Flashcards in 11/3's practice Deck (38)
murmur associated with rheumatic fever?
What is the definitive test result for polycystic ovary?
LH:FSH ratio of 2:1 or greater
What cancer is associated with pheochromocytoma?
Medullary thyroid CA
What is the diagnostic test for amoebiasis?
indirect hemagglutination test for amoebiasis
A 30-year-old man presents with a 1-year history of watery diarrhea. He has lost 5 kg. He has joint pains of 1-month duration. His stool examination for occult blood is negative. Stool culture is negative. No ova and cyst are seen in the stool. Laboratory tests fail to reveal rheumatoid factor or anti-nuclear antibodies. Serum calcium, phosphorous and alkaline phosphatase is 9.2 mg/dl, 4 mg/dl and 110 U/L respectively. A biopsy taken from the upper intestine shows distended macrophages in the lamina propria, which is found to be positive with PAS stain. What is the most likely diagnosis in this case??
Whipple disease - macrophages indicate infection
What demographic factors influence one's risk for SCC?
male gender, caucasian, light eyes
What lab test is ordered in an adolescent female to assess when she may begin menses?
What is the APC genetic test for?
familial adenomatosis polyposis syndrome
What is the MSH2 genetic test for?
hereditary non-polyposis colon cancer syndrome
What is the RET genetic test for? Associated conditions (3)?
multiple endocrine neoplasia syndrome type II (MEN-II), which is typically associated with medullary thyroid cancer, parathyroid adenomas, and pheochromocytomas
What do ACE inhibitors do to oral hypoglycemics?
Increase their activity, increasing the risk of hypoglycemia
Patient with diarrhea, dermatitis, and dementia, diagnosis? Treatment?
Niacin deficiency - diet high in tryptophan
What is the most common location of an anal fissure?
What is the first line treatment for an acute Meniere's disease flare of symptoms?
What is the threshold of outbreaks/year for beginning prophylactic herpes therapy?
At what point after an acetaminophen overdose do LFTs start to rise?
What medication is given to decrease the size of fibroids?
What is preferred management for SVC syndrome?
A 20 yo woman p/w malodorous vaginal discharge. Physical examination reveals a homogeneous gray discharge. Some of the vaginal discharge is obtained and mixed with 10% KOH, whereupon a fishy amine odor is produced. A Gram stain of the vaginal discharge reveals diagnostic "clue" cells. Diagnosis?
A 72-year-old man presents with double vision, weakness, fatigue, nausea, and abdominal discomfort. Med list: Digoxin, Furosemide, Potassium, Acetylsalicylic acid, Amoxicillin. What is the culprit?
Infant with a loud systolic ejection murmur is ascertained at the left upper sternal border. An EKG reveals normal sinus rhythm and the chest X-ray reveals a “boot shaped” cardiac shadow. Diagnosis?
Tetralogy of Fallot
child with fever then rash
floppy newborn of a mother with a mono-like illness at some point in pregnancy, bulging fontanelles. Normal CSF. Diagnosis?
Patient with encephalopathy has an MRI scan of the brain demonstrates low-density lesions in the brain; they represent areas of gross demyelination. What is the most likely diagnosis??
What's the first blood test to change in anemia?
Red Cell Distribution Width (RDW)
A patient presents with multiple angular, mildly pruritic, flat-topped violaceous papules on both shins as well as Wickham's striae. Diagnosis?
Pt has a superficial form of cellulitis caused by B-hemolytic streptococci. It most typically occurs on the cheek. Diagnosis? Lab finding?
A 19-year-old college student presents with numerous mildly erythematous oval lesions with fine scaling over her chest and trunk which appear to follow the cleavage lines of the skin. A week prior to the outbreak of her rash, she noticed a single, similar but larger lesion below the right clavicle. Diagnosis?
A patient complains of severe itching on the wrists and hands. Examination reveals pinpoint vesicles and pustules, some arranged in an irregular linear fashion. Diagnosis?