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initial management of a sle patient with kideny involvement?
depot drugs of antipsychotics ?
soap bubble appearing tumor?
giant cell tumor
rx for threatened abortion?
reasure and observe
rx for a missed abortion?
d and c
nucleic acid amplification for gc and chamydia have what sensitivity?
most common lysosomal storage disease?
a tumor with high afp and beta hcg?
non seminamotous germ cell tumor
anemia in a young child?
- transient erythroblastenia of childhood
- iron deficiency
breast milk is low in what vitamin?
timeline of alcohol withdrawals?
- seizures -1st 2 days
- hallucisnosis 1st 2 days
- 2 to 3 days after last drink
difference between alcoholic hallucinosis and dt?
hallucinosis has vital signs and dt doesnt
patietns post splenectomy should receive what antibiotics for up to 5 years?
differential for vestibulopathy and vertigo?
- benign positional vertigo
- acoustic neuroma
- perilymphatic fistulas
who gets cyclical vomiting?
kids of parents who have migraines
when do you start ace inhibitors in diabetics?
- 130/80 on two occasions
best initial test for minimal blood per rectum?
when is external cephalic version performed?
after 36 weeks
mutation in cf results in what?
best initial test for hemorrhage in a blunt abdominal trauma patient?
- if unequivical then lavage
if looking for a hemoorage in the peritonieum from blunt abdominal trauma and the fast is negative, next step?
when are pregnant women test for gbs?
test for gestational diabetes?
at 36 weeks
27 weeks for gestational diabetes and cbc
difference between alzheimers vs multi infarct demenia?
alzheiemers--agnosia, apraxia, aphasia
multi infarct--focal neurological defects--sensory or motor losses
calcium gluconate protects the heart in what conidtion?
mechanism of statin induced rhabdomyolysis?
inhibition of coq10 production
caroli syndrome vs choledochal cyst?
- caroli --intrahepatic dilatation
- choledochal cyst--intra or extra hepatic dilation
2 causes of cholangiosarcoma?
most common type of cancer in the neck?
a muffled voice and a unilateral lymphadenopathy of the neck +
all deiseases where a functional part is mutated as in hypertrophic cardiomyomapthy are inherited how?
what is the only shock that has normal mixed venous o2 saturation?
when a patients chest moves in when taking a deep breath this means?
ribs are fractures--flail chest
necrotizing pneumonia cuaseing absecesses post viral infection?
what predisoposes to aortic dissection?
what vasculitis causes aortic dissection?
giant cell arteritis
what causes cough in left atrial enlargement?
in mitral stenosis
irriation of the phrenic nerve
earliest sign of diabetes in the kidney?
- basement membrane thickening the the earliserst quantifibale
what electrolytes predispose to vtach?
after chronic steroid administartion, how long does it take acth and cortisol level to come back to normal?
when is base used to treat severe metabolic acidosis?
when ph is less than 7.2
what neurotransmitter is involved in ocd?
risk factors for placental abruption?
rx for intrauterine fetal demise?
- expectant management
- induction of labor
rash in a newborn with eosinophils on biopsy?
cause of any intestinal atresia?
intrauterine vascular accident causing necrosis of the bowel
what leukemia in childhood can metastesize to the brain?
symptoms of bronchiectasis?
- linear atelectasis on x ray
- copious purulent sputum with +/- blood
rx for bronchiectasis?
- chest physiotheray and postural drainage
- surgical resection of affected lung
what class of medications can cause hyperthermia as well as hypothermia?
post cholecystectomy pain can be of two etiologies, what are they? and the rx for them?
- sphincter of oddi dysphunction---surgery to correct it
cause of fatty liver?
insulin resistance--leads to increased lipolysis and oxidation of fats leading to inflammation
hyperthryoid with decreased RAIU?
what congenital anomalies give cyanosis and increased pulmonary blood flow? loud s2
decreased pulmonary blood flow? soft s2
- truncus arteriosus
what electrolyte produces a sine pattern?
when is hyperkalemia treated?
how is mania diagnosed?
- 3 of the following
- flight of ideas
- activity increased
- speech increased
2 immunodeficienies that have decreased b and t cells?
infection in the eye with inflammation and edema post surgery, most common cause?
post operative endopthalmitis
how are cancers tackled?
- maintenenace therapies
- if it fails
- salvage therapy
contraindication to bupropion?
rx for diseases caused by bacteria from pets?
when is back pain concerning?
- when it occurs in someone older >60
- lasts for more than 6 weeks
when is delivery indicated with the BPP?
- if the BPP is
- 8 and oligohydramnios
- 6, no oligohydramnios and over 37 weeks
- 6 with hydramnios if over 32 weeks
- <4 and at least 26 weeks
complications of cath?
- retroperitoneal hematoma
- arterial thrombosis
cah vs aromatase deficiency?
- cah has salt wasting + virilization of genitals
- aromatase deficiency-- sexual infatilism
hypotensive hypernatremia rx?
normotensive hypernatremia rx?
- normal saline
- half normal saline
High grade intraepithelial or low grad neoplaisa next step?
genital warts are pruritic?
trichloroacetic acid treats what?
best initial test for vertebral osetomyelitis?
how does a vertebral osteomyelitis present?
- vertebral tenderness
- paraspinal muscle spasm
what gives exudative effusions?
most important risk factor to control for ascending aortic dissection?
abdominal aortic aneurysm?
- abdominal--control factors taht cause atherosclerosis like smoking
when do you operate with carotid artery stenosis?
stenosed 80% and up
white patches of retinal opacification and hemorrhage
painless 3rd trimester bleeding?
painfull 3rd trimester bleeding?
- placenta previa
- rupture of membranes--ferning test
how does a vasa previa present?
- vaginal bleeding of fetus' origin which results in
- fetus distress
risk factors for placenta previa?
- ceserean section
work up of secondary amenorrhea?
- fsh-ovarian failure
- tsh-- hypo and hyperthyroidism
- prolactin--tumor or medications
- testosterone-- pcos
- hysteroscope with normal prl, fsh, tsh
what drug combinations predisoposes to seizures?
cocaine and opiods
asymptomatic proteinuria, next best step?
recheck it 2 more times
what 2 lesions predispose to squamous cell carcinoma?
- acitinic keratosis
description of the renal artery stenosis murmur?
continuous in systole and diastole
cause of assymetric blood pressures in the arms?
- aortic dissection or
- artherosclerosis of the subclavian artery
what viruses is implicated in causing primary lymphoma in the brain of hiv patients?
ebv in the csf
most specific finding on biopsy of follicular carcinoma of the thyroid?
invasion of the thyroid capsule and blood vessels
what 2 thyroid cancers have hurthle cells?
how is follicular cancer different from follicular adenoma?
follicular cancer invades the thyroid capsule and the blood vessels
how does follicular thyroid cancer spread?
chest pain brought on by rest with st segment elevation?
what organism can cause gallbladder cancer?
best indicator of tca overdose?
qrs complex length
bilateral breast enlargement, erythema 2 days post birth?
breast enlargement with milk
most common cause of bloody discharge of the nipple?
breast mass in <30 yo? next step?
- ultrasound and mammogram
tests for lactose intolerance?
- increased Hydrogen in breath and stool
- increased stool osmolar gap
- increased amount of reducing sugars in stool