Med Final Spring Part Ii

Front 1

an autoimmune dz, rapidly progressive paralysis, often ascending, areflexia, increased CSF protein

Back 1

guillain barre

Front 2

kaiser-fleisher ring is indicitive of what disease?

Back 2

wilson's

Front 3

MC motor neuron disease in adults?

Back 3

ALS

Front 4

tingling at the base if thumb and pointer finger?

Back 4

median nerve palsey

Front 5

what cells make up the bbb?

Back 5

astrocytes

Front 6

progressive degenerative disorder of the cerebral cortex. cortical degeneration. most marked in the frontal lobes, mc cause of dementia

Back 6

alzheimer's

Front 7

neurofibrillary tanges, beta-amyloid plaques, granulovascular degeneration is the triad for what debilitating disease?

Back 7

alzheimer's

Front 8

MC of the motor neuron diseases causing muscular atrophy. chronic, progressive, rapidly fatal. motor neurons in the grey horns are destroyed. atrophy/weakness in UMN and LMN, impaired speech

Back 8

ALS

Front 9

progressive demyelination of the white matter of the brain and spinal cord leading to widespread neurological dysfunction. CNS affected only. gliosis occurs; optic neuritis, and parasthesia, diplopia, dysphagia.?

Back 9

MS

Front 10

normal Hbg?

Back 10

13-17 m
12-16 f

Front 11

normal Hct?

Back 11

35-45%

Front 12

normal PLT count?

Back 12

150-450k

Front 13

normal WBC?

Back 13

4-11k

Front 14

normal HbgA1c

Back 14

5-7.5 %

Front 15

normal Na?

Back 15

135-145 mEq

Front 16

normal K+?

Back 16

3.5-5 mEq

Front 17

normal Cl-?

Back 17

95-105 mEq

Front 18

normal BUN?

Back 18

10-26 mg.dl

Front 19

normal creatnine?

Back 19

.6-1.3 mg/dl

Front 20

normal glucose?

Back 20

70-115

Front 21

CXR displays mediastinal widening and perihilar adenopathy on a 55 y/o male with h/o persistant cough. h/o chronic lung infections. 30 pack per year smoker. most likely dx?

Back 21

broncogenic CA

Front 22

the mc cause of morbidity and mortality world wide?

Back 22

TB

Front 23

MC organism responsible for infective endocarditits in IVDU?

Back 23

staph aureus

Front 24

DOC for tx of lyphogranuloma venerum?

Back 24

tetrycycline

Front 25

an autoimmune disease in which the body's immune system mistakenly attacks its own moisture producing glands.

Back 25

sjogrens syndrome

Front 26

the acronym for CREST refers to a constellation of clinical features associated with an autoimmune disesase and stands for??

Back 26

Calcinosis
Raynaud's phenomenon
Esophageal dysfunction
Sclerodactylly
Telangiectia

Front 27

CREST is an acronym of a cluster of symptoms for what auto immune dz?

Back 27

scleraderma

Front 28

subacute infective endocarditis is caused by what organism?

Back 28

strep viridans

Front 29

small erythematous or hemorrhagic macular lesions on the palms or soles of the feet, usually in p c endocarditis?

Back 29

janeway lesions

Front 30

what is the MC cause of bacterial meningitis?

Back 30

URI that crosses the BBB

Front 31

what is the MC vector-borne illness in the U.S.?

Back 31

lyme dz

Front 32

what is the tx of choice for neisseria meningitieds in a young child?

Back 32

PCN

Front 33

DOC for tx of lyme disease?

Back 33

doxycycline

Front 34

what is the MC pathogen in bacterial meningitis?

Back 34

strep pneumo

Front 35

what is the vax for bacterialmenintgitis?

Back 35

H.flu type B

Front 36

the MC cause of sepsis in the newborn period is due to what pathogen?

Back 36

group B strep

Front 37

a disease charaterized by muscle aches, pain and stiffness affecting usually the proximal muscle of the shoulder and hip girdle in elderly patients?

Back 37

polymyalgia rheumatica

Front 38

what organism invades humans do to cat bites?

Back 38

pasteurella multicida

Front 39

occurs in nearly all patients who receive a full course of radiation therapy for cancer of the lung or breast?

Back 39

pulmonary radiation fibrosis

Front 40

results in the formation of malignant mesotheliomas?

Back 40

asbestosis

Front 41

characteristically worse on the first day back to work?

Back 41

occupational asthma

Front 42

acute toxic noncardiogenic pulmonary edema caused by inhalation of nitrogen dioxiode?

Back 42

silo-filler's disease

Front 43

ingestion of inhaled dust by alveolar macrophages leads to the formation of macules that appear on CXR as diffuse small opacities most prominent in the UPPER lung?

Back 43

coal worker's pneumoconiosis

Front 44

what will you see on CXR of p c asbestosis?

Back 44

irregular opacites most prominent in the bases

Front 45

on CXR you see eggshell calcification of enlarged hilar lymph nodes. this is suggestive of?

Back 45

chronic silicosis

Front 46

what occupation carries the highest risk for develping silicosis?

Back 46

quarry workers

Front 47

what treatment does an immunocompromised p (HIV) with a tuberculin reaction of 5mm require?

Back 47

chemoprophylaxis with INH to prevent infection from TB.

Front 48

a young adult male, thin, presents to office with sudden onset of generalized angina, radiating to the left shoulder, +dyspnea and cough. PMH is smoker. p claims symptoms started after exercising. pulse 112. HR 28. decreased breath sounds, hyperresonance and decrease vocal fremitus on the left thorax. what is the most likely dx?

Back 48

spontaneous pneumothorax

Front 49

CXR shows air in the pleural space with visable retracted lung border. no pleural effusion. what should your next step be?

Back 49

aspiration of the air w/ large bore needle or chest tube

Front 50

what is the most effective test for the diagnosis of a pulmonary embolism?

Back 50

VQ scan

Front 51

what is the diagnostic test for pulmonary thromboembolism?

Back 51

pulmonary angiography

Front 52

an autosomal recessive disorder that manifests in childhood, causing normal lungs to deteriorate as a result of diffuse destruction due to very viscous secretions?

Back 52

CF

Front 53

what is the MC fungal pathogen associated with cystic fibrosis?

Back 53

aspergillus fumigatus

Front 54

a sign seen on chest x-rays with interstitial pulmonary edema. They are thin linear pulmonary opacities caused by fluid or cellular infiltration into the interstitium of the lungs. They are suggestive for the diagnosis of congestive heart failure, but are also seen in various non-cardiac conditions such as pulmonary fibrosis, interstitial deposition of heavy metal particles or carcinomatosis of the lung. Chronic Kerley B lines may be caused by fibrosis or hemosiderin deposition caused by recurrent pulmonary oedema.

Back 54

kerley b lines

Front 55

progressive massive fibrosis
Cor pulmonale
pulmonary HTN
sarcoidosis
are all possible complications to what avoidable disease if you change jobs

Back 55

occupational pneumoconiosis

Front 56

which ethnic group is at the highest risk for sarcoidosis?

Back 56

african american females

Front 57

what test if elevated is indicitive of sarcoidosis?

Back 57

1,25 dihydroxycholecalciferol
which is the form of vitamin D found in the body

Front 58

list 4 examples of exudative pleural effusions?

Back 58

pneumonia
PE
malignant disorders
TB

Front 59

patients who have had "this surgery" are at the greatest risk for developing a thromboembolism?

Back 59

hip replacement sx

Front 60

what occupational lung disease has an increased incidence of TB?

Back 60

silicosis

Front 61

jaundice, non-tender palpable bladder is indicitive of?

Back 61

carcinoma of the pancreas

Front 62

what cervical lymph nodes are involved MC with mono?

Back 62

posterior

Front 63

YOU CAN NOT GIVE AMPICILLIN TO A PATIENT WITH MONO. t/f

Back 63

true

Front 64

a palpable gallbladder on a patient with obstructive extrahepatic jaundice suggest the dx of?

Back 64

periampular carcinoma

Front 65

a 21 y/o female had her first pap smear that indicated a CIN II dysplasia. what is your recommendation to her?

Back 65

repeat pap smear 1 3-6 months

Front 66

what is the term for the pre malignant skin lesion?

Back 66

actinic keratosis

Front 67

35 y/o traveler. ate delicacies. now has fever, malaise, jaundice. your dx?

Back 67

hep a

Front 68

esophageal varices
splenomegaly
caput medusa
ascites
are all adverse effects of what systemic disorder?

Back 68

portal htn

Front 69

in children, it is associated with liver disease; in teen and adult it is a progressive liver disease with pulmonary manifestations?

Back 69

alpha antitrypsin def.

Front 70

what is the main function of proto-oncogenes?

Back 70

to stimulate cellular proliferation

Front 71

p presents with recent h/o URI (sore throat, HA and mild cough) he was treated. today he returns cc worsening cough and increasing fatigue. CXR reveals bilateral hilar infiltrates. normal WBC. cold hemaglutin titer is elevated. most likely dx?

Back 71

pneumococcal pneumonia

Front 72

what are the clinical criteria for streptococcal pharyngitis?

Back 72

fever
tonsillar exudates
cervical lymphadonopathy
absence of cough

Front 73

clubbing, with out cyanosis in a 30 y/o man with a history of dyspnea and a chronic cough that produces foul smelling, purulent sputum and hemoptysis that began several months after a pneumonia. the p most likely dx is?

Back 73

bronchiectasis

Front 74

what is treatment of choice for legionella?

Back 74

erythromycin

Front 75

what is the primary role of expectorants?

Back 75

to thin secretions so they can be moved more easily

Front 76

what organism is most likely the cause of a gree-yellow discharge seeping from turbinates, tender maxillary sinus post URI status?

Back 76

pseudomonas aeruginosa

Front 77

a p presents with:
rales
dullness with percussion
decreased whispered pectoriloquy
egophony+
there findings are indicitive of?

Back 77

a consolidated pneumonia

Front 78

+ cold agglutin test is indicitive of?

Back 78

mycoplasma pneumonia

Front 79

name the 4 centor criteria?

Back 79

for strep:
fever
no cough
exudates
cervical lymphadenopathy

Front 80

rust colored sputum?

Back 80

pneumococcal

Front 81

what is the MC cause of sinusitis?

Back 81

strep

Front 82

me the 3 MC organisms that cause sinusitis:

Back 82

m.cat
h.flu
strep pneumonia

Front 83

tularemia

Back 83

rabbits

Front 84

psittacosis

Back 84

birds

Front 85

hantavirus

Back 85

rats

Front 86

klebsiella

Back 86

alcoholics

Front 87

histoplasmosis

Back 87

mississippi river valley

Front 88

on cxr in HIV + patient you see bilateral interstitial infiltrates. what dx does this support

Back 88

pcp/pjp

Front 89

An abnormal irreversible structural deformity of the med size and large bronchi , results in decreased mucus clearance, ciliary dysfunction and dilated bronchi is called

Back 89

bronchiectasis

Front 90

MC fungal pathogen isolated in bronchiectasis caused by cystic fibrosis?

Back 90

aspergillus

Front 91

what is the DOC for mycoplasma pneumonia?

Back 91

erythromycin

Front 92

what is the cause of pleurisy?

Back 92

inflammation

Front 93

why is it contraindicated to give honey to babies?

Back 93

c.bot

Front 94

radiographic sign for epiglottitis?

Back 94

thumb print

Front 95

easy bleeding in babies can be attributed to a deficiency in what vitamin?

Back 95

K

Front 96

One week old child. Constipated. Diet: mother’s milk. Visible abdominal distention. Abdominal films show markedly dilated loops of small bowel above,
Constricted loop below.

Back 96

toxic megacolon = hirschprung's disease

Front 97

TX FOR celiac disease?

Back 97

gluten free diet

Front 98

general term for a protein deficiency?

Back 98

kworschikoff's

Front 99

total malnutrition?

Back 99

mirasmus

Front 100

niacin def?

Back 100

palagra

Front 101

thiamine def?

Back 101

beriberi

Front 102

what mineral is needed to prevent osteoporosis?

Back 102

vit d and calcium

Front 103

if urine osmolity is less than the plasma osmolity what disease process would you suspect?

Back 103

diabetes insipidus

Front 104

a patient presents withh polyurea, plydypsia, palptations, shortened QT's...what electrolyte imbalance would you expect to find?

Back 104

hyper Ca+++

Front 105

peaked T waves on the ekg is indicitive of which electrolyte imbalance?

Back 105

hyper K++