Podcast
Questions and Answers
What is associated with Charcot's triad?
What is associated with Charcot's triad?
- RUQ pain
- Jaundice
- Fever/chills
- All of the above (correct)
What does Reynolds pentad include?
What does Reynolds pentad include?
- RUQ pain
- Jaundice
- Fever/chills
- All of the above plus shock and altered mental status (correct)
Which lab marker would you find in a patient with juvenile idiopathic arthritis?
Which lab marker would you find in a patient with juvenile idiopathic arthritis?
ANA
What is the rule of 10 associated with pheochromocytoma?
What is the rule of 10 associated with pheochromocytoma?
What are the criteria for brain death?
What are the criteria for brain death?
Levonorgestrel IUD is a good option for whom?
Levonorgestrel IUD is a good option for whom?
What does the presence of antibodies to the Hepatitis B surface antigen but not the core antigen indicate?
What does the presence of antibodies to the Hepatitis B surface antigen but not the core antigen indicate?
Where is the most common site for adenocarcinoma of the colon in hereditary nonpolyposis colon cancer?
Where is the most common site for adenocarcinoma of the colon in hereditary nonpolyposis colon cancer?
What scores are used to determine preoperative risk in cirrhotic patients?
What scores are used to determine preoperative risk in cirrhotic patients?
What is associated with the best prognosis for pancreatic cancer?
What is associated with the best prognosis for pancreatic cancer?
Panic disorder is commonly associated with which psychiatric disorder?
Panic disorder is commonly associated with which psychiatric disorder?
What is assist-control ventilation?
What is assist-control ventilation?
What is continuous positive airway pressure (CPAP)?
What is continuous positive airway pressure (CPAP)?
What does controlled mechanical ventilation entail?
What does controlled mechanical ventilation entail?
What is intermittent mandatory ventilation?
What is intermittent mandatory ventilation?
Type I DM is associated with which disease?
Type I DM is associated with which disease?
What should you do with a child with type 1 DM?
What should you do with a child with type 1 DM?
What is the appropriate recommended daily increase in caloric intake during pregnancy?
What is the appropriate recommended daily increase in caloric intake during pregnancy?
What disease affects the skin, CNS, and other organs?
What disease affects the skin, CNS, and other organs?
What muscles does the ulnar nerve innervate?
What muscles does the ulnar nerve innervate?
What is the gold standard test for pulmonary embolism (PE)?
What is the gold standard test for pulmonary embolism (PE)?
What bones make up the pterion?
What bones make up the pterion?
What is the follow-up treatment of sarcoma botryoides?
What is the follow-up treatment of sarcoma botryoides?
What does smoking house + bitter aroma suggest in differential diagnosis?
What does smoking house + bitter aroma suggest in differential diagnosis?
What is the Thompson test used for?
What is the Thompson test used for?
What is the Thomas test used for?
What is the Thomas test used for?
Magnesium sulfate is contraindicated in which condition?
Magnesium sulfate is contraindicated in which condition?
What are the reasons for valve replacement in case of infective endocarditis?
What are the reasons for valve replacement in case of infective endocarditis?
What is necrobiosis lipoidica?
What is necrobiosis lipoidica?
What causes tram track appearance of the basement membrane in kidneys?
What causes tram track appearance of the basement membrane in kidneys?
Anti-GBM deposits are associated with which syndrome?
Anti-GBM deposits are associated with which syndrome?
Glomerular basement membrane splitting is associated with?
Glomerular basement membrane splitting is associated with?
What can exacerbate myasthenia gravis symptoms?
What can exacerbate myasthenia gravis symptoms?
What is the most definitive test for confirmation of ascending cholangitis?
What is the most definitive test for confirmation of ascending cholangitis?
Excessive laxative use will result in which electrolyte effect?
Excessive laxative use will result in which electrolyte effect?
What is the drug of choice for Paget's disease?
What is the drug of choice for Paget's disease?
What is subchondral sclerosis associated with?
What is subchondral sclerosis associated with?
What medication should be avoided in patients with digoxin toxicity?
What medication should be avoided in patients with digoxin toxicity?
When is procainamide or diltiazem used in atrial fibrillation?
When is procainamide or diltiazem used in atrial fibrillation?
What is the most important lab value to monitor to see a response to treatment of osteomyelitis?
What is the most important lab value to monitor to see a response to treatment of osteomyelitis?
What is the weight gain during pregnancy for a BMI of 29?
What is the weight gain during pregnancy for a BMI of 29?
Which antibodies require oxygen for uptake into bacterial cells?
Which antibodies require oxygen for uptake into bacterial cells?
Which medication slows the progression of primary biliary cirrhosis?
Which medication slows the progression of primary biliary cirrhosis?
What is the lead level cutoff?
What is the lead level cutoff?
What is the best test to confirm sickle cell disease?
What is the best test to confirm sickle cell disease?
Which diuretic has the greatest oral bioavailability?
Which diuretic has the greatest oral bioavailability?
What antibiotic is given for traveler's diarrhea?
What antibiotic is given for traveler's diarrhea?
What amount of radiation causes harm to the fetus?
What amount of radiation causes harm to the fetus?
What can excessive calcium intake lead to in milk-alkali syndrome?
What can excessive calcium intake lead to in milk-alkali syndrome?
Oculomasticatory myorhythmia is associated with what disease?
Oculomasticatory myorhythmia is associated with what disease?
What should you do next for an intubated patient with acute agitation and oxygen desaturation?
What should you do next for an intubated patient with acute agitation and oxygen desaturation?
For an abdominal aortic aneurysm measuring 3-4 cm, what should be done?
For an abdominal aortic aneurysm measuring 3-4 cm, what should be done?
What is the first-line blood pressure medication for African American patients?
What is the first-line blood pressure medication for African American patients?
After starting a patient on a diuretic, what test would you do?
After starting a patient on a diuretic, what test would you do?
What lifestyle changes are needed for hypertension?
What lifestyle changes are needed for hypertension?
What is the initial approach to improving GERD?
What is the initial approach to improving GERD?
What is the treatment for cyanide toxicity?
What is the treatment for cyanide toxicity?
What is the antidote for disulfiram treatment?
What is the antidote for disulfiram treatment?
What is the treatment for iron toxicity?
What is the treatment for iron toxicity?
Normal PT, normal PTT, normal bleeding time, normal PLT indicates?
Normal PT, normal PTT, normal bleeding time, normal PLT indicates?
Normal PT, increased PTT, increased BT, normal PLT indicates?
Normal PT, increased PTT, increased BT, normal PLT indicates?
Normal PT, increased PTT, increased BT, normal PLT indicates?
Normal PT, increased PTT, increased BT, normal PLT indicates?
Normal PT, normal PTT, increased BT, decreased PLT indicates?
Normal PT, normal PTT, increased BT, decreased PLT indicates?
What is the treatment for lead poisoning?
What is the treatment for lead poisoning?
What structure is removed when removing a thyroglossal duct cyst?
What structure is removed when removing a thyroglossal duct cyst?
What medication is a bulimic person likely to abuse?
What medication is a bulimic person likely to abuse?
What is Russell's sign?
What is Russell's sign?
Which Doppler ultrasound finding is indicative of severe peripheral disease?
Which Doppler ultrasound finding is indicative of severe peripheral disease?
What is the ankle-brachial index for normal, claudication likely, and rest pain?
What is the ankle-brachial index for normal, claudication likely, and rest pain?
Increased methylmalonic acid and increased homocysteine indicate?
Increased methylmalonic acid and increased homocysteine indicate?
What is a complication of oral burns?
What is a complication of oral burns?
McCune-Albright syndrome is caused by?
McCune-Albright syndrome is caused by?
At what age should you start doing mammograms?
At what age should you start doing mammograms?
What deficiency is associated with decreased glucose intolerance, increased insulin intake, and short bowel syndrome?
What deficiency is associated with decreased glucose intolerance, increased insulin intake, and short bowel syndrome?
What deficiency is associated with a baby showing muscle weakness, hypopigmentation, hepatosplenomegaly, kinky hair, and microcytic anemia?
What deficiency is associated with a baby showing muscle weakness, hypopigmentation, hepatosplenomegaly, kinky hair, and microcytic anemia?
What deficiency is associated with an erythematous mixed vesiculobullous and pustular rash around a baby's mouth and anus?
What deficiency is associated with an erythematous mixed vesiculobullous and pustular rash around a baby's mouth and anus?
What deficiency is associated with a baby swelling in the lower extremities, white nail beds, macrocytosis, and cardiomyopathy?
What deficiency is associated with a baby swelling in the lower extremities, white nail beds, macrocytosis, and cardiomyopathy?
How do you manage a pelvic fracture?
How do you manage a pelvic fracture?
For aspirin toxicity, what test do you need?
For aspirin toxicity, what test do you need?
What is the treatment for hyperkalemia?
What is the treatment for hyperkalemia?
What is the treatment for magnesium toxicity?
What is the treatment for magnesium toxicity?
Boutonniere deformity is seen with which condition?
Boutonniere deformity is seen with which condition?
What are the hormone levels during menopause?
What are the hormone levels during menopause?
What hormone is used in the diagnosis of menopause?
What hormone is used in the diagnosis of menopause?
What is the treatment for Behcet syndrome?
What is the treatment for Behcet syndrome?
What is the treatment for anthrax?
What is the treatment for anthrax?
What tests should be ordered for a patient with diverticulitis?
What tests should be ordered for a patient with diverticulitis?
What is the treatment for diverticulitis?
What is the treatment for diverticulitis?
What should be done after an acute episode of diverticulitis?
What should be done after an acute episode of diverticulitis?
A patient had diverticulitis, recovered, and then had an abscess...what should be done?
A patient had diverticulitis, recovered, and then had an abscess...what should be done?
Evisceration of the eyes is defined as?
Evisceration of the eyes is defined as?
Exogenous endophthalmitis is caused by?
Exogenous endophthalmitis is caused by?
What is the most sensitive test to detect carcinoma of the pancreatic head?
What is the most sensitive test to detect carcinoma of the pancreatic head?
What should be done with neck trauma?
What should be done with neck trauma?
What is a rare but serious complication of DKA?
What is a rare but serious complication of DKA?
What is an adverse effect of amphotericin B?
What is an adverse effect of amphotericin B?
What symptoms are associated with Klinefelter syndrome?
What symptoms are associated with Klinefelter syndrome?
What condition is indicated by decreased bone mineral density, increased gonadotropin, increased estradiol, increased FSH/LH?
What condition is indicated by decreased bone mineral density, increased gonadotropin, increased estradiol, increased FSH/LH?
Study Notes
Key Medical Terms and Definitions
- Charcot's Triad: RUQ pain, jaundice, fever/chills; associated with cholangitis.
- Reynolds Pentad: RUQ pain, jaundice, fever/chills, shock, altered mental status; severe cholangitis presentation.
- Juvenile Idiopathic Arthritis (JIA): ANA positive; characterized by chronic arthritis in children; typically involves four or fewer joints.
Pheochromocytoma Characteristics
- Rule of 10: 10% are extra-adrenal, familial, bilateral, malignant, or occur in children.
Brain Death Criteria
- Brain Death Diagnosis: Irreversible absence of brain and brainstem function; apnea, absent brainstem reflexes, no drug intoxication, temperature >35°C, isoelectric EEG.
Levonorgestrel IUD
- Recommended for non-compliant patients with heavy menstrual bleeding; reduces menstrual flow.
Hepatitis B Indicators
- Presence of antibodies to surface antigen (anti-HBs) but not core antigen (anti-HBc) indicates successful vaccination.
Hereditary Nonpolyposis Colon Cancer (Lynch Syndrome)
- Most common site for adenocarcinoma of the colon: proximal portion.
Preoperative Risk Scores
- Utilization of Child-Pugh and MELD scores for assessing preoperative risk in cirrhotic patients.
Pancreatic Cancer Prognosis
- Best prognosis associated with resectable tumors in the pancreatic head; minimal invasion of surrounding structures.
Panic Disorder Associations
- Commonly associated with depression.
Types of Ventilation
- Assist-Control Ventilation: Patient initiates breathing; ventilator supports with set tidal volume and back-up rate.
- Continuous Positive Airway Pressure (CPAP): Maintains airway pressure; allows for spontaneous breaths.
- Controlled Mechanical Ventilation: No patient effort; ventilator controls all breaths.
- Intermittent Mandatory Ventilation: Patient can initiate breaths; machine supports based on patient's pattern.
Autoimmune Connections
- Type I Diabetes Mellitus: Associated with autoimmune hepatitis.
- Thyroid Screening: 20% of children with Type I DM will have thyroid antibodies; screen TSH, T4, T3.
Pregnancy and Caloric Needs
- Recommended calorie increase: 340 kcal/day in the second trimester and 452 kcal/day in the third trimester.
Tuberous Sclerosis
- Systemic disease affecting skin, CNS, and other organs; features include shagreen patch (connective tissue nevi).
Ulnar Nerve Innervation
- Innervates intrinsic muscles of the hands, flexor carpi ulnaris, extensor carpi ulnaris, and ulnar half of the flexor digitorum profundus.
Pulmonary Embolism Testing
- Gold Standard: Angiogram for confirmation.
Pterion Structure
- Comprised of temporal, parietal, sphenoid, and frontal bones.
Sarcoma Botryoides Follow-Up
- Evaluate with pelvic ultrasound post CT scan for involvement of vaginal structures.
Cyanide Poisoning
- Differential diagnosis includes smoking houses with a bitter aroma; treat with amyl nitrite and thiosulfate.
Thompson Test
- Used to detect Achilles tendon rupture.
Thomas Test
- Detects hip flexor contracture.
Magnesium Sulfate Contraindication
- Should not be used in myasthenia gravis patients.
Valve Replacement in Endocarditis
- Replacement indicated for prosthetic endocarditis, uncontrolled infection, suppurative complications, ineffective therapy, and recurrent systemic emboli.
Necrobiosis Lipoidica
- Vasculitis in diabetics, with painless skin lesions primarily on the shins.
Nephrology Terms
- Tram Track Appearance: Subendothelial and mesangial deposits associated with membranoproliferative nephropathy.
- Anti-GBM Deposits: Associated with Goodpasture's syndrome.
- Basement Membrane Splitting: Characteristic of Alport syndrome.
Factors Exacerbating Myasthenia Gravis
- Certain antibiotics: macrolides, aminoglycosides, tetracyclines, fluoroquinolones.
Ascending Cholangitis Confirmation
- Most definitive test: ERCP.
Excessive Laxative Use Consequences
- Results in hypokalemia and acidosis.
Paget's Disease Treatment
- Bisphosphonate, specifically zoledronic acid.
Osteomyelitis Treatment Monitoring
- Key lab value: C-reactive protein for treatment response.
Hypertension Management
- Lifestyle changes include exercise, smoking cessation, DASH diet, and weight loss.
Pregnancy Weight Gain Guidelines
- Overweight individuals (BMI 29) should gain 11-20 lbs.
Lead Poisoning Treatment
- Dimercaprol and succimer as antidotes.
Thyroglossal Duct Cyst Removal
- Requires removal of the hyoid bone.
Laxative Abuse in Bulimia
- Commonly abused laxatives include Bisacodyl, cascara, senna.
Klinefelter Syndrome Features
- Symptoms: gynecomastia, taller than average height, delayed development, firm and small testicles.
Diverticulitis Management
- Initial assessment includes CBC, electrolytes, and CT scan; treatment involves antibiotics and possible surgical consultation.
Advanced Emergency Interventions
- Evisceration of the eyes defined as removal of contents while retaining globe structure; neck trauma requires angiogram or surgical intervention.
Risk of Radiation Exposure
- No harm if less than 50 mGy (5 rads) during pregnancy.
Treatment for Cyanide Toxicity
- Use amyl nitrate and oxygen.
Complications Known with DKA
- Rhinocerebral mucormycosis may present and requires IV amphotericin B for treatment.
Ranson's Criteria for Pancreatitis
- Important clinical criteria used for assessing severity and prognosis in acute pancreatitis patients.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Description
Test your knowledge with these COMBANK level 3 flashcards, focusing on key medical terms and definitions. Each card presents important concepts related to specific medical conditions and laboratory markers. Challenge yourself and enhance your understanding of critical clinical concepts.
