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Update, 2025-2026.
_____________Quiz____________?
abnormal laboratory tests with ______________ include
-- increased LFT, NH4+
-- decreased Glucose -
Answer✓✓
Reye syndrome
tx- Treatment is aimed at reducing intracranial pressure and supportive care.
SE- cerebral edema and fulminant heptitis
_____________Quiz____________?
mechanical mitral valve replacement on warfarin presents to the office for routine management
of his anticoagulant medication. What is the target international normalized ratio range for this
patient? -
Answer✓✓
INR 2.5 to 3.5 (mechanical valve)
INR 2.0 to 3.0 (organic valve)
1
,_____________Quiz____________?
LBP worse with walking, radiating to both legs,
+ paresthesia, +weakness
+ worse pain with spine extension -
Answer✓✓
Spinal Stenosis
- LBP worse with extension better with forward flexion/bending
patho: degeneration of intervertebral disc, decrease in height with bulging into the spinal canal
dx- MRI
Tx- PT and surgery
_____________Quiz____________?
Decreased light touch and vibration sensation*** -
Answer✓✓
nerve compression
neuropathy
_____________Quiz____________?
IVDU (heroin use), conjunctival hemorrhages, small red macular lesions on B/L palms and soles,
new murmur on left sternal border -
2
, Answer✓✓
infective endocarditis
dx based on:
-Two Major (+blood cx, +echo, +valve regurg)
-one major - three minor
- 5 minor (F, IVDU,
*Most often elevated lab marker- rheumatoid factor*
_____________Quiz____________?
Rash starting at the face spreading to B/L knee and wrist rash. + fever, + posterior cervical and
posterior auricular lymphadenopathy -
Answer✓✓
Rubella
-- maculopapuar rash - pinpoint, pink
- posterior cervical/ auricular and suboccipital lymph nodes
- low grade fever
- JOINT pain
-
Complications: hearing loss (congenital)
Dx- IgM antibodies, enzyme immunoassay
3
, Tx- supportive, vaccinations
_____________Quiz____________?
SUPER HIGH fever (104F) -->
FEVER resolves-->
RASH (blanching, maculopapular rash) begins on chest then spread to face and extremities -
Answer✓✓
RoSeola (Super High F, and sixth dz)
HHS 6
*roses that start in chest and bloom to face/ extremities*
_____________Quiz____________?
LOW grade fever, coryza (aka runny nose/ congestion), cough, conjunctivitis, malaise, koplik
spots -
Answer✓✓
rubeola / measles
dx- mesles IgM serum antibody
recommendations- isolate
tx- supportive
_____________Quiz____________?
constipation, what medication could safely be added -
4