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last minute cardio
| Question | Answer |
|---|---|
| pericardial friction rub | high pitched, scratch, scraping sound, increases on exhalation and when patient leans forward, 3 components - ventricular and atrial systole, ventricular diastole |
| patient with chronic renal failure has chest pain and scratchy 3 component sound | pericardial friction rub |
| causes of fibrinous pericarditis | post MI, uremia, radiation |
| serous pericarditis | rheumatic fever, SLE, uremia, viral infection |
| constrictive pericarditi | diastolic dysfunction, mimics right heart failure, causes include TB and staph, or malignancy |
| child has a diffuse, raised hot red area of inflammation extending around periorital tissue leading to swelling | celullitis due to group A strep, since hyaluronidase is produced |
| produces coagulase, which changes fibrinogen -> fibin and leads to abscess with drainage through a sinus | Staph aureus |
| C3a and C5a activate these cells | mast cells |
| thiamine deficiency | ophthalmoplegia, confusion, ataxia |
| hyperpigmentation in sun exposed areas | pellagra |
| peripheral neuropathy | B6 deficiency |
| niacin deficiency in? | person whose diet consists of corn |
| b12 deficiency in? | pure vegan, taking nicotinic acid to lower lipids |
| fortified goat milk leads to? | folate and pyridoxine deficiency |
| a cofactor deficiecny in collagenase | zinc |
| cofactor deficiency in lysyl oxidase | copper |
| cofactor for pyruvate to acetyl coA using PDH; deficiecny leads to ataxia, nystagmus, ophthalmoplegia, confusion | thiamine |
| sensorineural hearing loss, blindness, periventricular calcifications in neonate | CMV neonate |
| enlarged testicles that do not transilluminate, high arched palate, mid systolic ejection click followed by a murmur, MR | fragile X CGG |
| pregnant women with fever, maculopapular rash, arthritis, and painful postauricular lymphadenopathy | she has rubella |
| rubella symptoms in baby contracted from mother | sensorineural hearing loss, cataracts, PDA |
| saddle nose deformity | congenital syphilis |
| limb hypoplasia | thalidomide |
| craniofacial abnormalities | isotreitnoin acid for acne |