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Internal medicine Flashcards

(66 cards)

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1
Q

tx of acute CHF exacerbation?

A

NO LIP

nitrates, oxygen, loop diuretics, inotropic drugs, positioning

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2
Q

Medications that help with aortic regurg?

A

ACEI/CCB

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3
Q

vasculitis of kidney upper airway and lungs?

A

wegeners - granulomatosis with polyangiitis

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4
Q

vasculitis of kidney and GI tract, spares lungs

A

PAN

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5
Q

vasculitis with palpable purpura of legs, associated with IgA

A

henoch schonlein

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6
Q

vasculitis in young asthmatic

A

churg strauss- eosinophilic granulomatosis with polyangitis

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7
Q

vasculitis in young male smoker

A

berger - thromboangiitis obliterans

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8
Q

vasculitis of 2 year old asian girl with strawberry tongue and desquamation of hands/feet

A

kawasaki

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9
Q

vasculitis of asian woman with weak pulses in upper extremities

A

takayasu

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10
Q

vasculitis of elderly woman with unilateral headache and jaw claudication

A

giant cell arteritis

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11
Q

vasculitis associated with Hep B

A

PAN

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12
Q

Vasculitis associated wqith perforation of the nasal septum

A

wegeners

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13
Q

vasculitis associated with polymyalgia rheumatica

A

giant cell arteritis

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14
Q

medications whih reduce mortality in patients with CHF

A

ACEI/ARBs, beta blockers, aldosterone antagonists

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15
Q

Two types of aortic dissection? TX of each?

A

stanford A - asc aorta involved
- surgical repair, iv beta blockers, icu

stanford b - only descending aorta
- medical management

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16
Q

tx of prolactinoma?

A

dopamine agonist - bromocriptine, cabergoline

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17
Q

pt in shock with hyponatremia, hyperkalemia, hypoglycemia. Cause? management?

A

adrenal crisis

fluids, steroids, iv glucose, electrolytes, tx cause

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18
Q

tx of pheochromocytoma?

A

phentolamine or phenoxybenzamine (alpha blockers)

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19
Q

diagnosis of bone pain, lytic lesions, enlarged skull wioth normal calcium, phosphate, creatinine, and hgb?

A

paget disease

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20
Q

malignancy associated with tumor marker: AFP

A

hepatocellular carcinoma, testicular, gastric

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21
Q

malignancy associated with tumor marker: alkaline phosphatase

A

bone mets

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22
Q

malignancy associated with tumor marker: CA-125

A

ovarian cancer

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23
Q

malignancy associated with tumor marker: CA 19-9

A

pancreatic

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24
Q

malignancy associated with tumor marker: CEA

A

colon cancer, pancreatic cancer

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25
malignancy associated with tumor marker: PSA
prostate
26
malignancy associated with tumor marker: S-100
melanoma, schwannoma
27
malignancy associated with chronic hep B?
hepatocellular CA
28
patient with diarrhea, abd pain, flushing, elevated 5-HIAA. Dx? site of tumor? medical tx?
carcinoid, small intestine, somatostatin analog (octreotide, lanreotide)
29
tumor with elevated gastrin? associated with what?
gastrinoma, associated with MEN1 (hyperpara, pit adenoma, pancreatic tumor)
30
paraneoplastic syndrome associated with small cell lung cancer?
SIADH, cushing, lambert-eaton myasthenic syndrome
31
paraneoplastic syndrome associated with squamous cell lung ca?
hypercalcemia (PTHrP)
32
pneumoconiosis associated with ship building, roofing, plumbing, brake mechanics?
asbestosis
33
pneumoconiosis associted with foundries, sandblasting and mining
silicosis
34
pneumoconiosis associated with coal mines, large urban centers and tobacco smoke
coal worker's
35
pneumoconiosis associated with exposure in the nuclear and aerospace industry
berylliosis
36
vent settings for ARDS?
low tidal volume, high PEEP
37
tx of histoplasmosis?
itraconazole, ampho
38
tx of blastomycosis?
itraconazole, ampho
39
tx of coccidiodomycosis
fluconazole. ketoconazole, itraconazole
40
tx of acute gout?
NSAIDS, colchicine, glucocorticoids
41
tx of chronic gout?
allopurinol, febuxostat, probenecid
42
patient with l.eft sided chest pain, malaise, fever, and joint pains. photosensitivity rash, anemic. Dx? initial test for diagnosis? serologic test most specific?
SLE ANA anti-dsDNA abd anti-smith abd
43
asymmetric arthritis preceded by GI or GU infection?
reiters
44
inflammatory back pain + "bamboo spine on xray
ankylosing spondylitis
45
skin plaques with silvery scaling _ pitting of the nails _ arthritis?
psoriatic arthritis
46
patient with RA, what specific lab test confirms diagnosis? How is diagnosis treated?
anti-citrullinated protein antibody DMARDS - sulfasalazine, methotrex NSAIDS glucocorticoids
47
medications that cause drug induced lupus?
SHIPP ``` sulfonamides hydralazine isoniazid phenytoin procainamide ```
48
disorder associated with anti-dsDNA
lupus
49
disorder associated with anti-histone
drug induced lupus
50
disorder associated with anti-La/SSB
sjogren syndrome
51
disorder associated with anti-smith
lupus
52
disorder associated with anti-topoisomerase
scleroderma
53
disorder associated with anticentromere
CREST scleroderma
54
first line tx for raynauds?
CCB nifedipine, amlodipine
55
contraindication of sildanafil?
taking nitros
56
vitamin deficiency with macrocytic anemia and hypersegmented neutrophils?
B12 or folate defn
57
vitamin deficiency with swollen gums, poor wound healing, bleedin gmucous membranes, spots on the skin
vit C defn
58
vitamin deficiency with dermatitis, diarrhea, dementia
niacin (vit B3) defn
59
vitamin deficiency with hermorrhagic disease
vit K
60
vitamin deficiency with neural tube defects
folate defn
61
vitamin defn with pernicious anemia?
vit B12
62
vitamin defn which may result from kidney disease
vit D
63
vitamin defn with bitot spots, keratomalacia, xerophthalmia
vit A
64
vitamin defn with cheilosis and glossitis
vit B (B2, B3, B9, B12)
65
v itamin dwefn with dilated cardiomyopathy, edmea, polyneuropathy
vitamin B1 (thiamine)
66
non surgical options for BPH?
alpha 1 blockers - doxazosin, terazosin, tamsulosin 5alpha reductase inhibitors - finasteride, dutasteride
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