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78 Cards in this Set
- Front
- Back
Dx algorithm: presumed head and neck SCC of unknown origin
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Triple endoscopy: esophagoscopy, bronchoscopy, laryngoscopy
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Criteria for managing HBV with interferon/lamivudine
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Persistently elevated ALT with + HbSAg, HbeAg, and DNA
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Two key ventilator settings for ARDS
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Low TV, high PEEP
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Tx: hairy cell leukemia
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Cladribine
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Tx: NHL
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CHOP regimen
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Tx: CLL
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Chlorambucil + prednisone
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Which is the only type of restrictive heart disease that can be reversed with appropriate treatment?
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Hemochromatosis
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In which type of shock is cardiac index ELEVATED?
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Septic
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Which abx blocks ENaC, causing hyperkalemia?
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Trimethoprim
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Dx: teenage boy with nose bleeds, nasal mass
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Angiofibroma
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Classic patient with nasal septal pyogenic granulomas
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Pregnant ladies
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Mainstay of tx: IBD-induced toxic megacolon
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GCs
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Define: “salvage therapy”
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Treatment used when standard therapy fails
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Define: “adjuvant therapy”
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Therapy given at the same time as standard therapy
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Define: “consolidation therapy”
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Therapy given after induction therapy to further reduce tumor burden
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Define: “maintenance therapy”
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Therapy given after both induction and maintenance therapy to completely abolish the tumor
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Define: “induction therapy”
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Initial dose for rapid tumor cell death to induce remission
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Define: “sympathetic ophthalmia”
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Damage to one eye provokes immunologic damage targeted against other eye 2/2 “uncovered antigens”
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Risks/benefits of lidocaine during ACS
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Decrease risk of VFib; increase risk of asystole
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Classic history for multiinfarct dementia
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Step-wise decrease in cognitive functioning
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Cytology: Blastomycosis
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Broad-based budding yeast
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Classic pathology of dermatitis herpetiformis
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IgA within dermal papillae
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4 protective factors against gallstone disease
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Caffeine, low carb diet, exercise, and NSAIDs
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Three drugs associated with gallstone disease
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Ceftiaxone, octreotide, clofibrate
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Classic presentation of dumping syndrome
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Patient with history of gastrectomy develops cramps, weakness, diaphoresis, light-headedness shortly after eating
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How do you get syncope from a TIA/stroke?
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Posterior circulation disease
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Which neuroleptic can cause jaundice?
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Chlorpromazine
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Which neuroleptic can cause pigmented retinopathy?
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Thioridazine
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Which neuroleptic can cause cataracts?
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Quetiapine
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MCC of sepsis in sickle cell
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Pneumococcus
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For all intents and purposes, there are no ___ symptoms in Guillain Barre
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Sensory symptoms
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MC infectious cause of IUGR
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CMV
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Who gets ribavirin for RSV?
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Immunocompromised
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Management: primary amenorrhea + uterus present
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Serum FSH to discern central vs. peripheral origin
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Management: primary amenorrhea w/o uterus
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Karyotpe
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Management: primary amenorrhea with low FSH
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Brain MR
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Management: primary amenorrhea with high FSH
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Karyotype
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Dx: marfanoid + thromboembolism
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Cystathionine synthase deficiency
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MCC of brain abscess in otherwise healthy person
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Extension of anaerobic and/or aerobic sinus infection
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Two MC locations for cerebral toxoplasmosis
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Basal ganglia and white-grey junction
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Risk to think of with IUFD
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DIC caused by fetal release of tissue factor
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A low-normal ___ or ___ level should be considered abnormal in pregnancy
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Fibrinogen or platelet count
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Treatment of cystathionine synthase deficiency
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Mega B6 doses, methionine restriction
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Triad of PKU
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Light pigmentation (fair skin, blue eyes, etc.), MR, and eczema
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Dx: diarrhea and salmon colored spots on the belly
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Salmonella
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Dx: positive hydrogen breath test
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Lactase deficiency
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Dx: HIV+ patient with multiple non-enhancing brain lesions w/o mass effect
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PML
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4 causes of asymmetric IUGR
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Maternal HTN/preeclampsia, smoking, antiphospholipid Abs, collagen vascular disease,
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SCIDs patients are most commonly afflicted by recurrent ___ and ___ infection
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Viral and fungal
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Causes of neonatal conjunctivitis by time since birth
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First 24 hours: chemical
First 5 days or so: gonococcal Beyond 5 days or so: chlamydial |
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Dx: blood-stained lacrimal discharge in a neonate with conjunctivitis
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Chlamydia
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Optimal tidal volume setting
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6 mL/kg of ideal body weight
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Which neuroleptic is associated with QT prolongation?
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Ziprasidone
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Drug of choice for partial seizures
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Phenytoin
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Second line therapy for absence seizures
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Valproate
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Dx: immunosuppressed pt develops simultaneous pulmonary and GI symptoms
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Think CMV
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Physical exam in patellofemoral pain syndrome
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Pain over anterior knee while extending the leg and pressing on the patella
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Triad of acute iron ingestion
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Abdominal pain, hematemesis, and metabolic acidosis
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Truncus arteriosus is STRONGLY associated with _______
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Di George
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First step in management of gastroschisis/omphalocele
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Wrap in sterile saline dressing
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Gastroschisis vs. omphalocele
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Omphalocele has a membranous covering
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Which is associated with additional congenital anomalies, gastroschisis or omphalocele?
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Omphalocele
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When should you intervene in a baby with hydrocele?
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A hydrocele that persists beyond 12 months of life requires surgical intervention
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In addition to evaluation of the joint, patients with suspected septic arthritis should also receive ___
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Blood cultures
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Acute management of severe/symptomatic hypercalcemia
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NS IVF + calcitonin
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Chronic management of severe/symptomatic hypercalcemia
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Bisphosphonates
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Dx: mild thrombocytopenia with giant circulating platelets
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Bernard-Soulier
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What is the general indication for vascular shunting in cirrhotics?
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Symptomatic varices
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Two diseases to think of with seborrheic dermatitis on the face
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HIV and Parkinsons
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Manage all men with BPH with initial ___
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UA and Cr measurement
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Three primary organs affected by hemochromatosis
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Liver, pancreas, heart
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APGAR mnemonic
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Appearance/pulse/grimace/activity/respiration
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ACLS algorithm for Vfib or pulseless Vtach
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Defibrillation>epi>amiodarone
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Classic physical exam findings for laryngomalacia
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Loudest when supine, better when upright or prone
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Tx: TCA poisoning
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NaHCO3, IVF, benzos
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Four complications of measles
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Pneumonia, vit A deficiency, bronchiectasis, subacute sclerosing panencephalitis
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MC manifestation of biceps tendon rupture
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Weak supination with largely preserved flexion and Popeye’s sign, with prominent biceps belly
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Dysphagia for just solids is generally indicative of _____, while dysphagia for both solids and liquids is suggestive of _____
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Obstructing mass; esophageal dysmotility
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