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step 2 > week of 5/10 > Flashcards

week of 5/10 Flashcards

1
Q

Patient’s Cirrhosis screening tests.

A

RUQ every 6 months to check for cancer and thrombus

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2
Q

which metarsal stress fracture needs casting or internal fixation

A

5th, rest just need rest and pain control

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3
Q

which quadrant has pain most commonly in. diverticulitis

A

LLQ

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4
Q

What animal gives you echinococcus

A

🐶 ususally dog got it from 🐑

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5
Q

echinococcus cyst charactristics and tx

A

large liver cyst with a daughter cyst inside,

tx: albendazole, percuatenous drainage if >5cm, surgery if rupture

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6
Q

hereditary spherocytocis clinical presentation

A

hemolytic anemia
jaundice
splenomegaly

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7
Q

heriditary spherocytocis tx

A

folic acid

blood transfusion

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8
Q

type 4 hypersensitivity reactions are ____ mediated

A

T cell

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9
Q

type 2 hypersensitivity reactions are ____ mediated

A

IgG, IgM

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10
Q

type 3 hypersensitivity reactions are ____ mediated

A

antibody-antigen complex deposition

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11
Q

examples of type 2 hypersensitivity

A

autoimmune hemolytic anemia

goodpasture’s

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12
Q

examples of type 3 hypersensitivity reactions

A

serum sickness
poststrep glomerulonephritis
lupus nephritis

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13
Q

criteria for complicated empyema (only need 1 i think)

A

pH < 7.2
Glucose < 60
WBC> 50,000

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14
Q

what age group most often gets staph scalded skin syndrome

A

infants and young children

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15
Q

why do patients with crowns get nephrolithiasis

A

increased absorption of oxalate. This is because of fat malabsorption

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16
Q

massive blood transfusion electrolyte abnormality

A

hypocalcemia, citrate in transfused blood binds ionized calcium. if patient has impaired liver function this is more likely to happen

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17
Q

Recommendations to decrease VAP

A

head of bed 30-45 degrees
Continuous or intermittent suction of subglottic secretions
mimimize transport
limit PPI and other antacid use.

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18
Q

Reye syndrome pathology

A

microvascular fatty infiltration

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19
Q

Rickets clinical manifestations

A 
craniotabes(pingpong ball skull)
widening of wrists
delayed frontal closure
frontal bossing
hypertrophy of costochonral joints
female and tibial bowing once weight bearing
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20
Q

Glucose-6-phosphatase deficiency (type 1 glycogen storage disease, von Gierke disease) pathphys

A

impaired glycogen to glucose conversions

21
Q

Glucose-6-phosphatase deficiency (type 1 glycogen storage disease, von Gierke disease) features

A 
hypoglycemia
lactic acidosis
hyperurecemia
hyperlipidemia
doll-like face
thin extremities
short stature
big abdomen from hepatomegaly
22
Q

massive bleeding 5 days after liver biopsy.

A

hemophilia

23
Q

test for esophageal perch

A

water soluble contrast esophagography

24
Q

Aortoiliac occlusion(Leriche syndrome) triad

A

Bilateral hip pain
thigh and butt claudication
impotence
often absent femoral pules also

25
Q

most common cause of macrocytic anemia in sickle cell patient

A

folate deficiency

26
Q

niacin triad

A

diarrhea
dermatitis(photosensitivity)
dementia
DEATH sometimes

27
Q

what kind of acidosis does iron toxicity cause

A

metabolic, anion gap

28
Q

capillary test pos for leD NEXT step

A

venous draw (cap has false positive)

29
Q

lead levels for chelation therapy

A

> 45

30
Q

lead levels 45-69 what med tx

A

dimercaptosuccinic acid(succimer

31
Q

lead levels over 70 or acute encephalopathy meds

A

EDTA or dimercaprol

32
Q

HSP path

A

IgA vasculitis

33
Q

HSP sx

A

palpable purpura on lower extremities, arthralgia, abdominal pain, renal disease/hematuria

34
Q

skin conditions associated with hep c

A

porphyria cutanea tarda

cutaneous leukocytoclatic vasculitits (palpable purpura) secondary to cryoglobulinemia

35
Q

skin condition associated with HIV

A

sudden severe psoriasis
recurrent herpes zoster
disseminated molluscum contagiosum
severe seborrheic dermatitis

36
Q

skin condition associated with HIV and PArkinsons

A

sever seborrheic dematitis

37
Q

skin condition associated with GI malignancy

A

seborrheic keratosis. sever, out of nowhere

38
Q

IBD skin association

A

pyoderma gangrenosum

39
Q

features of glucagonoma

A

Weight loss
necrolytic migratory erythema
Diabetes
GI sx

40
Q

antibody in PBC

A

antimitochodiral

41
Q

first line med restless leg syndrome

A

dopamine agoinsit like pramipexole,

sencond line is gabapentin

42
Q

tuberous sclerosis cancers

A

cardiac rhabdomyomas

subependymal nodules

43
Q

myotonic dystrophy inheritance

A

AD

44
Q

Pityriasis rosea sx

A

viral prodrome, then big red spot, then s,all red spots.

45
Q

what causes failure to thrive in CF

A

pancreatic insufficiency,

recurrent infections also

46
Q

What type of stridor does laryngomalecia have

A

inspiratory

47
Q

what posiition improves laryngomalacia

A

prone

48
Q

time to onset and MOA of drug induced immune mediatred hemolytic anemia

A

acute, hapten mediated hemolysis

49
Q

baby that was born normal now has apathy, weakness ssm hypotonia, large tongue, abdominal bloating, and umbilical hernia, dx?

A

hypothyroidism

step 2 (53 decks)

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