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only PAs for me
ewwww what is that?
Potpourri
rheumatologic
riddles
everbody poops
100
A patient presented to the er with decreased mental status. Patient was found to have high anion gap metabolic acidosis. Name 4 causes-
What is methanol, uremia, dka, propylene glycol/paraldehyde, Iron/inh, lactic acidosis, ethylene glycol, salicylates
100
excessively reduced blood flow in response to cold or emotional stress, causing discoloration of the fingers, toes, and occasionally other areas
What is raynaud's phenomenon
100
the name of the triad that includes ruq pain, fever, jaundice
What is charcots triad
100
this vitamin deficiency can result in dementia, decreased sensation, ataxia, decreased strength, macrocytic anemia
What is b12 deficiency ie cobalamin
100
first line treatment for patient requiring admission for cdiffe colitis who has white count 23,000 and delirium.
What is po vancomycin
200
Patient was a 62 year-old female with hx of HTN, DM who presented to er with chest pain. Pt found to have NSTEMI. Name at least 3 medications this patient should receive to decrease overall mortality
What are Aspirin Plavix/Ticagrelor Heparin gtt/lmwh Ace-i/Arb B-blocker Lipitor/zocor etc
200
A chronic inflammatory condition of the apocrine sweat glands, usually in the axilla (arm pit)
What is Hidradenitis Suppurativa
200
name the 3 parts to Virchow's Triad
What are stasis endothelial injury hypercoagulability
200
A 62 year-old male with history of CRF and HTN presented to ER with complaint of severe right knee pain/swelling. He denied trauma/fever. He underwent joint aspiration which revealed blunted rhomboid crystals with weakly positive birefringence which is consistent with what disorder?
What is calcium pyrophosphage dihydrate/pseudogout
200
If you develop this type of bacteremia you should undergo a colonoscopy to evaluate for colorectal cancer
What is strep bovis
300
A 68y/o male with htn, dm was admitted with sob and found to have acute chf with mod-severe lv dysfunction. List at least 3 medications that can decrease mortality in patients with LV dysfunction.
What are toprol xl/carvedilol/biso ace-i arb nitrates/hydralazine spironalactone
300
a parasitic disease that is caused by thread-like roundworm that can cause lymphedema
What is Filariasis
300
A 78 year-old man has a 2-month history of increasing memory loss and impaired judgement, as well as +gait ataxia with some occasional urinary incontinence. His most likely diagnosis?
What is normal pressure hydrocephalus
300
This syndrome associated with urethritis, conjunctivitis, asymmetric arthritis.
What is Reiters syndrome
300
malabsorptive disease associated which can have some association with intestinal lymphoma
What is celiac disease
400
A 53 y/o male with hx of esrd who has missed dialysis for last week presented with sob. On initial EKG patient found to have peaked T waves. Administration of what treatment should be performed immediately?
What is calcium
400
was told by my old ID attending- don't worry they are great debriders
What are maggots
400
Name of the sign(and disease) that in which forced flexion of the neck elicits a reflex flexion of the hips
What is Bruzinkski's sign- meningitis- also seen in subarachnoid bleed
400
A 52 year-old man has a 4 month history of progressive exertional breathlessness without associated cough. He also had some dysphagia to both solids and liquids. Examination shows thickening of the skin of the face and hands. Telangietasias are noted on the face. Chest x-ray shows diffuse pulmonary fibrosis. This is the patient's most likely diagnosis.
What is systemic scleroderma?
400
this liver disease associated with jaundice, xanthoma, cirrhosis with +ama and is more common in patient with gluten sensitivity enteropathy
What is primary biliary cirrhosis.
500
List the three main components of Parkinson’s disease.
What are bradykinesia- main with resting tremor, rigidity, and postural instability
500
Patient is a 63 year-old male who presented with complaint of genital ulcer. He hasn't been sexually active in over 10 years and has no penile discharge. On exam he was also found to have multiple apthous ulcers in mouth and uveitis on eye exam. Diagnosis is probably?
What is Bechet's syndrome? small vessel vasculitis that can also involve visceral organs such as the gastrointestinal tract, pulmonary, musculoskeletal, cardiovascular and neurological systems. This syndrome can be fatal due to ruptured vascular aneurysms
500
A 52y/o alcoholic was found on the street and brought in by ems. Patient was found to have ataxia/opthalmoplegia and was confabulating. Patient is suffering from what disorder and what is the treatment?
what is Wernicke-Korsakoff and treatment is B1 ie thiamine
500
name at least 6 of the 11 diagnostic criteria for sle
What are malar rash, photosensitivity, discoid rash, oral ulcers, arthritis, serositis-pleuritis/pericarditis, hematologic- hemolytic anemia, thrombocytopenia/leukopenia, neuro- seizure/psychosis, renal, immunnologic- anti- dsdna/anti-smith, anti-phospholipid, and ana
500
this type of ulcer can be seen in patients with crohn's disease
What is pyoderma gangrenosum