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QuestionAnswer
If patient appears septic, what is the next step? Get blood and urine cultures (even before ABx therapy)
Precocious puberty vs pseudoprecocious puberty: Pathology? Which one is more severe? Pathology: precocious is hypothalamus-thalamus tract; pseudo is any excess androgen/steroids (like a-21 OHase def). Pseudo is more severe
What affect would peptic ulcers have on BUN/Cr? BUN is increased due to urea release from broken down RBCs (Cr stays normal)
Blunt trauma to a child's abdomen results in obstruction symptoms. What is cause? Next step? Cause: hematoma in intestine. Next step: wait for it to resolve on its own (1-2w)
Rx for syphillis? 1 dose of IM Pen G (TTC or doxycycline if allergic)
Rx for cocaine-induced MI? What Rx is absolutely contra-indicated? benzos. B-blockers are c/i (aggravate vasocstrxn)
What type of DI does Lithium cause? Nephrogenic DI
Why can asthma Rx cause muscle weakness? B-blockers can push K+ into cells, leading to hypokalemia-->weakness
Spike-and-Wave pattern is unique to what type of seizure? What is the Rx? Absence seizure. Rx= ethosuxamide or valproate
No milk after child birth w/ heavy bleeding is ________ syndrome. Sheehan's (low prolactin due to pituitary ischemia)
Nephrotic syndrome associated with large kidneys, GI/liver involvement, and HTN is due to ___________ Amyloidosis
Obese baby with downward mouth, diamond eyes, small feet/hands is what genetic disease? What is the Rx? Prader-Willi syndrome. Rx w/ GH
Which one is which: (Patau/Edwards)- polydactyly, scalp defects, heart problems. closed fist, rocker bottom feet Patau;Edwards
Which is more severe: gonococcal/chlamidyal conjunctivitis in neonate Gonococcal
ESR is raised in what kind of joint/muscle disease? Inflammatory
Serotonin agonists/antagonists are used as anti-emetics? Antagonists
Which Skin CA: 1)keratin pearls 2)spindle shaped cells/palisading 3) inside of mouth 1) Sq Cell Ca 2) Basal Cell Ca 3) Apthous Ulcer
Difference between chi-sq test and x or t-test chi-sq compares 2 CATEGORIES (yes/no), x/t-test compare 2 MEANS
If a patient falsely believes he has cancer for no reason, this is a _____________ disorder Delusional (non-psychotic delusions)
First test you do for suspected head of Panc Ca? What is the common presentation? CT abdomen. NON TENDER GB + biliary obstruction
3 features of RTA type IV? renal insufficiency, hyperkalemia, non-gap acidosis
2 common causes of Mitral Regurg following MI? Papillary muscle rupture, Ventricle aneurysm (this has ST elevations too)
Recurrent UTIs and GI infxns is usually a sign of _______________ deficiency Ig's (esp IgA and IgG)
Liver dz pt's should get hella vaccines
What is the prophylactic Rx for areas of chloroquine-resistant malaria? Mefloquine. Resistant areas are Indian subcontinent, sub-Saharan Africa
Why check Ca2+ levels in a pt with pheochromocytoma? Suspected MEN2a, which has Medullary Ca of thyroid and PTH involvement
What is screening test for ovarian Ca? What is best test for suspected HEREDITARY ovarian Ca? There is none. If hereditary suspected, do BRCAs, then CA-125, Pelvic USG
In shizo's, what is circumstantiallity? What are loose associations? Circumstantiallity: detailed speech, vaguely related to topic. Loose assoc: no connection between statements
What neurotransmitter is altered in OCD? How do you treat it Serotonin (Rx with SSRI)
What nerve controls motor/sensory aspects of posterior leg (both upper and lower)? What is the distribution of femoral nerve? of common peroneal? Tibial nerve. Femoral= Quads, medial lower leg sensation. Common peroneal= lateral of lower leg/top of foot
If a patient has classic findings of appendicitis, what is the next step? What about if abscess is suspected? Direct to surgery. ABx in case of abscess
Blunted calyces vs dilated calyces. What are the causes? Blunted: pyelonephritis. Dilated: hydronephrosis
Lipo-hyalinosis/microATH of brain arteries leads to ____________. Lacunar strokes (internal capsule)
What is the electrophoresis finding of Multiple Myeloma? What are the Ig's in urine called? M spike. Bence Jones proteins
Hypothyroidism can cause (increased/decreased) milk production. Reason? increased. hypothyroid->raised TRH->increased prolactin. Test by checking TSH
Bruton's agammaglobinemia affects what cell type? What Ig's are lost? B cells (d/t no tyrosine kinase). Ig G,A,M,E are lost
Common variable immunodeficiency resembles what other immunodeficiency? What is the only diferences? Brutons (X-linked). Differences: affects both male/female; presents later in life
Transient hypogammaglobinemia picture regarding Ig's? IgG is low, IgA is normal (low IgM possible)
DiGeorge Syndrome is due to missing ___________ pharyngeal POUCHES. What 2 main features? 3rd and 4th. Features: low Ca2+ (no PTH), and immunodeficient (no thymus).
Increased uterus size is seen in (fibroids/endometriosis). Which has infertility? Which has pain w/ sex? Fibroids. Infertility = fibr
If patient appears septic, what is the next step? Get blood and urine cultures (even before ABx therapy)
Precocious puberty vs pseudoprecocious puberty: Pathology? Which one is more severe? Pathology: precocious is hypothalamus-thalamus tract; pseudo is any excess androgen/steroids (like a-21 OHase def). Pseudo is more severe
What affect would peptic ulcers have on BUN/Cr? BUN is increased due to urea release from broken down RBCs (Cr stays normal)
Blunt trauma to a child's abdomen results in obstruction symptoms. What is cause? Next step? Cause: hematoma in intestine. Next step: wait for it to resolve on its own (1-2w)
Rx for syphillis? 1 dose of IM Pen G (TTC or doxycycline if allergic)
Rx for cocaine-induced MI? What Rx is absolutely contra-indicated? benzos. B-blockers are c/i (aggravate vasocstrxn)
What type of DI does Lithium cause? Nephrogenic DI
Why can asthma Rx cause muscle weakness? B-blockers can push K+ into cells, leading to hypokalemia-->weakness
Spike-and-Wave pattern is unique to what type of seizure? What is the Rx? Absence seizure. Rx= ethosuxamide or valproate
No milk after child birth w/ heavy bleeding is ________ syndrome. Sheehan's (low prolactin due to pituitary ischemia)
Nephrotic syndrome associated with large kidneys, GI/liver involvement, and HTN is due to ___________ Amyloidosis
Obese baby with downward mouth, diamond eyes, small feet/hands is what genetic disease? What is the Rx? Prader-Willi syndrome. Rx w/ GH
Which one is which: (Patau/Edwards)- polydactyly, scalp defects, heart problems. closed fist, rocker bottom feet Patau;Edwards
Which is more severe: gonococcal/chlamidyal conjunctivitis in neonate Gonococcal
ESR is raised in what kind of joint/muscle disease? Inflammatory
Serotonin agonists/antagonists are used as anti-emetics? Antagonists
Which Skin CA: 1)keratin pearls 2)spindle shaped cells/palisading 3) inside of mouth 1) Sq Cell Ca 2) Basal Cell Ca 3) Apthous Ulcer
Difference between chi-sq test and x or t-test chi-sq compares 2 CATEGORIES (yes/no), x/t-test compare 2 MEANS
If a patient falsely believes he has cancer for no reason, this is a _____________ disorder Delusional (non-psychotic delusions)
First test you do for suspected head of Panc Ca? What is the common presentation? CT abdomen. NON TENDER GB + biliary obstruction
3 features of RTA type IV? renal insufficiency, hyperkalemia, non-gap acidosis
2 common causes of Mitral Regurg following MI? Papillary muscle rupture, Ventricle aneurysm (this has ST elevations too)
Recurrent UTIs and GI infxns is usually a sign of _______________ deficiency Ig's (esp IgA and IgG)
Liver dz pt's should get hella vaccines
What is the prophylactic Rx for areas of chloroquine-resistant malaria? Mefloquine. Resistant areas are Indian subcontinent, sub-Saharan Africa
Why check Ca2+ levels in a pt with pheochromocytoma? Suspected MEN2a, which has Medullary Ca of thyroid and PTH involvement
What is screening test for ovarian Ca? What is best test for suspected HEREDITARY ovarian Ca? There is none. If hereditary suspected, do BRCAs, then CA-125, Pelvic USG
In shizo's, what is circumstantiallity? What are loose associations? Circumstantiallity: detailed speech, vaguely related to topic. Loose assoc: no connection between statements
What neurotransmitter is altered in OCD? How do you treat it Serotonin (Rx with SSRI)
What nerve controls motor/sensory aspects of posterior leg (both upper and lower)? What is the distribution of femoral nerve? of common peroneal? Tibial nerve. Femoral= Quads, medial lower leg sensation. Common peroneal= lateral of lower leg/top of foot
If a patient has classic findings of appendicitis, what is the next step? What about if abscess is suspected? Direct to surgery. ABx in case of abscess
Blunted calyces vs dilated calyces. What are the causes? Blunted: pyelonephritis. Dilated: hydronephrosis
Lipo-hyalinosis/microATH of brain arteries leads to ____________. Lacunar strokes (internal capsule)
What is the electrophoresis finding of Multiple Myeloma? What are the Ig's in urine called? M spike. Bence Jones proteins
Hypothyroidism can cause (increased/decreased) milk production. Reason? increased. hypothyroid->raised TRH->increased prolactin. Test by checking TSH
Bruton's agammaglobinemia affects what cell type? What Ig's are lost? B cells (d/t no tyrosine kinase). Ig G,A,M,E are lost
Common variable immunodeficiency resembles what other immunodeficiency? What is the only diferences? Brutons (X-linked). Differences: affects both male/female; presents later in life
Transient hypogammaglobinemia picture regarding Ig's? IgG is low, IgA is normal (low IgM possible)
DiGeorge Syndrome is due to missing ___________ pharyngeal POUCHES. What 2 main features? 3rd and 4th. Features: low Ca2+ (no PTH), and immunodeficient (no thymus).
Increased uterus size is seen in (fibroids/endometriosis). Which has infertility? Which has pain w/ sex? Fibroids. Infertility = fibroids. Dyspyreunia = Endometriosis
HCV vs HBV Rx? HCV= IFN + Ribavirin. HBV= IFN + Lamivudine
5 components of biophysical profile? What is total # of points? Nonstress test, Fetal tone, Fetal movement (2 in 30min), Fetal breathing (20s in 30min), Amniotic Fluid volume (2cm+). Total points = 10
Criteria for BPP in fetus? 8-10= normal. 6 w/o oligohydr= deliver (if 37w+), repeat in 24h (if <37w..deliver if still low). 6 w/ oligohydr= deliver @ 32w, daily monitor @ <32w. 4 or less= deliver @ 26w+
What nerve is damaged in anterior shoulder dislocation? Axillary
Winged scapula is due to damage of what nerve? Long Thoracic
Created by: jsad