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64 Cards in this Set

  • Front
  • Back
3 most important causes of FUO
infection, CA, AI disease
four signs/sx of streptococcal pharyngitis
fever, pharyngeal erythema, tonsillar exudate, lack of cough
nonsuppurative complication of streptococcal infection that is not altered by treatment of primary infection
post-strep GN
asplenic pts are particularly susceptible to what organisms
encapsulated - pneumococcus, meningococcus, h flu, klebsiella
pt from CA or AZ who presents with fever, malaise, cough, night sweats
coccidiomycois; rx ampho B
nonpainful chancre
primary syphilis
blueberry muffin rash
congenital rubella
meningitis in neonates
GBS, e. coli, listeria; rx amp/gent
meningitis in infants
pneumococcus, meningococcus, h flu; rx cefotax and vanc
what should always be done prior to LP?
check for increased intracranial pressure, look for papilledema
CSF with low glucose, PMN predominance
bacterial meningitis
CSF with normal glucose, lymphocytic predominance
aseptic (viral) meningitis
CSF with numerous RBCs in serial samples
CSF with gamma globulins
pruritic papule with regional lymphadenopathy that evolves into black eschar after 7-10 days
cutaneous anthrax
findings in tertiary syphilis
tabes dorsalis, general paresis, gummas, argyll robinson pupil, aortitis, aortic root aneurysms
characteristics of secondary lyme
arthralgias, migratory polyarthritis, bell's palsy, myocarditis
cold agglutinins
when do you start PCP prophylaxis in HIV, MAI prophylaxis?
<200 for PCP, <50-100 for MAI
risk factors for pyelo
pregnancy, VUR, anatomic abnormalities, indwelling catheters, kidney stones
neutropenic nadir post-chemo
7-10 days
ring enhancing brain lesion on CT with seizures
taenia solium (cysticercosis)
branching rods in oral infection
actinomyces israelii
painful chancroid
haemophilus ducreyi
dog or cat bite
pasteurella multocida
pregnant woman with pets
meningitis in adults
neisseria meningitidis
meningitis in elderly
streptococcus pneumoniae
alcoholic with PNA
currant jelly sputum
infection in burn victims
osteomyelitis in foot wound puncture
gram negative rods on silver stain
organism causing endocarditis in new prostehetic heart valve
s. aureus or s. epidermidis
joints in hand affected by RA
MCP and PIP; DIP spared
organisms associated with reiter's
campylobacter, shigella, salmonella, chlamydia, ureaplasma
elderly femal with pain/stiffness of shoulders and hips; can't lift arms above head
polymyalgia rheumatica
labs in polymyalgia rheumatica
anemia and elevated ESR
signs suggesting radial nerve damage with humeral fracture
wrist drop, loss of thumb abduction
11 year old obese AA boy with sudden-onset limp
slipped capital femoral epiphyses
workup for SCFE?
AP and frog-leg lateral views of hip
most common primary malignant tumor of bone
multiple myeloma
unilateral, severe periorbital headache with tearing and conjuctival erythema
cluster headache
prophylactic rx for migraine
B blockers, Ca2+ channel blockers, TCAs
most common pituitary tumor; treatment?
prolactinoma; dopamine agonists, e.g. bromocriptine
pt with acute 'broken speech' what lobe and vascular distribution?
broca's - frontal lobe, left MCA
most common cause of SAH
trauma, then berry aneurysm
crescent-shaped hyperdensity on CT that doesn't cross midline
subdural hematoma - bridging veins torn
initial altered MS with intervening lucid interval
epidural hematoma, middle meningeal artery tear - needs neurosurgery
CSF findings with SAH
elevated ICP, RBCs, xanthocromia
albuminocytologic dissociation
GBS - increased protein with only modest increase in cell count
cold water flushed into patients ear and fast phase of nystagmus is toward opposite side - normal?
most common primary sources of mets to brain
lung, breast, melanoma, kidney, GI tract
first line med for status epilepticus
IV benzo
confusion, confabulation, ophthalmoplegia, ataxia
wernicke's encephalopathy
what percent lesion is indication for CEA?
most common causes of dementia
alzheimer's and multi-infarct
mainstay of parkinson's therapy
treatment for GBS
IVIG or plasmapheresis
rigidity and stiffness that progress to choreiform movements, accompanied by moodiness and altered behavior
port wine stain in V2 distribution, MR< seizures, leptomeningeal angioma
sturge-weber; possible focal cerebral resection of affected lobe
cafe-au-lait spots
NF 1
hyperphagia, hypersexuality, hyperorality, hyperdocility
kluver-bucy (amygdala)