Week 8 Flashcards
pupillary response is _____ in patients with ischemic CN3 palsy and is ______ in patients with CN3 compression
preserved;
absent/abnormal
most common side effect of tamoxifen
hot flashes
watch for VTE, endometrial cancer
osteomalacia is characterized by _____phosphatemia, _____calcemia, and elevated _______
hypo,hypo;
alk phos
clasically, what causes a chronic biphasic stridor in kids? does it improve or worsen with neck extension?
vascular ring;
improves
with laryngomalacia, stridor _____ while supine and ____ when prone
worsens; improves
subclavian steal syndrome is due to atherosclerosis or occlusion or the subclavian arttery or the vertebral artery?
subclavian
B12 vs folate defeciency:
methylmalaonic acid is elevated in _____;
homocysteine is elevated in ______
B12;
both
aspirin exacerbated resp disease is mediated by what kind of reaction?
pseudoallergic reaction
in patients with hydatiform moles, does B-hcg normalize immediately following D and C or does it take several weeks?
several weeks bruh
chrondocalcinosis in an inflamed joint is suggestive of what?
calcium pyrophosphate dihydrate arthritis
chronic pelvic pain with a homogenous cystic appearing adnexal mass is suggestive of what?
endometriosis
which anti-diabetic drug has the favorable profile of weight loss?
Glp-1 receptor agonists ie exenatide
initial management in hemodynamically stable patients with heavy vaginal bleeding?
high dose OCPs (or high dose estrogen)
case-control vs cohort:
which is best for determining incidence?
which allows for calculation of relative risk?
cohort;
cohort
pneumonia causes hypoxemia due to what?
VQ mismatch (and intrapulmonary shunting)
in patients with untreat genital herpes, do outbreaks typically more often or less often as time goes by?
less
what immunodefeciency is characterized by recurrent cutaneous/pulmonary functions with catalase positive organisms?
CGD
ie staph aureus, serratia
what immunodeficiency presents with oculocutaneous albinism and recurrent cutaneous infections?
chediak higashi
asymptomatic bacteriuria is treated in pregnant women due to increased risk of what (without treatment)\?
pyelo
what imaging modality is indicated in a patient with suspected esophageal perforation?
water-soluble contrast
3 tests used in evaluation of cushing?
- 24 hour urinary cortisol
- late night salivary cortisol
- low dose dex suppression test
cauda vs conus: saddle hyposthesia? symmetric motor weakness? hyperreflexia? early bowel/bladder?
cauda equina =saddle
symmet = conus
hyperref = conus
early bowel = conus
cauda equina vs conus:
causes only LMN signs?
cauda
Iron defeciency anemia:
_____ transferrin sat, _____ TIBC
decreased;
increased
which 2 genetic conditions have a cherry red macula? of these, which has hepatosplenomegaly?
niemann pick and tay sax;
NP has hepatosplenomegaly
of the three types of vaginitis, which does not have vaginal inflammation?
bacterial vaginosis (ie gardnerella)
do TE fistulas present with oligohydramnios or polyhydramnios?
poly
cephalohematomas:
does it cross suture lines?
risk of mortality?
due to _____ hemorrhage
no;
low;
subperiosteal
caput succedaneum = crosses suture lines
chorionic villus sampling can be done when?
what about amniocentesis
CVS = 10-13 weeks; amniocentesis = 15-20 weeks
odds ratio is the measure of association in what kind of study?
what about relative risk?
case control;
cohort