Pance Review 2010 Part V

Front 1

Bat wing appearance

Back 1

PCP (pneumonia)

Front 2

Aviary keepers pneumonia

Back 2

pulmonary histoplasmosis

Front 3

Pancoast's syndrome

Back 3

horners syndrome + arm and shoulder pain

Front 4

Cystic Fibrosis gene disorder

Back 4

autosomal recessive

Front 5

Pertussis tx

Back 5

Macrolide

Front 6

Transudates

Back 6

Hrt Failure
Nephrotic syndrome
cirrohosis

Front 7

TB in the spine

Back 7

Pott's dz

Front 8

Epiglottitis tx

Back 8

IV ceph

Front 9

Proximal muscle group myopathy

Back 9

Eaton -Lambert syndrome

Front 10

Obstructive Pulmonary dz ex.

Back 10

Asthma/COPD

Front 11

Restrictive Pulmonary dz ex:

Back 11

idiopathic/pneumonconiosis/
sarcoidosis

Front 12

MC pneumonia in teens

Back 12

mycoplasma (walking pneumonia)

tx w/ macrolide

Front 13

Adult pneumonia DX

Back 13

gram stain-coccobacilli (H. flu)

Front 14

Adult pneumonia tx

Back 14

ampicillin or ceph (H. flu)

Front 15

Curant Jelly sputum pathogen

Back 15

klebsiella

Front 16

CAP tx outpatient

Back 16

macrolide

Front 17

CAP tx inpatient

Back 17

Cephalosporins

Front 18

Non smokers bronchitis pathogen

Back 18

Mycoplasma Pneumonia

Front 19

Smokers bronchitis pathogen

Back 19

Strep. Pneumonia

Front 20

Lose weight
CPAP
Oral appliances
Surgery

Back 20

Sleep apnea treatments

Front 21

Cor Pulmonale tx

Back 21

O2
CCB
NTG

Front 22

MCC acute/chronic cor pulmonale

Back 22

P. embolism

Front 23

Pulmonary HTN dx

Back 23

When pulomanry arterial systolic pressures exceed 25 mmHg at rest

Front 24

Defibrillation

Back 24

V-Fib
Pulseless V-Tach

Front 25

Hyperkalemia tx

Back 25

Calcium gluconate
NaHCO3
Insulin
Glucose
Kayexalate
Dialysis

Front 26

Rheumatic fever tx

Back 26

ASA
Steroids
PCN only to cover residual strept infx

Front 27

Fever
arthralgia
Increase ESR/CRP
Increase antisterepolysin O titer
+ Strept screen

Back 27

Jones criteria- minor

Front 28

Austin flint murmur

Back 28

Aortic insufficiency

Front 29

carditis
arthritis
chorea
erythema marginatum
SC nodules

Back 29

Jones criteria- major

Front 30

Adrenal adenoma or cortical hyperplasia

Back 30

Primary aldosterone

Front 31

CHF
cirrohosis
nephrotic syndrome

Back 31

Secondary aldosterone

Front 32

Acts on kidneys to absord Na+ and kets rid of K+

Back 32

aldosterone

Front 33

libman-sacks dz causes this on valve leaflets

Back 33

platelet or fibrin vegetations
(Lupus)

Front 34

Endothelial trauma
venous stasis
hypercoagulable state

Back 34

virchows triad

Front 35

Enlarged, hard supraclavicular lymph node which can contain metastisis of viscereal (abdomin) malignancy

Back 35

virchows node

Front 36

Congenital aqueductal stenosis in children

Back 36

MCC of obstructive hydrocephalus

Front 37

MCC of communicating hydrocephalus

Back 37

meningitis

Front 38

#1 causes of restrictive cardio myopathy

Back 38

amyloidosis

Front 39

Left to right becomes right to left shunt due to pulmonary HTN

Back 39

Eisenmenger's complex

Front 40

Tricuspid valve is abnormally formed & placed lower than normal in the right ventricle & two of the three tricuspid leaflets are stuck to the heart wall

Back 40

Ebsteins anomaly

Front 41

Results of a right to left shunt. Squatting increases peripheral vascular resistance

Back 41

Tetralogy of Fallot

Front 42

Rib scalloping

Back 42

Coarctation of the Aorta

Front 43

Coarctation of the aorta definitive test

Back 43

MRI or cath

Front 44

Antihypertensive DOC to tx malignancy HTN seconary to pheo

Back 44

Phentolamine (Regitine)

Front 45

Renal osteodystophy lab finding

Back 45

High phosphate
(its a bone mineral deficiency

Front 46

Tamoxiphen
Aminophylline
Growth hormone
Vitamin A/D

Back 46

Drugs that c/ Hypercalcemia

Front 47

Acute SOB
hypoxemia withih hours to days of an inciting event like trauma sepsis

Back 47

ARDS

Front 48

Hyperpigmentation
Hypotension

Back 48

Addison's dz

Front 49

High PaCO2 & low pH

Back 49

respiratory acidosis

Front 50

MC cancer in the US

Back 50

lung

Front 51

Immunocompromised or catheter dwelling pneumonia

Back 51

pseudomonas

Front 52

MC pneumonia in adults tx

Back 52

S. pneumonia
PCN/ceph

Front 53

Drive to breath

Back 53

obstructive sleep apnea

Front 54

MC presentation of pulonary HTN

Back 54

dyspnea

Front 55

Group A strep infection preceded by

Back 55

rheumatic fever

Front 56

Aortic dissection tear location

Back 56

intima

Front 57

Ascending aortic dissection classification

Back 57

debakey type II

Front 58

Descending aortic dissection classification

Back 58

debakey type III

Front 59

Ascending & descending aortic dissection

Back 59

debakey type I & II?

Front 60

Dresslers syndrome

Back 60

Post MI (pericarditis)

Front 61

Half life of heparin

Back 61

1 - 2 hours

Front 62

Half life of coumadin

Back 62

36 hours

Front 63

Heparin antidote

Back 63

protamine

Front 64

Coumadin antidote

Back 64

vitamin k (safe in pregnancy)

Front 65

Warfarin inhibiting factors

Back 65

2, 7, 9, 10

Front 66

Gold standard dx for a PE

Back 66

angiography

Front 67

S1, Q3, T3

Back 67

Classic EKG PE finding

Front 68

Twisting of the bowel

Back 68

cecal & sigmoid volvulus

Front 69

DX and tx of a pediatric intussuception

Back 69

single contrast w/ barium enema

Front 70

Tip of the catheter placed in the central right or left pulmonary artery to easure pulmonary arterial pressure

Back 70

Swan Ganz catheter

Front 71

Intracranial hemorrhage appearnace

Back 71

dense(white) than adjacent brain tissue

Front 72

Hemorrhagic stroke on CT

Back 72

radiopacity

Front 73

Ischemic stroke on CT

Back 73

radiolucency

Front 74

Subdural hematoma shape on CT

Back 74

crescent shaped

Front 75

Epidermal hematoma shape on CT

Back 75

lenticular (football)

Front 76

Subarachnoid appearance on CT

Back 76

blood seen throughout

Front 77

Kussmaul's sign cardiomyopathy

Back 77

restrictive

Front 78

Results in a left to right shunt secondary to patent foramen ovale

Back 78

ASD

Front 79

Results in a left to right shunt & is the MC type of congenital cardiac defect

Back 79

VSD

Front 80

Continous machinery murmur

Back 80

PDA

Front 81

PDA tx

Back 81

indomethacin

Front 82

New onset pain @ rest lasting longer than 10 minutes that is crescendo and who has CAD

Back 82

unstable angina

Front 83

Heart abnormality that causes cyanosis

Back 83

Tetralogy of Fallot
Transposition of the Great Aorta

Front 84

PDA tx

Back 84

indomethacin

Front 85

This artery is abnormal due to Coarctation of the aorta

Back 85

subclavian artery

Front 86

New onset pain @ rest lasting longer than 10 minutes that is crescendo and who has CAD

Back 86

unstable angina

Front 87

Na+ restrictions
diuretics
ACE I
digoxin

Back 87

CHF tx's

Front 88

Heart abnormality that causes cyanosis

Back 88

Tetralogy of Fallot
Transposition of the Great Aorta

Front 89

Phoechromocytoma dx

Back 89

24 hour urine, MRI

Front 90

This artery is abnormal due to Coarctation of the aorta

Back 90

subclavian artery

Front 91

Pheochromocytoma tx

Back 91

phenotalamine, surgery

Front 92

Na+ restrictions
diuretics
ACE I
digoxin

Back 92

CHF tx's

Front 93

Pheochromocytoma secrets this

Back 93

epi
norepi
dopamine

Front 94

Phoechromocytoma dx

Back 94

24 hour urine, MRI

Front 95

Rapid correction of hyponatremia

Back 95

central pontine myelinolysis

Front 96

Pheochromocytoma tx

Back 96

phenotalamine, surgery

Front 97

MC primary tumor of the heart

Back 97

atrial myxoma

Front 98

Pheochromocytoma secrets this

Back 98

epi
norepi
dopamine

Front 99

Rapid correction of hyponatremia

Back 99

central pontine myelinolysis

Front 100

MC primary tumor of the heart

Back 100

atrial myxoma

Front 101

Kawasaki dz tx

Back 101

IVIG