INTERNAL MED- EOR QUESTIONS
Science Medicine Primary Care
INTERNAL MED- EOR QUESTIONS
5.0 (2 reviews)
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Flashcard sets Study guides
PAEA Internal Medicine EOR Internal Medicine EOR (193 Topic Q... Surgery EOR: Gastrointestinal (Smar... The Fin
726 terms Teacher 324 terms Teacher 253 terms 1,216 term
bluetooth_tiger Preview SmartyPANCE Preview SmartyPANCE Preview ksu
Terms in this set (414)
Treatment for SIADH Fluid restriction
Heinz bodies G6PD deficiency
X-linked recessive
Low PTH = low or high Ca LOW Calcium
Tetany Hypocalcemia
Chvostek sign (contraction of facial muscles after tapping
facial nerve) Hypoparathyroidism
Trousseau sign (induction of carpal pedal spasm)
Paresthesias (fingertips and perioral) PS: high phosphorous
Prolonged QT interval
, INTERNAL MED- EOR QUESTIONS
Paresthesias, muscle cramping or spasms, bowel or Multiple sclerosis
bladder dysfunction, ataxia, tremor, cognitive changes,
facial weakness, and facial muscle twitching
CSF will show ↑ IgG protein, WBC pleocytosis Multiple sclerosis
Dry eyes (Xerophthalmia) and dry mouth (Xerostomia) Sjogrens
Labs for Sjogrens Labs will show SSA (anti-Ro) or SSB (anti-La)
Dx: + Schirmer test
An 80-year-old woman with a 36-pack-year history of Idiopathic pulmonary fibrosis
smoking tobacco presents with a chief complaint of
increasing dyspnea on exertion over the past six months.
Physical exam reveals clubbed digits and bilateral lower
lung crackles. Computed tomography shows
honeycombing of the lung parenchyma. What is the most
likely diagnosis?
HIV CD4 related illnesses < 250: Esophageal candidiasis
< 200: PCP pneumonia
< 100: Cerebral toxoplasmosis, Cryptococcosis
< 50: Mycobacterium avian complex- ppx: Azithro
A 24-year-old woman presents to the Emergency TTE
Department with fever and shortness-of-breath for the
last 48 hours. Her past medical history is significant for Infective endocarditis is an infection of the endocardium of the heart. In general,
recent IV drug abuse. On physical exam, you auscultate a this infection occurs at one or more of the valves of the heart. Significant risk
pansystolic ejection murmur best heard at the left lower factors include advanced age, male gender, injection drug abuse, poor dentition,
sternal border. You also note nontender macular lesions and prosthetic heart valves. In the setting of injection drug abuse, the tricuspid
on the palms of her hands and soles of her feet. valve is most commonly affected. Signs and symptoms include fever, malaise,
Laboratory analysis is significant for a white blood cell exercise intolerance and a new-onset heart murmur. Janeway lesions (nontender
count of 20,000/mcL, erythrocyte sedimentation rate of erythematous macular lesions of the palms and soles), Osler nodes (tender lesions
67 mm/hour, and C-reactive protein of 6.5 mg/L. Which on the pads of fingers and toes) and Roth spots (hemorrhagic retinal lesions) may
imaging modality would be most appropriate to confirm also be found and are highly suggestive of infectious endocarditis. Transthoracic
your diagnosis? echocardiography is the primary imaging modality indicated for evaluation of
infective endocarditis. Transthoracic echocardiography is preferred due to the
non-invasive approach combined with high sensitivity and specificity. Many
patients may also require transesophageal echocardiography to rule out
complications such as abscess, leaflet perforation, and pseudoaneurysm. Due to
its invasive approach, however, it is not generally recommended as first-line
imaging.
Diagnosis is made by 24-hour excretion of 5- Carcinoid Syndrome
hydroxyindoleacetic acid
Skin flushing
Diarrhea
, INTERNAL MED- EOR QUESTIONS
Blanching maculopapular rash around the wrists and Rocky Mountain spotted fever
ankles and has a centripetal spread toward the body.
Rickettsia rickettsii
Tx: ALWAYS doxy
ANCA negative Polyarteritis nodosa
HIGH ESR
renal or mesenteric angiography: microaneurysms with Management: corticosteroids
abrupt cut-off of small arteries
PE: HTN, nothing on lungs, inflammation of nerve
Ship builder with pleural plaques, pleural thickening, Asbestosis
interstitial fibrosis
CT= honeycomb lung, primarily lower lobes Asbestosis
Older M with rectal bleeding with hemorrhoid. Yes!
Colonoscopy?
Guy with high H&H. PE finding: splenomegaly
Nephrotic syndrome PE P: Proteinuria
A: low Albumin
L: high Lipids
E: Edema
UA= fat bodies (maltese cross shaped) Nephrotic syndrome
Kid with gum bleeding after dental surgery who has vWb, Desmopressin
what do you give? vWF
Factor VIII concentrate
18 yo M with testicular pain, swelling, redness. Tx? Surgery!
HIV pt with positive PPD but negative xray. Tx? INH 300 PO QD +
Pyridoxine 25mg PO QD x 12 months
Science Medicine Primary Care
INTERNAL MED- EOR QUESTIONS
5.0 (2 reviews)
Students also studied
Flashcard sets Study guides
PAEA Internal Medicine EOR Internal Medicine EOR (193 Topic Q... Surgery EOR: Gastrointestinal (Smar... The Fin
726 terms Teacher 324 terms Teacher 253 terms 1,216 term
bluetooth_tiger Preview SmartyPANCE Preview SmartyPANCE Preview ksu
Terms in this set (414)
Treatment for SIADH Fluid restriction
Heinz bodies G6PD deficiency
X-linked recessive
Low PTH = low or high Ca LOW Calcium
Tetany Hypocalcemia
Chvostek sign (contraction of facial muscles after tapping
facial nerve) Hypoparathyroidism
Trousseau sign (induction of carpal pedal spasm)
Paresthesias (fingertips and perioral) PS: high phosphorous
Prolonged QT interval
, INTERNAL MED- EOR QUESTIONS
Paresthesias, muscle cramping or spasms, bowel or Multiple sclerosis
bladder dysfunction, ataxia, tremor, cognitive changes,
facial weakness, and facial muscle twitching
CSF will show ↑ IgG protein, WBC pleocytosis Multiple sclerosis
Dry eyes (Xerophthalmia) and dry mouth (Xerostomia) Sjogrens
Labs for Sjogrens Labs will show SSA (anti-Ro) or SSB (anti-La)
Dx: + Schirmer test
An 80-year-old woman with a 36-pack-year history of Idiopathic pulmonary fibrosis
smoking tobacco presents with a chief complaint of
increasing dyspnea on exertion over the past six months.
Physical exam reveals clubbed digits and bilateral lower
lung crackles. Computed tomography shows
honeycombing of the lung parenchyma. What is the most
likely diagnosis?
HIV CD4 related illnesses < 250: Esophageal candidiasis
< 200: PCP pneumonia
< 100: Cerebral toxoplasmosis, Cryptococcosis
< 50: Mycobacterium avian complex- ppx: Azithro
A 24-year-old woman presents to the Emergency TTE
Department with fever and shortness-of-breath for the
last 48 hours. Her past medical history is significant for Infective endocarditis is an infection of the endocardium of the heart. In general,
recent IV drug abuse. On physical exam, you auscultate a this infection occurs at one or more of the valves of the heart. Significant risk
pansystolic ejection murmur best heard at the left lower factors include advanced age, male gender, injection drug abuse, poor dentition,
sternal border. You also note nontender macular lesions and prosthetic heart valves. In the setting of injection drug abuse, the tricuspid
on the palms of her hands and soles of her feet. valve is most commonly affected. Signs and symptoms include fever, malaise,
Laboratory analysis is significant for a white blood cell exercise intolerance and a new-onset heart murmur. Janeway lesions (nontender
count of 20,000/mcL, erythrocyte sedimentation rate of erythematous macular lesions of the palms and soles), Osler nodes (tender lesions
67 mm/hour, and C-reactive protein of 6.5 mg/L. Which on the pads of fingers and toes) and Roth spots (hemorrhagic retinal lesions) may
imaging modality would be most appropriate to confirm also be found and are highly suggestive of infectious endocarditis. Transthoracic
your diagnosis? echocardiography is the primary imaging modality indicated for evaluation of
infective endocarditis. Transthoracic echocardiography is preferred due to the
non-invasive approach combined with high sensitivity and specificity. Many
patients may also require transesophageal echocardiography to rule out
complications such as abscess, leaflet perforation, and pseudoaneurysm. Due to
its invasive approach, however, it is not generally recommended as first-line
imaging.
Diagnosis is made by 24-hour excretion of 5- Carcinoid Syndrome
hydroxyindoleacetic acid
Skin flushing
Diarrhea
, INTERNAL MED- EOR QUESTIONS
Blanching maculopapular rash around the wrists and Rocky Mountain spotted fever
ankles and has a centripetal spread toward the body.
Rickettsia rickettsii
Tx: ALWAYS doxy
ANCA negative Polyarteritis nodosa
HIGH ESR
renal or mesenteric angiography: microaneurysms with Management: corticosteroids
abrupt cut-off of small arteries
PE: HTN, nothing on lungs, inflammation of nerve
Ship builder with pleural plaques, pleural thickening, Asbestosis
interstitial fibrosis
CT= honeycomb lung, primarily lower lobes Asbestosis
Older M with rectal bleeding with hemorrhoid. Yes!
Colonoscopy?
Guy with high H&H. PE finding: splenomegaly
Nephrotic syndrome PE P: Proteinuria
A: low Albumin
L: high Lipids
E: Edema
UA= fat bodies (maltese cross shaped) Nephrotic syndrome
Kid with gum bleeding after dental surgery who has vWb, Desmopressin
what do you give? vWF
Factor VIII concentrate
18 yo M with testicular pain, swelling, redness. Tx? Surgery!
HIV pt with positive PPD but negative xray. Tx? INH 300 PO QD +
Pyridoxine 25mg PO QD x 12 months
