Week 7 Flashcards

1
Q

minimal change disease is clasically seen in patients with what disease?

A

lymphoma (HL)

[membranous qglomerulopathy is associated with SOLID cancers]

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2
Q

hit me with 2 adverse effects of oxytocin

A

hyponatremia
tachysystole
hypotension

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3
Q
burr cells (echinocytes) are seen in what disease?
how about spur cells (acanthocytes)
A

burr= ESRD

spur = liver

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4
Q

what is the name of hemangiomas that appear in the first few weeks of life, grow, and then regress spontaneously?

A

superficial infantile hemangioma aka strawberry hemangioma

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5
Q

diseases and auto-antibodies:
systemic sclerosis =
______ = PBC
autoimmune hepatitis =

A
sclerosis = anti-topoisomerase (Scl-70);
antimitochondrial = PBC
hep = anti smooth muscle
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6
Q

what defect is characteriized as a systolic murmur loudest at the LLSB and a diastolic rumber at the apex?

A

VSD

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7
Q

___ is the probability of being disease free if a test is negative

A

NPV

high pretest prob = low NPV

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8
Q

main side effect of hydroxychloroquine?

A

retinopathy

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9
Q
CSF findings meningitis:
high WBCs (PMNs), low glucose, high protein?

elevated WBC, normal gluc, low protein?

A

bacterial;

viral

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10
Q

post MI, what is characterized by persistent ST elevation with deep Q waves on EKG?>

A

ventric aneurysym

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11
Q

for MIs, is PCI recommended within 90 minutes of symptom onset or 90 minutes of medical contact?

A

medical contact

within 12 hours of symptom onset

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12
Q

initial step in patient with suspected urethral injury?

A

retrograde urethrogram

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13
Q

in down syndrome, beta HCG is ____, AFP is ____, estriol is ____ and inhibin is ______

A

hcg increased
afp decreased
estriol decreased
inhibin increased

(for trisomy 18, hcg is decreased)

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14
Q

vasospastic or prinzmetal angina is treated with what?

A

Ca channel blockers ie dilt

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15
Q

rapid strep antigen testing is indicated prior to treatment of GAS pharyngitis in kids or adults?

A

kids

if + CENTOR, ok to treat empirically when > 14

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16
Q

fetal tachycardia is defined as HR > ______

A

160 (sustained)

17
Q

Small for gestational babies can have complications such as hypoxia, polycythemia, ____glycemia, ____thermia, and ____Calcemia

A

hypo, hypo, hypo

18
Q

how does one assess cervical length?

A

Trans Vaginal US

19
Q

classically, LAD on a neonatal EKG is caused by what?

A

tricuspid atresia

also with decreased pulm markings

20
Q

diaphragmatic rupture usually occurs on what side?

A

left side (r side is protected by liver)

21
Q

what is the kleihauer-betke test used for?

A

determines dose of Rhogam needed following delivery or procedure

22
Q

what should neonates with moms with HBV receive after delivery?

A

HB Ig and HBV vaccine

23
Q

initial management frostbite

A

rapid rewarming in waterbath

24
Q

first line management diverticulitis with abscess?

A

ct guided percutaneous drainage

25
Q

the diagnosis of bronchiectasis is made with what?

A

high res CT

26
Q

hyperthyroidism in neonates is caused by what?

A

transplacental Abs

27
Q

PAP testing begins at what age?

A

21

28
Q

initial 2 steps in management of infant with suspected meningitis

A

LP –> ABX

kids have open fontanelles and thus dont need CT

29
Q

2 ways to increase oxygenation in ventilated patients?

A

increase FiO2; increase PEEP (esp for ARDS)

30
Q

first line benzo in management of alc withdrawal in patients with liver disease

A

lorazepam

31
Q

4 anti-hypertensives in pregnant women

A

hydralazine
labetalol
nifedipine
methyldopa (not for emergencies)

32
Q

lung compliance and distensibility are _____ in patients with COPD

A

increased

33
Q

first line treatment for lyme disease in patients < 8?

A

amoxicillin