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67 Cards in this Set
- Front
- Back
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nephrotic syndrome in pediatric pt. dx? Tx?
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Minimal Change disease
prednisone |
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criteria for oliguria...
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<400cc/day
6 cc/kg per day |
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prerenal azotemia vs intrinsic renal disease
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FENa < 1 is prerenal, >1 intrinsic
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normal BPP score and management...
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8-10 is nl
oligohydramnios -- delivery 6 w/o oligo, contraction stress test 4 w/o oligo, steroids 4 w/ oligo or <4, deliver |
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breastfeeding jaundice vs breast milk jaundice
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breastfeeding -- unconjugated, exaggerated physiologic
breast milk -- 3-5 days, unconjugated inhibited UDPGA |
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Hydrogen breath test for...
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lactase deficiency
-pos stool for reducing substances -low stool pH -increased stool osmotic gap |
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rapidly fluctuating LN in children. dx? tx?
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staph/strep
dicloxacillin |
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type of bilirubinemia with traumatic hemolysis?
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unconjugated
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duodenal and jujunem ulcers. dx? cause?
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zollinger ellison
pancreatic enzyme inactivation |
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most common cause of mitral stenosis? tx?
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rheumatic fever
mitral valve surgery |
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pernicious anemia is associated with...
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gastric cancer
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rash with questionable lung CA and absent DTRs. dx?
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dermatomyositis
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drugs associated with drug-induced interstitial nephritis
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penicillins, cephalosporins, sulfonamides
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complications for IUGR babies...
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hypoxia, perinatal asphyxia, meconium aspiration, hypothermia, hypoglycemia, hypocalcemia, polycythemia
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stevens-Johnson vs tetracycline-phototoxic drug rxn
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SJS -- involves mucosal membranes
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atrial tachycardia with AV block. dx?
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digitalis toxicity
-causes ectopy |
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tx for toxic megacolon?
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IV steroids, NG decompression, IVF
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DES exposure, increased risk for...
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adenocarcinoma of vagina and cervix
cervical anomalies and uterine malformations |
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decreased GFR in absence of shock/proteinuria, no response to 1.5 L NS bolus. dx? tx?
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Hepatorenal syndrome
liver transplant |
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SCFE treatment?
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ex-fix of hip joint with pins
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post-gastric surgery, postprandial abd cramps, weakness, lt-headed, diaphoresis. dx? tx?
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dumping syndrome
proper diet |
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most common malignancy?
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basal cell carcinoma
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frostbite tx?
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rewarming with warm water
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hypogonadism, arthropathy, pancreatic dysfxn, hepatomegaly, dilated/restrictive cardiomyopathy. dx?
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hemochromatosis
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ddx for anterior mediastinal mass...
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thymoma, teratoma, thyroid neoplasm, terrible lymphoma
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increased bHCG in adult male with mediastinal mass. dx?
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seminoma
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child's wt in first year of life
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2x by 5 months, triple by 1 year
ht increases 50% |
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hemochromatosis infxn?
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listeria -- also cirrhosis
Yersinia Vibrio vulnificus |
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cause of exopthalmos in Graves dz?
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lymphocytic infiltrate to EOM and orbital fat causing edema and fibrosis
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increased estrogen in cirrhotic patient causes sx...
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spider angioma, testicular atrophy, decreased body hair, palmar eythema, gynocamastia
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portal HTN in cirrhotic patients cause sx...
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caput medusae, ascites, edema
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pneumonitis and colitis in post-BMT recipient. dx?
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CMV
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PCP CD4 and PaO2 criteria
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CD4 < 200
PaO2 < 70 |
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neonate with red halo surrounding pustules, otherwise healthy. dx?
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erythema toxicum
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isolated thrombocytopenia after viral infxn in child. dx? tx?
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immune thrombocytopenia
observation |
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recurrent kidney stones since childhood, hexagonal crystals, pos cyanide nitroprusside test. Pos FH. dx?
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cystinuria
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acyclovir ASE...
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acute renal failure -- renal tubular obstruction
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drug-induced interstitial nephritis drugs...
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PCN, cephalexin, NSAIDs
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VZIG administration time...
VZV administration time... |
<72-96 hrs
within 3-5 days |
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young female smoker, CP at night, transient elevations on EKG. dx? tx?
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prinzmetal's angina
CCB, nitrates |
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hypochromic microcytic anemia of moderate severity. dx?
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beta thalassemia
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70 yo with smudge lymphocytes, leukocytosis
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CLL
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< 1-day old male with cyanosis. diabetic mother. dx?
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transposition of vessels
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young infant with chronic wheezing, not responsive to bronchodilators, relief with neck extension. dx? tx?
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vascular ring compression of airway
surgery |
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what can predispose pseudotumor cerebri?
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vitamin A and isotretinoin
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active hepB serology?
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sAg without sAb
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protocol after needlestick with hep B?
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vax within 12 hours
Hep B Ig ASAP |
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what is lead-time bias?
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incorrect assumption with screening test
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healing atopic dermatitis with new onset fever, adenopathy and herpes. dx? tx?
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eczema herpeticum
acyclovir |
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catatonia tx?
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BZD
ECT |
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chronic diarrhea, living in tropical area for > 1 month. dx?
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tropical sprue
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Most common site of HTN hemorrhage?
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putamen
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tx for chronic hepatitis and elevated LFTs?
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alpha-2a or 2b
lamivudine |
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which hepatitis is fatal in preggers?
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hep E
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drug-induced hepatitis causes...
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acetaminophen, TB drugs, halothane, HMG CoA-reductase inhibitors, carbon tetrachloride
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20-40 yoF, anti-smooth muscle or ANA. increased LFTs. dx?
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idiopathic hep
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ceruloplasmin level in Wilson's?
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low or absent, nl Cu serrum
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young person with cirrhosis and emphysema. dx?
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alpha-1-antitrypsin deficiency
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intermittent dysphagia for solids/liquids. recent trip to south america. dx? cause? tx?
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chagas
increased LES tone, "bird beak" CCB, dilation, botox, surgery increased risk for esophageal CA |
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tx for esophageal spasm?
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CCB
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CREST syndrome?
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calcinosis, raynaud's, esophageal dysmotility, sclerodactyly, telangiectasias
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viral infxns that cause acute pancreatitis?
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mumps, coxsakie
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scorpion bites may cause...
tx? |
pancreatitis
IVF, NGT, meperidine for pain |
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perforation and rad?
aspiration and rad? |
NO contrast
Ba PREFERRED |
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cutoff for physiologic jaundice? tx?
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12-15 bilirubin
<20 photo, >20 transfusion |
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metabolic cause for jaundice at birth?
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crigler-najjar -- unconj
Gilbert's -- milder unconj Rotor, Dubin-Johnson -- conj |
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GI bleed, abd pain, URI, rash on LE and buttocks, swelling in hands and feet, arthritis, hematuria, proteinuria. dx?
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Henoch-schonlein purpura
supportive tx |
