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2 causes of mallory bodies on liver biopsy?
- alcoholic hepatitis
palpable breast mass in a young woman?
come back after menstruation and see it if decreases--if it does--fibrocystic change disease...if not...ultrasound if younger <35
strongest risk factor for suicide?
previous attempt at suicide
calcium oxalate with no symptoms, next step in managment/
nothing if no other symptoms
most accurate test for diverticulitis?
risk for molluscum contagiosum?
- cellular immunodeficiency
- other immunodeficieny
cause of normal blood pressure, hypokalemia, metabolic alkalosis and high urinary chloride level?
cause of high blood pressure, hypokalemia, metabolic alkalosis, and high urinary chloride level?
- barter and diuretics
- renin secreting tumor
most common cause of metabolic acidosis in an elderly with atherosclerosis and afib?
next step in managment of hit if patient is ambulatory
stop heparin and give argatroban
most accurate test for hit?
serotonin release assay
do you confirm and then stop heparin in HIT or do you stop and then confirm?
stop it and then confirm
pain in snuff box, x ray negative..next step?
pain and x ray +...next step?
- thumb spica cast and repeat x ray
- immobilization for a few months
when is clomiphene used for fertility?
when is in vitro fertilization used
- in women with anovulatory cycles?
- in premature ovarian failure
turner syndrome patients are at risk for developing what?
- coarcatation of aorta
dysfunctional uterine bleeding in a woman >35 yo?
bronchiolitis predisposes to?
most accurate test and a theruapuetic maneuver for aspiration of foreign body?
direct laryngoscope and bronchoscope
what can predispose to digoxin toxicity?
hypokalemia as caused by furosemide
what high really high levels of calcium, primary hyperparathyrodism or malignanyc?
malignancy causes really high levels of calcium
drugs taht cause oxotoxicity?
- loop diurectics
rx for metatarsal fracture?
rx for hypercalcemia from malignancy?
constipation and distended abdomen post sx, cause?
post operative ileus
what cardiomyopathy may be reversed?
alcoholic by alcohol cessation
4 indications for clopidogrel?
- aspirin allergy
- post UN/NSTEMI
- Post stenting--metal stent 1 month, drug eluting 12 months
- post stemi with stenting
rx for scaphoid fracture/?
immobilization for 6-12 weeks
females are prone to getting what kind of immunodeficiens in life with what symptom?
- IgG3 deficiency
- causing sinupulmonary infections and bloody diarrhea
low back pain in pregnancy
increased lumbar lordosis
4 components of alcohol withdrawal?
- withdrawal symptoms
- withdrawal seizures
why doesnt a matter form antibodies against the A or B blood group in a fetus when she herself is blood O?
she does but the hemolysis is not that severe as against rh
flashing lights, floaters, curtain going down over the eyse tells you it is what kind of vision loss?
all factors that cause osteonecrosis do it how?
by impeding blood flow
endometritis is caused by what bacteria?
- clinda and aminoglycoside
symptoms of endometritis/
- uterine tenderness
- smelly lochia
rx for babesiosis?
quinine or atovaquone...like for malaria
hemolysis just like malaria except babesios occurs in the us
clue for erlichosis
spotless rocky mountain spotted feverho
how u get q fever?
from cattle placenta
what happens to elderly and their reflexes?
they diminish and sometimes the dissappear especially the achilles reflex
what drugs are not used in wpw?
- av nodal blockesr bc the increases extranodal pathway signals
- use procainamide
resecetion of pleomorphic adenoma may damage what nerve?
murmur of hocm?
systolic at the left sternal border
marked deceased respiration, cause/
do opiods always produce miosis?
most specific finding for cardiac tamponade?
alternating heights of qrs complexes
rx for exercise induced asthma?
beta agonist prior to exercise
do you biopsy testiculr or ovarian cancers?
no you resect them
what murmrus do not need a further work up?
which ones do?
midsystolic and quit systolic murmurs
all diastolic and continuous murmurs need a further work up
sx for basal cell carcinoma?
mohs with 1 or 2 mm margins
when do you answer referral on usmle?
in a few very specific cases@!
ra with splenomegaly and neutropenia
what decreases mortality in an pulseless person?
- good cpr
- rhythm analysis
cause of bloddy diarrhea with no fever?
all bloddy diarrhea have fever except?
signs of necrotizing fascitis?
- extereme pain in the absence of erythema
- loss of sensation around the wouund