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61 Cards in this Set
- Front
- Back
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MVP murmur diminishes in what position?
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squatting
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start HAART when CD4 is
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< 350 / ul
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how often is gardisil given?
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1, 2, 6 months
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Within how much time do you want to administer HBIG to a recently exposed person?
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within 14 days of exposure
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leading GYN killer
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ovarian CA
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Tx for migraine attack
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sumatriptan
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Tx of cluster headache
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- sumatriptan + O2
- ergotamine inhalation |
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common pathogens causing PNA in children
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h. flu
strep. pneumo |
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Drug to abort migraine HA
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ergotamine, triptans
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Drugs to prevent migraines for maintenance.
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amitriptyline, verapamil;
Rx only if migraines occur 1-2 times per month. |
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Best tx to prevent PE in a 65yo male with hip replacement
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warfarin to INR 2-3
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ESRD definition
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GFR < 10ml/min
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How long does it take Aldactone to kick in?
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1 month
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age range with greatest mortality rate of varicella.
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30-50 yo
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when to remove diaphragm after sex.
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after 6 hours
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Most common reason for HTN in young men. Young women?
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young men: etoh abuse
young women: OCPs |
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iris-like target lesions
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erythema multiforme (stevens-johnson syndrome) - macular or raised
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Conn's syndrome
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hyperaldosteronism due to unilateral adrenal adenoma
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labs and sx that show in Conn's syndrome
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hypernatremia, hypokalemia, metabolic alkalosis
polyuria, htn, muscle weakness, tetany |
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Tx for Conn's syndrome
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Aldactone and adrenalectomy
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most likely cause of acute GI bleed in men >40
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diverticuLOSIS
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erythema migrans
erythema infectiosum erythema multiforme |
Lyme's disease
Fifth's disease Steven-Johnson's Syndrome |
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4 causes of microcytic anemia
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TICS
thalassemia iron deficiency chronic disease sideroblastic |
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Reed-sternberg cells
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non-hodgkin's lymphoma
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3 most common causes of fever
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infection
cancer autoimmune dz |
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aplenic pts susceptible to these organisms
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encapsulated bacteria: pneumococcus, meningococcus, h. flu, klebsiella
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how many bacteria in a clean-catch urine culture to diagnose UTI?
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10^5 bacteria / ml
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increased gamma globulin in CSF
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MS
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drugs that slow AV node transmission
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dig, BB, CCB
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Diabetic with swollen, red, warm, painful leg (skin intact).
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cellulitis
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What foods is folic acid found?
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peanuts, fruits, vegetables
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Why is folic acid needed during lactation?
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0.5mg/day folic acid is transferred to breast milk
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For women who are planning to get pregnant, how much folic acid is advised for women to take before conception?
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0.4mg/day folic acid 3 months before conception
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What is the treatment regimen if macrocytosis is diagnosed in a pregnant woman, with the cause not yet established?
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- Vitamin B12 100ug/day IM and folic acid 1-2mg/day so no time is lost
- (Vitamin B12 100ug/day IM for first week, then weekly for the first month, then 100 ug/month for the rest of life.) |
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Someone with B12 deficiency with neuro symptom was tx'ed with B12. How fast do you see reversal of neuro symptoms?
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quick: within 24 hrs
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How does molluscum contagiosum present?
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PAINLESS vesicular-form with umbilicated center
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What % of pts with Epstein Barr virus mononucleosis have splenomegaly during acute phase of illness?
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at least 50%!!
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What is the difference between bacterial vs. viral infection in causing lymphadenopathy?
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- viral – usually diffuse lymphadenopathy
- bacterial – usually localized (i.e. strep affects anterior cervical nodes) |
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How long do acute symptoms of infectious mononucleosis last?
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5-15 days
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When is the risk for splenic rupture in infectious mono the greatest?
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2nd and 3rd week of infectious mononucleosis illness
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Tx for panic attacks
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SSRIs
MAOI is the most potent drug tx |
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COPDer and smoker with cough and PNA. Sputum culture analysis shows not gram + or - species. Silver stain shows + for organism - what organism?
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legionella
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common CAP pathogen in alcoholic
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klebsiella
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common CAP pathogen in post-influenza PNA
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S. aureus
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common CAP pathogen in pts with structural lung dz, corticosteroid use, broad spectrum abx use, and malnutrition.
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pseudomonas aeruginosa
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Man with h/o acute transmural MI 6 months ago will show what on EKG?
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deep Q waves
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most common causative organism of lymphogranuloma venereum
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Chlamydia trachomatis types 1-3
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How does lymphogranuloma venereum appear?
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bubos, swollen inguinal lymphadenitis that can later become vesicular or ulcerative
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Tx lymphogranuloma venereum
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Doxy* or erythromycin
(like syphilis with allergy to PCN) |
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American man has __% lifetime risk of prostate cancer and ___% of clinical disease.
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40, 10%
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Test for organism in acute bacterial prostatitis?
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urine culture
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common type of organism (gram ____?) in chronic bacterial prostatitis
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gram negative rods
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how long after exposure to syphilis do sx manifest?
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2-4 weeks after
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split S2 in young people is occasionally a result of
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uncorrected atrial septal defect
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posterior tibial reflex - which nerve?
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L5
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Cholestyramine affects warfarin
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cholestyramine is CYP450 inducer --> causing less effects of warfarin
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weight loss of what % immediately reduces death rates from cardio and cerebro disease.
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10%
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sibutramine
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suppresses appetite
SE: increase BP |
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anti-lipid drug works best against lipoprotein a
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niacin
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skin changes in pancreatic CA
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jaundice
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what enzymes are elevated in pancreatic CA?
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amylase and lipase
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