Winter 2018 Flashcards
Most common opportunistic infection in HIV in US
Pneumocystis Pneumonia
MC bacterial cause of meningitis
strep penumoniae
Prophylaxis med for meningococcal meningitis (household members and healthcare works w/ contact)
Rifampin prophylaxis
What should you think if pt c/o worst HA of life
subarachnoid hemorrhage
Pt works in a shipyard, what dz should you look for
mesothelioma
Use and Side effects of Phenytoin (Dilantin)
1st line AED, Gingival hyperplasia, osteoporosis, coarsening of facial features, increased body hair, ataxia, etc
UE and LE side effects of bradykinesia
UE: micrographia, difficulty w/ fine motor movement; LE: scuffing feet, drag feet when walking
Where do you see the string sign
Small bowel follow through in Crohn’s dz from inflammation and stricture
What do Anti-Saccharomyces cerevisiae antibodies (ASCA) correlate with/indicate? (GI related)
Crohn’s dz
What do Anti-neutrophilic cytoplasmic antibodies (ANCA) correlate with/indicate? (GI related)
Ulcerative colitis (ASCA = Crohn’s)
Pance Tip
Read last sentence first in test questions and start test bank questions early
Which dz, Crohn’s or UC or both, can cause significant extraintestinal manifestations
both
SE of metronidazole (Flagyl)
furry tobngue, disulfiram type rxn with alcohol, metallic taste
Trimethoprim/sulfamethoazole (Bactrim) SE
skin rashes (SJS/TEN), erythema multiforme
BOARDS like vitamin deficiencies questions
study vitamin flashcards
Pregnant woman complains of R sided abdominal pain what do you need to consider? About to give a hint to think… pain usually at McBurney’s point
Appendicitis
Grey-Turner’s sign and Cullen’s sign look like what and indicate what
Grey=flank ecchymosis
Cullen= periumbilical ecchymosis
Indicate= hemorrhagic pancreatitis and poor prognosis
X-ray of elbow shows anterior and posterior fat pads what does pt have?
Radial head/neck fx (bloody extension into tissues from fx)
Explain Salter Harris (purpose and types)
Peds w/ open growth plates and fx at joint: 1=epiphysis; 2=above +epiphysis; 3=below+epiphysis; 4=above, through, + below; 5=impaction
Plantar ecchymosis likely indicates what
fx of midfoot/Lisfranc injury until proven otherwise
