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step 2 > week of 5/25 > Flashcards

week of 5/25 Flashcards

1
Q

Disseminated gonococcal infection triad

A

tenosynovitits
dermatitis
migratory polyarthralgia

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2
Q

WBC count in tap from gonococcal infection

A

like 30,000 less than 50,000 like most bacteria

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3
Q

what does nieman pcik have that tay-sachs doesn’t

A

hepatoslenomegaly

areflexia, tay sachs has hyperreflexia

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4
Q

deficiency niemann pick

A

sphingomyelinase

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5
Q

taysach’s deficiency

A

B-hexosaminidase

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6
Q

alkalosis effect on calcium

A

increases the amount bound to albumin. H+ dissassociate from albumin so it binds to Calcium

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7
Q

where is pain in pes anserinus syndrome

A

medial at joint line

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8
Q

where is pain in patellofemoral syndrome

A

anterior at joint line

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9
Q

prophylaxis for tumor lysis syndrome

A

IV fluids most important

-allopurinol, rasburicase

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10
Q

what hormones do opioids suppress

A

GnRH and LH

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11
Q

HTN and hypokalemia first test

A

plasma renin activity and plasma aldosterone concentration

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12
Q

type of white blood cell elevated in primary adrenal insufficiency

A

Eiosinphils

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13
Q

nerve thing dialysis and cause

A

carpal tunnel

-dialysis related amyloidosis, increased venous pressure during dialysis worsens symptoms

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14
Q

Most common risk factors for developing bacterial sinusitis

A

cold or allergies before

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15
Q

major risks Kawasaki disease

A

coronary aneurysm and thrombosis

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16
Q

what causes warfarin induced skin necrosis

A

protein c and s deficiency from the loading dose = clot

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17
Q

ace/arb Moa

A

Reduces glomerular hydrostatic pressure

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18
Q

tx for drug induced interstitial nephritis

A

stop med

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19
Q

how does hyperventilation lower ICP

A

vasoconstriction

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20
Q

perilymphatic fistula symptoms

A

endolymph leakage
progressive sensorineural hearing loss
episodes of vertigo with nystagmus worse with valsalva

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21
Q

Fredrich ataxia clinical presentation and inheritence

A 
AR
cerebellar ataxia
dysarthria
loss of vibration and position sense
absent dtr
hypertrophic cardiomyopathy
scoliosis
diabetes
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22
Q

blepharitis presentation

A

burning or itching of lids, discharge, and foreign body sensation

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23
Q

calcific uremic arteriopathy clinical manifestations. and cause

A

painful nodules and ulcers
soft tissue calcification on imaging
arterial calcification
caused by hyperphosphatemia

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24
Q

calcific uremic arteriopathy

risk factors

A 
End stage renal disease
hypercalcemia
hyperphosphatemia
hyperparathyroid
obesity
diabetes
oral anticoagulation
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25
Q

d xylose absorption celiac

A

low

26
Q

what is dacrocystitis

A

infection of lacrimal sac

27
Q

what causes problems in tamponade

A

decreased lv preload

28
Q

what abx to avoid in patients with aortic aneureysm stuff

A

fluroquinolones- collagen stuff

29
Q

TRALI tx

A

respiratory support and supportive care

30
Q

membranous nephropathy risk factor

A

hep b

31
Q

thiazide effect
K+
Ca2+
glucose

A

K+ ⬇️
Ca2+ ⬆️
glucose ⬆️

32
Q

hypothyroid prolactin levels and fsh lh levels

A

prolactin ⬆️

fsh/lh ⬇️

33
Q

clinical features of sellar mass

pituitary adenoma, craniopharygioma, meningioma, pitiivytoma

A

Diplopia/bilateral hemianopsia
HA
Hormonal deficiencies

34
Q

when to use tranexamic acid

A

uterine atony

35
Q

Risk factors for NRDS

A

Diabetes and prematurity

36
Q

vaccines for prego

A

flu

Tdap

37
Q

vaccines contra indicated in pregnancy

A

MMRV
Live flu
HPV

38
Q

tx for labial afhesion

A

topical estrogen

39
Q

risk factors for cervical insufficiency

A

collagen defects
uterine abnormalities
cervical conization
obstetric injury

40
Q

what hormones increase insulin resistance in third trimester of pregnancy

A
  • Human Placental lactogen

- placenta makes somatomammotropin

41
Q

Billiary Atresia
Direct bili
GGT
retic count

A

Direct bili ⬆️
GGT⬆️
retic count normal

42
Q

painless blurred vision, glare, halos

A

catarcts

43
Q

abx for uti in baby

A

3rd gen ceph like cefixime

44
Q

ALL-
RBC
Platelets
Leukos

A

RBC ⬇️
Platelets⬇️
Leukos ⬆️ mostly blasts

45
Q

Emperic tx for epiglottis

A

Vanc and ceftriaxone

46
Q

Tuberous Sclerosis cancers

A

Subepyndymal tumor
cardiac rhabdomyomas
angiomyolipomas (renal)

47
Q

pertussis post exposure prophylaxis guidlines

A

macrolides for everyone.

48
Q

hydralazine is strongly associated with what side effect

A

drug induced lupus

49
Q

ferritin in alcoholic hepatitis

A

⬆️

50
Q

prolactin effects on estrogen

A

⬇️

51
Q

McCune-ALbright clincal stuff

A

Irregular Cafe au lait spots
precocious puberty
axillary and pubic hair
fibrous dysplasia of bone

52
Q

Kartagner syndrom clinical features

A

recurrent sinopulmonary infections
bronchiectasis
situs inversus

53
Q

homecystenuria picture

A 
AR
retarded
thrombosis
downward lens dislocation
megaloblastiv anemia
fair complexion
marfanoid habitus
54
Q

risk factors for PPROM

A

Prior PPROM
GU infections, even asymptotic
antepartum bleeding

55
Q

Acute fattly liver of prego tx

A

deliver that baby right now

56
Q

patellofemoral pain syndrome clincial findings

A

pain with isometric contraction of the quadriceps

57
Q

rbs
wbc
platlets in APL

A

all down

58
Q

what are APL patients at risk for

A

catastrophic hemorrhage due to consumptive coagulopathy

59
Q

numbness or pain over 3rd and 4th toes,

clicking sensation when palpating space between 3rd and 4th toe while squeezing metatarsal joints

A

morton neuroma

60
Q

mixed connective tissue disease marker

A

anti-U1 ribonucleoprotein

61
Q

biphasic stridor better with neck extension

A

vascular ring

step 2 (53 decks)

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