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172 Cards in this Set

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Rx Tx for Bacterial Vaginosis
Metronidazole or Clindamycin
Low Ejection Fraction w/ Low Renal Profusion
Tx. with
LOW Dose Dopamine
Abdominal Trauma w/ Retroperitoneal Air= Ruptured duodenum Next step....
Immediate Laparotomy
Early Onset Emphysema in non-smoker Think
alpha 1 anti-trypsin Deficiency
Tx. of choice for Impetigo
Mupirocin
Treatment for Primary Biliary Cirrhosis
Ursodeoxycholic Acid
If Pt. transfused prior to 1992 Check for?
Hepatitis C
If Pt.transfused prior to 1986 Check for?
Hepatitis B
Papule with painless ulcer with beefy red granular base
Donovania Granulomatis Bacterium
Granuloma Inguinale
MC cause of myocarditis that results in Idiopathic Dialated Cardiomyopathy
Coxsackie B Virus
DOC for Nocturnal Enuresis
Desmopressin
Neonate with neck stiffness & rash= MC Pathogen
Meningococcus
Angioedemia in ER MC cause?
Ace Inhibitor
eg. Enalapril
Aids Pt. CD-4< 50 Prophylax for ? with ?
Mycobacterium Avium w/

Azithromycin or Clarithromycin
Tx of Pinworms`
Albendazole or Mebendazole
Chronic Non-Complaint Schizophrenic w/ auditory hallucinations
Fluphenazine or Haliperidol
Long acting and injectable
Aspirin Toxicity
(salicylate toxicity)will present with?
Resp. Alkylosis & Metabolic Acidosis
PCOD (Poly Cystic Ovary Disease) is associated with elevated levels of?
DHEA
Diagnosis of Ulcerative Colitis Established by
Proctosigmoidoscopy and Biopsy
Dislocation of the Lens
Upward = ??
Downward= ??
Upward in Marfan's
Downward in Homocysteine Urea
(cystathione Synthase Deficiency
Drugs that cause Pancreatitis
Diuretics, Drugs for Inflam.Bowel Ds.,Immuninosupressive Drugs
Drugs that cause Pancreatitis
Con't
Drugs for Pt.s with H/0 seizures or bipolar
eg. Valproic Acid
Drugs that cause Pancreatitis
Con't
Drugs used by aids pts.
eg. didanosine & pentamidine
Drugs that cause Pancreatitis
con't
Antibiotics
eg. metranidazole & tetracycline
Treatment for Pneumocyctis Pneumonia
Trimeth/Sulf. (Bactrum)
2nd line Pentamidine
Tx for Cat Bite
5 days of Amoxicillin/Clavulanate
1st tx for Legionella
Erythromycin
PBC (Primary Biliary Cirrhosis)
Assoc. with Anti-Mitochondrial Antibody
To be classified a benign murmur.....
1.Pt. Asymptomatic
2.Intensity Grade II or less
3.Normal S2 w/no audible click
4.Normal pulses,no other abn's
HIV + male in Missouri with palatal ulceres, hepatosplenomegly & pancytopenia......DX?
Histoplasmosis
DOC for Narcolepsy
Methylphenidate or Modafimil
Tx for Fibromyalgia
Amitriptyline or cyclobenzaprine
Pt. with suspected bladder trauma?
Retrograde cystogram
Tx for advanced prostate metastatic disease?
Leuprolide
MC urinary stone
Calcium Oxalate
Elevated Calcium Phosphate with hyperparathyroidism
Renal Tubular Acidosis
Kartegeners' Syn.
Recurrent Sinusitis
Bronchiectasis
Dextracardia
en bloc gait with minimal head movements, swaggering gait, w/ nystagmus & vertigo
Vertibular Ataxia
Frontal lobe & multiple sensory systems effected
Gait Dysequilibrium
Hyperglycemia, necrolytic migratory erythemia, and diarrhea
Glucagonama
Prevention of Recurrance of Hep B
Hep B Immunoglobulin & lamivudine
Criteria for Transfusion
HCT<30% in COPD,CRF,IHD
<25% in yound and healthy
Hallmark signs of Muscular Dystrophy
Waddling gait & weak gluteals
1st renal sign in DM
Glomerular Hyperfiltration
What type of hypersensitivity rxn is IgE
Type 1- immediate
What type of hypersensitivity is antibody mediated
Type II eg.IgG, IgM, Rh or immune hemolytic anemia
Fine irregular cytoplasmic projections.....what kind of cell?
Hairy Cell Leukemia
Osteomyelitis in Infants in order of occurance
1. S. Aureus
2. Group B Strep
3. E. Coli
Osteomyelitis in Children
MC is.....
S. Pyogenes
Osteomyelitis in Prosthetic devices
S. Epidermitis
Osteomyelitis in Sickle Cell Pt.
Salmonella
Osteomyelitis with h/o uti or instrumentation
Gram (-) rods Klebsiella or Pseudomonas
Hypercalcemia with PTH <10
think.......
Malignancy
If you suspect infant with congenital Diaphragmatic Hernia
Place orogastric tube
Elderly female with vaginal irritation & clear watery discharge Dx?
Atrophic Vaginitis

Tx. w/ estrogen replacement or premarin cream 2x daily
Henoch-Schoenlein Purpura
IgA Vasculitis
What do S. pneumoniae, H. influenzae, and N meningitis have in common?
All Encapsulated
Anti-endomycial Antibodies are associated with.....
Dermatitis Herpetiformis
In ventilator settings, what setting can effect cardiac output?
PEEP
Side effect of quinine
Tinnitus
Podocyte Fusion is associated with
Minimal Change Disease. Seen on electron micrograph
Glomerular Basement Thickening
Adult nephrotic Syndrome
Linear deposits of IgG
Goodpastuers
18 y/0 IVDA
Tx with Vancomycin and Gentamycin
MC cause of leukocoria
Congenital Cataracts
tx with high dose glucocorticoids
Medication guidlines for CHD or Risk equiv.
LDL<100 goal>100 lifestyle mod and>130 medications
2 or more risk factors
goal <130 >130 life modifications and >160 meds
Zero or no risk factors
<160 goal >160 lifestyle mod and >190 meds
Dx of Histoplasmosis in HIV Pt. Tx??
IV amphotericin B followed by life long itraconazole
Cardiac anomoly in Schizophrenics
INcreased Ventricle size on CT
Angioedema is associated with
C-1 inhibitor deficiency
Alpha 1 blocker with fewest side effects for BPH
Tamsulosin (Flomax)
3 days post MI, Pulsus Paradoxus, hypotenion, PEA
Free wall rupture
Pain on passive extension of an extremity
compartment syndrome
Antibodies to what blood type do not cross the placental barrier
ABO
Smudge cells associated with?
Chronic Lymphocytic Leukemia
What medication is given perioperatively for reduced risk
Beta 1 antagonists
Papillary CA
Thyroid
Kilocytes are classic for ??
HPV
Systolic Click
Mitral Valve Prolapse
Impotence w/ intermittant claudication
Leriche's Syndrome
Vulvar papillamatosis assoc. with HPV 6 & 11
Contagiosum Accumita
S/S of Cauda Equina
Compression of L/S nerve Pools
by infection/tumor. Urinary retention/overflow dec. anal sphincter tone incontinence Saddle anasthesia
MC side effect of olanzapine
Weight Gain
Skin biopsy reveals IgG & C deposits at the dermal-epidermal jxn DX?
Bullous Pemphigoid
IgG deposits intracelluarly in epidermis,skin,mucos membranes & antibodies to adhesion molecules
Pemphagis Vulgaris
IgG deposits i linear band at the dermal/epidermal jxn. Auto
Immune, mucos menbranes,oropharynx gentalia
Cicatricial Phemphygoid
Red urine in patient on Rifampine
Benign drug effect
Anisocytosis,poikilocytosis basophilic stippling,extreme ^
LDH, Megloblastic,, dec.b-12,from dec IF 2* to gastric atrophy.
Pernicious Anemia
Pernicious Anemia confirmed by
Achlorhydria, decreased serum B-12 and and extremely elevated LDH
MC cause of Bacterial Sinusitis?
Strep Pneumonia, followed by H.Influenza, Moraxella
12 y/o AA M hx of Sickle Cell Osteomyelitis, w/ hypotension 12% bands & HgB of 9
Dx: Strep Pneumonia

BECAUSE= AUTOSPLENIA SO NO PROTECTION FROM sp AND H.FLU
In cystic fibrosis pt, give ceftazidime & gentamycin (or amikacin) for coverage against??
Pseudomonas
Tx for pinworms?
Medandazole
Pt. presents with symptoms consistant with PMS. Next step?
Menstrual Diary
Pt.with H/O HTN, Tachycardia incr.RR, with tearing pain to back.Dx of disecting AA Most appropriate initial therapy
Administer Anti-hypertensives
MC gene deletion in Cystic Fibrosis?
On the Phenylaline Gene

DA508
Pt.w/FH + for thyroid CA & Pheochromocytoma, Dx w/T-Ca.
MEN IIa Thyroid, pheo, Para-thyroid adenoma. Asso. w/ Ret Protooncogenes on Chrom #10
Tx: Thyroidectomy
Tapping Apex Beat, loud 1st heart sound, mid-diastolic rumble at apex
Mitral Stenosis
Pansystolic Apical Murmur radiating to axilla
Mitral Regurg.
Systolic Ejection murmur
Aortic Stenosis
Early diastolic decreshendo, high pitched,blowing quality best heard at 3rd L.IC space?
Aortic Regurgitation
Schizophrenic with increased negative symptoms. Typical or Atypical? DOC
Atypical
DOC: Risperidone(fewer extraprymidal symptoms, also Clozipine,olanzapine,quetiapine
Sertraline_ Drug Class?
Rx for ?
SSRI for depression
Chlordiazepoxide Given for
Alcholic withdrawl
Donepezil
Alzheimer's
Scales produced on scraping hypopigmented maculoes
Tinea Versicolor
Vit B-1?
Thiamine
Vit B-3 Deficiency. DX and what are the 4 D's
Niacin. Dx is Pellagra. 4 D's are diarrhea, dermatitis, dementia, and death!
B-12 Deficiency
Folic Acid. Megloblastic A. Pernicious A. Ataxia,perip.neuropathy
Skin condition with primary symptom is itching, with patches of central clearing?
Tinea Corporis
Tx of Tinea Corporis?
2% turbinafine or grisectulvin
2* sign of Syphillis
Maculopapular rash on Palms and soles of feet
Indications for parathyroidectomy in asymptomatic pt. w/ primary hyperparathyroidism?
serum Ca++ 1 mg. above upper limits of normal &
24 urinary ca++ above 400! <50 y/o w/ BMD <T2.5 at any site
Amenorrea in athletic female?
Estrogen Deficency
Pseudomonas Coverage for Pt. with neutrapenia??
3rd Generation cehalosporin (ceftazidine) or 4th generation like (cefepime)
Choriocarcinoma indicator
Quan. B HCG
Severe Diastolic dysfxn. Low Voltage QRS, non-spec ST changes ???????
Restrictive Cardiomyopathy
Diabetic Neuropathy tx's with???????
Tricyclic's
Amitriptyline
Gabapentin
Tx fpr mid-shaft humeral fracture???????
Closed reduction & immob. of arm in hanging cast
Epiglossitis MC cause??
H. Influ & Group A Strep
Tx of Variant Angina?
Ca++ Channel Blockers

eg: Diltiazem
Albuterol has what negative cardiac association??
Arrythmia's
Decrease in MSAFP & Estriol w/ increase in B hCG commonly seen in ??
Down's
A decrease in fetal movements indicates what procedure next?
NST- Non Stress Test
Associated with Vit.A tox.,HA, nausea/vomiting,papillidema, Elevated CSF opening press.
Pseudotumor Cerebri
Primary adrenocorticol insufficiency associated with??
Hypothalamic/Pituitary Tumor also producing skin changes
Best initial tx for Community acquired pneumonia??
Levofloxacin
Parasitic infection from working with hogs causing massive brain dystruction?
Neurocysticercosis!!!!! Just think you can say
Neurocysticerosis!!!!!!!
Post MI tx for low ejection fraction and decreasing contractility??
Beta Blockers(contractility) and Ace inhibitors (low EF)
Young patient, HTN, ms. weakness & numbness, test for ??
High aldersterone/renin ratio
true of
Primary Hyperaldosteronism
Mumps typically effect what two glands?????
Parotid glands & testes
Inflamed C-lym.nodes. 7 y/o whose shots are up do date?
Dicloxacillin (for strep and staph)
Gluconeogenesis alanine is converted to ?????
Pyruvate
Initial Tx of Pyloric Stenosis?
IV hydration & K replacement
Finasteride effects which cells in the prostate?
Epithelial Cells......Wow...
Hyponatremia is associated with which type hemmorage in the brain?
Sub-arachnoid
Initial Tx for Disecting AA
IV Nitroprusside & short acting B-Blockers
Wilm's Tumors are from what embrylogical origin
metanephros
Side effect of quinine?
Tinnitus
Phenytoin rx'd for?? with what side effects??
Myotonic, tonic/clonic seizures
SE's are ging.hyperplasia, hirsuitism, rash
Carbamazapine Rx'd for ???
SE????
Tonic/Clonic /Seizures
SE: Stevens-Johnson Epidermal necrolysis
Ethosuximide & Valproic Acid Rx's for????
Abscent Seizures
Phenobarbital works what receptors and channel opening?
Seizures- works on gamma-aminobutyric Acid Receptors and extends the Chloride channel opening.
Lamotrigine Rx.d for???
tonic/clonic & Partial Seizures
Nodular swelling in the iris that are harmartomas are associ with what dis. process?
Neruofibromatosis
Renal angiomyolipomas & cardiac rhabdomyosarcomas
Tuberous Sclerosis
17 y/o male with P/F history of stones, hexagonal crystals with urinary nitroprusside +
=?????????????
Cystinuria caused by

impaired amino acid transport
If pap smear reveals dysplasia?? Next step is???
Colposcopy
If pap says CIS (Carcinoma in situ
Conization
Dx. of Pneumocystis Carini made by
bronchaveolar levage
Grey mucos discharge
Pear shaped motile organism
DX
Trichomonas Vaginitis
Tx. of Trich. Vaginitis??????
Metronidazole for patient and partner
Bulbar injection, desquamation of fingers toes Fissuring & crusting lips, Strawberry tongue, c-lymph.
Kawasaki's
Kawasaki's tx's with
IVIG & High dose Aspirin
Cardiac defect assoc. w/ Kawasaki's
Coronary A. Aneurysm
Helmut cells are associated with what .......and represent what..........
DIC, HUS, TTP

represent fragmented RBC's
Basophilic stippling is associated with Lead & H Metal poisoning & Thalasemia precipitates out as????
blue granules
Heinz bodies are associated with what 2 ds. processes
G6PD & Thalasemia

Bite Cells
Howel Jolly Bodies are remnants of ......suggest....
RBC's suggesting autosplenia and suggest encapsulated organism vulnerability
Sensitivity
= TP/TP + FN
Specificity
= TN/TN + FP
Lowering cut-off results in ??
Increase in Sensitivity
8 y/o with Pneumonia & clubbing
gram negative rod?
Pseudomonas Aeruginosa
Gram (-) diplocci
Strep Pneumoniae
Gram (+) cocci in clusters
Staph
Gram (-) cocci
Neisseria
Gram (+) Rods
Listeria & Bacillis
Gram (-) Rods
Pseudomonas, Haemophilis, Klebsiella, Legionella
Elevated BUN with normal createnine indicates ???????
(Hint: go with your gut feeling!!)
Upper GI Bleed
Presence of a Q-wave plus ST elevations represents what type of infarct??????
Acute Transmural
ST depressions and absence of a Q-Wave indicate ??????
Acute Sub-endocardial infarction