| 2027 (Newest Update Rated A)
Quiz_________________?
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patient with IOP of 32mmHg, what do you expect during fundoscopic exam
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- acute high fever, enlarged lymph. BRIGHT RED RASH, conjunctivitis, dry cracked lips,
strawberry tongue, Swollen hands, feet, AFTER the fever resides the rash PEELS on
hands/feet. Treated with high dose aspirin and gamma globulin. This is TOXIC and
VASCULAR, think blood clots, heart problems etc. Treat: high dose aspirin. EXAM -
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Kawasaki disease
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- chronic small acne like papules/pustules around nose mouth chin. TREATMENT- Metrogel,
Azelex. Low dose tetracycline. Clindamycin. EXAM -
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Acne Rosacea
1
, Quiz_________________?
- Shoulder shrug/ ROMBERG test EXAM -
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CN IX Glossopharyngeal
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-Age 45 - 54 yearly mammogram
-55 and older every 2 years -
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Mammography Screening
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-paroxysmal (sudden, periodic) attacks of mostly unilateral headache, often accompanied by
disordered vision, nausea, or vomiting, lasting hours or days and caused by dilation of
arteries.
4-12 hours,
abortive triptans
prophylaxis propranolol, TCA amitriptyline, anticonvulsants topiramate -
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migraine headache
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-tension pneumothorax,
2
, -Rt. sided heart failure,
-cardiac tamponade,
-traumatic axphysia from
Increase in portal pressure(LIVER) in venous side or cor pulmonale -
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JVD caused by
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"contagious 48 h. before, until all lesions crusted over" low grade fever, generalized
lymphadenopathy, intense itching, erythematous macules, papules develop over macules,
then vesicles erupt. "initially on trunk, then scalp and face" TREATMENT supportive,
antihistamines, acyclovir 20mg/kg 5xd. If given first 24 hours works best. EXAM -
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Varicella Zoster
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"sandpaper textured-pink rash with sore throat" strawberry tongue, rash starts on head and
neck, spreads to trunk. The skin THEN desquamates. EXAM -
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Scarlet fever- scarlantina
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"stringy; increased tearing" PO antihistamines. Type I sensitivity. Typically bilateral. Rhinitis
and allergic shiner. -
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Allergic Conjunctivitis
3
, Quiz_________________?
(Holo/pansystolic)- radiates to axilla. Think Mitral area 5th ics MCL.
Aortic Stenosis (mid systolic ejection) radiates to neck. Think 2ics rsb. -
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Mitral Regurg
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(Systolic Murmur) Only systolic murmurs will radiate to a location on the exam. -
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MR. ASS
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>5 mm in an immunocompromised patient or close contact
>10 mm in immigrant, health care workers, drug user
>15 mm in a patient who lives in an area where TB is very rare. -
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TB... PPD is positive if area of induration is:
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12 step program -
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Treatment for chronic alcoholism:
4