Solutions
Tabes dorsalis Correct Answer - loss of coordination of
movement (syphilis related)
Secondary Syphilis symptoms Correct Answer - 1.
Maculopapular rash- Trunk, Soles, Palms
2. Lymphadenopathy- bilateral axila and/or groin
3. Malaise
4. Low-grade fever
5. No- painless chancre
Neuro syphilis Correct Answer - tertiary syphilis
Tertiary syphilis symptoms Correct Answer - Dorsal column
affected:
1. Tabes dorsalis
2. lost 2 point descrimination
3. Argyl-Robertson people
Kaposi Sarcoma cause Correct Answer - HHV-8 (common in
HIV)
Kaposi Sarcoma symptoms Correct Answer - Widespread
Violacous (lacy or purplish) papules and plaques.
Kaposi Sarcoma diagnosis Correct Answer - Biopsy (idicative
of AIDS and CD4+ count <500)
Kaposi Sarcoma treatment in HIV Correct Answer - HAART (to
keep CD4+ count up)
, Rocky Mountain spotted fever symptoms Correct Answer - 1.
Arthralgias
2. Myalgias
3. Fever
4. Macular rash- palms & soles
5. (no adenopathy)
5. tick exposure
Digoxin most common side effect Correct Answer - cardiac
arythmia
Digoxin MOA Correct Answer - cardiac glycoside:
1. Directly inhibit Na/K ATPase
2. Indirectly inhibits Na/Ca exchanger--> + Inotropy
3. inhibits neuronal Na/K-ATPase--> Increased vagus--> decreased
HR
Digozin inidications Correct Answer - CHF:
1. increases inotropy
SVTs:
1. Decreases AV conduction
2. Depresses SA node
Inotropy Correct Answer - force of contraction
Early Digoxin toxicity Correct Answer - 1. Anorexia
2. Nausea
3. EKG changes
Late Digoxin Toxicity Correct Answer - 1. Disorientation
2. Visual changes