Random Internal Med Questions Review

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Anonymous
ID:
266129
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Random Internal Med Questions Review
Updated:
2014-03-12 11:27:58
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Internal medicine
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From GI, Cardio, endocrine, and renal
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  1. Patient with neurological symptoms and bp over 170/110, dx?
    Hypertensive encephalopathy
  2. Tx for fibrilacion auricular paroxistica?
    • Amiodarona (K+ channel blocker)
    • Prolonga periodo refractorio y vasodilata arterias coronaria periferica.
  3. Fondo de ojos con arteries pulsando visiblemente. Nombre de signo?
    Signo de Becker
  4. Head pulses to beat of heart. Name of sign?
    Musset sign
  5. Valvula moves to beat of heart. Sign name?
    Mueller sign
  6. Mareo, cara roja, cefalea, fatiga, sangrado por nariz. BP 150/90. Dx?
    Hipertension arterial escencial (Tipo 2)
  7. Insuficiencia cardiaca, dolo con action menos de la habitual, cause disnea.  Grado?
    Grado 3
  8. Px de 50 años con ansiedad y falta de aire-subita en reposo. Sin antecedentes. Dx?
    Insuficiensia ventricular izquierda
  9. Px con vasodilatador, diuresis, y tx con digoxina. Que es mas probable que tenga?
    Insuficiencia aortica de Marfans
  10. Px masculino con ansiedad, disnea, tos seca, toma alcohol. Tiene aumento de temperatura, in aumento de frenito tactile.  Signo de..?
    Etwards sign- for pericarditis.
  11. Hipotension, distencion jugular venosa, matidez de ruidos. Signo?
    Triada de Beck
  12. Beck's triad is for what dx?
    Cardiac tamponade
  13. Best way to dx a cardiac tamponade?
    Echocardiogram
  14. Aumento de frequencia cardiaca, edema de miebros inferiores, frote pericardiaca, cardiomegalia y bloqueo 1*. Tres capas del corazon dañado, siente dolor articular, ritmo galope y AV block 1. Dx?
    Pancarditis rheumatica
  15. Muerte subita, px con RBBB, ST elevado en v1-v3. What syndrome?
    Sindrome Brugada
  16. Jones Major Criteria?
    Eritema margindao, carditis, polyarthritis migratoria, syndehams chorea, subcutaneous nodules.
  17. Jones Minor Criteria?
    Fever, and arthralgia.
  18. Px with abdominal discomfort for 48hrs, suffers from HTN and DM for over 10 years. Dx?
    Acute MI
  19. Irregular rhythm, no P waves. Px could have DM, HTN, and palpitations for about 10 minutes. Dx?
    Auricular fibrillation
  20. Regular rhythm of saw tooth pattern, P waves visible (P:QRS=2:1).  EKG description?
    Atrial flutter
  21. Treatment for atrial fibrillation?
    Anticoagulants, B-blocker, Ca channel blockers, and digoxin (not to be used immediately)

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