Show:
Cardiology
Endocrine
Neuro
ID
Hematology
100
What % of MI's are clinically unrecognized?
20%
100
What is the target LDL goal for pt's w/ DM?
w/ DM...< 100 w/ CAD... ??
100
After how many minutes of cerebral anoxia does irreversible brain injury set in?
4 minutes
100
What tick-borne disease is harbored in wild rabbits?
Tularemia(skin ulcer, fever, rash, hepatosplenomeg; txt: streptomycin)
100
Name the most common inherited bleeding disorder.
von Willebrand Dis
200
Which HTN meds should be AVOIDED in diabetics?
Diuretics and BBlockers(increase insulin resistance)
200
What are the 2 hallmark clinical features of myxedema coma?
decompensated hypothyroidism... 1) coma/AMS 2) hypothermia
200
What is the most common presenting symptom of Multiple Sclerosis(MS)?
Optic Neuritis
200
What is most common organism found in... 1) dog/cat bites? 2) human bites?
1) Pasteurella multocida 2) Eikenella/polymicrobe Rx for both: augmentin/doxy/bactrim
200
What is the only coagulation factor not synthesized by hepatocytes?
factor VIII(made by liver sinusoidal cells and extra-hep endothelial cells)
300
Name the two cardio-selective BBlockers.
Metoprolol and Atenolol. (look MA, only the heart)
300
What is the cause of central pontine myelinolysis?
Brain dehydration after too rapid correction of severe hyponatremia. Goal < 12mEq/hr
300
A 50yo F w/o head trauma presents with dementia, urinary incontinence, and gait ataxia. What is the diagnosis?
Normal pressure hydrocephalus.
300
A 18yo M pt recent camping, fever, HA, myalgias, and centripetal spreading maculo-pap, petichial rash. What is diagnosis?
RMSF. (Rx is tetracycline)
300
How much is H/H expected to increase after 1U of PRBC?
Hgb...up by 1 g/dL Hcrt...up by 3%
400
Name two ways to treat WPW.
Cardioversion(esp if unstable) or procainamide.
400
A 22yo female pt presents with obesity, hirsutism, amenorrhea. What diagnostic test and treatment would you initiate?
US: bilateral enlarged polycystic ovaries txt: metformin, OCPs
400
A 50yo F presents with intermittent diplopia, blurred vision, and muscle weakness that worsens throughout the day. What is the diagnosis?
Myasthenia gravis
400
What is the pathognomonic histo finding in rabies?
Negri Bodies(eosinophilic intracellular lesions in cerebral neurons)
400
Name 3 major proteins that inhibit clotting.
1) Antithrombin III 2) Protein C 3) Protein S
500
Name the 5 signs of Infective Endocarditis.
1) splinter hemorrhages(fingernails) 2) Osler nodes(painful, nodular, hands/feet, immune comp) 3) Janeway lesions(painless, macular, palms/soles, spetic emboli) 4) petechia 5) Roth spots(retinal hemorrhages)
500
Name 4 signs of hypercalcemia.
Stones...kidney stones Bones...osteolysis Groans...abd cramps, pancreatitis Psych overtones...psych/mood disorders
500
A 50yo F with small cell lung cancer, has symptoms of ptosis, double vision, and proximal muscle weakness worse in the mornings. What is the diagnosis?
Lambert-Eaton Syndrome(paraneoplastic)
500
Name 3 of 5 causes of false positive for VDRL/RPR?
1) infectious mono 2) connective tissue dis 3) TB 4) endocarditis 5) IVDU
500
When treated DVT, why start warfarin and heparin at the same time?
1) 2-3d for warfarin to reach steady state 2) warfarin(antagonizes vit K-dep synthesis) thus initially lowers prot C leading to temporary hypercoagulable state)