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104 Cards in this Set
- Front
- Back
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What does swollen face, neck, and arms suggest?
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Superior Venacava Syndrome
Do CVP |
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Syndrome with impotence with buttock, calf, and back pain. Occurs with aortoiliac Dz
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Leriche's syndrome
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Eye pain with loss of central visual acuity, a central scotoma and change in color perception
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Optic neuritis
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What are radiolucent renal stones composed of?
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Uric acid
90% of renal stones are radiopaque and are composed of calcium |
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What is the antidote for Gold?
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British anti-Lewisite
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What is the antidote for nitrites?
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Methylene Blue
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X-ray with a "water bottle" appearance on the heart
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Pericardial effusion
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MCC of hemoptysis
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Bronchiectasis
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MCC of pulsus paradoxus
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COPD and Asthma
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Sx of plantar fascitis
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Pain along the plantar medial aspect of the heel
More severe in morning Lessens with ambulation |
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What are the MCC's of erythema nodosum?
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oral contraceptive use
sarcoidosis Behçets |
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Which GI disorder is associated with dermatitis herpetiformis
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Celiac disease
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MC symptom of a cystocele
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Stress incontinence
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List the different types of insulin from shortest peak/duration to longest
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Lispro
Regular NPH Lente Ultralente |
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What adrenal problem can be caused by heparin?
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Addison's Dz
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What does a C-peptide measure?
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endogenous insulin production
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Which cholesterol lowering agent inhibits secretion of VLDL
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Nicotinic Acid
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Which cholesterol lowering agent inhibits hepatic VLDL synthesis and elevates lipoprotein lipase?
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Fibrates
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Which cholesterol lowering agent inhibits the rate-limiting step of cholesterol synthesis?
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Statins
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how do you treat an Addisonian crisis?
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100mg IV Hydrocortisone TID
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MC cancer that metastasizes to the stomach
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Melanoma
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Injury to what nerve causes wrist drop?
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Radial
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What is the MC congenital infection? It also causes intrauterine growth retardation, microcephaly, jaundice, and hepatosplenomegaly
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CMV
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congenital infection that causes heart lesions, purpura (blueberry muffin appearance), catarats, deafness
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Rubella
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Congenital infection that causes mucocutaneous lesions (snuffles), periostitis, osteochondritis, and hemolytic anemia.
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Syphilis
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when the person selects words that are similar by sound, but do not mean the same, sometimes the person will rhyme. This thought process is called?
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clanging
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What is the Ann Arbor staging used for?
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Lymphomas
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what is the triad for felty's syndrome?
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RA
Spleenomegaly Neutropenia |
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what is the formula to calc fluid maintenance for dehydration?
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100 mL/kg for the first 10 kg
50 mL/kg for the next 10 kg 20 mL/kg for the rest |
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Side effects of Tamoxifen?
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Endometrial CA
Thromboembolism |
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DZ that causes arthritis, fever, malabsorption usually in a >50 yr old
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Whipple's Dz
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Which drugs can re-activate dormant TB?
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TNF inhibitors:
Etanercept Infliximab Adalimumab |
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In what condition would you see a "boot shaped" heart?
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Tetrology due to RVH
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where would you see a narrowed mediastinum finding with an "egg on a string" sign?
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transposition of the Great Vessels
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Hepatomegaly
Arthropathy Hyperpigmentation Wt loss |
Hemochromatosis
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Classic triad of:
Abdominal pain Malabsorption Diabetes mellitus |
Chronic pancreatitis
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Charcot's triad for MS
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Nystagmus
Intention tremor Scanning speech |
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Name the 3 MCC's of depressed PTH levels
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Malignancy (MC)
Vit D intoxication Hyperthyroidism |
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Absence of the "Scottie Dog" sign signifies?
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Spondylolysis
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what is the effect of cocaine and opium on the pupils?
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Cocaine- dilates
Opium- constricts |
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organism that causes SARS
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corona virus
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what is the treatment for pinworms?
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pyrantel pamoate or nebendazole
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Infertility 2nd to scarring of the uterine wall
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Asherman syndrome
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What are the top five causes of vaginal bleeding in the adolescent
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anovulation
pregnancy exogenous hormone use coagulopathy |
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What are the top four causes of vaginal bleeding in perimenopausal women
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anovulation
uterine leiomyomas cervical and endometrial polyps thyroid dysfunction |
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what is the treatment of UTI in men and pregnant women?
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Bactrim x 7-10 days
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What type of schizophrenia is characterized by self-injury, harm to others, mutism, or rigidity?
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Catatonic
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initial treatment for MS
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Beta-Inteferon
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serious side effect of synthroid
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Arrhythmias
Angina |
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creamy white plaques in the mouth of a 3 wk old is most likely?
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oral candidiasis
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what are contraindications for giving the influenza vaccine?
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Allergy to eggs
Guillain-Barré Low platelets Fever |
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what is the treatment of TMJ?
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Soft diet (minimize chewing)
Warm compresses NSAIDs Dental eval if chronic |
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what is the effect of Omega-3 fatty acids?
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to lower plasma triglycerides
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organism that causes hairy leukoplakia
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Eptein Barr Virus
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Name two infections assoc with triggering Reiter's syndrome
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STDs
Enteric infections |
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A pt with cryptosporidium in the stool is most likely?
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immunocompromised
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Which nasal condition, if found in young children, is suggestive of cystic fibrosis?
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Nasal Polyps
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Sarcoidosis most commonly affects which organs?
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Lungs and Eyes
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reddish-orange lesions on the face and an elevated ACE level is suggestive of?
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Sarcoidosis
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MCC of metabolic acidosis
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Lactic acidosis
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what is the MCC of ectopic ACTH secreting tumors that cause Cushing's syndrome?
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Bronchial Carcinoid
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MCC of post partum hemorrhage?
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Uterine atony
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Which meds can cause ED
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Desipramine
Amitriptyline SSRIs Digoxin HCTZ |
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which statins should be avoided in patients taking protease inhibitors because of drug interaction
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Lovastatin
Simvastatin |
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What is the most common fistula that develops as a consequence of colonic diverticular disease?
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Colovesicular
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What are the symptoms of early dumping syndrome?
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Shortly after eating, the patient develops tachycardia, palpitations, diaphoresis, anxiety, and weakness
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serious side effect of Bupropion
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Seizures
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chronic inflammation of the synovium and joint capsule suggests?
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Rheumatoid arthritis
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Drug shown to improve the exercise tolerance in patients with PVD
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Pentoxifylline
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causes of Porphyria cutanea tarda
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Genetic
Alcohol Hep C infection |
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What lab findings diferentiate Exudative vs Transudative Pleural effusions?
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Exudate:
Protein > 3g/dl Pleural/serum protein >0.5 LDH 2/3 upper limit of normal Pleural/serum LDH > 0.6 Transudative: same as above but with < |
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50-year-old male, fever, arthritis, and malabsorption
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Whipple's disease
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MC tumor associated with pediatric HIV infection?
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non-Hodgkin's lymphoma
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Side effects of Hydroxychloroquine?
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Retinopathy
rash diarrhea |
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physical symptoms in parts of the body related to psychic conflict
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conversion disorder
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anti-endomysial antibodies are seen in?
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Celiac sprue
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anti-phospholipid antibodies are seen in?
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SLE
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anti-mitochondrial antibodies are seen in?
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Thyroid and autoimmune disorders
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Lab findings in Exudative pleural effusion (malignancy)
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Glucose <50
Protein >3.0 PH <7.2 WBC >1000 |
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What is the treatment of early pertussis?
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Macrolide 7-14 days
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MC symptom with ovarian cysts?
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Menstrual irregularities
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Tx of Otitis Media in a child allergic to PCN
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Erythromycin in conjunction with a sulfa (Pediazole)
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side effects of these anti-neoplastic drugs:
Cyclophosphamide Bleomycin Cisplatin Doxorubicin |
Cyclophos-hemorrhagic Cystitis
Bleomycin- pulm toxicity Cisplatin-Nephro and Ototoxic Doxorubicin-cardiotoxic |
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what type of crisis can Parvo B19 cause?
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Aplastic crisis
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major side effect of methimazole? (anti-thyroid med)
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agranulocytosis
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Tx for rosacea
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Metronidazole gel
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drugs used for rate control of A-fib
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BB's (selective only)
CCB's |
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side effects of OCP's
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gallbladder disease
high blood pressure thromboembolism decreases risk of endometrial CA |
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The MC antihypertensive drug used in pregnancy induced hypertension (PIH)
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Hydralazine
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MC organism in osteomyelitis in IV drug users
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Pseudomonas
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Intravenous pyelogram is indicated for?
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renal calculus
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test to eval biliary or pancreatic duct obstruction.
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ERCP
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This drug inhibits VLDL secretion
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Niacin
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IV fluid of choice for hypovolemic shock?
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Normal Saline
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Organisms that cause pleural cavitation
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Pseudomonas
TB |
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strabismus (crossed eyes), if not corrected, can lead to?
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Amblyopia
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Treatment of sudden neurosensory hearing loss
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oral corticosteroids
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enlargement of the peripheral zone of the prostate indicates?
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Carcinoma
BPH is enlargement of the transition zone |
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treatment for moderate BPH symptoms
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Tamulosin (a a selective alpha blocker without the side effect of orthostatic hypotension
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Name some phosphodiesterase type 5 (PDE5) inhibitors
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tadalafil
vardenifil sildenifil |
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preferred test for renal colic
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non-contrast spiral CT
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incontinence asso with patients who exhibit cognitive impairment (severe dementia)
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functional
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incontenece assoc with aging (weakened pelvic muscles secondary to childbirth
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Urge
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incontinence assoc with leaking small amounts of urine from mechanical factors that affect an already distended bladder
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overflow
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