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23 Cards in this Set
- Front
- Back
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vitamin def in pancytopenia and macrocytic anemia and megaloblastic anemia
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both B12 and folate
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25 yo woman complaining of nasal blockage...takes nasal decongestant rarely to hlep relieve sx. Humid weather makes it worse. Dg?
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Vasomotor rhinitis
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tx for incidentally found prostate cancer confined to prostate?
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radical prostatectomy
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66 yo with painless deteroiration in walking , spastic gait absent ankle reflexes. dg?
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B12 def
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normal to slightly elevated plasma erythropoietin; response to exogenous erythropoietin
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Anemia of chronic dz
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34 yo woman. 2 d hx of progressive lethargy and SOB. BP 105/78 pulse is 109. pH 7.6
Impending shock Heroin OD Diuretic abuse Early g- sepsis hyporeninemic hypoaldosteronism |
Diuretic abuse
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which dz (CLL, CML, neither, both) is assoc with elevated lymphocyte count
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CLL
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a gradually increasing insulin requirement is noted in a pt with a hx of frequent local rxn and intermittent insulin therapy. Which pathogenic mechanism is most likely associated with this scenario
IgG anti-insulin antibodies T-cell cytotoxicity IgE- anti-insulin antibodies IgG ant-insulin-receptor antibodies IgG anti-insulin antibodies in circulating immune complexes |
IgG ant-insulin antibodies
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man takes 81 mg aspirin for antithrombosis therapy. Most likely drug rxn?
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bronchospasm
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After the initiation of insulin therapy, local erythema, swelling, and pruritus develop at mulitple injection sites. Despite antihistamine therapy, subsequent injections of insulin lead to generalized uticaria and angioedema. Which pathogenic mechanism is most likely associated with this scenario?
IgG anti-insulin antibodies T-cell cytotoxicity IgE- anti-insulin antibodies IgG ant-insulin-receptor antibodies IgG anti-insulin antibodies in circulating immune complexes |
IgE ant-insulin antibodies
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56 yo woman 4 month hx of difficulty walking. Denies pain, mild paresthesias in feet. Hands not as strong as should be. Strength in hands 4/5. Mild sensory loss to all modalities to her knees. Muscle stretch reflexes are absent at the knees and ankles. No babinski. Dg?
Guillain Barre Polymyositis Chronic inflammatory demelinating polyneuropathy cervical myelopathy vitamin b12 def |
Chronic inflammatory demelinating polyneuropathy
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Which of the following clinical conditions correlates with the following abnormality of erythropoieten: extremely elevated plasma erythropoieten levels
polycythemia vera aplastic anemia renal failure secondary polycythemia of hepatoma anemia of chronic dz |
secondary polycythemia of hepatoma
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A 60 yo diabetic woman requires increasing amounts of insulin. Arthralgias then develop, along with hyperpigmented lesions of the axilla and groin. Which pathogenic me is the cause
Tcell cytotox IgE anti-insulin abs IgG anti-insulin abs in circulating immune complexes IgG anti-insulin receptor abs IgG anti-insulin Abs |
IgG anti-insulin receptor abs
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tx for newly diagnosed prostate cancer metastatic to bone?
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Antiandrogen therapy
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Which of the following clinical conditions correlates with the following abnormality of erythropoietin: low-to-absent plasma erythropoietin
Anemia of chronic dz Aplastic anemia Polycythemia vera Renal failure Secondary polycythemia of hepatoma |
Polycythemia vera
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which dz (CLL, CML, neither, both) is assoc with a slow steady progression
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CLL
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55 year old woman with tense bullae on the back of her hands made worse by sunlight. No immunoreactants
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porphyera cutanea tarda
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diminished EPO secretion, good response to exogenous EPO
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renal failure
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shilling test
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b12
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gastric carcinoma risk factor
UC or pernicious anemia? |
Pern anemia
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high plasma EPO, poor response to exogenous EPO
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aplastic anemia
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rales are heard in what
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pulmonary fibrosis
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mediastinal mass tx
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chemo+rad
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