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35 Cards in this Set
- Front
- Back
Legionella requires which growth mediums for culture?
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Cysteine & Iron
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Which microbe requires potato for growth medium?
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Bordetella Pertussis
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Chest X-ray of a pt. w/ pneumonia shows obliteration of the R heart border.
Which lobe of the lung would you expect the pnemonia to be in? |
The Righ Middle lobe - Classic Silhouette sign
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A pnemonia pt. X-ray shows obscured diaphragm borders in the R field.
Which lung lobe is likely infected? |
The right lower lobe
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Colorectal cancer is associated w/ which tumor marker?
AFP CA-125 CEA S-100 |
CEA
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Hepatocellular cancer is associated w/ which tumor marker?
AFP CA-125 CEA S-100 |
AFP
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Ovarian cancer is associated w/ which tumor marker?
AFP CA-125 CEA S-100 |
CA-125
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Melanoma is associated w/ which tumor marker?
AFP CA-125 CEA S-100 |
S-100
Think of Spf 100 for sun block |
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What are the causative agents for a pt. who develops progressive numbness and loss of motor control of a patient beginning in their lower limbs and ascending simetrically?
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Campylobacter Jejuni
mycoplasma Pneumoniae Pt. in the case described has Gullain-Barre syndrome |
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Which of the following agents is associated w/ gout?
Lisinopril Metformin Niacin Sulfonylurea Losartan |
Niacin
Other affects: Cutaneous flushing Dyspepsia |
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Your AIDS pt. presents w/ several painless patches on his trunk and head.
Which of the following is most likely associated w/ his skin lesions? It rarely spreads beyond the skin Involves proliferation of endothelial cells Caused by a fungal infection Infectous agent lies dormant in sensory ganglia Caused by a hypersensitivity reaction |
Involves proliferation of endothelial cells
This pt. has HHV-8 leading to Kaposi Sarcoma |
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In January a mother brings her 8 month old into the ER w/ respiratory distress.
A chest X-ray shows hyperinflated lungs. The child is breathing at 66 resp. per minute and wheezing is appreciated. The child most likely has: Bacterial pneumonia Epiglotitis Croup Adenovirus RSV |
RSV
Any child that presents w/ fever, cough and respiratory distress in the winter, think RSV until proven otherwise |
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Your patient has been diagnosed w/ pemphigus vulgaris.
Which of the follwoing is characteristic of her disease? Autoimmune arthritis of the fingers with nail discoloration Associated malabsorption syndrome Antibodies against desmosomes Antibodies against basement membranes Negative Nikolsky's sign |
Antibodies against desmosomes
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Differentiate between Wegener's & Goodpastures in relation to P-ANCA & C-ANCA
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Wegeners = C-ANCA Positive
Wegeners = Wind = Cough = C GoodPastures = P-ANCA Positive "P" in Pastures is P-ANCA |
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Your 33 yo pt. presents for examination of a mass on his testicle.
The mass is biopsied and diagnosed as a seminoma. Which of the following is the most accurate statement about this tumor? hCG is elevated AFP is elevated It is benign It commonly metastasizes through the blood A history of cryptorchidism is a risk factor |
A history of cryptorchidism is a risk factor
Cryptorchidism is a risk factor for ALL testicular cancers |
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A 45 yo. pt presents w/ a WBC count of 300,000.
Her RBC count is normal. Leukocyte alkaline phosphatase activity is decreased. Which of the following is characteristic of her disease? Pos. staining for TRAP Expression of a fusion gene w/ tyrosine kinase activity Decreased erythropoietin Expression of a fusion gene that inhibits apoptosis Increased serum globulin |
Expression of a fusion gene w/ tyrosine kinase activity
This pt. has CML |
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A 45 yo. pt presents w/ a WBC count of 300,000.
Her RBC count is normal. Leukocyte alkaline phosphatase activity is decreased. Which translocation is most likely? 8:14 11:22 14:18 9:22 |
9:22
This pt. has CML |
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Which glomerulonephropathy would be associated with:
Anti-basement membrane antibodies |
Goodpasture's
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Which glomerulonephropathy would be associated with:
Anti-mitochondrial antibodies |
Primary biliary cirrhosis
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Which glomerulonephropathy would be associated with:
C-ANCA |
Wegener's Granulomas
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Which glomerulonephropathy would be associated with:
P-ANCA |
Microscopic polyangitis
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A 50 yo pt. presents for follow-up on his lung cancer.
He complains of M weakness, especially in the morning, that is relieved w/ movement. Which of the following best explains his pathology? Abs. against the pre-synaptic membrane Inflammation of the muscle tissue Abs. against teh post-synaptic membrane Glucocorticoid induced myopathy Denervation |
Abs. against the pre-synaptic membrane
This pt. has developed Lambert-Eaton syndrome |
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Which portion of the bowel is affected by celiac disease?
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JEJUNUM
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Which of the following Chapman's points is most likely to cause a positive response in a pt. w/ Crohn's disease:
R proximal femur L proximal femur R mid femur L mid femur R distal femur |
R proximal femur
The terminal ileum is the most common location for Crohn's disease |
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Your pt. is being treated for bipolar disease and develops fatiuge, acne and cold intolerance.
Which of the following additional findings would also be likely? Leukopenia Tremor Concentrated urine Urinary retention AV nodal block |
Tremor
the most common adverse effect of lithium is tremor |
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What is the gold standard treatment for acute sinusitis treatment?
Gentamicin Amoxicillin/Clavulanate Ofloxacin Ciprofloxacin Loratadine |
Amoxicillin/Clavulanate
Useful for: S. Pneumonia H. Influenzae M. Catarrhalis |
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Which portion of the bowel is affected by celiac disease?
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JEJUNUM
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Which of the following Chapman's points is most likely to cause a positive response in a pt. w/ Crohn's disease:
R proximal femur L proximal femur R mid femur L mid femur R distal femur |
R proximal femur
The terminal ileum is the most common location for Crohn's disease |
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Your pt. is being treated for bipolar disease and develops fatiuge, acne and cold intolerance.
Which of the following additional findings would also be likely? Leukopenia Tremor Concentrated urine Urinary retention AV nodal block |
Tremor
the most common adverse effect of lithium is tremor |
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What is the gold standard treatment for acute sinusitis treatment?
Gentamicin Amoxicillin/Clavulanate Ofloxacin Ciprofloxacin Loratadine |
Amoxicillin/Clavulanate
Useful for: S. Pneumonia H. Influenzae M. Catarrhalis |
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Which portion of the bowel is affected by celiac disease?
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JEJUNUM
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Which of the following Chapman's points is most likely to cause a positive response in a pt. w/ Crohn's disease:
R proximal femur L proximal femur R mid femur L mid femur R distal femur |
R proximal femur
The terminal ileum is the most common location for Crohn's disease |
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Your pt. is being treated for bipolar disease and develops fatiuge, acne and cold intolerance.
Which of the following additional findings would also be likely? Leukopenia Tremor Concentrated urine Urinary retention AV nodal block |
Tremor
the most common adverse effect of lithium is tremor |
|
What is the gold standard treatment for acute sinusitis treatment?
Gentamicin Amoxicillin/Clavulanate Ofloxacin Ciprofloxacin Loratadine |
Amoxicillin/Clavulanate
Useful for: S. Pneumonia H. Influenzae M. Catarrhalis |
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Which of the following is descriptive of a patient with loss of pain and temperature sensation and weakness in the upper extremities:
Tabes dorsalis MS ALS Syringomyelia Muscular dystrophy |
Syringomyelia
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