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75 Cards in this Set
- Front
- Back
R/o obstruction in AKI c
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Renal U/S
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Reperfusion therapy of choice for pt c STEMI
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Door to balloon < 90min for PCI
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if cath lab < 90 min away
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Heparin, gp2b3a
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Spiculations on mammogram suggest
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breast CA
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What finding used for monitoring fluid overload in HF?
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JVD
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Anthrax scar
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Vesicular -> black painless eschar
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Occupational expo to anthrax 2
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tannery, wool factory
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Inhalation anthrax does what
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Flu-like -> fulminant pulm failure
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Brisk GI bleed from upper v. lower determined by
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NG lavage
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Drug of choice for Dressler's
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NSAIDs, steroids
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typical clinical presentation for primary TB
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Immunocompetent no Sx
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Chronic HCV, palpable purpura, infl arthritis, MPGN
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Mixed cryoglobinemia
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Most common cause aplastic anemia in immunocompromised
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Parvovirus B19
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Proposed mech for flushing from niacin use
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Prostaglandin & Histamine release
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Bernard-Souille characteristics
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Plt: giant
Bleeding time: incr <- impaired plt adhesion <- defective gp1b |
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Which is more likely to be accompanied by thrombocytopenia, Bernard-Souille or Glanzmann's thombosthenia?
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Bernard-Souille
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Tx of choice for acute chest syndrome, acute stroke, and acute priaprism in sickle cell
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Exchange transfusion
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Goal of exchange transfusion in sickle cell
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Reduce Hb S in blood to <30%
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Recommended screening test for hemachromatosis for pt c suspected dz
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Transferrin saturation
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Ab-NL coag studies in vWD & why? 2
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PTT incr: relative factor VIII def
Bleeding time incr: vWD needed for plt adhesion |
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more common hepatobiliary complications of parenteral nutrition 4
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sludging bile
acalculous cholecystitis cholelithiasis steatohepatitis -> cirrhosis |
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polycythemia is paraneoplastic syndrome for which CA 3
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renal cell CA
HCC Malig hemangioma |
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Dubin-Johnson & Rotor's is what type of serum bilirubin
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conj bilirubin
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Dubin-Johnson show what on Bx
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Pigmented hepatocytes
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Pattern of transaminase level in shock liver 2
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acute AST/ALT elevation in thousands
Rapidly self-corrects |
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Vit B12 def w/u 3
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intrinsic factor Ab
Homocysteine levels Methylmalonate levels |
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Dawn phenomenon v. somogei
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Dawn: hyperglycemic in am b/c cortisol pk (NL)
Somogei: hyperglycemic in am b/c rebound to hypoglycemia |
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Shot for pt c high risk puncture wound 2
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Tetanus toxoid to stim immune response
If never vax, give Ig |
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Homan's Sx
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phys exam finding for DVT: pain in calf on dorsiflexion of foot
not specific/not sensitive |
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Types of renal calculi that can't be dissolved by medications
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Calcium containing
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Conservative mgmt of calculi acceptable if < what size
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< 5 mm
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When to start using DMARDs in RA? Which ones to use?
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Start within 1st 3m of Dx
MTX = 1st line Sulfasalazine, hydroxychloroquine = 2nd line |
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Mixed venous O2 sat changes in early septic shock? Goal? Late shock?
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Decreases due to hyper-metabolism
Goal: > 70% Late: paradoxical increase |
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3 pain features of typical angina
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brought on by exertion
relieved by rest/nitro duration > 20 min |
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2 most common causes ring-enhancing lesions when immunocompromised
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Toxoplasmosis
CNS Lymphoma |
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What screening technique do F Tx'd for Hodgkin's need earlier
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Mammogram
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ring-enhancing lesion in immunocompetent represent what? 2
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CA
Abscess |
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Lung CA more common in asbestos (not mesothelioma)
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Bronchogenic CA
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Dx test for acute pyelo/acute PNA/susp bact meningitis/sepsis before empiric abx
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BCx
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Endocrine disturbance most likely seen in pt on long-term amiodarone
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Hypothyroidism
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Indication for infusing hypertonic saline 2
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Serum Na < 115
Pt c incr ICP |
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NNRTI assoc c vivid hallucinations
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efivirenz
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test of choice of adult M/post-menopausal F for hypochromic microcytic anemia
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colonoscopy
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Most common cause of severe elevation of transaminases (>2000) 3
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acute viral hepatitis
acetaminophen OD shock liver |
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acute febrile rxn: flu-like, when give abx for spirochete or ricketsial inf
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Herx-Heimer rxn
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Mgmt for microcytic anemia + low ferritin
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Is bleeding? If no, then Fe supplement
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highest risk for transfusion-related inf with HCV, HBV, or HIV?
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HBV - 1/200,000
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Major serum protein other than alb
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Immunoglobulins
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most common cause retinitis in pt c AIDS
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CMV
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Tx of CMV retinitis
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Ganciclovir
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3 most common drugs assoc c warm autoimmune hemolytic anemia
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Methyldopa
PCN Quinidine |
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Bacteremia c. burnetti assoc c 2
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Q fever
Inf endocarditis |
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only inhalable ricketssial spp
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C. burnetti
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Occupation expo assoc c Q fever
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animal handling
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Slowing of CKD facilitated by what measures 4
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Ctrl HTN: goal BP < 130/80
Glc control ?low-Pr diet ACE/ARB |
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Mech for how low Pr diet helps CKD
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Minimize albuminuria and filtration
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Dx suggested by pulm exudate c lymphocytes, cloudy, low glc level
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Rheumatoid arthritis or other autoimmune
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2 main MAHA
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TTP
DIC |
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Differentiate TTP v DIC
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DIC - fibrinogen low, D-dimer high, PT/INR incr
TTP - fibrinogen NL, D-dimer NL |
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electrolyte disturbances that cause hyperreflexia
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low Mg
low Ca |
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S/S of hypertrophic osteoarthropy
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arthritis at joint
periosteal bone formation |
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Primary indication for screening endoscopy in alcoholic
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Known cirrhosis/portal HTN on exam
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Tx of choice for Paget's dz of bone if symptomatic
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bisphosphonates
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Lab value for Paget's
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Very high ALP
NL Ca NL PO4 |
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Dx suggested by anemia, incr Cr, and hypercalcemia
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MM
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Best initial screening test for vitamin B12/folate def
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homocysteine
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multifocal atrial tachycardia usu have what lung dz
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COPD's cor pulmonale
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fungal inf that present c
pulm dz, verrucous skin lesions, osteolytic bone lesions, prostatits |
Blastomycosis
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M/A and indication for dobutamine
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agonist at beta-1mostly
ionotropic for cardiogenic shock |
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drug of choice for mets papillary and follicular thyroid CA
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Radioactive iodine
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fluconazole PPx in neutropenia does not protect from what fungus
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aspergillus
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time frame for presentation of type II HIT? Exception?
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5-14 d after starting heparin
Exception: taking heparin in last 3 months |
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Inhereditary tendency for hemorrhagic telangectasias that can cause fatal hemorrhage
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Osler-Weber-Rendu
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Chronic rejection of transplant mech
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Ab-mediated vasculopathy of organ
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HLA-matching in transplant pt for what purpose? 2
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prevent donor immune from attacking aloograft -> humoral
Prevent graft from attacking host |