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49 Cards in this Set
- Front
- Back
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Which of the following topical medications is NOT usually used in the treatment of acne?
Benzoyl Peroxide Metroidazole Clindamycin Tretinoin Adapalene |
Metroidazole
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24 yo male presents to your office complaining of productive cough for 4 days, green, rusty sputum, and shortness of breath....tachypnea and tachycardia, rales, increase fremitus?
Diagnosis? what type of samples would you collect? |
Pneuomia
culture sputum and blood |
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What is the most common CAP pathogen in patients in their 20s?
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strep
myoplasma seen during fall and winter |
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CAP pathogen in HIV patient?
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pneumocystic carnii
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CAP in alcoholic patient?
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Klebsiella
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List 3 reasons for admitting a patient with pneumonia to the hospital
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1. Hypoxia (pulse ox <90)
2. Comorbidity 3. can't take oral meds 4. hemodynamic instability |
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what is this?
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Halo Nevus
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What population do you see Blue Nevus in
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people of asian descent on head, neck or buttock
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Blue Nevus what do you do?
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biopsy because they can have melanoma in them
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What is this?
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Blue Nevus
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what is this?
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spitz nevus
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What do you see halo nevus with ?
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patient with vitilligo and melanoma
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what does a spitz nevus look like?
What do you do with them? |
melanoma
- biopsy, want to excise these because they can convert to melanoma over time |
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What is another name for androgenetic alopecia?
How do you treat? |
male pattern baldness
- treat: propacia, anoxville, hair transplant |
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Name this condition
- what are key features - where does it normally appear -treatment |
Alopecia Ariata
- very quick, sharp and definded area, OVAL patches, hairfollicles enter the growth phase prematurely - Scalp then beard - Treatment: intralesional corticosteroids |
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Which of the following is true regarding the hair pull test in alocepia areata?
1. Effective test among siblings 2. May help differentiate between telogen effluvium and trichotillomania 3. considered postive if able to remove any hair 4. none of these above |
2. May help differentiate between telogen effluvium and trichotillomania
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what is normal in the hair pull test?(how many hairs)
Positive patient? |
normal- 3 or less
Positive patient- 10 (have will usually have dismorphic antigen hairs + telogen hairs) |
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trichotillomania
(due to psychological issue and requires psychological treatment) |
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what are these demonstrating?
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bows lines caused by some type of stressful enven, whether it is an injury, etc
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what is this condition
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paronychia
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what is the treatment for acute paronychia?
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incision and drainage
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Petechiae
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little red spots due to capillary bleeding
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what is this? what are possible treatments?
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Subungal hematoma
-drainage if possible and or nail removal |
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What is this and how is it treated
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Vitiligo
-treat with sunscreen |
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what is this
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Mongolian spots
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what populations are at risk for TB?
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Elderly
immigrants poverty immunosuppressed healthcare workers |
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what qualifies as positive screening?
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HIV >5
healthcare worker >10 Normal >15 |
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what is the BCG vaccine? why is it important in TB testing?
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it's the TB vaccine
False positive PPD |
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All of the following occur in asthma except?
a. Hyperresponsiveness b. airway inflammation c. Fever d. obstruction e. increased mucus production |
c. fever
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what is this
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Mongolian spots
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4 asthma triggers
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environmental
exercise smoke cold UPRI |
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a 65 yo female present to the ER complaining of SOB for 2 days with fever and a produtive cough. Patient is healthy on no meds and no recent health problems. Exam reveals temp of 101.6, and left lower lobe rales. diagnosis?
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- Community acquired pneumoniae from strep
( hospital acquired---staph) |
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immunosuppressed pneumoniae caused by
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pneumocystis (shows up as bat wings on xray)
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How long does someone has to be in the hospital to be considered HAP?
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48hrs
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49 yo female with 5 month history of lung cancer saying she notes some facial sewlling. No shortness of breath. what is at the top of your differential diagnosis?
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superior vena cava syndrome
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what is the treatment for superior vena cava syndrome
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de-bulk the mass with surgery, radiation, chemo, diuretics, steroids
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treatment for symptomic asthma
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SABA
anti-cholingerics magnesium |
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how might uncontrolled asthma affect pregnancy?
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perinatal mortailty
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surgery and asthmatics?
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bronchoconstriction during surgery
-give oral or IV steroids before |
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how do you treat exercise induced asthma
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Albuterol
SABA leukotriene and antagonist |
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what is treatment of choice for CAP in previously healthy patient who has not been antibiotics recently?
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doxycycline and macrolides(more common)
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in what population would you expect to find legionella pathogen?
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elderly, people with chronic diseases, people in hotels, people in close tight buildings/environment
(gram negative basillus travels in water) |
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Legionella treatment
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macrolides
florquinolone |
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what is used in atypical pneymonias
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macrolides
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clinical characteristics of pnemocystis jiroveci
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batwing, lateral pneumonia
fine line treatment is bactium (sulfamethoxozone/ trimethoprim) |
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17 yo with dry itchy skin that occurred intermittently throughout his life, skin very sesntiive to many triggers?
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- atopic dermatitis
- itching is the most prominent symptom - the ratch that itches---develop lichenification in the anticubital folds - treatment is topical steroids, phototherapy, and oatmeal baths |
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In asthma what happens to FEV 1?
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decrease
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in asthma what happens to FEV 1/FVC ratio?
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decrease
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what is this?
treatment? |
onicomycosis
- oral antifungals |
