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84 Cards in this Set

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Ropinirole

Dopamine agonist

Pramipexole

Dopamine agonist

Bacteroid fragilis

Clindamycin

Drug induced systemic lupus erythematosus ?

1. Chlorpromazine


2. Hydralazine


3. Isoniazid


4. Methyldopa


5. Penicillamine


6. Procainamide


7. Quinidine


8. Sulfasalazine

Tx of scabies ?

Permethrin

Interferons

Flu-like symptoms

Spirochete bacterium

Treponema pallidum

Syphilis

Aluminum hydroxide decrease

Tetracycline

Pellagra

1. Dermatitis


2. Diarrhea


3. Dementia


_ vitamin B3 deficiency.

Reiter's syndrome

1. Arthritis


2. Conjunctivitis/uveitis


3. Urethritis/cervicitis

Acetaminophen toxicity

N- acetylcysteine /


Glutathione.

Pasteurella multocida

In upper respiratory tract

Molluscum contagiosum

Resolves Without treatment within 6-12 months .

Treatment of Pyoderma gangrenosum

1. Steroids


2. Ulcerative cutaneous condition


3. Ass with systemic disease .

Lyme disease

1. Borrelia burgdorferi bacteria


2. Neurological problems/ flu like symptoms....

Leprosy

1. Rifampicin 600


2. Clofazimine. 300


3. Dapsone 100


4. Ofloxacin. 400


5. Minocycline 100

Treatment of neisseria gonorrhoeae ?

1. Cefixime 400mg + ceftriaxone 250 mg + spectinomycin 2 gm .



2. Amoxicillin 3 gm + probenecid 1g + ciprofloxacin 500 mg or ofloxacin 400 mg .

Ibuprofen / 12 hours

Indomethacin, naproxen, piroxicam / 4-6 hour

Benazepril

Losartan

Bacteroides fragilis

Cause: peritonitis


Treatment: metronidazole

Enterococcus faecalis

Urinary tract


Abdomen cavity


Wounds infection


Bacteremia


Endocarditis

Infectious mononucleosis

1. Kissing disease


2. Epstein Barr virus


3. Kissing diseases


4. Supportive treatment

Vitamin B1 deficiency ( thiamine)

Beriberi

Antidote of organophosphorus toxicity:

Atropine

Antidote of organophosphorus toxicity:

Atropine

Atropine:

1. Tachycardia


2. Mydriasis

Pralidoxime mesilate 30mg/kg

Reactivates phosphorylated acetylcholinesterase .

Treatment of anaphylaxis:

1. Epinephrine


2. Antihistamine


3. Corticosteroids

DVT patient

Low molecular weight heparin

Chemoprophylaxis for vibrio cholera ?

Tetracycline

Specific test for syphilis :

Fluorescent treponemal antibody absorption.


- 3-4 week

AIDS - Related kaposi sarcoma :

1. Spindle cell tumor


2. Papules in face .


3. Hemorrhage lesion in mouth.

Giardia intestinalis [ giardiasis] :

1. Diarrhea


2. Malabsorption


3. Diarrhea


4. Malabsorption .


5. Metronidazole 2 gm .

Giardiasis:

1. Tinidazole


2. Mepacrine


3. Albendazole .

Treat leishmania :

1. Amphotericin B


2. Pentamidine

Jones criteria :


1. Major criteria :


- carditis


- chorea


- erythema marginatum


- poly arthritis


- subcutaneous nodules .

2. Minor criteria :


- arthralgia


- elevated ESR or CRP


- Fever


- prolonged PR interval on ECG

Rheumatic fever

Autoimmune nonsupportive inflammatory lesions .

Goodpasture's syndrome

1. Life threatening hypersensitivity disorder.


2. Autoimmune disorder.


3. Glomerulonephritis


4. Lung hemorrhage.


5. Target antigen : type IV collagen .

Plasmodium falciparum is most common then plasmodium vivax

Black water fever


Glomerulonephritis


Nephrotic syndrome


Anemia


Hepatosplenomegaly


Cerebral malaria

Active form of thyroid hormone ? T3


Half life ? 1day .

More abundant form ? T4


Half life : 5-7 days .

Primary hypersecretion of aldosterone

Sign : hypertension + hypokalemia .

Treatment of symptomatic hyperthyroidism:

1. Beta blockers


2. Propylthiouracil .

Hyperthyroidism associated with signs of dehydration .

Anti thyroid drugs :


1. methimazole .


2. Propylthiouracil .


3. Radioactive iodine .

Pseudobulbar palsy

1. Affect muscles of face, jaw,throat .


2. Switch from happiness to sadness quickly .


3. Inappropriate emotional outburst.


4. Progress for several years


5. Muscles begin to twitch & waste away .


6. Spastic tongue , dysarthria, spontaneous crying .

Subacute granulomatous thyroiditis :

1. Neck pain . Malaise .


2. Discomfort tender diffuse goiter


3. Upper respiratory tract infection symptoms .


4. Hyperthyroidism followed by hypothyroidism.


5. Decrease uptake on radioactive iodine uptake test .

Subacute granulomatous thyroiditis :

1. Levothyroxine for hypothyroidism.


2. Types of thyroiditis :


- radiation


- lymphocytic


- postpartum


- drug induced ( amiodarone)

Confirmation of Cushing syndrome ?

1. Measurements of urinary free cortisol over 24 hour .


2. Low dose dexamethasone suppression test .

Mucormycosis :

1. Immunocompromising conditions .


2. Rhinocerebral Mucormycosis.


3. Unilateral retro orbital headache.


4. Facial pain , numbness . Fever


5. Hyposmia , nasal stuffiness progress to black discharge.

Earliest stage of male maturation : duration of 6 months.

1. Increase in testicular size .


2. Appearance of sperm in urine


3. Nocturnal sperm emissions


4. Peak height velocity .

Cluster headache

1. 12-15 liters/min in non re breathing mask .


2. Hyperbaric oxygen


3. Surface pressure oxygen

Cluster headache

1. 12-15 liters/min in non re breathing mask .


2. Hyperbaric oxygen


3. Surface pressure oxygen

Multiple sclerosis:


1. Multiple neurologic complaints.


2. Progresses to permanent deficits:


- limb weakness - optic neuritis.


- paresthesia , diplopia , vertigo.


- nystagmus, gait unsteadiness.


- urinary retention, sexual & bowel dysfunction.


- depression, cognitive impairment.

CSF :


1. mononuclear pleocytosis .


2. Increase IgG index


3. Oligoclonal bands .

Cushing triad :

1.,bradycardia


2. Bradypnea


3. Hypertension.

Stroke :


- sudden loss of blood circulation to area of brain .


- loss of neurologic function .


- ischemic / hemorrhagic .


- middle cerebral artery territory infarction + parenchymal edema = hemispheric decompression.

Treatment:


1. IV thrombolytic therapy .


2. Tissue type plasminogen activator.


3. Endovascular therapies .


4. Intra arterial thrombolytic therapy


5. Use of clot retrieval devices .


6. Aspirin- clopidogrel .

Triad of bacterial meningitis:


1. Headache


2. High fever


3. Nuchal rigidity.


Neisseria meningitis: Spreading petechial rash .

Common agents :


1. Haemophilus influenzae .


2. Neisseria meningitis


3. Streptococcus pneumonia

Cluster headache:


1. Brief excruciating unilateral periorbital headache .


2. 30 minutes to 3 hours .

Symptoms:


1. Ipsilateral lacrimation of eye.


2. Conjunctival injection .


3. Horner' syndrome.


4. Nasal stuffiness .

Cluster headache:


1. Brief excruciating unilateral periorbital headache .


2. 30 minutes to 3 hours .

Symptoms:


1. Ipsilateral lacrimation of eye.


2. Conjunctival injection .


3. Horner' syndrome.


4. Nasal stuffiness .

Disorders associated with horner's syndrome:


1. Carotid artery dissection


2. Cavernous sinus infection .

Treatment of cluster headache:


1. Dihydroergotamine .


2. Octreotide


3. Sumatriptan


4. Zolmitriptan


5. High flow oxygen

Cluster headache:


1. Brief excruciating unilateral periorbital headache .


2. 30 minutes to 3 hours .

Symptoms:


1. Ipsilateral lacrimation of eye.


2. Conjunctival injection .


3. Horner' syndrome.


4. Nasal stuffiness .

Disorders associated with horner's syndrome:


1. Carotid artery dissection


2. Cavernous sinus infection .

Treatment of cluster headache:


1. Dihydroergotamine .


2. Octreotide


3. Sumatriptan


4. Zolmitriptan


5. High flow oxygen

Prophylactic therapy of cluster headache:


1. Prednisone


2. Ergotamine

Maintenance therapy of cluster headache:


1. Verapamil


2. Lithium


3. Valproic acid


4. topiramate


5. Methysergide .

Guillain barre syndrome:


1. Polyneuropathy


2. Peripheral nervous system


3. Ascending paralysis


4. Changes in sensation, pain .


5. May affect autonomic nervous system .

- dysautonomia .

1. Pure autonomic failure


2. Bradbury eggleston syndrome


3. Idiopathic orthostatic hypotension .


4. Primary autonomic failure.

1. Form of dysautonomia .


2. Degenerative disease of autonomic nervous system

Lumber puncture diagnosis for :


1. Bacterial meningitis


2. Subarachnoid hemorrhage


3. Treatment of idiopathic intracranial hypertension


4. Carcinomatous meningitis


5. Demyelinating disease

Spinal cord ends at level of L1 vertebra .

Most common reversible risk factor of stroke :


- elevated blood pressure

Avoid glucose containing dextrose in stroke .

Romberg test :


- test of body sense of positioning ( proprioception )


- require healthy functioning of dorsal columns

Parkinson's disease:


1. Resting tremor


2. Rigidity


3. Bradykinesia


4. Asymmetric resting tremor in upper extremity.

Trigeminal neuralgia treatment:

1. Carbamazepine


2. Baclofen


3. Oxcarbazepine


4. Lamotrigine


5. Oxcarbazepine


6. Phenytoin


7. Gabapentin


8. Pregabalin


9. Sodium valproate


10. Clonazepam


11. Lidocaine

Most common cause of spontaneous intracerebral hemorrhage

Hypertension

Most common cause of spontaneous intracerebral hemorrhage

Hypertension

Less common cause of spontaneous intracerebral hemorrhage :

1. Infection


2. Tumors


3. Trauma


4. Blood clotting deficiencies


5. Abnormalities in blood vessels

Cause of spontaneous subarachnoid hemorrhage:

Rupture of cerebral aneurysm

Urinary tract infection

1. Trimethoprim- sulfamethoxazole


2. Fluoroquinolone


3. Nitrofurantoin

Glomerulonephritis

RBCs cast in urine

Glomerulonephritis

RBCs cast in urine

Cytarabine chemotherapy

Warfarin in oral form


Heparin in IV or SC routes

Glomerulonephritis

RBCs cast in urine

Cytarabine chemotherapy

Warfarin in oral form


Heparin in IV or SC routes

Warfarin


1. Used in patients has DVT


2. Continue for 3-6 months


3. Also used in :


- strokes


- heart attack


- peripheral vascular disease

Therapeutic range of INR for warfarin?


2.0 - 3.0

INR : monitor warfarin therapy .


INR : patient PT / control PT .

Serum ferritin concentration less than 10-15 NG/ml are iron deficient .

Decrease RBCs production:


Anemia of chronic kidney disease

Inappropriate secretion of antidiuretic hormone:


Hyponatremia


Low plasma osmolality


High urine osmolality

Hyperglycemic hyperosmolar syndrome :


Bolus of normal saline


3-5 liters

Long act sulfonylurea :


1. Chlorpropamide


2. Glyburide


3. Glimepiride

Short acting sulfonylurea :


1. Glipizide

1. Macrognathia


2. Macroglossia


3. Hyperhidrosis

1. Hyperglycemia Related impairment of immune response.


2. Hyperglycemia Affect on cellular response to tissue injury. [ delayed ] .

Treatment for osteoporosis :


1. Bisphosphonates


2. Selective estrogen receptor modulators .


3. Raloxifene .


4. Calcitonin


5. Denosumab


6. Anabolic agent


7. Teriparatide ( human recombinant parathyroid hormone) .

1. Pregnancy


2. Sub clinical hyperthyroidism


3. Peak hCG activity


4. Hyperemesis .