1st line rx for primary biliary cirhosis?
definitive rx for primary biliary cirhosis?
3 occasionas when ursodeoxycholic acid is used?
primary biliary cirhosis
pregnancy induced cholestasis
when do u transplant in pbc?
if cirhosis sets in
best initial test for allerghic rhinitis?
nasal cytology for eosinophils
contraindication to sumatriptans?
dx of melanoma?
basal cell carcinoma?
full thickness biopsy
best initial analgesic rx for oa?
rx for human and dog/cat biutes?
most common side effects of ssri?
management of a fetus with major congenital disorder that renders it icompatible with life?
best initial rx for spinal cord compression with neurological deficits?
rx for angioedema?
management of terminal malignancy pain?
short term opiods
long term opiods
what kinds of vessels supply the internal capsule?
small vessels--ie. lacunar infarcts
what causes hypocalcemia and hypomagnesemia post transfusion?
the chelating agent citrate in the packed RBC
when do you treat pid as inpatient vs outpatient?
inpatient--nausea and vomiting- cant take anything by oral
outpatient--cant take oral antibiotics
hiv pt with esophagitis symptoms, next step?
trial of fluconazole
if fails to improve
progressing stroke symp[toms usually imply what kind of pathology?
intracerebral hemorrhage leading to increased ICP
after treatment for cin 2 and 3 what is the screening recommendation?
pap smear with or without colposcopy untill 3 negative tests are obtained
then regular screening
genotype xx and no uterus, cause?
genotype xy and no uterus?
alpha 5 reductase deficiency
hydantoin syndrome caused by?
phenytoin and carbamezapine
presentation of hydantoin syndrome?
lip and palate hypoplasia--cleft lip and palate
difference between fetal alcohol syndrome and hydantoin syndrome?
fas--no cleft palate and no digit hypoplasia
hydantoin syndrome--has cleft palate and digit hypoplasia
best initial test when suspecting pad?
abi if unequivical
do pre exercise, exercise and post excercise abi
new onset hirsuitism or virilization with pregnancy?
if unilateral solid--laparotomy to r/o malignancy
if bilateral solid-reassurance pregnancy luteoma
if bilateral cystic-- theca lutein cyst r/o w/ bhcg
presentation of a meniscal tear?
popping and locking of knee on extension and flexion
what causes the following pathology of the liver?
panlobular mononuclear infiltration and portal necrosis with bridging fibrosis
inflammatory desterction of small intrahepatic biliary tracts?
primary biliary cirhosis
ear pain worse with chewing and a history of grinding teeth in sleep?
ramsay hunt syndrome?
shingles affecting the ear
best initial rx for tmj dysfunction?
most specific sign for opiod intoxication?
decreased respiratory effort
2 conditions that have hyperextensible joints?
marfans and ehlers danlos
how early do the symptoms of extrapyramidal patter began with antipsychotic therapy?
4 months-- tardive dyskinesia
how can respiratory failure be followed in gbs?
unequivical sweat chloride test, next step?
most common cause of erysepalas?
most common drug cause iron deficiency anemia?
1st line rx for pseudotumor cerebri?
most common cause of primary adrenal insufficiency in developing countries?
what causes adrenoleukodystrophy?
deposition of very long chain fatty acids
normal contractions in pregnancy occur how often?
1 every 5 minutes
when the fetus is how many weeks are steroids given?
between 24 and 34 weeks
which of the causes of conjugated hyperbilirubeniemia has dark pigments in the hepatocytes?
best initial rx for dubin johnson?
high conjugated bilirubin with normal lfts
urinary corproporphyrin I
difference on physical exam between empyema and consolidation?
empyema--no bronchial breath sounds
consolidation--bronchial breath sounds
perinauds or pinelaoma presents how?
precocioius puberty and opthalmoplegia
dacrocystitis is ?
inflammation of the lacrimal glands in the medial canthal fold
which of the infection sof the eye causes purulent discharge?
presentation of fetal alcohol syndrome?
thin upper lip
most common complication of meningitis?
what complications arise from meningtis?
most common is hearing loss
all compliations occur--cognitive dysfunction
inverted champainge glasses look of the legs is seen in ?