I got the Chest pains
what sound is heard in mitral valve prolapse?
mid systolic click
what do we do for the most common benign tumor of infancy, it is purple raised and lobulated if it is in a high risk area like near the eyes?
propranolol and ophthalmology referral
a patient comes in after doing a work up and they have punched out lesions on their skull CT as well as bence jones proteins in their UA, what is the diagnosis?
Multiple myeloma
what stomach GI bug is associated with Guillen bare?
campylobacter jejuni
after how many months is it considered infertility when a couple is trying to make babies?
12 months
most common bacteria that causes endocarditis in a IVDU and in a non IVDU? 2 answers
Staph aureus in IVDU
Strep viridians in non IVDU
what rash is pathognomonic for a disease that will have elevated TTG
Dermatitis herpetiformis
What test is used to determine if a patient has pernicious anemia?
Schillings test (assess body's ability to absorb vitamin B12)
a patient comes in with thick yellow nails, what is first line therapy for this condition? (route and medication)
Oral terbinafine
luteal phase
What is a common side effect of alpha blockers?
1st dose syncope
treatment for contact dermatitis?
2 weeks steroid taper
2 questions:
what is a severe side effect that can occur with rapid correction of hyponatremia and hypernatremia?
Hyponatremia= Osmotic demyelination syndrome
Hypernatremia= cerebral edema
treatment for lyme disease in non pregnant patient and pregnant patient? 2 answers
non= doxycycline
pregnant= amoxicillin
A mother at 31 weeks comes in in preterm labor what is your 1st line tocolytic to stop the labor process
Magnesium sulfate
what is the EKG finding in a person with cardiac tamponade?
skin colored dome papules in kids is caused by what bug?
poxvirus
you have a patient with thrombocytopenia, Anemia,
Fever, Acute Renal failure, and CNS symptoms, what enzyme is associtated with this condition?
ADAMTS enzyme
a Patient has elevated liver enzymes after not being treated for PID, what is it?
fitz-hugh curtis syndrome
how often does b-HCG double in a normal pregnancy?
48 hours
what are the first EKG changes seen in an acute MI?
hyper acute T wave changes
well demarcated hypopigmented macules on the skin is caused by what bug?
malsezia furfur
what are Auer rods associated with?
what are smudge cells associated with?
What chromosome is associated with CML?
AML
CLL
Philidelphia chromosome
what HPV strains are associated with cancer? and when does the vaccination go from 2 doses to 3 doses?
16 & 18
9-14 =2 doses
15-45= 3 doses
how long can a mother be in her baby blues before its considered postpartum depression?
10 days