Crush Test 1

Front 1

Viruses associated with 1)Hepatocellular cx
2)Kaposi Sarcoma
3)Cervical Cx
4)Anal Cx
5)Penile cx

Back 1

1) Hep B & C
2) HHV-8
3-5) HPV

Front 2

Aortic Dissection
S/S & MOA
Causes
Treatment of various types

Back 2

Ripping pain that radiates to the back. intima torn and blood flows via media

X-Ray shows widened mediastinum

Causes differentiated by age:
-HTN(60% seen in older pt)
-Marfan/ Ehler Danlos(20% seen in younger patient)

Type A: Prox to subclavian=surgery b/c this one kills

Type B: distal to sub: Meds

Front 3

Epididymitis
S/S
Cause & Tx
Dx
DDx

Back 3

Seen in guy >30 and will have gradual testicular pain w/ UTI symptoms that is relieved by lifting the testicle

Caused by

Gonnhorrheae: Ceftriaxone

Chlamydia: Tetracycline/Erythro

E.coli: SMX-TMP or Ciprofloxacin

Scrotal U/S

Testicular torsion

Front 4

Testicular torsion
S/S
Dx
Tx
DDx

Back 4

Acute testicular pain seen in teenager doing strenuous activity that does not remit w/ elevation of testicles.

Scrotal U/S

Immediate Scrotal exploration w/ orchipexy.

Epididymitis

Front 5

Carpal Tunnel syndrome
S/S
Dx
Tx

Back 5

Compression of the median Nerve that causes pain & tingling along the thumb,index,middle 7 1st half of the 4th digit.

Screen by tapping median n and trying to reproduce the tingling. Do NCV test to confirm

Surgery

Front 6

Causes of DVT

Back 6

Stasis(heart failure, immobility)

Damage to endotheium(trauma)

Hypercoagulatability(Malignancy)

Front 7

Sturge weber
S/S
What is the first thing you should do?

Back 7

Ipsilateral signs that present initially with seizure.
-Cavernous hemangioma(port wine)
-Choroid Angioma(May cause glaucoma)
-Meningial angioma(tramlike calcifications on CT/MRI)

If you see a port wine stain get an MRI immediately.

Front 8

Vitamin Deficiency S/S
A
C
D
E
K
Zinc
B1(Thiamine)
B2(Riboflavin)
B3(Niacin)

Back 8

A: Poor night vision, dry eyes

C: Poor collagen cross linking so blood vessels are fragile. Gums bleed & petachiae on skin

D:
-Osteopenia w/ low calciferol & high alk phos.
-Long bones cup & fray on x-ray
-Ping pong sensation over occiput
-Thick ankles & wrists

E: Dry skin

K: Bleeding tendencies

Zinc: Rash on mouth & Eyes, poor taste & smell.

B1: Neuropathy w/ CHF

B2: Chapped lips & red tongue

B3(pellagra): N-V-D c/ encephalopathy

Front 9

TIA Workup
-Risk factors
-Imaging
-Labwork
-Tx

Back 9

RF for stroke are Age & HTN

R/O bleed w/ head CT

R/O Carotid stenosis w/ doppler
(surgery only >75% stenosis)

Control atherosclerosis RF's
-Lipid profile
-HTN

Give ASA b/c it lowers the risk of stroke in those>50

Front 10

Hemochromatosis
S/S
Sequelae
Dx(Screen & confirm)
Tx

Back 10

Excessive iron absorption causes Bronze diabetes (grey skin), Liver cirrhosis, HC-carcinoma, CHF

Dx;
Screen: Ferritin/transferrin are increased
Confirm: Biopsy

Tx: Phlebotomy

Front 11

Giardenella vaginosis
S/S
Dx
Tx

Back 11

Grey, thin, frothy, smelly
+KOH whiff test
-See clue cells on smear(granular looking epithelial cellsb/c covered in giardenella)

Tx: Metro

Front 12

EBV
S/S
Labs
Sequelae
Relationship to tumors

Back 12

Malaise, Sore throat, HS-megaly(causes anemia & LP), cervical lymphadenopathy in teen or twenty something kid.

-Atypical lymphocytosis, -Heterophile Ab +(+monospot)
-Viral capsid Ag

Ruptured spleen on contact sports or Ampi/Amox rash

Burkitt Lymphoma & Nasopharyngeal Cx