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82 Cards in this Set

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findings in EBV infection?
cervical LAD, pharyngitis, atypical lymphocytes
anti-mitochondrial Ab
primary biliary cirrhosis
anti-smooth muscle Ab
globulin gap
ANA +
auto-immune hepatitis
Hep B is _________ transmitted
sexually
serum to ascites gradient > 1.1 is...
ascites due to portal HTN
HepBsAg positive in...
acute AND CHRONIC infection
alcoholic hepatitis is characterized by...
fever
normal transaminases and indirect hyperbilirubinemia?
Gilbert's
aphthous ulcers
IBD
HIV
what's a thyroid cause of hyperprolactinemia?
primary hypothyroid
TRH stimulates PRL
screening test for Cushings?
24-hour urine-free cortisol
anti-transglutaminase Ab
celiac sprue
rx for tropical sprue?
folic acid
tetracycline
usual location of an anal fissure?
posterior midline
if not, colonoscopy!
sometimes, diverticula can cause...
malabsorption 2/2 bacterial overgrowth
low serum iron could be:
anemia of chronic disease
or
iron deficiency anemia.

Check a ferritin
rx for aplastic anemia?
stem cell transplant
rx for anemia 2/2 parvovirus?
IVIG
elevation in HbA2 associated with?
beta thalassemia
hypersegmented PMNs?
vitamin B12 deficiency
findings of myelodysplastic syndromes?
pancytopenia
dysplasia of lineages
elevated MCV
mutliple myeloma has unexplained anemia, hypercalcemia, and _______
renal dysfunction
chronic bleed is a mechanism for ....
iron deficiency anemia
rx for metastatic prostate cancer?
androgen ablation first.
then chemo and radiation
what's MALT lymphoma?
associated with H. pylori infection.
just treat the H. pylori
virtually all vericoceles are on the _______ side
Left
seminoma produces
only beta-hCG
indications for resecting metastatic colorectal cancer?
obstruction
bleeding
rx for neuropathic pain?
TCAs
transverse myelitis
occurse in pts with SLE
back pain, worse with coughing, unilateral radicular pain
small herniated disk
weak ankle jerk and dorsiflexion?
sciatica
migratory polyarthritis
tenosynovitis
skin lesion
disseminated gonococcal infection
B19 parvovirus is also associated with acute onset, symmetric _________
arthritis
for hypercalcemia?
1. normal saline (for dehydration)
2. furosemide to get rid of calcium
signs of hypomagnesemia?
Rx?
Chvostek's sign, Trousseau's sign
give Mg and K
cause of hyperkalemia in diabetics?
hyporeninemic hypoaldo
euvolemic hyponatremia?
SIADH
for psychogenic polydypsia, look for:
dilute urine
how do you distinguish primary hyperaldo from Gitelman's syndrome?
gitelman's has normotenstion (rather than hypertension)
normal osmolar gap is...
<10
Type 1 RTA is associated with
Sjogren's syndrome
lithium and demeclocycline cause...
hypernatremia
DI causes
hypernatremia
arginine vasopressin is increased in..
nephrogenic DI
Ddx of RPGN?
lupus nephritis
Wegener's
infection-associated GN
C-ANCA?
Wegener's
P-ANCA?
microscopic polyangiits
Churg-Straus
hypercalcemia causes acute renal failure by...
deposition
common initial presentation in multiple myeloma?
acute renal failure
weight gain with which anti-depressant?
mirtazapine
(and TCAs)
which anti-depressant does NOT cause weight gain?
buproprion
depression is common afer...
stroke
listeria meningitis in...
renal transplant patients
rising epigastric sensation for...
partial seizures
TPA if within ____ hours of stroke onset
3
locked-in syndrome
normal cortical and upper brainstem fcn
blink eyes, move vertically
no post-ictal confusion
syncope
absence siezures
naltrexone?
alcohol dependence.
for short term rx and to decrease relapse
heavy alcohol use?
7 drinks/wk women
14 drink/wk men
what drug lowers siezure threshold?
haloperidol
rx for cocaine intoxication?
lorazepam
panic sx and gynecomastia? m
marijuana use
what's acinetobacter?
nosocomial GNR
source: GI tract or central venous catheter
candida
don't use zidovudine in ___ trimester of pregnancy
1st
_________ interferes with protease inhibitors. substitute with __________
rifampin
rifabutin
what's sepsis?
SIRS + infection
what's severe sepsis?
organ dysfunction, hypotension
refractory to fluid resuscitation?
septic shock
c. diff and cryptosporidium. which has fever?
c. diff has fever!
bug associated with widened mediastinum?
anthrax
Pap smears q ___ years for low-risk
3
exposure to TB converts ____ weeks
4-7
don't use HRT, use _______
tamoxifen
malaria prophylaxis?
atovaqone/proguanil
mefloquine
doxycycline
rx for latent TB?
isoniazid 9 months
dental prophylaxis?
amoxicilling
(clinda if penicillin allergic)
imiquimod?
for genital warts
indication for isotretinoin?
cystic acne, on OCP
pustular skin lesion in gono- or meningo-coccus?
gonococcus
first line for cystic, pustular acne:
Abx