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20 Cards in this Set
- Front
- Back
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What does a fall in systolic BP of >10 mmHg with inspiration indicate?
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Pulsus paradoxus ==> cardiac tamponade, and hyperinflation d/o like COPD and asthma
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What laproscopic findings can be seen in endometriosis?
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Powder burns, or chocolate cysts
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HTN + Hypernatremia + hypokalemia and metabolic alkalosis?
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primary hyperaldosteronism
d/t Conn's syndrome or Bilateral adrenal hyperplasia |
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What is the LDL goal in a pt with diabtetes?
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<100
if Hx of vessel dz, then <70 |
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An 8 year-old child was in a motor vehicle accident and now requires emergency blood transfusion. Her parents are not present, but the child states that she is a Jehovah's witness. what do you do?
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Give the blood. It is a life-saving procedure and you don't need parental authorization
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*A 25-year old male presents with pain and watery diarrhea after meals. Exam shows fistuals between the bowel and skin and nodular lesions on his tibias, what is the Dx?
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Crohn's disease - Classic!
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A 40-year old female presents with a discrete area of complete hair loss on the scalp that has worsened over weeks. What is the treatment?
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Dx: Allopecia areata
Tx: Steroid shots into the scalp. |
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*CSF analysis shows low glucose, elevated neutrophils, and gram (+) diplococci. What is the Dx?
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Strep Pneumo meningitis
(If it were Gram (-) it would be Nisseria Meningitis) |
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What are the characteristic findings in tertiary syphilis?
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Tabes dorsalis - degeneration of the dorsal column producing foot drop and loss of vibratory sense
Gummas on bone Argyle robertson pupil Aortitis - treebarking, aortic regurgiation |
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A young child presents with thigh muscle weakness, a waddling gait, and pronounced calf muscles. What is the Dx?
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Duchenes muscular dystrophy
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A female who was born breech is found to have asymmetric inguinal and gluteal skin folds on her newborn exam. what is the diagnosis and treatment?
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Developmental Dysplasia of the Hip
pavlic harness to maintain hips in abduction |
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Head injury --> altered mental status --> resolution of mental status for a few hours --> now with reemerging altered mental status. what is the Dx, underlying injury, and treatment?
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Lucid Interval
epidural hematoma neurosurg evacuation of blood |
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What medication is given for seizure prophylaxis in severe preeclampsia?
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IV Mag-sulfate
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What is the cause of erythroblastosis fetalis?
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Rh factor (-) in mom, (+) in baby
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Describe the treatment of HTN in cases of pheochromocytoma?
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Give a-blocker first, then B-blocker
give phentolamine, then Beta-blocker. |
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A 7 year old boy presents with hemarthrosis. Lab work shows increased PTT and normal PT and bleeding time.
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Hemophelia A or B
A: 8; give desmopressin, and replace factor 8 B: 9; replace factor 9 |
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A young child has loss of the red-reflex. what is the Dx?
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Retinoblastoma
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A 22 year old male has 4 months of social withdrawal, worsening grades, decreased emotional expression, and decreased concrete thinking. What is the Dx?
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Schizopreniform d/o; it has been less than 6mo
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Honeycomb pattern on CT of the chest. what is the Dx and treatment?
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Diffuse interstital pulmonary fibrosis
Tx: steroids + azothioprine + N-acetyl cystine |
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A tall, white male presents with acute shortness of breath. What diagnosis do you suspect? what is the treatment?
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Spontaneous pneumothorax, chest tube if > 15%
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