androgens are testosterone, androstenedione and dehydroepiandrostone (DHEA)

Women with elevated testosterone with normal DHEAS leves suggest ovarian source

Elevated DHEAS levels suggest adrenal tumor

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11
Q

Common skin infections

A
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12
Q

Differentiation of conjunctivis

A
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13
Q

Pulmonary nodule workup

A
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14
Q

Antiplatelet/Antithrombotic therapy for ischemic stroke

A
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15
Q

Foodborn botulism

A
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16
Q

Optic neuritis

A
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17
Q

Renal vein thrombosis

A

Complication of all causes of nephrotic syndrome

Most commonly associated with membranous glomerulopathy

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18
Q

Phenytoin toxicity

A

Antieptilitic that inhibits V gated Na channels

Acute toxicity intially manifests with signs of cerebellar dysfunction (horisontal nystagmus, ataxia, dysmetria, slurred speech, nausea vommiting) hyperreflexia may occur

Sever toxicity results in altered mental status, coma, paradoxical seizures and death

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19
Q

Euthyroid sick syndrome

A

Fall in total and free T3 levels with normal T4 and TSH levels

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20
Q

Aminoglycosides major side effect

A

Nephrotoxic and drug levels and renal function must be monitored closley during therapy

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21
Q

Approach to wide-complex tachycardia

A
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22
Q

Peritonsillar abscess

A

Potential complication of tonsillitis

Requires IV antibiotics and urgent drainage

Deviation of the uvula and lymphadenopathy can be helpful in distinguishing a peritonsillar abscess from epiglottis

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23
Q

Hyperthyroid bone disease

A
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24
Q

Major drug interactions of levothyroxine

A
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25
Q

Multifocal atrial tachycardia

A
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26
Q

Natural history of diabetic nephropathy

A
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27
Q

Brain lesions and clincial presentaitons

A
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28
Q

Babesiosis

A
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29
Q

Nonbleeding varicies

A

Prophylactic treatemnt with non selective beta blockers is recomended to reduce the liklihood of progression to large varicies as well as the risk of variceal hemorrhage

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30
Q

Bacilliary angiomatosis

A
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31
Q

Multiple myeloma

A
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32
Q

Clinical features of fibromusclar dysplasia

A
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33
Q

Vascular remodeling after MI

A

Can lead to dilitation of the ventricle

Process lessened by ACE inhibitors

34
Q

Male hypogonadism

A
35
Q

Chikunguya fever

A
36
Q

aphasias

A
37
Q

Multiple system atrophy

A
38
Q

Iorn studies in microcytic anemia

A
39
Q

Metabolic side effects of thiazide diuretics

A

Hypoglycemia, increased LDL and plasma triglycerides and hyperuricima

40
Q

Renal cell carcinoma

A
41
Q

Milk alkali syndrome

A
42
Q

Medications that can cuase hyperkalemia

A
43
Q

Management of tricyclinc antidepressant overdose

A
44
Q

Noninvasive positive pressure ventilation

A
45
Q

Uric acid kidney stones

A
46
Q

Mitral stenosis

A
47
Q

Side effects of amiodarone

A
48
Q

ARDS

A
49
Q

High homocystine levels

A

Give B6

Lowers homocystenime by acting as a cofactor for metabolism of homcystine into cystathione

50
Q

Casts

A
51
Q

Medical therapy that improves morbidity and mortality in patients with known coronary heart disease

A
52
Q

running injuries of foot and ankle

A
53
Q

Myoclonus

A
54
Q

Common clinical features of untreated acromegaly

A
55
Q

Clinical manifesations of hereditary hemochromatosis

A
56
Q

Site of hemorrhage neurologic findings

A
57
Q

Budd-Chiari syndrome

A
58
Q

Differential diagnosis of myopathy

A
59
Q

Constrictive pericarditis

A
60
Q

Thyroditis

A
61
Q

Clinical features of MS

A
62
Q

Treatment of idopathic intercranial hypertension

A

Acetazolamide +/- furosemide

Inhibits choroid plexus carbonic anhydrase, therby decreasing CSF production and IH

Optic nerve sheath decompression or lunboperotoneal shunting is recomended for patients refactory to medical therapy

63
Q

Scleroderna renal crisis

A

Renal falilrue, malgnant hypertnesion, peripheral blood smear can show microangiopathic hemolytic anemia with schistocytes and thrombocytopenia

64
Q

Antithyroid drugs side effects

A

PTU and methimazole

Fever and sore throat suggests agranulocytosis

Antithyroid drugs should be stopped and WBC count checked

65
Q

Nephrotic syndromes and cancer associations

A

Membranous nephropathy-Carcinoma

Minimal change disease-Hodgkin lymphoma

66
Q

PVC treatment

A

Only for symptomatic patients

Beta blockers and Ca channel blockers are first line therapy

67
Q

Clinical features of dermatomyostis

A
68
Q

Treatment of trigeminal neuralgia

A

Carbamazepine

Anticonvulsant that can cause nausea and vomiting as well as leukopenia

69
Q

Features of tabes dorsalis

A
70
Q

Differentail diagnosis of neck pain

A
71
Q

OA finidngs

A
72
Q

Pulmonic valve stenosis

A
73
Q

Hereditary cancer syndromes

A
74
Q

Heminiglect

A

Nondominant parietal lobe

75
Q

Corneal abrasion

A
76
Q

Common hereditary cancer syndromes

A
77
Q

Granulomatosis with polyangitis

A
78
Q

Toxic alcohols

A
79
Q

Stress tests

A
80
Q

Felty syndrome

A