High Yield Facts - Id, Musculoskeletal, Neuro

Front 1

3 most important causes of FUO

Back 1

infection, CA, AI disease

Front 2

four signs/sx of streptococcal pharyngitis

Back 2

fever, pharyngeal erythema, tonsillar exudate, lack of cough

Front 3

nonsuppurative complication of streptococcal infection that is not altered by treatment of primary infection

Back 3

post-strep GN

Front 4

asplenic pts are particularly susceptible to what organisms

Back 4

encapsulated - pneumococcus, meningococcus, h flu, klebsiella

Front 5

pt from CA or AZ who presents with fever, malaise, cough, night sweats

Back 5

coccidiomycois; rx ampho B

Front 6

nonpainful chancre

Back 6

primary syphilis

Front 7

blueberry muffin rash

Back 7

congenital rubella

Front 8

meningitis in neonates

Back 8

GBS, e. coli, listeria; rx amp/gent

Front 9

meningitis in infants

Back 9

pneumococcus, meningococcus, h flu; rx cefotax and vanc

Front 10

what should always be done prior to LP?

Back 10

check for increased intracranial pressure, look for papilledema

Front 11

CSF with low glucose, PMN predominance

Back 11

bacterial meningitis

Front 12

CSF with normal glucose, lymphocytic predominance

Back 12

aseptic (viral) meningitis

Front 13

CSF with numerous RBCs in serial samples

Back 13

SAH

Front 14

CSF with gamma globulins

Back 14

MS

Front 15

pruritic papule with regional lymphadenopathy that evolves into black eschar after 7-10 days

Back 15

cutaneous anthrax

Front 16

findings in tertiary syphilis

Back 16

tabes dorsalis, general paresis, gummas, argyll robinson pupil, aortitis, aortic root aneurysms

Front 17

characteristics of secondary lyme

Back 17

arthralgias, migratory polyarthritis, bell's palsy, myocarditis

Front 18

cold agglutinins

Back 18

mycoplasma

Front 19

when do you start PCP prophylaxis in HIV, MAI prophylaxis?

Back 19

<200 for PCP, <50-100 for MAI

Front 20

risk factors for pyelo

Back 20

pregnancy, VUR, anatomic abnormalities, indwelling catheters, kidney stones

Front 21

neutropenic nadir post-chemo

Back 21

7-10 days

Front 22

ring enhancing brain lesion on CT with seizures

Back 22

taenia solium (cysticercosis)

Front 23

branching rods in oral infection

Back 23

actinomyces israelii

Front 24

painful chancroid

Back 24

haemophilus ducreyi

Front 25

dog or cat bite

Back 25

pasteurella multocida

Front 26

gardner

Back 26

sporothrix

Front 27

pregnant woman with pets

Back 27

toxoplasma

Front 28

meningitis in adults

Back 28

neisseria meningitidis

Front 29

meningitis in elderly

Back 29

streptococcus pneumoniae

Front 30

alcoholic with PNA

Back 30

klebsiella

Front 31

currant jelly sputum

Back 31

klebsiella

Front 32

infection in burn victims

Back 32

pseudomonas

Front 33

osteomyelitis in foot wound puncture

Back 33

pseudomonas

Front 34

gram negative rods on silver stain

Back 34

legionella

Front 35

organism causing endocarditis in new prostehetic heart valve

Back 35

s. aureus or s. epidermidis

Front 36

joints in hand affected by RA

Back 36

MCP and PIP; DIP spared

Front 37

organisms associated with reiter's

Back 37

campylobacter, shigella, salmonella, chlamydia, ureaplasma

Front 38

elderly femal with pain/stiffness of shoulders and hips; can't lift arms above head

Back 38

polymyalgia rheumatica

Front 39

labs in polymyalgia rheumatica

Back 39

anemia and elevated ESR

Front 40

signs suggesting radial nerve damage with humeral fracture

Back 40

wrist drop, loss of thumb abduction

Front 41

11 year old obese AA boy with sudden-onset limp

Back 41

slipped capital femoral epiphyses

Front 42

workup for SCFE?

Back 42

AP and frog-leg lateral views of hip

Front 43

most common primary malignant tumor of bone

Back 43

multiple myeloma

Front 44

unilateral, severe periorbital headache with tearing and conjuctival erythema

Back 44

cluster headache

Front 45

prophylactic rx for migraine

Back 45

B blockers, Ca2+ channel blockers, TCAs

Front 46

most common pituitary tumor; treatment?

Back 46

prolactinoma; dopamine agonists, e.g. bromocriptine

Front 47

pt with acute 'broken speech' what lobe and vascular distribution?

Back 47

broca's - frontal lobe, left MCA

Front 48

most common cause of SAH

Back 48

trauma, then berry aneurysm

Front 49

crescent-shaped hyperdensity on CT that doesn't cross midline

Back 49

subdural hematoma - bridging veins torn

Front 50

initial altered MS with intervening lucid interval

Back 50

epidural hematoma, middle meningeal artery tear - needs neurosurgery

Front 51

CSF findings with SAH

Back 51

elevated ICP, RBCs, xanthocromia

Front 52

albuminocytologic dissociation

Back 52

GBS - increased protein with only modest increase in cell count

Front 53

cold water flushed into patients ear and fast phase of nystagmus is toward opposite side - normal?

Back 53

yes

Front 54

most common primary sources of mets to brain

Back 54

lung, breast, melanoma, kidney, GI tract

Front 55

first line med for status epilepticus

Back 55

IV benzo

Front 56

confusion, confabulation, ophthalmoplegia, ataxia

Back 56

wernicke's encephalopathy

Front 57

what percent lesion is indication for CEA?

Back 57

70%

Front 58

most common causes of dementia

Back 58

alzheimer's and multi-infarct

Front 59

mainstay of parkinson's therapy

Back 59

carbidopa/levodopa

Front 60

treatment for GBS

Back 60

IVIG or plasmapheresis

Front 61

rigidity and stiffness that progress to choreiform movements, accompanied by moodiness and altered behavior

Back 61

huntington's

Front 62

port wine stain in V2 distribution, MR< seizures, leptomeningeal angioma

Back 62

sturge-weber; possible focal cerebral resection of affected lobe

Front 63

cafe-au-lait spots

Back 63

NF 1

Front 64

hyperphagia, hypersexuality, hyperorality, hyperdocility

Back 64

kluver-bucy (amygdala)