Doctors Network: Clinical knowledge

Showing posts with label Clinical knowledge. Show all posts

NEUROLOGY & CARDIOLOGY USMLE FlashCards

......... commonly used to prevent ischemic hypoxia brain injury out of hospital cardiac arrest?

Therapeutic hypothermia

Brain tumor with estrogen receptors?

meningioma

The hallmark of prolonged seizure and what the sequelae?

5 minutes...cortical laminar necrosis

Baby becomes floppy after family traveled to .............. or ................... or ......................?

California, Utah, Pennsylvania have been reported

BB, Primidone, topiramate, Deep brain stimulation or thalamotomy if all else fails

those are Treat for what?

essential tremor

1st line treatment in pseudotumor cerebri ?.

Rx: Acetazolamide ----> 1st line---> inhibit choroid plexus carbonic anhydrase↓ CSF and IH. Add

furosemide in pts with continued symptoms

Symptoms refractory to medical therapy or those

with progressive vision loss----> surgical intervention with optic nerve sheath decompression or

lumboperitoneal shunting is recommended.

Short-term use of corticosteroids or serial lumbar

puncture (LP) can serve as bridging therapy for patients awaiting definitive surgical treatment ---> not

recommended as primary intervention due to side effects

Subjective restlessness in a patient on antipsychotics...dx and RX?

Akathisia

beta-blocker ,benzodiazepine

Which artery is affected by Wallenberg syndrome?

PICA

We Add Dexamethasone in meningitis caused by what Bacterial infection?

Streptococcus pneumoniae and Haemophilus influenzae

MS symptoms last for how long Vs TIA symptoms?

For days and week vs less than 24 hours

In GBS what is the deep tendon reflex would be?

Dec or absent

Which Cranial nerve is responsible for Flavor perception?

cranial nerve VII

DTR that been seen in cyanide toxicity vs Magnesium Toxicity?

hyper vs hypo

Lyme meningitis is bacterial meningitis so what is WBC predominant?

lymphocytes

we Dx brain death clinically what is the criteria to Dx it?

absent cortical and brain stem functions. but, the spinal cord may still be functioning; therefore, deep tendon reflexes may be present.

Pulsus Tardus Parvus where do you see them?

What is the BB that is CI in prolonged QT syndrome?

sotalol

MCC of erectile dysfunction post-infarction Patient ?

psychogenic

What causes the loss of the normal Right axis deviation in infants?

Tricuspid atresia

Quincke pulse where to see it ?

what is the EKG looks like in Cardiac tamponade?

electrical alternans

Urinary Incontinence and its types (Stress , Urge , Overflow , Bypass & Irritative)

Difference Between Osler's Node and Janeway Lesions (Infective Endocarditis)

INFECTIVE ENDOCARDITIS

Osler's Nodes : Painful Nodules on Finger tip and Toes (Immunologic phenomena)

Janeway Lesions : Macular Erythematous non tender lesion on Palms and Soles . (Vascular phenomena)

Skin conditions and important associations

Acanthosis nigricans -- Insulin resistance (Polycystic Ovarian Syndrome), Gastrointestinal malignancy

Multiple skin tags -- Insulin resistance , Pregnancy and Crohn disease (perianal)

Porphyria cutanea tarda
Cutaneous leukocytoclastic vasculitis (palpable purpura) secondary to cryoglobulinemia, Lichen planus --
Hepatitis C

Dermatitis herpetiformis -- Celiac disease

Sudden-onset severe psoriasis
Recurrent herpes zoster
Disseminated molluscum contagiosum -- HIV infection

Severe seborrheic dermatitis -- HIV infection and Parkinson disease

Explosive onset of multiple itchy seborrheic keratosis -- GI malignancy

Pyoderma gangrenosum -- IBD (inflammatory bowel disease)

Vitiligo -- other autoimmune conditions such as Celiac disease, Pernicious anemia , autoimmune thyroid disease, type 1 diabetes mellitus, primary adrenal insufficiency, hypopituitarism, and alopecia areata.