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Flashcards in 11/7 practice Deck (20)
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1

What is the urological Papaverine test?

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

2

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

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

3

What is the mechanism behind anemia of chronic disease?

block of iron transportation by hepcidin

4

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

Cabergoline (dopamine agonist)

5

Pt with elevated blood glucose and high BUN, treatment?

Hydration

6

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

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

7

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

Paraphymosis (phymosis is when it cannot be retracted)

8

What is the most common cause of restrictive cardiomyopathy?

Amyloidosis

9

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

Vericocele

10

What cardiac side effect of NSAIDs should be considered?

elevation of sbp by 5mmhg

11

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

Mid third trimester

12

What condition is frequently associated with Aflutter?

COPD

13

Primary influenza pneumonia is likely in what population?

Chronic vasulopaths, cardiovascular disease

14

What is the escalation of treatment for carpal tunnel?

NSAIDs - > splinting -> surgery

15

What is a Myerson sign? Associated with what condition?

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

16

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

Levido reticularis d/t vasomotor instability of dermal blood vessels

17

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

ACE inhibitor, they decrease pressure on the glomerulus

18

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

Orchitis, supportive, scrotal sling

19

What are the EKG changes with hypercalcemia (3)?

Narrow QRS, high depolarization and J wave (severe)

20

What are the EKG changes with hypocalcemia?

QT prolongation