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57 Cards in this Set
- Front
- Back
Atypical Microbiology for endocarditis?
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HACEK, Bartonella, Coxiella, Brucella, Tropheryma whipplei
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HACEK, Bartonella, Coxiella, Brucella, Tropheryma whipplei require […] for Dx:
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All require PCR due to negative culture for diagnosis
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What is HACEK?
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Haemophilous spp., Actinobacillus actinomycetemcomitans, Cardiobacterium hominus, Eikenella corrodens, Kingella spp.
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2. Inflammatory Bowel Disease (IBD) --> Extra Intestinal Manifestations are:
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Musculoskeletal Disorders: Peripheral, large joint and Ankylosing spondylitis; Dermatological Disorders: Erthema Nodosum, Pyoderma Gangrenosum; Uveitis/episcleritis; Hepatobiliary problems
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3. Bloody Diarrhea low back pain (sacrolieac)?
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Inflammatory Bowel Disease
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4. Treatment for ulcerative colitis?
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mesalamine (5-ASA)
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5. Prolactinoma first treat with -->
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Bromocriptine medical therapy
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6. Adrenal Insufficiency – Metabolic Acidosis, Hyperkalemia, Hyponatremia-->
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oral cortical steroids
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GH tumor – measure […] hours after an oral glucose load
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GH tumor – measure 2 hours after an oral glucose load
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GH is diabetogenic- insulin […]
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GH is diabetogenic- insulin antagonist
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What hormones compete with insulin?
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Compete with insulin: epinephrine, cortisol, glucagon, GH.
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HBsAg indicates what?
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HBsAg active Hep B
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HBsAb indicates what?
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HBsAb indicates exposure
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HBeAg indicates what?
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HBeAg highly infectious
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IgG in hepatitis indicates what?
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IgG chronic
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IgM in hepatitis indicates what?
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IgM acute
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differentiating between Hep B & C -->
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Hep B sexually Transmitted; Hep C IV drug user, transfusion
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Hep B, low Blood Pressure -->
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10. High levels of viral load warrant therapy
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11. Persistent hyperglycemia makes […] worse
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11. Persistent hyperglycemia makes DM worse
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Type I DM most common group?
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Caucasian, Nordic, white European
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13. Longest Acting Insulin?
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Glargine insulin longest lasting 24hrs? (Need baseline insulin)
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T or F: 14. Corticosteroids NOT a risk factor for IE
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TRUE
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risk factors for infectious endocarditis?
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Pulmonary-systemic shunts, IV drug use, prosthetic valves, congenital abnormalities, rheumatic heart disease and previous endocarditis ARE
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Native Valve Endocarditis
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Streptococcus viridans
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16. **IV Drug (meth) abuser -->Endocarditis --> Staph aureus --> Seeding from Tricuspid into the Lungs
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--> Diffuse Embolic infections
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17. Painful swelling in the neck -->
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Subacute De Quervain’s Thyroiditis
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18. Graves Disease -->
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Increased uptake of radioactive iodine (low I23 uptake)
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19. Sick Euthyroid -->
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Increase reverse T3 uptake
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20. Cold Thyroid Nodule -->
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diagnosis with fine needle aspiration (biopsy)
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T3 and T4 uptake go […] in thyroid disease
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T3 and T4 uptake go in same direction in thyroid disease
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21. Smoker pneumonia?
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H. influenza, 2nd generation cephalosporin
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22. TB what do you do?
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place in isolation test for HIV, PPD, stain for acid fast
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23. Walking (Community) Pneumonia --> bad chest X ray, not that sick of a patient. Number one cause of walking pneumonia?
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#1 cause = viral
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23. Walking (Community) Pneumonia --> bad chest X ray, not that sick of a patient. Number two cause of walking pneumonia?
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#2 cause mycoplasma (No gram stain)
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24. PORT Score?
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pneumonia severity index the higher the score the poorer the prognosis
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25. Camping Diarrhea?
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Giardia Lambia
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26. Rota Virus?
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# 1 cause of Diarrhea in Kids
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27. Bilateral flank pain, pyelonephritis + Ab --> Clostridium diffeicle -->
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Pseudomembranous Colitis
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28. Pseudomembranous colitis drugs?
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clindamycin and cipro --> Clostridium diffecile -->Bacterial Toxins
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29. Stress + icteric sclerus, elevated serum + indirect bilirubin?
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Gilberts Syndrome
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30. **Heart Failure, Cirrhosis, and Nephrosis all cause […] Aldosterone states and Edematous states
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30. **Heart Failure, Cirrhosis, and Nephrosis all cause increase Aldosterone states and Edematous states
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31. Chronic (>1month) Herpes Simplex (mucocutaneous or esophageal infection) is diagnostic of
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AIDS
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32. Friend wants to know if he has HIV -->
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Saliva ELISA and Western blot NOT p24
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33. Mid 1990’s […] the big break through for AIDS
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33. Mid 1990’s Protease Inhibitors the big break through for AIDS
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34. Patient with Histoplasmosis and HIV is given treatment and pt. worsens -->
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Immune Reconstitution Syndrome, give steroids
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35. Liver Disease runs in the family, emphysema from what?
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alpha 1 anti trypsin deficiency (PiZZ haplotype)
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hemolysis = Risk Factor for what?
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36. Cholethithiasis
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37. ALCOHOL is the Number 1 cause of […] (Pancreatits)
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37. ALCOHOL is the Number 1 cause of Chronic (Pancreatits)
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38. Acute Pancreatitis =
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alcohol or gallstones
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39. Spontaneous Bacterial Peritonitis
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gram negative rods
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40. Serum-ascetic albumin gradient > 1.1. What is the cause of portal ascites?
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Portal HTN is the cause of ascites
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41. Elevated PT / INR, Impotence, PT hepatic encephalopathy:
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not due to portal HTN due to dead liver; not due to an increase in portal pressure, but due to hyperestrogen state
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Palmar Erythema due to […]
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Palmar Erythema due to estrogen
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Gynecomastia due to […]
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Gynecomastia due to estrogen
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Ways you get pneumonia…
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42. answer: all of the above
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early morning sputum properly collected
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TB
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SAGG
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serum ascetic gradient
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