11/7 practice Flashcards

1
Q

What is the urological Papaverine test?

A

Vasoactive test of the penile vasculature to test the ability to gain an erection

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2
Q

What is the most common acquired valvular disorder in the elderly? sound description?

A

Aortic stenosis, Systolic ejection crescendo murmur heard in the second intercostal radiating to the neck and apex

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3
Q

What is the mechanism behind anemia of chronic disease?

A

block of iron transportation by hepcidin

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4
Q

What is the treatment of choice for a prolactinoma? mechanism of action?

A

Cabergoline (dopamine agonist)

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5
Q

Pt with elevated blood glucose and high BUN, treatment?

A

Hydration

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6
Q

What antihypertensive is first line in a chronic hypertensive african american with LVH?

A

Diuretics - more potent in AAs and more effective in reducing LVH over time

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7
Q

Pt unable to return foreskin to usual position with erythema and pain. Diagnosis?

A

Paraphymosis (phymosis is when it cannot be retracted)

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8
Q

What is the most common cause of restrictive cardiomyopathy?

A

Amyloidosis

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9
Q

Pt has a scrotal mass which is not painful and decreases when pt lies supine. Diagnosis?

A

Vericocele

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10
Q

What cardiac side effect of NSAIDs should be considered?

A

elevation of sbp by 5mmhg

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11
Q

When is vaginal b-strep culture performed on pregnant patients?

A

Mid third trimester

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12
Q

What condition is frequently associated with Aflutter?

A

COPD

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13
Q

Primary influenza pneumonia is likely in what population?

A

Chronic vasulopaths, cardiovascular disease

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14
Q

What is the escalation of treatment for carpal tunnel?

A

NSAIDs - > splinting -> surgery

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15
Q

What is a Myerson sign? Associated with what condition?

A

tapping the nose bridge once induces sustained eye blinking, seen in Parkinson’s disease

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16
Q

Young pt with bluish lacy rash that appears on her LEs in the cold and disappears once rewarmed. Diagnosis? Mechanism?

A

Levido reticularis d/t vasomotor instability of dermal blood vessels

17
Q

What is the first choice of antihypertensive medication for a patient with any type of autoimmune condition which may affect the kidney? or KD?

A

ACE inhibitor, they decrease pressure on the glomerulus

18
Q

Young male patient with testicular and parotid swelling as well as enlargement of submaxillary lymph nodes. He is nauseous and febrile. Diagnosis? Treatment?

A

Orchitis, supportive, scrotal sling

19
Q

What are the EKG changes with hypercalcemia (3)?

A

Narrow QRS, high depolarization and J wave (severe)

20
Q

What are the EKG changes with hypocalcemia?

A

QT prolongation