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65 Cards in this Set
- Front
- Back
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What post-op day:
Post-op cholelithiasis (jaund, increase Alk) |
day 3
(2/2 blood loss, hypoT) |
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What dz:
-symm DUSKY all digits -asymm blue digits |
Dusky symm: alpha-agonsit --> vasocon
Assym: cholesterol emboli |
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What pathogen:
Bullous myringitis |
Myco pneum
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What dz:
Nodular glomerulosclerosis |
DM nephropathy
(Kimmelsteil-Wilson --- pathognom) |
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Clinically significant?:
-Ax hair before <6yo -Premature thelarche -Prematue pubarche |
Premat adrenarche: no clin signific
Premat thelarche: no signifc Premature pubarche: pubes <8yo; 50% CNS dz --> req w/u |
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CHF: BNP >___
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>100
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What dz:
Bloody diarrhea --> hemolytic anemia + low plts + RF |
HUS
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HUS: how tx?
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Plasma phar + steroids + HD
No abx |
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Schizophreniform: sxs for what duration?
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1-6mo
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Cocaine ischemia: how tx?
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Benzo + ASA + nitro
No beta-blocker |
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What dz:
Dx captopril renal scan |
RAS
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Tx what dz:
Trihexyphenidyl |
PD
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What pathogen:
Post-viral PNA |
S aureus
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How tx:
symptomatic PACs |
beta-blocker
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If hyperPRL --> what is 1st dx test?
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Check TSH
(hypothyroid --> increase PRL) |
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Vag SCC: how tx:
-<2cm >2cm |
<2cm: resect
>2cm: focal XRT |
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What testic cancer:
Increase AFP & betaHCG |
Non-sem GCT
(can tx w/out bx) |
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Hepatorenal synd:
-increase or decrease GFR? -does pt respond to 1.5 NS bolus? |
Decrease GFR in absence of shock
No response to bolus |
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Hepatorenal transplant: how tx?
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Liver transplant
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What dz:
Continuous periumbilical murmur |
RAS
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Thalasemmia (alpha & beta): how affect Fe2+ iron level? ferritin?
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Normal
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What type of micro anemia:
Increase RDW |
IDA
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What type of micro anemia:
Increase A2 |
BETA-thal
(alpha thal electro is normal) |
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Thalasemias: how inh?
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AR
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Steroid-induced myopathy: how affect ESR?
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Normal
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Name for:
1'HSV imposed on atopic dermatitis |
Eczema herpeticum (life-threatening; give ACV)
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CHF: does digoxin improve survival?
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No - only relieves sxs
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What dz:
FTT + bilateral cataracts + jaundice |
galactosemia (galactose-1-phosphate uridyl transferase)
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What dz:
Galactose-1-phosphate uridyl transferase |
Galactosemia
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Galactosemia: how tx?
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No galactose in diet
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Contrast nephropathy: prevent with diuretic?
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NO
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What dz:
Increase C-peptide & proinsulin |
Beta cell insulinoma
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What vitamin deficiency:
Corn only diet |
NIacin --> pellagra
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Metatarsus adductus: how tx:
-foot overcorrects -foot neutral corrects -foot rigid |
Overcorrects: reassure
Neutral: shoes Rigid: serial casts |
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HER2: oncogene or TSG?
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Oncogene amplific
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What antipsychotic:
S/E hypothermia |
Fluphenazine
(advise pts to avoid cold weather) |
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Hypoalbuminemia: how affect
-serum Ca -free ionized Ca |
Serum Ca: HYPOCALCEMIA
Normal free total Ca |
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Vitamin D:
-where does 25-hydoxylase occur? -1-hydroxylase? |
25-hydroxylase in liver (still inert)
1 in kidney (active 1,25 OH2D) |
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What age: screen lipids:
-M -F |
M: 35
F: 45 if CAD risk: start at 20yo |
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#1 etio mitral regurg
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MVP (2/2 myx degen)
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Rheum HD: leads to MR or MS?
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MS
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Ppx azithro (MAC): initiate what CD4?
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<50
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Dapsone: txs what dz?
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Ppx against PCP
(same idea as Bactrim) |
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Case control study: what is MEASURE?
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Exposure-odds ratio
(if low prevalence: approxs relative risk) |
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TCA O/D: constrict or dilate pupils? diarrhea or constip?
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Dilate pupils
Intestinal ileus |
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TCA O/D: #1 etio death
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HYPOTENSION
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What dz:
Neonatal hypogly + macrogloss + visceromeg + omphalocele + earlobe crease |
Beckwith-Wiedemann
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What dz:
hypoxanthine-guanine phosphoribosyl transferase (purine) |
Lesch-Nyhan
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What trisomy:
Cutis aplasia |
Trisomy 13 (patau)
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Where is stroke:
Dysarth-clumsy hand synd |
Basis pontis lacunar 2/2 HTN
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Ao aneruysm: #1 etio:
-Asc -Desc |
Asc: calcific medial necrosis
Desc: athero |
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AAA: assoc w/asc or desc Ao aneurysm?
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Desc
(both 2/2 athero) |
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What dz:
Plasma cell neoplasm + increased IgM + hyperviscosity |
Waldenstrom's macro
(NOT MM: increased IgA & IgG, no hypervis) |
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Waldenstrom's macro: increase which Ab?
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IgM spike
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What dz:
IgM spike |
Waldenstrom's macroglob
(NOT MM: see increased IgA & IgG) |
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Central retinal ART or VEN occlusion:
Optic disc pallor, cherry red foveola; boxcars |
Art
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Central retinal ART or VEN occlusion:
Disc swell; dilated & tortuous; cotton wool |
Ven
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What ophth dz:
AV nicking; copper wiring |
HTN retinopathy
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RTC: req XR to dx?
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IF high suspect (no improve lidocaine) --> MRI w/out XR
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Strawberry or cherry angioma:
ADult |
Cherry
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What lyte abn:
ACE/ARB S/E |
HYPERkalemia
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How tx neonatal clav fx?
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No tx
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What dz:
IVDU user p/w splenic abscess |
LH endocard
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What dz:
INfant w/thick wrists & ankles, large ant fontanelle, frayed distal long bones |
Rickets
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SAH: what lyte abn?
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Hyponatremia (2/2 cerebral salt wasting)
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