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Quiz Bowl
Study Guide Qs
172
Medical
Graduate
02/21/2013

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Cards

Term
Coarctation of the Aorta
Definition
Congenital abnormality which results in narrowing of the aorta, usually in the ascending region, which increase pulmonary vascular resistance PVR d/t stenosis
Term
Pheochromocytoma
Definition
Catecholamine producing tumor of adrenals
Term
Malignant Hypertension
Definition
Papilledema must be present
Term
Blood Pressure
Definition
Alcohol can raise it
Term
Thiazide Diuretic
Definition
First line therapy for HTN
Term
olol
Definition
Beta Blockers end in
Term
ACE I
Definition
What antihypertensives can cause hyperkalemia
Term
Sartan
Definition
What do most ARBS end in
Term
Closing of Mitral Valve
Definition
S1
Term
Closing of Aortic Valve
Definition
S2
Term
MCL at 5th ICS
Definition
Normal Site of apical impulse
Term
10
Definition
The trachea is how many cm long
Term
pulmonary edema, emphysema
Definition
decreased fremitus
Term
Increased fremitus
Definition
consolidation
Term
Dullness
Definition
percussion sound of fluid or solid area
Term
Decorticate posturing
Definition
Rigid flexion=corticospinal tract above brainstem
Term
Decerebrate Posturing
Definition
Rigid Extension=brainstem lesion
Term
Trypanosoma cruzi
Definition
Chagas disease is a common form of myocarditis which is caused by infection with?
Term
Atrial Myxoma
Definition
The most common primary cardiac tumor
Term
nociceptive, inflammatory, neuropathic, functional
Definition
the 4 distinct types of pain
Term
adaptive, maladaptive
Definition
what are the two broad categories of pain
Term
Anti metabolites
Definition
This type of chemotherapy agent inhibits cell growth by competing for binding sites on enzymes and incorporating into DNA or RNA
Term
Gram negative bacilli
Definition
What type of bacteria is helicobacter pylori
Term
Gastric Ulcer
Definition
Epigastric pain, vague diffuse pain, worsened by food, N/V is what?
Term
Pain
Definition
5th vital sign
Term
1-2 d
Definition
Incubation period for influenza
Term
acetaminophen
Definition
First line treatment for mild to moderate osteoarthritis
Term
Duodenal ulcer
Definition
epigastric pain that is relieved by food and antacids, present at night with heart burn is?
Term
Staph aureus
Definition
what organism is classic postinfluenza complication
Term
amoxicillin
Definition
Drug of choice for acute otitis media
Term
Loop
Definition
What type of diuretic is best for someone with ckd
Term
Levofloxacin or moxifloxacin
Definition
tx of choice in beta lactam allergic pt with sinusitis
Term
Synergism
Definition
When medications have a combined effect that is greater than the sum of individual effects
Term
4000mg
Definition
What is the maximum daily dose for acetaminophen in a healthy individual
Term
Celecoxib
Definition
what is currently the only cox-2 inhibitor available in the US
Term
Hyaluronic Acid
Definition
This injection for osteoarthritis can give pt up to 6mo of relief, forms viscoelastic solution in water and functions as a joint lubricant
Term
Methotrexate
Definition
What is the disease modifying anti-rheumatic drug of choice
Term
D
Definition
What pregnancy has some fetal risk, benefits may outweigh risk
Term
X
Definition
What pregnancy category has fetal abnormalities in animal or human studies, risks outweigh benefits
Term
Naloxone
Definition
What opiod antagonist is used for opioid reversal
Term
Romazicom
Definition
What med is used for BZD overdose
Term
Lidocaine
Definition
A ventricular arrhythmia caused by digitalis toxicity should be treated with?
Term
Valsalva
Definition
The systolic ejection murmur in HOCM is diminished when the patient?
Term
Angle
Definition
What is the most commonly injured area of the mandible
Term
Salmonella
Definition
What organism causes rose spots and watery diarrhea, + high fever and bradycardia
Term
Coxsachievirus
Definition
What organism is known to cause hand-foot-mouth dz
Term
Multi-infarct
Definition
Alzheimers dz is the most common type of dementia, what is the next most common?
Term
Wilson's Dz
Definition
Kaiser-Fleischer Rings?
Term
Water bottle sillouhuette
Definition
what will pericardial effusion look like on x-ray
Term
the Legs
Definition
Livedo reticularis commonly develops on what body part
Term
Yersinia
Definition
What microbe is associated with mesenteric adenitis and pseudoappendicitis
Term
Adrenal gland hemorrhage (apoplexy)
Definition
pt takes Warfarin p MI, sudden onset hypotension, right flank pain, CVA pain, epigastric pain, fever, nausea, vomiting. what is the diagnosis?
Term
entamoeba histolytica
Definition
what organism causes diarrhea that is profuse and bloody, but does not cause vomiting
Term
ACE
Definition
what is the drug class of choice in reducing afterload in pt with CHF?
Term
DRE
Definition
Most appropriate initial test for the detection of prostate ca
Term
antidiarrheal agents
Definition
which meds may be used for Crohns but not UC
Term
Cataracts
Definition
What is the most common cause of visual impairment in the elderly
Term
chief cells
Definition
Which gastric gland cells secrete pepsinogen
Term
Iritis, urethritis, arthritis
Definition
Reiters Syndrome Triad?
Term
staph and H flu
Definition
Acute pyogenic pericarditis is most commonly caused by what organism
Term
50%
Definition
What percentage of pt with palpiations also have cardiac dz
Term
Pulmonary embolism
Definition
What does normal ventilation with decreased lung perfusion suggest
Term
Multiple Myeloma
Definition
What dz is the M protein associated with
Term
Strep pneumoniae
Definition
Community acquired pneumonias are most commonly caused by
Term
a fib
Definition
most common cause of embolic stroke
Term
WPW
Definition
Delta wave on EKG means
Term
E coli
Definition
What is the most common cause of travelers diarrhea
Term
Jarisch-Herxheimer Reaction
Definition
You are treating a patient for syphilis who develops high fever and worsening clinical picture, you suspect what?
Term
Cullens Sign
Definition
Pancreatitis causing periumbilical ecchymosis is what sign?
Term
first year
Definition
children should triple their birthweight by then?
Term
Fitz-Hugh-Curtis syndrome
Definition
This extrapelvic manifestation of PID presents with RUQ pain and is associated with inflammation of the liver capsule
Term
Creutzfeldt Jakob dz
Definition
Rapidly progressive mental deterioration and myoclonus are the two cardinal manifestations of this prion dz
Term
Sister Mary Joseph's Nodule
Definition
This periumbilical nodule represents metastasis from an intraperitoneal source
Term
Left supraclavicular area
Definition
Where would you find Virchows node
Term
Eugene Stead, MD
Definition
Who is the father of the PA profession
Term
Epi and NE
Definition
What hormones are produced in the adrenal Medulla
Term
Trimethoprim Sulfamethoxazole
Definition
What is the treatment of choice for an HIV positive patient with PCP
Term
Indirect
Definition
Which is the most common type of hernia in children
Term
Hypotension, thiocyanate toxicity?
Definition
What is the most common complication of nitroprusside
Term
HTN
Definition
Most common cause of LVH
Term
Secondary Prevention
Definition
What level of prevention is treatment for a person with AIDS using AZT
Term
diminished or absent femoral pulses
Definition
PE finding most consistent with coarctation of the aorta
Term
Cardiac Catheterization
Definition
For prosthetic heart valve, endocarditis prophylaxis is not recommended in which of the following procedures
Term
epithelial injury, hypercoagulability, stasis
Definition
Virchow's Triad
Term
Hematuria
Definition
Most common sign of CA in the urogenital tract
Term
Blood cx
Definition
what is the most important lab test in the dx of endocarditis
Term
Vfib
Definition
Most common cause of death during first few hours of MI
Term
HJR
Definition
PE abdomen finding consistent with chf
Term
RA
Definition
Chronic Synovitis with pannus formation is pathologic for
Term
Bone marrow activity
Definition
Reticulocyte count provides an indirect assessment of
Term
C3
Definition
A laryngeal fx is suggested by noting the hyoid bone elevated above what cervical level on xray
Term
Duodenal ulcers
Definition
most common cause of upper GI tract hemorrhages
Term
Monthly IM injection of B12
Definition
Most effective tx for pernicious anemia
Term
Metronidazole
Definition
Tx of choice for BV
Term
Uterine adenomyosis
Definition
Most likely cause of increasing secondary dysmenorrhea associated with tender premenstrual uterus
Term
Endometrial bx
Definition
postmenopausal c vaginal bleeding, what diagnostic test is indicated
Term
A
Definition
Strain of influenza more common in adults
Term
B
Definition
Strain of influenza more common in children
Term
S viridans
Definition
What organism most commonly causes subacute IE
Term
Osteoarthritis
Definition
Heberden's nodes
Term
Tophus
Definition
A firm, movable yellowish nodule on the helix of the ear in a pt with arthritis
Term
Strep pneumo
Definition
Most common organism in otitis media in children
Term
40
Definition
Age for first mammography
Term
PCP
Definition
most common presenting illness in AIDs pt
Term
E. coli
Definition
most common cause of femaile UTI
Term
Pickwickian Syndrome
Definition
What syndrome presents with obesity and sleep apnea
Term
Prostate
Definition
Elevated alk phos outside the liver?
Term
E coli, B fragilis
Definition
What organisms are implicated in the development of diverticulitis
Term
Erythroplasia
Definition
Finding suggestive of early oral carcinoma
Term
Meckels diverticulum
Definition
most common cause of painless lower GI bleed in children
Term
Loss of upward gaze
Definition
what pe finding is most consistent with orbital fx
Term
calcium oxalate
Definition
most common form of kidney stone
Term
Reflex tach
Definition
vasodilator drugs are most likely to cause what of the heart
Term
Lack of intrinsic factor
Definition
most frequent cause of vit B12 def in pt with pernicious anemia
Term
fine needle aspiration
Definition
2 cm breast nodule found on pe, next course of action?
Term
glabellar reflex
Definition
reflex associated with sustained blink response to tapping between the eyes
Term
palpitations
Definition
most common presenting SYmptom of MVP
Term
inferior wall mi
Definition
what type of infarc leads to papillary muscle dysfunction
Term
MI, CAD
Definition
most common cause of death in diabetics
Term
Staph, strep
Definition
most responsible for bacterial conjunctivitis
Term
surgical sterilization
Definition
most prevalent form of contraception in the world
Term
N/V
Definition
Most common side effect associated with digitalis toxicity
Term
Heberdens Nodes
Definition
Hard nodules on DIP joints in osteoarthritis pts
Term
breast enlargement
Definition
first sign of puberty in girls
Term
Carcinoma, then volvulus and diverticulitis
Definition
most common causes of LBO
Term
Hypotension
Definition
What side effect occurs with a rapid infusion of procainamide
Term
Pasteruella multocida
Definition
Organism found in infected wounds of animal bites
Term
chlamydia
Definition
most common cause of nonconococcal urethritis
Term
30 days
Definition
Incubation period of hep A
Term
renal dz
Definition
leading cause of death in SLE pts
Term
Metzenbaum
Definition
Classic dissecting scissors for soft tissue
Term
Decreased relaxation phase of DTRs
Definition
what neuro finding would suggest hypothyroidsim
Term
Gallstones
Definition
The most common non etoh related cause of pancreatitis
Term
open angle
Definition
most common glaucoma
Term
corticosteroids
Definition
drug class that forms cataracts
Term
20 weeks
Definition
fundus height at umbilicus indicates how many weeks
Term
Dexamethasone suppression test
Definition
what lab testing would be most useful in diagnosing cushings
Term
fever, lymphadenopathy, pharyngitis
Definition
classic triad of mono
Term
Cortisol
Definition
the major glucocorticoid
Term
echo
Definition
most effective diagnostic of pericardial effusion
Term
blood under nails, (nose bleeds d/t picking)
Definition
Spaniermans sign
Term
lateral view of the wrist
Definition
what is the best xray view for diagnosing lunate disolocations
Term
Urinary amylase
Definition
most sensitive diagnostic test for acute pancreatitis
Term
pericardial friction rub
Definition
what pe finding indicates acute pericarditis
Term
rheumatic heart dz
Definition
most common cause of mitral stenosis
Term
decreased tm motility
Definition
pe finding most predictive ot OM in children
Term
depigmentation
Definition
topical corticosteroids may cause
Term
impaction
Definition
most common cause of incontinence in elderly
Term
tachyphylaxis
Definition
pt complains topical steroid is becoming less effective
Term
ECM Erythema chronicum migrans
Definition
The skin lesion pathognomonic for lyme dz
Term
B
Definition
Hepatitis type caused by dna virus
Term
hepatotoxicity
Definition
worrisome side effect of rifampin
Term
aminoglycosides
Definition
abx class associated with renal failure
Term
15 for echo, 250 for xray
Definition
how much fluid must be present in pericardial sac for visualizion on echo and xray
Term
staph
Definition
most common agent in non gonococcal septic arthritis
Term
exercise
Definition
common cause of intermittent isolated proteinuria
Term
e nitroprusside
Definition
drug of choice in hypertensive emergency
Term
dementia
Definition
most common cns manifestor of aids
Term
phenylketonuria
Definition
use of aspartame is discouraged in this dz
Term
G6PD anemia
Definition
what heme disorder can be precipitated by exposure to antimalarials or mothballs
Term
blue sclera
Definition
osteogenisis imperfecta sign
Term
20:1
Definition
Ratio of bicarb to acid
Term
medial
Definition
optic disk medial or lateral in fundus
Term
Ramsay hunt syndrome
Definition
Herpes zoster infection involving facial nerve, external ear, and occiput
Term
pheochromocytoma
Definition
dz presents with severe htn, sweating, and palpitations
Term
e coli
Definition
organinsm associated with acute bacterial prostatitis
Term
joint aspiration
Definition
diagnostic test most important in the evaluation of monoarticular artritis
Term
third heart sound
Definition
most reliable sign of CHF in pt over 40 is
Term
neovascularization
Definition
what fundoscopic finding is characteristic of diabetic proliferative retinopathy
Term
CHF
Definition
kerley b lines
Term
12-15mo
Definition
first mmr shot given when
Term
increased disc cupping
Definition
what fundoscopic finding is indicative of glaucoma
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