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Three systemic diseases → nephrotic syndrome.
DM, SLE, and amyloidosis
Antibiotics with teratogenic effects.
Tetracycline, fluoroquinolones, aminoglycosides, sulfonamides
In which patients do you initiate colorectal cancer screening early?
Patients with IBD; those with familial adenomatous polyposis (FAP)/hereditary nonpolyposis colorectal cancer (HNPCC); and those who have first-degree relatives with adenomatous polyps (< 60 years of age) or colorectal cancer
Treatment for Guillain-Barré syndrome.
IVIG or plasmapheresis
Four signs and symptoms of streptococcal pharyngitis.
Fever, pharyngeal erythema, tonsillar exudate, lack of cough
Classic physical findings for endocarditis.
Fever, heart murmur, Osler''''s nodes, splinter hemorrhages, Janeway lesions, Roth''''s spots
A 30-year-old woman has unpredictable urine loss. Examination is normal. Medical options?
Anticholinergics (oxybutynin) or β-adrenergics (metaproterenol) for urge incontinence.
First-line treatment for otitis media.
Amoxicillin × 10 days
The number of bacterial culture on a clean-catch specimen to diagnose a UTI.
105 bacteria/mL
A patient complains of headache, weakness, and polyuria; exam reveals hypertension and tetany. Labs reveals hypernatremia, hypokalemia, and metabolic alkalosis.
1° hyperaldosteronism (due to Conn''''s syndrome or bilateral adrenal hyperplasia)
Name the organism: ■ Meningitis in elderly.
Streptococcus pneumoniae
Hematuria, flank pain, and palpable flank mass.
Renal cell carcinoma (RCC)
Sudden onset of mental status changes, emesis, and liver dysfunction after taking aspirin.
Reye''''s syndrome
The most common cause of seizures in children (2–10 years).
Infection, febrile seizures, trauma, idiopathic
A patient presents with weakness, nausea, vomiting, weight loss, and new skin pigmentation. Labs show hyponatremia and hyperkalemia. Treatment?
1° adrenal insufficiency (Addison's disease). Treat with replacement glucocorticoids, mineralocorticoids, and IV fluids
Maternal mortality?
Number of deaths during pregnancy to 90 days postpartum per 100,000 live births
Annual screening for women with a strong family history of ovarian cancer.
CA-125 and transvaginal ultrasound
Classic causes of drug-induced hepatitis.
TB medications (INH, rifampin, pyrazinamide), acetaminophen, and tetracycline
Causes of drug-induced SLE.
INH, penicillamine, hydralazine, procainamide
Radiographic evidence of aortic disruption or dissection.
Widened mediastinum (> 8 cm), loss of aortic knob, pleural cap, tracheal deviation to the right, depression of left main stem bronchus
What is the immunodeficiency? ■ A four-month-old boy has life-threatening Pseudomonas infection.
Bruton''s X-linked agammaglobulinemia
Typical antibiotics for group B streptococcus (GBS) prophylaxis.
IV penicillin or ampicillin
Café-au-lait spots on skin.
Neurofibromatosis 1
A 25-year-old Jewish male presents with pain and watery diarrhea after meals. Exam shows fistulas between the bowel and skin and nodular lesions on his tibias.
Crohn's disease
Lab findings in Hashimoto's thyroiditis.
High TSH, low T4, antimicrosomal antibodies
Treatment of central DI.
Administration of DDAVP ↓ serum osmolality and free water restriction
A congenital heart disease that cause 2° hypertension.
Coarctation of the aorta
Anemia associated with absent radii and thumbs, diffuse hyperpigmentation, café-au-lait spots, microcephaly, and pancytopenia.
Fanconi''s anemia
Blood in the urethral meatus or high-riding prostate.
Bladder rupture or urethral injury
A 14-year-old girl presents with prolonged bleeding after dental surgery and with menses, normal PT, normal or ↑ PTT, and ↑ bleeding time. Diagnosis? Treatment?
von Willebrand's disease; treat with desmopressin, FFP, or cryoprecipitate
Vaccinations at a six-month well-child visit.
HBV, DTaP, Hib, IPV, PCV
Unilateral, severe periorbital headache with tearing and conjunctival erythema.
Cluster headache
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