Medicine

Paget ' disease ----------> nipple and vulva , ascociated with ADK or squamous C.C. ,
Trt ----------> Surgery
in the dying pt ----------> give analgesics , oral regular narcotics
non-painful buccal mucosal ulcerations ----------> Syphilis
person presenting for yearly physical exam ----------> no indication for doing stress test
ELISA and western blot ----------> HIV (+) ----------> syphilis , PPD , CXR , T4 lymphocyte count
Dg of taenia saginata ----------> isolating spores (or scolex)
Trt of torsade de points ----------> direct current cardioversion
cardiac index ----------> cardiac output to work of the heart
% of lung cancer directly attritutable to cigarette smoking ----------> 83 %
the greatest fear of the dying pt is ----------> suffering alone
more perpetrator of elder abuse ----------> the spouse
higher tolerance of pain occurs with ----------> Companionship
m.potential adverse effect of hospitalization of elderly ----------> adverse response to medication
major cause of constipation in elderly ----------> lack of mobility
moderate HTN ----------> Diastolic : 105 - 114 mmHg
sudden aggravation of mitral regyrgitation ----------> mitral valve chordea rupture
does not require dose modification in renal failure (crea clearence : 10 ml/min) ----------> Clindamycin
emphysema ----------> vetilation-perfusion mismatch ----------> hypoxia
CRF onset in NOT associated with ----------> Oliguria
lead poisoning screening ----------> blood lead level
liver cirrhosis ----------> isovolumic hypotonic hypoNa+
not recommended for elderly ----------> Hep B immunization
obesity is ----------> NOT a risk factor for osteoporosis
age related physiologic changes ----------> increased Fat , decreased liver mass and serum albumin level
recurrent urinary infections ----------> aggravate CRF
penicillin ----------> canNOT aggravate it
in Nephrogenic diabetes insipidus ----------> NO hypoNa+
bilateral proximal leg muscle wekness
hyperactive knee and ankle reflexes
extensor planter responses ----------> transverse myelopathy
loss of pinprick sensation below the umbilicus
main complication of Viral pneumonia ----------> Bacterial super infection
Addison disease ----------> asthenia ----------> NO predominance in the morning
m.c. circumstance for finding diabetes mellitis type 1 ----------> keto acidosis
inflamatory synovial fluid ----------> more than 2000 cells / mm3
in Alzheimer ----------> depressive reaction and NO moria
Urease positiv reaction ----------> Phospho - ammonioco - magnesium
epidermoid bronchial cancer ----------> Dysphonia ( worst prognostic sign)
pulmonary fobrosis ----------> crepitation rales
psitaccosis
in coeliac disease ----------> constipation may replace diarrhea
----------> bone age is NOT expected to be normal
basal cell carcinoma ----------> grows slowly , over most area of the body
cushing Sd ----------> short stature in bone age
baroreceptors ----------> may be denervated by changes in their wall
massive intra cellular dehydration
HyperNa+ ----------> give: dextrose 2.5 % in water
m.c. immune deficiency disease ----------> Transiant hypoGammaGlobulinemia in infancy
helpful in status asthmaticus ----------> hydration , steroids , Isoproterenol
severe rickets ----------> short stature
clostridium perfringens ----------> food poisoning
beta hemolytic streptococcus group D (Enterococcus) ----------> NO food poisoning
m.f.cause of PNO ----------> bleb rupture
m.c.c. of atypical Pneumonia ----------> Mycoplasma
Nephrotic Sd ----------> increased proximal tubular reabsorption , catabolism , of protein
----------> increased Hepatic synthesis
renal vein thrombosis ----------> Nephrotic Sd
lease likely to cause Nephrotic Sd ----------> Polycystic kidney disease
blind loop Sd ----------> NO vomiting
Lactose intolerance ----------> stool is NOT alkaline
M.S. manifested by ----------> Diplopia
cerebral angioma , tumor ----------> can cause Epilepsy
Polio vaccine is ----------> effective in aborting Epidemy
a single dose give a rapid immunogenic effects
major criteria for acute rheumatic fever ----------> A.S.O
craniotabes ----------> congenital syphilis , normal before 4 months
cyanotic congenital heart disease ----------> brain abscess
Gravest pg in HTN ----------> papilledema and retinal Hg
sweat gland ----------> cholinergic stimulation
PseudoHypoParaThyroidism ----------> high serum phosphate
low K+ ----------> low T-waves
severe hypoalbuminimea ----------> Protein - losing enteropathy
asymptomatic M.S. ----------> regular medical examinations
minority of pt with orthostatic proteinuria ----------> persistant proteinuria
presence of lupic inhibitor ----------> APTT
Tuberculous meningo-encephalitis ----------> not a cause of progressive multofocal leuco-encephalitis
Unstable angina ----------> NO Lidocaine - NO Xylocaine
cholestasis ----------> Gamma G.T.
TacchyArythmia with atrial fibrillation ----------> digitalis
in GastroEnteritis ----------> poor perfusion of tissues ----------> Acidosis
M.I. always ----------> heart muscle damage
----------> not always ECG changes
factor VII deficiency ----------> abnormal Prothrombine time
serum Hepatitis B ----------> Australia antigen
in early stages of Aspirin poisoning ----------> Respiratory alkalosis
Plasma Hypo Osmolarity and urine Hyper Osmolarity ----------> SIADH
most adverse pg factor in Infective Endocarditis ----------> Heart Failure
Trt of severe combined immunodeficiency ----------> Bone marrow transplantation
Peritonitis ----------> NO hyperK+
----------> metabolic acidosis
Postero-Inferior M.I. ----------> atrio-ventricular bloc
Myocarditis , Rheumatic fever ----------> 1 or 2 degree AV block
HTN ----------> NO AVBlock
R/O pneumonia ----------> right superior lobe consolidation ----------> Klebsiella Pneumonia
associated with asbestosis ----------> Mesothelioma
pt on coumadine ----------> prolonged PT time ----------> transfusion of fresh frozen plasma
metastasis at time of diagnosis ----------> small cell carcinoma
Brucella ----------> granulomatous lesions
scarlet fever ----------> glomerular Nephritis
Thallasemia minor ----------> HypoChromic MicroCytic
Vitamin K ----------> production of ProThrombine
poisoning pt ----------> lying face with head lower than hips
TIA ----------> regression in 24 hours
Prophylaxis againt recurrence of Rheumatic ----------> Penicillin
NOT a liver function test ----------> acid phosphatase
increased peripheral resistance ----------> elevation of mean blood presure
Herpes Zoster ----------> sensory nerve
Pulmonary calcifications ----------> HistoPlasmosis
Trt of microcytic anemia of chronic blood loss ----------> FeSO4
Dg of PheoChromoCytoma ----------> Urinary catecholamines
Streptococcus hemolyticus ----------> Erysipelas
m.c.c. of HTN ----------> Essential HTN
complications of asthma ----------> COPD , hypoxemia , hypercapnia
Dg of anginal Sd is best by ----------> History
urgent equilibration of rehydration ----------> HyperOsmolar coma
essential complication of Thiazide diuretic Trt ----------> HypoK+
Dg of Streptococcal Pharyngitis ----------> History , clinical , Throat culture
Bacteroids ----------> Septic Shock
syphilis may be communicable ----------> up to 4 years after acquiring the disease
MOST laboratory findings that confirm primary HyperParaThyroidism ----------> increased urinary Phosphorus
over 6 months period : bloody cough , dyspnea , wheezing , fever , ----------> Primary cancer of the lung
positiv tuberculin test ----------> Hypersensitivity to TB bacillus and its products
moderate leucopenia is MOST characteristic of ----------> Brucellosis
20 - 30 y active males ----------> Rheumatoid ankylosing spondylitis (Marie - Strumpell disease)
HypoParaThyroidism ----------> Cataracts
hepatocellular insuffisiency ----------> PT , Fibrinogene , amonemia ,
typical acute post tonsillitis glomerulonephritis ----------> recovery is usual
Nephrotic Sd is most usually caused by ----------> renal amyloidosis
characteristic of rheumatic heart fever ----------> Fever , rash , migratory joint pain
uremia ----------> elevated of serum amylase
serum amylase is not elevated in ----------> Chronic pancreatic insufficiency
organic heart disease ----------> atrial flutter
interstitial pulmonary fibrosis ----------> clubbing fingers , weight loss , crepitant rales
Sudden onset of optic or retrobulbar neuritis ----------> Multiple Sclerosis
PT <> Fulminant Hepatitis
Normal ECG does not exclude the diagnosis of ----------> Ischemic heart disease
most sensetive test in confirming HypoThyroidism ----------> TSH
tetany , 170/100 , polyuria ----------> adrenal cortex
most damaged during nephrotoxicity ----------> proximan tubule
NO steatorrhea in ----------> Pellagra
no healing prepyloric stomach ulcer after 8 weeks of Trt ----------> Laparotomy with gastric resection
recto colic high risk pt ----------> Total Colonoscopy ----------> early prevention
m.c. metaboloc complication od Diabetes type 1 ----------> HypoGlycemia
Typhoid fever ----------> positive blood culture ----------> first week
CO2 90 in O2 tent ----------> immeduate removal from the tent
trt of M.G. ----------> Neostigmine
decrease in XRay size of Gastric ulcer under Trt ----------> Gastroscope pt for cytology
Trt of osteomyelitis ----------> 3 months
Gas gangrene ----------> clostridium perfringens
-prostatic adenoma
-prostatin cancer
-bladder cancer ----------> Pollakiuria
-ureter lithiasis
No Pollakiuria in ----------> PyeloLithiasis
Atypical Pneumonia ----------> Mycoplasma Pneumonia
Trt of Primary Hypogonadism ----------> Testosterone
hypophysis adenoma ----------> Papillary edema , diabetes insipidus
indication of severity of G.I.Bleeding ----------> Hb
NO dyspagia in ----------> oesophagal varices
cervical diverticulosis ----------> Dysphagia
m.c. complication of colic diverticulosis ----------> Abscess
Heparin ----------> Osteoporosis , Alopecia , Allergic rash ,
circulatory arrest + AV Block ----------> Isuprenaline
digitalis intoxication ----------> AV Block 2d degree , ventricular tachycardia , vomiting , bigeminal venttricular ES
No depression (?)
Hyper Amylasemia
Hyper Amylasuria
increased BUN ----------> acute pancreatitis
Hypo Ca+

Adrenal gland calcification ----------> TB ----------> adrenal insufficiency
ITP ----------> Steroids ----------> increase the dose if no response
Trt of Torsade-de-pointe ----------> temporary PaceMaker , IsoProterenol , IV Mg,discontinue quinidine
FEATURE OF MI ----------> MITRAL REGURGITATION
No LADP in ----------> M.M.
- Nausea
- Vomiting ----------> acute intermitent porphyria , familial hyperlipidemia , diabetic ketoacidosis
- abd pain
asthmatic with PaO2 : 68 mm Hg ----------> admission
chemoprophylaxis for meningococcemia ----------> Rifampin
Trt of HyperKalemia ----------> Calcium Gluconate
HIV ----------> cerebral toxoplasmosis , dementia
Trt of carbon Monoxyde poisoning ----------> 100 % Oxygen