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172 Cards in this Set
- Front
- Back
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Rx Tx for Bacterial Vaginosis
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Metronidazole or Clindamycin
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Low Ejection Fraction w/ Low Renal Profusion
Tx. with |
LOW Dose Dopamine
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Abdominal Trauma w/ Retroperitoneal Air= Ruptured duodenum Next step....
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Immediate Laparotomy
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Early Onset Emphysema in non-smoker Think
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alpha 1 anti-trypsin Deficiency
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Tx. of choice for Impetigo
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Mupirocin
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Treatment for Primary Biliary Cirrhosis
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Ursodeoxycholic Acid
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If Pt. transfused prior to 1992 Check for?
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Hepatitis C
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If Pt.transfused prior to 1986 Check for?
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Hepatitis B
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Papule with painless ulcer with beefy red granular base
Donovania Granulomatis Bacterium |
Granuloma Inguinale
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MC cause of myocarditis that results in Idiopathic Dialated Cardiomyopathy
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Coxsackie B Virus
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DOC for Nocturnal Enuresis
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Desmopressin
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Neonate with neck stiffness & rash= MC Pathogen
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Meningococcus
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Angioedemia in ER MC cause?
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Ace Inhibitor
eg. Enalapril |
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Aids Pt. CD-4< 50 Prophylax for ? with ?
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Mycobacterium Avium w/
Azithromycin or Clarithromycin |
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Tx of Pinworms`
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Albendazole or Mebendazole
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Chronic Non-Complaint Schizophrenic w/ auditory hallucinations
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Fluphenazine or Haliperidol
Long acting and injectable |
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Aspirin Toxicity
(salicylate toxicity)will present with? |
Resp. Alkylosis & Metabolic Acidosis
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PCOD (Poly Cystic Ovary Disease) is associated with elevated levels of?
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DHEA
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Diagnosis of Ulcerative Colitis Established by
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Proctosigmoidoscopy and Biopsy
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Dislocation of the Lens
Upward = ?? Downward= ?? |
Upward in Marfan's
Downward in Homocysteine Urea (cystathione Synthase Deficiency |
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Drugs that cause Pancreatitis
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Diuretics, Drugs for Inflam.Bowel Ds.,Immuninosupressive Drugs
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Drugs that cause Pancreatitis
Con't |
Drugs for Pt.s with H/0 seizures or bipolar
eg. Valproic Acid |
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Drugs that cause Pancreatitis
Con't |
Drugs used by aids pts.
eg. didanosine & pentamidine |
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Drugs that cause Pancreatitis
con't |
Antibiotics
eg. metranidazole & tetracycline |
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Treatment for Pneumocyctis Pneumonia
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Trimeth/Sulf. (Bactrum)
2nd line Pentamidine |
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Tx for Cat Bite
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5 days of Amoxicillin/Clavulanate
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1st tx for Legionella
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Erythromycin
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PBC (Primary Biliary Cirrhosis)
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Assoc. with Anti-Mitochondrial Antibody
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To be classified a benign murmur.....
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1.Pt. Asymptomatic
2.Intensity Grade II or less 3.Normal S2 w/no audible click 4.Normal pulses,no other abn's |
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HIV + male in Missouri with palatal ulceres, hepatosplenomegly & pancytopenia......DX?
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Histoplasmosis
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DOC for Narcolepsy
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Methylphenidate or Modafimil
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Tx for Fibromyalgia
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Amitriptyline or cyclobenzaprine
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Pt. with suspected bladder trauma?
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Retrograde cystogram
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Tx for advanced prostate metastatic disease?
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Leuprolide
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MC urinary stone
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Calcium Oxalate
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Elevated Calcium Phosphate with hyperparathyroidism
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Renal Tubular Acidosis
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Kartegeners' Syn.
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Recurrent Sinusitis
Bronchiectasis Dextracardia |
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en bloc gait with minimal head movements, swaggering gait, w/ nystagmus & vertigo
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Vertibular Ataxia
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Frontal lobe & multiple sensory systems effected
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Gait Dysequilibrium
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Hyperglycemia, necrolytic migratory erythemia, and diarrhea
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Glucagonama
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Prevention of Recurrance of Hep B
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Hep B Immunoglobulin & lamivudine
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Criteria for Transfusion
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HCT<30% in COPD,CRF,IHD
<25% in yound and healthy |
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Hallmark signs of Muscular Dystrophy
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Waddling gait & weak gluteals
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1st renal sign in DM
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Glomerular Hyperfiltration
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What type of hypersensitivity rxn is IgE
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Type 1- immediate
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What type of hypersensitivity is antibody mediated
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Type II eg.IgG, IgM, Rh or immune hemolytic anemia
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Fine irregular cytoplasmic projections.....what kind of cell?
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Hairy Cell Leukemia
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Osteomyelitis in Infants in order of occurance
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1. S. Aureus
2. Group B Strep 3. E. Coli |
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Osteomyelitis in Children
MC is..... |
S. Pyogenes
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Osteomyelitis in Prosthetic devices
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S. Epidermitis
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Osteomyelitis in Sickle Cell Pt.
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Salmonella
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Osteomyelitis with h/o uti or instrumentation
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Gram (-) rods Klebsiella or Pseudomonas
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Hypercalcemia with PTH <10
think....... |
Malignancy
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If you suspect infant with congenital Diaphragmatic Hernia
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Place orogastric tube
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Elderly female with vaginal irritation & clear watery discharge Dx?
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Atrophic Vaginitis
Tx. w/ estrogen replacement or premarin cream 2x daily |
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Henoch-Schoenlein Purpura
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IgA Vasculitis
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What do S. pneumoniae, H. influenzae, and N meningitis have in common?
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All Encapsulated
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Anti-endomycial Antibodies are associated with.....
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Dermatitis Herpetiformis
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In ventilator settings, what setting can effect cardiac output?
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PEEP
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Side effect of quinine
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Tinnitus
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Podocyte Fusion is associated with
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Minimal Change Disease. Seen on electron micrograph
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Glomerular Basement Thickening
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Adult nephrotic Syndrome
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Linear deposits of IgG
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Goodpastuers
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18 y/0 IVDA
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Tx with Vancomycin and Gentamycin
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MC cause of leukocoria
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Congenital Cataracts
tx with high dose glucocorticoids |
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Medication guidlines for CHD or Risk equiv.
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LDL<100 goal>100 lifestyle mod and>130 medications
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2 or more risk factors
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goal <130 >130 life modifications and >160 meds
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Zero or no risk factors
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<160 goal >160 lifestyle mod and >190 meds
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Dx of Histoplasmosis in HIV Pt. Tx??
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IV amphotericin B followed by life long itraconazole
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Cardiac anomoly in Schizophrenics
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INcreased Ventricle size on CT
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Angioedema is associated with
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C-1 inhibitor deficiency
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Alpha 1 blocker with fewest side effects for BPH
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Tamsulosin (Flomax)
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3 days post MI, Pulsus Paradoxus, hypotenion, PEA
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Free wall rupture
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Pain on passive extension of an extremity
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compartment syndrome
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Antibodies to what blood type do not cross the placental barrier
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ABO
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Smudge cells associated with?
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Chronic Lymphocytic Leukemia
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What medication is given perioperatively for reduced risk
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Beta 1 antagonists
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Papillary CA
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Thyroid
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Kilocytes are classic for ??
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HPV
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Systolic Click
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Mitral Valve Prolapse
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Impotence w/ intermittant claudication
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Leriche's Syndrome
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Vulvar papillamatosis assoc. with HPV 6 & 11
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Contagiosum Accumita
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S/S of Cauda Equina
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Compression of L/S nerve Pools
by infection/tumor. Urinary retention/overflow dec. anal sphincter tone incontinence Saddle anasthesia |
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MC side effect of olanzapine
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Weight Gain
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Skin biopsy reveals IgG & C deposits at the dermal-epidermal jxn DX?
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Bullous Pemphigoid
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IgG deposits intracelluarly in epidermis,skin,mucos membranes & antibodies to adhesion molecules
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Pemphagis Vulgaris
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IgG deposits i linear band at the dermal/epidermal jxn. Auto
Immune, mucos menbranes,oropharynx gentalia |
Cicatricial Phemphygoid
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Red urine in patient on Rifampine
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Benign drug effect
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Anisocytosis,poikilocytosis basophilic stippling,extreme ^
LDH, Megloblastic,, dec.b-12,from dec IF 2* to gastric atrophy. |
Pernicious Anemia
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Pernicious Anemia confirmed by
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Achlorhydria, decreased serum B-12 and and extremely elevated LDH
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MC cause of Bacterial Sinusitis?
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Strep Pneumonia, followed by H.Influenza, Moraxella
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12 y/o AA M hx of Sickle Cell Osteomyelitis, w/ hypotension 12% bands & HgB of 9
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Dx: Strep Pneumonia
BECAUSE= AUTOSPLENIA SO NO PROTECTION FROM sp AND H.FLU |
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In cystic fibrosis pt, give ceftazidime & gentamycin (or amikacin) for coverage against??
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Pseudomonas
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Tx for pinworms?
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Medandazole
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Pt. presents with symptoms consistant with PMS. Next step?
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Menstrual Diary
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Pt.with H/O HTN, Tachycardia incr.RR, with tearing pain to back.Dx of disecting AA Most appropriate initial therapy
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Administer Anti-hypertensives
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MC gene deletion in Cystic Fibrosis?
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On the Phenylaline Gene
DA508 |
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Pt.w/FH + for thyroid CA & Pheochromocytoma, Dx w/T-Ca.
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MEN IIa Thyroid, pheo, Para-thyroid adenoma. Asso. w/ Ret Protooncogenes on Chrom #10
Tx: Thyroidectomy |
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Tapping Apex Beat, loud 1st heart sound, mid-diastolic rumble at apex
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Mitral Stenosis
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Pansystolic Apical Murmur radiating to axilla
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Mitral Regurg.
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Systolic Ejection murmur
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Aortic Stenosis
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Early diastolic decreshendo, high pitched,blowing quality best heard at 3rd L.IC space?
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Aortic Regurgitation
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Schizophrenic with increased negative symptoms. Typical or Atypical? DOC
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Atypical
DOC: Risperidone(fewer extraprymidal symptoms, also Clozipine,olanzapine,quetiapine |
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Sertraline_ Drug Class?
Rx for ? |
SSRI for depression
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Chlordiazepoxide Given for
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Alcholic withdrawl
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Donepezil
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Alzheimer's
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Scales produced on scraping hypopigmented maculoes
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Tinea Versicolor
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Vit B-1?
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Thiamine
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Vit B-3 Deficiency. DX and what are the 4 D's
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Niacin. Dx is Pellagra. 4 D's are diarrhea, dermatitis, dementia, and death!
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B-12 Deficiency
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Folic Acid. Megloblastic A. Pernicious A. Ataxia,perip.neuropathy
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Skin condition with primary symptom is itching, with patches of central clearing?
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Tinea Corporis
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Tx of Tinea Corporis?
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2% turbinafine or grisectulvin
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2* sign of Syphillis
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Maculopapular rash on Palms and soles of feet
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Indications for parathyroidectomy in asymptomatic pt. w/ primary hyperparathyroidism?
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serum Ca++ 1 mg. above upper limits of normal &
24 urinary ca++ above 400! <50 y/o w/ BMD <T2.5 at any site |
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Amenorrea in athletic female?
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Estrogen Deficency
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Pseudomonas Coverage for Pt. with neutrapenia??
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3rd Generation cehalosporin (ceftazidine) or 4th generation like (cefepime)
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Choriocarcinoma indicator
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Quan. B HCG
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Severe Diastolic dysfxn. Low Voltage QRS, non-spec ST changes ???????
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Restrictive Cardiomyopathy
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Diabetic Neuropathy tx's with???????
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Tricyclic's
Amitriptyline Gabapentin |
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Tx fpr mid-shaft humeral fracture???????
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Closed reduction & immob. of arm in hanging cast
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Epiglossitis MC cause??
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H. Influ & Group A Strep
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Tx of Variant Angina?
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Ca++ Channel Blockers
eg: Diltiazem |
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Albuterol has what negative cardiac association??
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Arrythmia's
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Decrease in MSAFP & Estriol w/ increase in B hCG commonly seen in ??
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Down's
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A decrease in fetal movements indicates what procedure next?
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NST- Non Stress Test
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Associated with Vit.A tox.,HA, nausea/vomiting,papillidema, Elevated CSF opening press.
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Pseudotumor Cerebri
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Primary adrenocorticol insufficiency associated with??
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Hypothalamic/Pituitary Tumor also producing skin changes
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Best initial tx for Community acquired pneumonia??
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Levofloxacin
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Parasitic infection from working with hogs causing massive brain dystruction?
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Neurocysticercosis!!!!! Just think you can say
Neurocysticerosis!!!!!!! |
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Post MI tx for low ejection fraction and decreasing contractility??
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Beta Blockers(contractility) and Ace inhibitors (low EF)
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Young patient, HTN, ms. weakness & numbness, test for ??
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High aldersterone/renin ratio
true of Primary Hyperaldosteronism |
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Mumps typically effect what two glands?????
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Parotid glands & testes
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Inflamed C-lym.nodes. 7 y/o whose shots are up do date?
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Dicloxacillin (for strep and staph)
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Gluconeogenesis alanine is converted to ?????
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Pyruvate
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Initial Tx of Pyloric Stenosis?
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IV hydration & K replacement
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Finasteride effects which cells in the prostate?
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Epithelial Cells......Wow...
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Hyponatremia is associated with which type hemmorage in the brain?
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Sub-arachnoid
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Initial Tx for Disecting AA
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IV Nitroprusside & short acting B-Blockers
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Wilm's Tumors are from what embrylogical origin
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metanephros
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Side effect of quinine?
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Tinnitus
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Phenytoin rx'd for?? with what side effects??
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Myotonic, tonic/clonic seizures
SE's are ging.hyperplasia, hirsuitism, rash |
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Carbamazapine Rx'd for ???
SE???? |
Tonic/Clonic /Seizures
SE: Stevens-Johnson Epidermal necrolysis |
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Ethosuximide & Valproic Acid Rx's for????
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Abscent Seizures
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Phenobarbital works what receptors and channel opening?
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Seizures- works on gamma-aminobutyric Acid Receptors and extends the Chloride channel opening.
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Lamotrigine Rx.d for???
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tonic/clonic & Partial Seizures
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Nodular swelling in the iris that are harmartomas are associ with what dis. process?
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Neruofibromatosis
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Renal angiomyolipomas & cardiac rhabdomyosarcomas
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Tuberous Sclerosis
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17 y/o male with P/F history of stones, hexagonal crystals with urinary nitroprusside +
=????????????? |
Cystinuria caused by
impaired amino acid transport |
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If pap smear reveals dysplasia?? Next step is???
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Colposcopy
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If pap says CIS (Carcinoma in situ
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Conization
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Dx. of Pneumocystis Carini made by
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bronchaveolar levage
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Grey mucos discharge
Pear shaped motile organism DX |
Trichomonas Vaginitis
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Tx. of Trich. Vaginitis??????
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Metronidazole for patient and partner
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Bulbar injection, desquamation of fingers toes Fissuring & crusting lips, Strawberry tongue, c-lymph.
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Kawasaki's
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Kawasaki's tx's with
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IVIG & High dose Aspirin
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Cardiac defect assoc. w/ Kawasaki's
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Coronary A. Aneurysm
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Helmut cells are associated with what .......and represent what..........
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DIC, HUS, TTP
represent fragmented RBC's |
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Basophilic stippling is associated with Lead & H Metal poisoning & Thalasemia precipitates out as????
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blue granules
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Heinz bodies are associated with what 2 ds. processes
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G6PD & Thalasemia
Bite Cells |
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Howel Jolly Bodies are remnants of ......suggest....
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RBC's suggesting autosplenia and suggest encapsulated organism vulnerability
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Sensitivity
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= TP/TP + FN
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Specificity
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= TN/TN + FP
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Lowering cut-off results in ??
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Increase in Sensitivity
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8 y/o with Pneumonia & clubbing
gram negative rod? |
Pseudomonas Aeruginosa
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Gram (-) diplocci
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Strep Pneumoniae
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Gram (+) cocci in clusters
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Staph
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Gram (-) cocci
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Neisseria
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Gram (+) Rods
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Listeria & Bacillis
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Gram (-) Rods
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Pseudomonas, Haemophilis, Klebsiella, Legionella
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Elevated BUN with normal createnine indicates ???????
(Hint: go with your gut feeling!!) |
Upper GI Bleed
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Presence of a Q-wave plus ST elevations represents what type of infarct??????
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Acute Transmural
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ST depressions and absence of a Q-Wave indicate ??????
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Acute Sub-endocardial infarction
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