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131 Cards in this Set

  • Front
  • Back
myopathy
increasd CK
unexplained

next step
thyroid panel for hypothyroid
(not muscle biopsy first)
young pt had rheumatic fever 1 year ago
next step
pcn prophylaxis to age 18
MEN I or II
medullary thyroid ca
2A/B
MEN I or II
pimary hyper PTH
I
MEN I or II
zollinger ellison
I
MEN I or II
pituitary tumors
I
MEN I or II
pheo
2A/B
MEN I or II
neuromas
2B
MEN I or II
enterohepatic tumors
I
MEN I or II
marfanoid
2B
marfanoid body habitus
dislocation of lenses
fair skin
vascular thrombosis
homocystinuria
typical cause of hyperandrogenism in adulthood
partial 21 hydroxylase deficiency
signs of PE confirmed by echo

next step
embolectomy
pt gets blood and goes into anaphylaxis

cause?
step?
IgA defieeciency ("Anaphylax igA")

stop
give epi
pt gets blood and has rapid nemolysis

cause
ABO mismatch
how to rule out RF as a cause of decreased Ca
low Ca with high Phos
low Ca with Low phos
vitamin D deficiency due to malabsorption
abcess develops in complicated diverticulitis

next step
drain
causes of assymetric growth restriction in a fetus
HTN
hypoxemia
vascular disease
toxic exposure
which has a better prognosis, symmetric or assymetric growth restriction
asymmetric
why is Mg give to preeclamptic pt in a seizure
ppx of future seizure
role of bHCG in pregnancy
maintenance of corpus lluteum for progesterone levels
when does biliary atresia ppear
1-6 weeks
when does breast feding jaundice occur
day 1-3
when does breast milk jaundice appear
day 3-5 to several months

tx = temporary switch to formula

Feeding comes before Jaundice in the alphabet
typical flood types in ABO incompatibility
mom is O mOm
baby is A, B, AB BABy
when does ABO jaundice occur
first 24 hours
RSV increases risk of future?
asthma
why do sicklers get
aplastic crises
parvo b19 leads to arrest or erythopoiesis
why do sicklers get
splenic sequestration crisis
not yet autosplenectomized
type of mutation causing CF
dletion on Chromosome 7
codes for phenylalanine
pt appears with likely pyelo
next step?
blood cultures because of risk of gram - sepsis
ST elevations in II, III, AVF
inferior wall MI
when are nitrates and beta blockers contraindicated
RV infarct
infarct with clear llung field
RV infarct
infarct with JVD
RV infarct
r for RV infarct
fluid resuscination to increase RV
stroke volume and LV filling
which hyperthyroid med can increased thyroid hormone
radioactive iodine
newborn with failure to thrive
bilateral cataracts
jaundice
hypoglycemia

diagnosis
deficiency
tx
galactosemia
GIPU transferase deficiency
eliminate galactose
newborn weith cataracts only
galactokinase definciency

"kinase is kinder"
course of action when a cuter presents to ED with responsible parents
admit, even infvoluntarily
which part o fbladder, injured, can refer pain to diaphragm
bladder dome via parietal eritoenum
CN for corneal sensation
V1
pruiritic papules and vesicles over extensor surfaces
dermatitis herpetiformis
ssociations for erythema multiforme
herpes
systemic disease
drug reactions
pruiritis
tense blisters in flexural areas
bullous pemphygoid
pt insists high velocity object went into eye
nothing seen
next step?
fluorescein exam
older man
progressive fatigue/DOE
enlarged non tender axillary noeds
no FOB
decreased bg
normal mcv
increased retics
increased WBC

mechanism
autoimmune hmolytic anemia with an underlying cause like NHL or CLL (b/c of nodes)

anti RBC IgG covers RBCs and gets them removed in spleen
phaarmacology of albuterol
bta 2 agonist
N/V
abdominal bloating
increase WBC
orthostatic
dilated loops of bowl
SBO
man faints regularly when going to bathroom in nighttime
usually with trouble urinating
or during coughing fits

dx?
situational syncope
most common cause of pleural effusion
CHF
kind of effusion generated by CHF
transudate
when do you need to put a chest tube in for a pneumonic effusion
pH <7.2
normal pleural fluid pH
7.64
renal side effects of acyclovir
nephrotoxic
renal tubular obstruction via crystalline

aCyClover Crystalline
what is O2 goal for acute pancreatitis patient who is on a respirator?

why is this important?
?=60

risk of ARDS in pancreatitis
patient who has traveled from asia
pain on breathing
worse on inspiration
hemoptysis
on OCPs
pleural pain 2/2 pulmonary infarction 2/2 PE
common causes of pleuritic CP
pulmonary infarct 2/2 PE
;neumonia
pneumothorax
collagen vascular disease
viral pleuritis
radiation pneumonitis
anti mitochondrial abs
PBC
anti TP abs
Hashimotos
thyroid stimulating immunoglobulins
Graves disease
high fever
chills
tenosynovitis
migratory polyarthralgias
small number of pusturlar lesions on extremities
disseminated gonococcemia
widespread musculoskeletal pain and excessive tenderness on palpation at 11 of 18 areas
no joing swelling
worse with exercise
normal ESR
associtaaed with IBS, depression, fatigue
fibromyalgia
pain and stiffnes of shoulders and pelvic girdle
elevated ESR
associated with temporal arteritis
polymyalgia
symmetrical proximal muscle weakness and mild pain
increased CK
inflammation
polymyositis
kid post ingestion
seizure
hypotension
prolonged QRS
TCAs
antidote to TCA
sodium bicarb
help acidosis
narrows QRS
comtrols hypoTN
TCA antidote for a mild intoxication
physostigmine
mechanism of nitroglycerin
dilation of capacitance vessels
decreases preload
decreases heart size
decreases O2 demands on heart
heart defect in Edwards
VSD
heart defect in Downs
ASD
endocardial cushion
heart defect in neonatal lupus
congenital heart block
congenital rubella heart defect
PDA
heart defect in kawasaki
coronary artery aneurysms
who gets VZIG for chicken pos exposure
high risk
720-96 hours post exposuure
most vulnerable part of colon to ischemia
splenic flexure
painful 3rd trimester vaginal bleeding with normal u/s
mother with high BP
cocaine use
early delivery with moderate bleeding
abruptio placentae
asplenia indicates x which indicates what sequela?
complement deficiency

problems with encapsulateds
+ NBT test
impaired oxidative burst
necrotic periodontal infections
LAD

also deLYyeD umbilical cord separation
fingers with veicles
+ Tzank smear
what?
whatis source?
who gets it?
what is found on the Tzank?
herpetic whitlow
health care workers get it
giant cells are found on Tzank
disease that tailors get
Felon = tense abscess and throbbing pain in volar space

"Felons wear nice suits made by a tailor"
which meds are best for negative sx of schizo
atypicals e.g., risperidone
tx for A fib in an otherwise healthy pt
aspirin alonee
tx for A fib in an unhealthy patient
warfarin
what does P value mean
@ of getting the same results by chance alone
drug that can increased MV
methotrexat
when do you do internal podalic inversion
twin delivery
3/6 systolic murmur at 2nd R intercolstal space
AS
CXR with crescent sign/lucency next to round mass (cavitary lesion0
tx?
aspergillis
free air under diaphram
performation of an abdomina viscus
orphan annie nuclei
papillary thyroid ca
diffuse thyroid follicular hyperplasia
graves disease
dense lymphocytic infiltrate in thyroid
hashimotos
bilateral acoustic neuromas
NFM
antipsychotic leading to hypothermia
fluphenazine
nephrotic syndrome in Hodgkins patient
minimal change
type of hypersensitivity in poison ivy
IV, cell mediated
i.
type of hypersensitivity in anaphylaxis
I "
and I is IgE for Early"
type of hypersensitivity in serum sickness
III

IgG and M
type of hypersensitivity in arthus
III
type of hypersensitivity in immune hemolytic anemia
II'

"ab" letters
type of hypersensitivity in rh hemolytic
II

"ab" 2 letters
risk of elevated homocystein
tx?
thrombosis, atherosclerosis

B5, pryidoxime
risk in pregnancy of prior anorexics
small for gestational age
main cuase of death in acute MI
reentrant ventricular arrhythias
GS coma scale point allocation
4 eyes
5 verbal
6 motor
PTT in lupus patients
slightly prolonged but this is only lab artifact
decreased IQ
prominent jaw
long ears
large testicles

genetic mechanism
fragile X
increased CGG repeats in FMR1 gene
overdose with seizure
big pupils
intestinal ileus
hypotension
increased QRS

tx?
TCA
sodium bicarbonate
midline mass and oliguria in newborn

dx?
posterior urethral valves

voicing cystourethrogram
large palpable flank mass in a 2-5 year old
wilms tumor
small midline mass deep to umbliicus
omphalomesenteric duct cyst
fibrillin 1 mutation
marfans
inheritans of marfans
AD
acute chest pain after a lot of vomiting
unilateral pleural effusion
boerhaves leading to esophageal rupture
pleural effusion with increased amylast
esophageal rupture
pancreatitis
elevated 17 hydroxyprogesterone
CAH
next step in full heart block
pacemaker asap
diarrhea
weight loss
bloating
flatulence
after gastric bypass
bacterial overgrowth
head and nec masses in a smoker
squamous cel
abg correlate of PE
high Aa gradient
differential for an anterior mediastilan mass
4Ts
teratoma
thyroid
thymoma
Terrible lymphoma
tumor
increasd AFP and BHCG
mixed germ cell tmor
rapidly progressive bilateral cellulitis of submaxillary and sublingual spaces

source?
cause of death?
Ludwig's angina
infected 2nd or 3rd mandibular molars
asphyxiation
large basophilic cells with a vacuolated appearance
CMV
disorders with decreased quantitiy of bile ducts (ductopenia)
Hodgkins
GVH
sarcoid
CMV
HIV
PBC
AML
bone marrow transplant
me toxicity
rx leading to cenetrilobular or diffuse liver necrosis
aspirin
hepatocyte swelling and necrosis
mallory bodies
neutrophilic infiltration
alcoholic hepatitis