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57 Cards in this Set

  • Front
  • Back
Atypical Microbiology for endocarditis?
HACEK, Bartonella, Coxiella, Brucella, Tropheryma whipplei
HACEK, Bartonella, Coxiella, Brucella, Tropheryma whipplei require […] for Dx:
All require PCR due to negative culture for diagnosis
What is HACEK?
Haemophilous spp., Actinobacillus actinomycetemcomitans, Cardiobacterium hominus, Eikenella corrodens, Kingella spp.
2. Inflammatory Bowel Disease (IBD) --> Extra Intestinal Manifestations are:
Musculoskeletal Disorders: Peripheral, large joint and Ankylosing spondylitis; Dermatological Disorders: Erthema Nodosum, Pyoderma Gangrenosum; Uveitis/episcleritis; Hepatobiliary problems
3. Bloody Diarrhea low back pain (sacrolieac)?
Inflammatory Bowel Disease
4. Treatment for ulcerative colitis?
mesalamine (5-ASA)
5. Prolactinoma first treat with -->
Bromocriptine medical therapy
6. Adrenal Insufficiency – Metabolic Acidosis, Hyperkalemia, Hyponatremia-->
oral cortical steroids
GH tumor – measure […] hours after an oral glucose load
GH tumor – measure 2 hours after an oral glucose load
GH is diabetogenic- insulin […]
GH is diabetogenic- insulin antagonist
What hormones compete with insulin?
Compete with insulin: epinephrine, cortisol, glucagon, GH.
HBsAg indicates what?
HBsAg active Hep B
HBsAb indicates what?
HBsAb indicates exposure
HBeAg indicates what?
HBeAg highly infectious
IgG in hepatitis indicates what?
IgG chronic
IgM in hepatitis indicates what?
IgM acute
differentiating between Hep B & C -->
Hep B sexually Transmitted; Hep C IV drug user, transfusion
Hep B, low Blood Pressure -->
10. High levels of viral load warrant therapy
11. Persistent hyperglycemia makes […] worse
11. Persistent hyperglycemia makes DM worse
Type I DM most common group?
Caucasian, Nordic, white European
13. Longest Acting Insulin?
Glargine insulin longest lasting 24hrs? (Need baseline insulin)
T or F: 14. Corticosteroids NOT a risk factor for IE
risk factors for infectious endocarditis?
Pulmonary-systemic shunts, IV drug use, prosthetic valves, congenital abnormalities, rheumatic heart disease and previous endocarditis ARE
Native Valve Endocarditis
Streptococcus viridans
16. **IV Drug (meth) abuser -->Endocarditis --> Staph aureus --> Seeding from Tricuspid into the Lungs
--> Diffuse Embolic infections
17. Painful swelling in the neck -->
Subacute De Quervain’s Thyroiditis
18. Graves Disease -->
Increased uptake of radioactive iodine (low I23 uptake)
19. Sick Euthyroid -->
Increase reverse T3 uptake
20. Cold Thyroid Nodule -->
diagnosis with fine needle aspiration (biopsy)
T3 and T4 uptake go […] in thyroid disease
T3 and T4 uptake go in same direction in thyroid disease
21. Smoker pneumonia?
H. influenza, 2nd generation cephalosporin
22. TB what do you do?
place in isolation test for HIV, PPD, stain for acid fast
23. Walking (Community) Pneumonia --> bad chest X ray, not that sick of a patient. Number one cause of walking pneumonia?
#1 cause = viral
23. Walking (Community) Pneumonia --> bad chest X ray, not that sick of a patient. Number two cause of walking pneumonia?
#2 cause mycoplasma (No gram stain)
24. PORT Score?
pneumonia severity index the higher the score the poorer the prognosis
25. Camping Diarrhea?
Giardia Lambia
26. Rota Virus?
# 1 cause of Diarrhea in Kids
27. Bilateral flank pain, pyelonephritis + Ab --> Clostridium diffeicle -->
Pseudomembranous Colitis
28. Pseudomembranous colitis drugs?
clindamycin and cipro --> Clostridium diffecile -->Bacterial Toxins
29. Stress + icteric sclerus, elevated serum + indirect bilirubin?
Gilberts Syndrome
30. **Heart Failure, Cirrhosis, and Nephrosis all cause […] Aldosterone states and Edematous states
30. **Heart Failure, Cirrhosis, and Nephrosis all cause increase Aldosterone states and Edematous states
31. Chronic (>1month) Herpes Simplex (mucocutaneous or esophageal infection) is diagnostic of
32. Friend wants to know if he has HIV -->
Saliva ELISA and Western blot NOT p24
33. Mid 1990’s […] the big break through for AIDS
33. Mid 1990’s Protease Inhibitors the big break through for AIDS
34. Patient with Histoplasmosis and HIV is given treatment and pt. worsens -->
Immune Reconstitution Syndrome, give steroids
35. Liver Disease runs in the family, emphysema from what?
alpha 1 anti trypsin deficiency (PiZZ haplotype)
hemolysis = Risk Factor for what?
36. Cholethithiasis
37. ALCOHOL is the Number 1 cause of […] (Pancreatits)
37. ALCOHOL is the Number 1 cause of Chronic (Pancreatits)
38. Acute Pancreatitis =
alcohol or gallstones
39. Spontaneous Bacterial Peritonitis
gram negative rods
40. Serum-ascetic albumin gradient > 1.1. What is the cause of portal ascites?
Portal HTN is the cause of ascites
41. Elevated PT / INR, Impotence, PT hepatic encephalopathy:
not due to portal HTN due to dead liver; not due to an increase in portal pressure, but due to hyperestrogen state
Palmar Erythema due to […]
Palmar Erythema due to estrogen
Gynecomastia due to […]
Gynecomastia due to estrogen
Ways you get pneumonia…
42.  answer: all of the above
early morning sputum properly collected
serum ascetic gradient