-
2 causes of mallory bodies on liver biopsy?
- wilson
- alcoholic hepatitis
-
palpable breast mass in a young woman?
come back after menstruation and see it if decreases--if it does--fibrocystic change disease...if not...ultrasound if younger <35
-
strongest risk factor for suicide?
previous attempt at suicide
-
calcium oxalate with no symptoms, next step in managment/
nothing if no other symptoms
-
most accurate test for diverticulitis?
ct
-
risk for molluscum contagiosum?
- cellular immunodeficiency
- steroids
- other immunodeficieny
-
cause of normal blood pressure, hypokalemia, metabolic alkalosis and high urinary chloride level?
cause of high blood pressure, hypokalemia, metabolic alkalosis, and high urinary chloride level?
- barter and diuretics
- renin secreting tumor
-
most common cause of metabolic acidosis in an elderly with atherosclerosis and afib?
bowel ischemia
-
next step in managment of hit if patient is ambulatory
stop heparin and give argatroban
-
most accurate test for hit?
serotonin release assay
-
do you confirm and then stop heparin in HIT or do you stop and then confirm?
stop it and then confirm
-
pain in snuff box, x ray negative..next step?
pain and x ray +...next step?
- thumb spica cast and repeat x ray
- immobilization for a few months
-
when is clomiphene used for fertility?
when is in vitro fertilization used
- in women with anovulatory cycles?
- in premature ovarian failure
-
turner syndrome patients are at risk for developing what?
- osteoporosis
- coarcatation of aorta
-
dysfunctional uterine bleeding in a woman >35 yo?
endometrial biopsy
-
bronchiolitis predisposes to?
asthma
-
most accurate test and a theruapuetic maneuver for aspiration of foreign body?
direct laryngoscope and bronchoscope
-
what can predispose to digoxin toxicity?
hypokalemia as caused by furosemide
-
what high really high levels of calcium, primary hyperparathyrodism or malignanyc?
malignancy causes really high levels of calcium
-
drugs taht cause oxotoxicity?
- aminoglycosides
- loop diurectics
-
rx for metatarsal fracture?
rest
-
rx for hypercalcemia from malignancy?
bisphosphantes
-
constipation and distended abdomen post sx, cause?
post operative ileus
-
what cardiomyopathy may be reversed?
alcoholic by alcohol cessation
-
4 indications for clopidogrel?
- aspirin allergy
- post UN/NSTEMI
- Post stenting--metal stent 1 month, drug eluting 12 months
- post stemi with stenting
-
rx for scaphoid fracture/?
immobilization for 6-12 weeks
-
-
females are prone to getting what kind of immunodeficiens in life with what symptom?
- IgG3 deficiency
- causing sinupulmonary infections and bloody diarrhea
-
low back pain in pregnancy
increased lumbar lordosis
-
4 components of alcohol withdrawal?
- withdrawal symptoms
- withdrawal seizures
- hallucinosis
- dt
-
why doesnt a matter form antibodies against the A or B blood group in a fetus when she herself is blood O?
she does but the hemolysis is not that severe as against rh
-
flashing lights, floaters, curtain going down over the eyse tells you it is what kind of vision loss?
retinal detachment
-
all factors that cause osteonecrosis do it how?
by impeding blood flow
-
endometritis is caused by what bacteria?
rx?
- polymicrobial
- clinda and aminoglycoside
-
symptoms of endometritis/
- fever
- leukocytosis
- uterine tenderness
- smelly lochia
-
rx for babesiosis?
quinine or atovaquone...like for malaria
-
babesios clue?
hemolysis just like malaria except babesios occurs in the us
-
clue for erlichosis
spotless rocky mountain spotted feverho
-
how u get q fever?
from cattle placenta
-
what happens to elderly and their reflexes?
they diminish and sometimes the dissappear especially the achilles reflex
-
what drugs are not used in wpw?
- av nodal blockesr bc the increases extranodal pathway signals
- use procainamide
-
resecetion of pleomorphic adenoma may damage what nerve?
facial
-
murmur of hocm?
systolic at the left sternal border
-
marked deceased respiration, cause/
opiods
-
do opiods always produce miosis?
no
-
most specific finding for cardiac tamponade?
alternating heights of qrs complexes
-
rx for exercise induced asthma?
beta agonist prior to exercise
-
do you biopsy testiculr or ovarian cancers?
no you resect them
-
what murmrus do not need a further work up?
which ones do?
midsystolic and quit systolic murmurs
all diastolic and continuous murmurs need a further work up
-
sx for basal cell carcinoma?
mohs with 1 or 2 mm margins
-
when do you answer referral on usmle?
in a few very specific cases@!
-
felty syndrome?
ra with splenomegaly and neutropenia
-
what decreases mortality in an pulseless person?
- good cpr
- rhythm analysis
- defib
-
cause of bloddy diarrhea with no fever?
ehec
-
all bloddy diarrhea have fever except?
ehec
-
signs of necrotizing fascitis?
- extereme pain in the absence of erythema
- loss of sensation around the wouund
- crepitus
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