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Flashcards in 11/3's practice Deck (38)
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1

murmur associated with rheumatic fever?

mitral regurgitation

2

What is the definitive test result for polycystic ovary?

LH:FSH ratio of 2:1 or greater

3

What cancer is associated with pheochromocytoma?

Medullary thyroid CA

4

What is the diagnostic test for amoebiasis?

indirect hemagglutination test for amoebiasis

5

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

6

What demographic factors influence one's risk for SCC?

male gender, caucasian, light eyes

7

What lab test is ordered in an adolescent female to assess when she may begin menses?

FSH

8

What is the APC genetic test for?

familial adenomatosis polyposis syndrome

9

What is the MSH2 genetic test for?

hereditary non-polyposis colon cancer syndrome

10

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

11

What do ACE inhibitors do to oral hypoglycemics?

Increase their activity, increasing the risk of hypoglycemia

12

Patient with diarrhea, dermatitis, and dementia, diagnosis? Treatment?

Niacin deficiency - diet high in tryptophan

13

What is the most common location of an anal fissure?

Posterior

14

What is the first line treatment for an acute Meniere's disease flare of symptoms?

Benzos (valium)

15

What is the threshold of outbreaks/year for beginning prophylactic herpes therapy?

>= 6/year

16

At what point after an acetaminophen overdose do LFTs start to rise?

12 hours

17

What medication is given to decrease the size of fibroids?

Lupron

18

What is preferred management for SVC syndrome?

stenting/radiation

19

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?

Bacterial vaginosis

20

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?

Digoxin

21

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

22

child with fever then rash

roseola

23

floppy newborn of a mother with a mono-like illness at some point in pregnancy, bulging fontanelles. Normal CSF. Diagnosis?

Toxoplasmosis

24

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??

HSV encephalitis

25

What's the first blood test to change in anemia?

Red Cell Distribution Width (RDW)

26

A patient presents with multiple angular, mildly pruritic, flat-topped violaceous papules on both shins as well as Wickham's striae. Diagnosis?

Lichen planus

27

Pt has a superficial form of cellulitis caused by B-hemolytic streptococci. It most typically occurs on the cheek. Diagnosis? Lab finding?

Erysipelas, lymphocytosis

28

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?

Pityriasis Rosea

29

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?

Scabies

30

In severe contact dermatitis, what is the treatment?

Prednisone for 12-14 days with a taper