Study guides, Class notes & Summaries

A 10 year-old female experiences fever and polyarthralgia. On examination you note a new early diastolic murmur. Laboratory results are positive for antistreptolysin O. The patient has no known drug allergies. Which of the following is the recommended prophylaxis for this condition? A. Doxycycline B. Erythromycin C. Benzathine penicillin G D. Trimethoprim/sulfamethoxazole - Answer (u) A. Doxycycline and Bactrim are not indicated for the prophylaxis of recurrent rheumatic fever. (u) B. E...

What test is the single most useful test in establishing the diagnosis of multiple sclerosis? - MRI On physical examination you note diminished breath sounds over the right lower lobe with decreased tactile fremitus and dullness to percussion. Which of the following is the most likely cause? - Pleural Effusion A 38 year-old male sustained a fracture of the left distal tibia following a 25-foot fall and is taken to the operating room for an open reduction internal fixation of the distal tibi...

A 16 year old has just moved schools. He is quiet, moody and not like himself at all. Within six months he seems to have completely changed back to his previous personality. What is the most likely diagnosis? - Adjustment disorder What is the prophylactic antibiotic most commonly given before a dental procedure if one is necessary? - Amoxicillin 2 grams po 1 hour before procedure Wilson's disease is associated with a build up of what mineral? - There is a deficiency of the copper binding ...

History & Physical/Dermatology A patient presents with a rash, characterized by red macules and edematous papules with a clearing center. This best describes which of the following? Answers A. erythema marginatum B. erythema multiforme C. varicella D. impetigo - Explanations (u) A. Erythema marginatum is associated with rheumatic fever and is characterized by macular to maculopapular lesions. A clearing center is not found in the rash. (c) B. Target lesions, also termed iris lesions, a...

Cardiology : Clinical Intervention, Constrictive pericarditis ROSH: Treatment includes NSAIDs, corticosteroids and colchicine. Drainage and antibiotics are usually necessary if an infectious etiology is found. PA EASY: Transthoracic echocardiography, would allow for monitoring of a patient with acute pericarditis, to determine if a pericardial effusion and/or cardiac tamponade develops. Exam Master: Most cases are due to viral infections with the treatment being rest and non-steroidal agen...

History & Physical/ENT/Ophthalmology A 4 year-old child presents with a rapid onset of high fever and extremely sore throat. Which of the following findings are suggestive of the diagnosis of epiglottitis? Answers A. Croupy cough and drooling B. Thick gray, adherent exudate C. Beefy red uvula, palatal petechiae, white exudate D. Inflammation and medial protrusion of one tonsil Explanations (c) A. A croupy cough with drooling in a patient who appears very ill is consistent with epiglottit...

When performing a pre-participation sports physical in the adolescent population, a murmur with which of the following qualities indicates a risk for sudden death during exercise? A. Increases with the Valsalva maneuver B. Increases with squatting maneuver C. Associated with a mid-systolic click D. Mid-systolic without radiation to the carotids A At the time of ovulation in a normal menstrual cycle, there is a peak in the serum concentration of which of the following? A. Luteinizing hor...

Is staph gram (+) or gram (-) gram (+) What are the two main causes of aortic stenosis? congenital bicuspid valve and calcification of the valve secondary to coronary artery disease You notice drusen deposits on fundal exam. What is the most likely diagnosis? Macular degeneration List the 5 insulins in order of peak efficacy? Lispro: 1-2 hrs, regular: 2-4 hrs, NPH: 5-7 hrs, Lente: 4-8 hrs, Ultralente: 8-14 hrs What would you expect to see on a KOH prep if the patient had vaginal cand...

History & Physical/Dermatology A patient presents with a rash, characterized by red macules and edematous papules with a clearing center. This best describes which of the following? Answers A. erythema marginatum B. erythema multiforme C. varicella D. impetigoExplanations (u) A. Erythema marginatum is associated with rheumatic fever and is characterized by macular to maculopapular lesions. A clearing center is not found in the rash. (c) B. Target lesions, also termed iris lesions, are ...

A 55-year-old non-smoking male presents with a hemoglobin of 18.5 g/dl and a hematocrit of 56%. Which of the following physical examination findings Answers A. Splenomegaly B. Cheilosis C. Purpura D. Decreased vibratory sense Explanations (c) A. PATIENTS WITH POLYCYTHEMIA VERA PRESENT WITH ELEVATED HEMOGLOBIN AND HEMATOCRIT. ON PHYSICAL EXAMINATION PLETHORA, ENGORGED RETINAL VEINS, AND SPLENOMEGALY ARE COMMON. (u) B. Cheilosis is noted in iron deficiency anemia. (u) C. Purpura is typical...