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More Misc
100

At this week of gestation, a Doppler can detect fetal heart tones

the 12th week

100

The most common cause of a hypercoagulable state?


Factor V Leiden mutation 

Antithrombin III deficiency is a common cause of clotting in younger people, as are Protein C and Protein S deficiencies.

100

For a diagnosis of Tourette's syndrome, the tics must occur for this amount of time.

One year

100

A 3-year-old girl is brought to your office.  She is holding her right arm flexed at the elbow with her forearm pronated.  She will not let you near it. What is your diagnosis?

Nursemaid's elbow (subluxation of radial head)

100

Class of immunoglobulins responsible for food allergies

IgE

100

Diagnostic test of choice for determining if a patient has CF

Sweat chloride test  (quantitative pilocarpine iontophoresis sweat test)

200

The most common cause of postmenopausal bleeding

atrophic endometrium or atrophic vaginitis

200

The pathognomonic findings in the  myeloid leukemias?

Auer rods (needle-shaped, lysosomal-like material within the cytoplasm of the leukemic cell) are a key finding in AML

Philadelphia chromosome is important for diagnosing CML

200

This condition is most comonly caused by herpes simplex virus (HSV) activation. Other viruses, trauma, neoplasia, or toxins can also be causative. The end result is damage to the myelin layer of the facial nerve.

Bell's Palsy

200

A 6-year-old child falls onto his right arm. An x-ray demonstrates a buckle in the cortices of the distal radius, proximal to the growth plate, without angulation. This is the term used to describe this fracture?

Torus 

A Torus fracture, also known as a buckle fracture is the most common fracture in children.  It is a common occurrence following a fall, as the wrist absorbs most of the impact and compresses the bony cortex on one side and remains intact on the other, creating a bulging effect.

200

This disorder is characterized by the presence of false beliefs for at least one month

Delusional Disorder

200

Herpangina is a painful lesion in the posterior mouth, typically due to this virus

Coxsackievirus

300

Decline of this hormone heralds the onset of menses

Progesterone

300

Inability to absorb vitamin B12 due to her lack of intrinsic factor is which disease?

Pernicious anemia

300

A 27-year-old man presents to your office with a complaint of numbness and weakness in his feet and fingers that began 24 hours ago. He tells you that two weeks ago he had an upper respiratory infection, but is otherwise healthy. Physical exam 4/5 motor of the lower extremities and absent deep tendon reflexes. Which of the following is the most likely diagnosis?

Guillain-Barré syndrome

300

This is the most common long bone fracture?

Tibia

300

Pityriasis rosea is characterized by this common finding on skin exam that precedes a widespread symmetrical papular eruption

Herald Patch

300

Second-Degree AV Block Type I (Wenckebach or Mobitz Type I)

400

The medication treatment for early ectopic pregnancy

Methotrexate

This drug stops cells from growing, which ends the pregnancy. The pregnancy then is absorbed by the body over 4–6 weeks. This does not require the removal of the fallopian tube.

400

Heinz bodies are associated with both genetic and environmental factors and are linked to certain blood conditions, like this

Hemolytic Anemia

Thalassemia

400

A previously healthy 28-year-old woman presents to your office with complaints of worsening overall muscle weakness and drooping eyelids for the past month. Physical exam reveals a mask-like face with ptosis. Sensory exam and deep tendon reflexes are normal. This is the most likely diagnosis?

Myasthenia gravis

400

A 34-year-old woman presents with elbow pain and diminished arm movement following a fall on her outstretched hand. Physical exam is notable for pain, swelling, and tenderness over the lateral elbow, and inability to fully extend the elbow. THis is the sign you may see on xray that indicates a radial head fracture.

Posterior fat pad sign

400

This is an acquired hyperpigmentation disorder of sun-exposed areas and is often associated with pregnancy or with oral contraceptives or other medications

Melasma

400

A pattern of distrust and suspiciousness such that others' motives are interpreted as malevolent (mistrust and suspicion)

Paranoid Personality Disorder

500

Two medications you could start a patient on with PCOS who would like to get pregnant

Metformin and Clomid

500

This term is used to describe the characteristic concave or "spoon-shaped" nails of iron deficiency anemia


Koilonychia

Koilonychia is a spoon-shaping of the nail itself. It is usually a result of iron deficiency anemia

500

An EEG of a pediatric patient in epilepsy clinic shows bilateral symmetric and synchonous spike-and-wave activity. This is the type of seizure that correlates with this pattern.

Absence

500

The appropriate splint for the fracture pictured:

Thumb spica for scaphoid fracture

500

A 27-year-old nulliparous female presents because she's been trying to get pregnant for two years, but has failed. She relates a history of a misdiagnosis of appendicitis that lead to abscess formation when she was 14 years old. This is the diagnostic study that would be most helpful at this point in her evaluation?

Hysterosalpingogram

500

This is a sign indicative of a basilar skull fracture

Raccoon eyes or Battle sign

600

This is the ultimate treatment for hypertensive disorder of pregnancy

Delivery of infant

600

Diffuse or isolated, painless, persistent lymphadenopathy is the most common presentation: bone marrow involvement is frequent

Non-Hodgkin's lymphoma

600

WHen performing an LP on your patient there is an elevated opening pressure, an elevated WBC count, and elevated protein concetration indicating this type of meningitis

Bacterial Meningitis

600

This diagnostic tool is necessary to confirm the diagnosis of scoliosis?

x-ray/radiograph

600

This diaper rash is distinguished from irritative contact deratitis by the presence of satellite lesions and tends to be more inflamed

Candida

600

Epidural hematomas ar associated with this artery

Middle Meningeal

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