PANRE EXAM 5 WITH 100% CORRECT ANSWERS

injury to the ulnar collateral ligament, caused by forced thumb abduction, leading to increased laxity of valgus stress of thumb skiers thumb (chronic version is gamekeepers thumb) fx at base of first metacarpal bone bennetts fx (comminuted form is called rolandos fx) what type of pneumonia does pt with underlying pulmonary disease (COPD, bronchiectasis, CF, DM) haemophilus influenzae pneumonia occurs after viral infections and associated with cavitations staph aureus penumonia from Ohio/Mississippi river valley area (pittsburgh), bird or bat droppings histoplasma capsulatum common migraine vs classic migraine no aura with common aura with classic stabbing periorbital pain with ipsilateral manifestations of rhinorrhea, lacrimation cluster HA headache d/t increased intracranial pressure, causes NV, vision changes pseudotumor cerebri when is sumatriptan for migraine HA tx contraindicated? history of CAD (causes vasoconstriction that can lead to ischemia) preferred method for evaluating severity of proteinuria spot urine albumin: creatinine ratio used to estimate glomerular filtration rate in pts with CKD 24 hour urine creatinine collection autonomic instability, incontinence, hypersalivation, hyperthermia, lead pipe rigidity, hyporeflexia, possible rhabdomyolysis neuroleptic malignant syndrome (caused by increasing dose of dopamine antagonists - 1st gen antipsychotics) tx of neuroleptic malignant syndrome dopamine agonist (bromocriptine, amantadine) and dantrolene to reduce fever/muscle rigidity autonomic instability, tremors, hyperthermia, with mydriasis, diarrhea, and abdominal cramps serotonin syndrome first line management of atrial flutter or fibrillation BB or CCB jones criteria rheumatic fever carditis sydenhams chorea erythema marginatum subcutaneous nodules arthritis macular, erythematous, nonpruritic, enlarging annular rash with rounded, sharply demarcated edges, no central clearing, blanches with pressure erythema marginatum rash assoc with lymes disease rash assoc with rheumatic fever rash assoc with sarcoidosis, coccidiomycosis, TB rash assoc with fifths disease erythema migrans erythema marginatum erythema nodosum erythema infectiosum expanding, warm, annular erythematous rash with central clearing (bulls eye or target appearance) erythema migrans painful, erythematous, inflammatory nodules seen on anterior shins erythema nodosum dusty violet or red purpuric macules with vesicles or bullae in center (target appearance) erythema multiforme erythematous rash with circumoral pallor, progesses to lacy reticular rash on ext, spares palms and soles erythema infectiosum DOC for melasma topical hydroquine centor criteria possible strep pharyngitis Lymphadenopathy Exudates Absence of cough Fever most common form of fungal meningitis cryptococcal diagnostic test for crytococcal meningitis india ink and cryptococcal antigen CSF decreased glucose, elevated WBC count, lymphocytosis fungal meningitis CSF increased WBC count, normal glucose, and lymphocytosis viral meningitis diagnostic test for viral meningitis (herpes simplex, varicella zoster, and cytomegalovirus) tzanck smear - looks for multinucleated giant cells systolic ejection murmur, crescendo-decrescendo heard best at LUSB, with prominent S1 and widely fixed, split S2 sound atrial septal defect systolic ejection murmur that radiates to the back or scapula, delayed weak femoral pulses, and asymmetrical BP measurements between arms of 20mmHg coarctation of aorta continuous machinery murmur patent ductus arteriosus systolic ejection crescendo murmur that radiates to the neck and assoc with a weak, delayed upstroke of peripheral pulses aortic stenosis most useful tumor biomarker for epithelial cell ovarian cancer CA-125