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205 Cards in this Set
- Front
- Back
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what has been lost in achalasia
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inhibitory neruons
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progessive dysphaia of boht soldi and liquids
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achalasi
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most accurate test in alchalisa
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esophagesl manometry
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best inital theray in alchaisa
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pnneumatic dilation
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what cancer espohagus is in the upper 2/3
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squamon cell cancer
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what is in thedistal third esophagus
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adenocariconea
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progress dysagi firso for solid and then for liquid
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cancer
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what is mandoar thin cancer
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endoscopy for tissue biopys
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most accurate test in scleroderam esgphaug problems
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motilit stides
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tx of sclerderma in esgous
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ppi and metoclpramide promtolit agent
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how to tx DES
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chalcium channel blockers nigedipine and nitrates
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intermitten dysphagi not associated with pian
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schatzki ring
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where is it locatin
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squmancoulmnar junction
proximal to the lower esophagel sphincter |
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plummer vison
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is locate more proxima hyphrayn
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pv is associat with whta
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iron deficiey anmeia progression to cancer
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Dx of both disoreder
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barium swallo or barium esopagram both with dialtion prodcedures
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what is pain on swallowing
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esophagits
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what is the is the most commong cuase of esophagitis
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candida
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what tow condition do you see esogatitis
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diates adn HIV
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what is the dx and tx in Hiv
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fluconaxoale
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riswhat is the dx of zenker
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barium studies
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what is contra in zenker
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endoscopy and placemtn of NG tube
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dx of mallory weiss
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direct visulation on upper endoscopy
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nonturanmural tear of loww esophage
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Mallory weiss
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symptoms that have not resolved
with ppi or h2 |
endoschopy
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what agesnt lower esogahesla sphincte
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Ca chanel block agens adn nitrates
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what factors factores cuase decresaee tone
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ca blcking and nitraties
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sore throat in bad metal ike tast in mouth hoarsenes and cough and sheezin
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GERD
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most acuurat diagongist test
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24 hour ph Monitor
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what does cisaprde cuase
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ventricular arrhytmia
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what is the change in barretts
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squamons to coumnar
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low grade dysplasi should be manged how
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3-6 months
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tx of barrett esophage
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PPi
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taboco smokin alchol and steroid do nt cuas what
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ulcers
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most imporat stiumatl to fastirn
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distensti of stomach
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how is secrtin realtin
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acid in the duodenum
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somatostaitn does what
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inbigt the release of gastirn
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pain relive by eating
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doudoenal ulers
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sensitivy
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negative testexldues etiology of ulcer dz
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what test can exlude h pyoloris
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clo test
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hpyloris
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PPi clartiymycina and amoxicllin
tatracycdline and metronidazole |
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non erdationcat of ulcer with triple therapy
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ZE syndrome
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what is a rarly used in ulcers
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misoprostol
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what is type 1 gastritis
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atroypy of fastri mucoas
vitamin b12 |
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achlohydeir will have markeldy elevat
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gastrin levels
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pernicous anumea dz
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low b12 ndmethmalonic acid level
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dx of pernicu anema
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antipartie cell antiboye adn antintric factory
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where is ZE located
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doudenum and and pacreas
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what is men
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parathyrod piturar pancreat umore
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diarrhea steatorrhea
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ZE
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ZE test
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serctin test rise in gastirn level
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what does serctin normal do
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supress gastrin
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gastropares
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diabetes
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tx of gastroparies
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erythromcyin or metoclopramide increase motlin levels
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sweathin shaking palpitatio and giht heade after a meal
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dumping sydrome
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hypolgcemai after food
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dumping dyrome
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subcutantous creputisus
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pnuomthorax
get xray |
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dyspnea with afib
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Rhematic fever
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COPD
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hyperthyoic osterarthpathy
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tx of fiborosis
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steroids
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hypercalcerma high cr and bun bone pain and herat problems
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resticriv bc of amyolisiso
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hypokalcemia and HTN
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get aldoesterione and renin
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ostoposrosis and htn
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thaizes
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angian and htn
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beta block
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pt with past stroke and now an Mi
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use pTca dont use tpa or herpain
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pt puts head in cold water and nows feels better and see doest not have heart problems
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PST cuase by re entry in the av node
tx is maneurver increasin gbagal tone righ carotid sinus massage |
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pt with new heart problems and hand pain
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endocarditis look for past surgery or other risk factors
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vavlualr abnormailti in young women
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mtira val prolaspse
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new mitral reguratiation after mi
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paillary msucle ruptuer
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holosytolic apical murmur radintat to the axilla
soft s1 |
mitral regurtiatonmo
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mcc area where you will get paipllar muscle rupte
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inferpostier infarcts
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what is the tracing in MR
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promeitn V waves
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VSD rupture vs paillary msucl ruptue
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oxygen staru in RV and palapgel precordial thrill
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pt taking all these medication and now has heart problesm
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check eletctoyes
digitas |
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II III avF
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inferio right coronary artyer
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high PCWC
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cardiogenic shock
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resertive is what type by
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diastolic
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jvd and Rbbb
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right hear stairn
massive PE |
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what is very common with mitral stenosis
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afib
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where does aorita murmurs radiate to
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neck
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if Mi and pumoanry edema
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no not give b block give furosemide
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inferior Mi
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r systokc dysfunction
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septic what is high
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CO and SVo2
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high hypovelmic
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SVR
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cardiogenis shock is high
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PCWP high
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what about nerugenic
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everything
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type 1 heart block
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pr intervla greater than .20
and pulse less thatn 70 tx nothing |
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JVD kussmal hypotension
clear lung sing |
right heart failure
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right and left hear problem with tx of hodkings lympoma
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Percatidis cardia surgery
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malgina HTN
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fibnorid necorsis os small arterlios
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where is the level of coarctaiton
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ligmentu arterious
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endocartidoin
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2 culture echo murmur
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two thing that are ummuno in endocardtits
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olser and glumephrits
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first test in stable angia
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ekg
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intermtiten cladication
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amlopdoine
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what to test in CHF
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BNP to dis quisn CHF from toher causes
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ventricular tachcardia
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tx amioridon or lidociane
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what does lactas do
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chdrolyes the diascchardd lactose into gluces and galctosw
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dx latocse intol
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hydrogen breath thest increase breath hydrogen follwin ingestion of lacto load
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blood diarrhea
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salmonella shigella e coli and
campyobacter |
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mcc etiiolgo of infecti diarrhea
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Fecal RBC adn WBC
Camylocate tx retyhromycin |
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cryptospordios test
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modified acid fast test
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giradiead
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ELISA stool antigen test
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camyplyobacter
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reactive arthirtr Gillian barre syndrome
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whay are antigbiot contraindeiact in HUS
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happens when the organism dies
platelese are also contraindicated |
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best therpay for infectious diarrhea
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ciprfloxanc and fluroquinlol
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effect therapy for cryptosporido
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raise CD4 to >1000
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which on is goign to cuase blood diarrhea
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UC
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when one is like to have abod mass
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CD bceas grnaulomas in the bowel wall that are trnasumar in nature being inflame dandsticking toiget fomr a mass
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which on has increase kidnety stones
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CD becuase the fat malabsopritn resutl in low clcium level and increase absorpti of oxalates
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which steriod is used for IBD
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bedesoinde is a fomr of steroid is iedal of IBD
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azathiprin and 6mp are associated with
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pancreatis
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how doe sthap auers prestn
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usually 3-4 hours
from skin infetion of the cool repalce fluids |
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ACTH and sDH by lung cancer
eaton lamber subacute cerbellar degenerati and peripeharl nuerophate |
Small
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pth by lung ca
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squamos
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cyneomcastia
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large
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periphera locaiton of lung cancer
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adenocaricon multipele noduel interstial infilartat and prolifc suptum produciton
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central location
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small and squmaous
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calcifitiaon in lung mass
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most likely being
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CPOD should what vaccination do they need
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influezn 50 years old anre oler anuunal
pneumoccoa vaccin 65 years and older and booster in 5 years |
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miliary guyy who is aspenlic what do they need
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meningococcus
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risk factors for lacuanr infract
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hypertenison and diabteres
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lacuar infract
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pure motor asphia
left side weakness and right arm weakness |
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mechainsm of luucar infract
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small vessel hyalinosis
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immunocompromies patein 2with foca neruologic defict
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PML
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mulitpe demyelinatin gnog enhacing lesion with no mass effe
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PML
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weakly enchanin perventricluar rign enhacing lesion on mri
ebv dna in scf |
primary cns lymphoma
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metoclopramid
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prokinet agens used to reat nause vmoitn and gastoparesis
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bad side effect of metoclopramide
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dystonic reaction
extreapyramdi symptom NMS discoutin the medication and admintstar of benzytopien or diphendyramine |
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abnormal gain incontinence and dementia
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NPH increaes ventricular size withou peristent elevation in intracraing pressure
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NPH
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decreae CSF absorpiton or tarnsiet increase in intracrainla pressure
dementia gain disturabnc and incontinence |
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where is the problem with hungiton
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caudate and putmane
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visuospatiol deficty and proble with antergoade ememory formation
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Alzheimers dz
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personality changes and loss of social restaints prodund demetni and become mute imoble and incotinet
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Picks 40-60 years
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reasons for alhermeirs
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defgeneration of the basla nucleu of myener acetychoine
deficney of choine acetlytraferase and abnorma amyuodi gene expression |
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solitar ring enhacind lesion on brain CT and fluid colleciton in the maxilarry sinus
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anerobic bacteria and maxillar sinustisi
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primary CNS lympoma
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ebv DVA in the csf mri reveal a weakly rign enhacing mass solitar and periventricular
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fasciculation indeicate
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lMN
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apssticity bulbar symptoms
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UMN
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when start pap smear
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3 year after initation of sexual acitivit or at age 21
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can switch to every 3 years for pap smear if
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has the smae monogamous partner
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when can screening be stoped
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at age 65 70
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absent pain and tem senstaiton on the nape of eneck shoulder and upper arms in a cape distribution
vibration and psoitn seastain are preserve |
syrigomyelia
areflexic weakness in teh upper extermitis and dissociate anestheia in a cpae distribution |
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Brown sequrad sydrome
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damage to the lateral spinltalamic tract cuasing contralateral loss of pain and tema seantion beinggn two level belwo the lve of theleison
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lesion of righ side later spinothalmic tracto at t 10 wil
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left side loss of pain and temperati senation beignnig at t12
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interculear opthalomplegia
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mutlpele sclerosis
medial longitdinal fasciulus in the dorasla poitn tenument |
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eeg sharp periodic sharp waves
myoclucos rapidly prgressiv demetni m |
Crezutfeld jakob dz
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hyperflexia psotive babinski signs weakness sensory loss
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spinal cord compression
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treatment of trignelia neruligoaia
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carbamazepine
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what does anticoleirgic improve in parkisonism
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tremor and rigigdyt
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white crescent midline shift
large heamtoma prodcing a signifcant mass efec and midline shit |
SDH
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tearing of brding vein
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SDH
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resting tremor improve with activity
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parkinson dx
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unilateral retrobiatl pian which start suddenly peark rapidly lsat 2 hours ipsilater eye tearin stuffe or runny nose ipsilater horner syndromne
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cluster HA
acute sever retobital pian thta wake sthe patie form sleep |
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01 risk factor
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160
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2 risk factors
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130
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CAD
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100
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pronator drift
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sensitve and specif for upper motor nerion dz
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how does AS cuase angia
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decrease diastolic coranary blood flow
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s4 gallop elvated the left venticular endiastol pressure
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AS
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what does AS must have
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endocarditis prophylaxis
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what are CAD equivalents in in lipid mess
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stavbl angiandiabete mellitus cariod artyer diexeas aorti anerutysm peripheral arterial disease 10 year risk of CHD
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alheimer dementia know about there dementia true or flase
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flase they have no idea
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pseudodementia
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dementia in the setting of sever depression
antidepressant are the treament of choice |
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hep A
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post prevenatble cuase of hepatits give immuglogin and vaccine
EGYPT |
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when can the MMR vacinne be given in HIV
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when theere CD4 count is above 200 is the only live vacine that can not be given
BCG vaicell anthrax oral thypod intranasla influenz oral polia and yhellow fever vaccine |
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acute exacerbation of multipel sclerosi tx
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IV steriods
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what decrease the frequency of exacerbation in patients
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beta inteferoin of altiramer acetate
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drug of choice for trigemnial neurlagia
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carbmazepine
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personality changes copulsive behaivor and impared memory
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Picks dz
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acrobes amiglitol
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alpah gluocsiade inbibitors
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what do alpsh glucoides ingibto do
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prevent dietary cabohyade breakdown in the intesinal terac decrea3e abse absopti of glucose
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side effects of gilatzone
pioglitazon and rosiglazone |
Edmea
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Cystic fibrosis is what
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AR
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acral lentigouns
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palms asoles
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mcc type of melona
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supericical spread melanoma
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cat bit
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prophylactia five day amoicllin/clavulante
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gilberts
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fine until stressors
turn yellow nothing else happens |
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mgus
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low plamsa cells
high igg |
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walenstrom
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Img spick
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carar ganajjar
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type 1
type 2 |
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amidorone
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pulomary fibrosis
and corneal depoist |
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tampoandea
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decrease preload of the ventricle
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sLE
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think of all the muscoal surgace renal
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l5
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stepage gait
common pernela nerve lift head |
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when do you use isoretiont
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when the question states noduules
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sarcodisosi
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can go blind and has diffuse inflitrates
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hep C
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mebraonoporligeative
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focal segemtnal
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iv drug abuse Hiv infection obestity
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membranosu
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HBV spyphili malaria and gold
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hecp c
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membroungproflectiave
proterctiv cutant tarda |
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struvite
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must have an UTI
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ocp
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cuase 2nd hypertension
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ipratoment bromide
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anticholegeric
muscarinc antgoitsm |
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ostermyliest
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do blood cluture and and antibiotics
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legioonal
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lobar pnemonia with no bugs on gram stain can cuase lobar penmonai
tx with atriomycin atypical |
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RBB is not contraindication for
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EKG test and stable angina
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tx of hemocrotmatios
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phelomptomy
first then deferoxamine |
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men 2a
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pheo
medular parathypord |
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RA
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periarticular oestpenia and joint margein erosin
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optic nerutisi
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rapid impairment of vision in one eye marked changes in color perception afferent pupillar defec and field loss occur
central scotmoa |
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analgesi cnephopathe
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drug indce chroin renal fialure
papillar necrosis and chronic tubler interestial nephritis |
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atn
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muddy brown cast
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bicuspid
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early in life if above the 70 age
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cat scrath dx
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tx with erytomcyin
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