COMQUEST IM COMAT Study Guide for
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eyelid swelling and redness, pain with eye movement, proptosis, ophthalmoplegia, and visual
impairment//
CT scan//
inflammation of the extraocular muscles, inflammatory stranding of orbital fat, and anterior
displacement of the globe - ✔✔Signs of orbital cellulitis? Test done for it? See what?
surgical removal and then RAI ablation and exogenous T4//
Follicular - ✔✔Papillary cancer of thyroid treated how? Which other cancer treated same
way?
Flow cytometry//
deficiency of CD55 and CD 59 - ✔✔Paroxysmal nocturnal hemoglobinuria - dx with what?
See what?
rapid onset tenderness in region of affected bowel and rectal bleeding//
aortic surgery (intraop hypotension), MI, Cardiopulmonary bypass and hemodialysis -
✔✔lARGE bowel ischemia presents with what? Key RF's for it?
when experiencing symptoms for two weeks or if develop facial or tooth pain at any time -
✔✔When do you treat sinusitis with Abx?
strangulated//
incarcerated (irreducible) - ✔✔____ hernia is surgical emergency but hernia must first
become ___ before it can become this.
,severe back pain, fever, night sweats - ✔✔Pott's disease signs ?
dysphagia for BOTH solids and liquids, frothy regurg, halitosis - ✔✔Key signs of achlasia?
if both postprandial and fasting blood sugar levels are elevated//
post-meal hypoglycemia - ✔✔What suggests that patient is not getting enough basal insulin?
What's sign that need to decrease mealtime insulin?
IV Ceftriaxone - carditis, meningtits, encephalitis//
Doxy if patient doesn't have above//
Amox- if patient is pregnant or in children without the above 3 serious things - ✔✔Give
different Abx used in Lyme disease and when each type is used?
vertigo, nystagmus, Horner's, loss of P/T in ipsi face and contra body//
occlusion of PICA - ✔✔Signs of lateral medullary syndrome? What causes it?
Mitomycin - ✔✔What chemo drug can induce HUS?
BB, PTU, hydrocortisone, and stable iodine - ✔✔4 drugs used for thyroid storm?
Migraine= nausea, photophobia, and phonophobia - ✔✔Key diff features between tension
and migraine HA?
color flow Doppler - ✔✔Confirm dx of testicular torsion how?
HCV, HBV, NASH, and alcohol abuse//
cause cirrhosis//
,abd pain, weight loss, abd mass on CT, jaundice, signs of cirrhosis - ✔✔4 KEY things that
predispose to hepatocellular cancer. Why do they? Signs of HCC?
Burkitt's//
t (8;14)//
C-myc - ✔✔Starry sky LN bx- dx? Key translocation? Haveincreased expression of ____
androgen deprivation//
GnRH agonists (leuprolide, goserelin) and antagonists (degarelix), androgen production in
adrenal inhibitors (keto), inhibition of androgrens binding to their receptors (flutamide)//
Bisphosphanates - ✔✔1st line tx of prostate cancer = do what? 4 drug classes that do this?
Decrease pain from bony mets how?
if less than 6 weeks and no alarm sx's//
Acetaminophen//
incontience, saddle anesthesia (both suggest cauda equina), weight loss or pain worse at night
(malignancy), fever and chills (ostemyel or epidural abscess)//
MRI//
if fx suspected - ✔✔Patients with lumbar strain do not need to recieve further workup
when? (2 criteria) Tx? Give the alarm sx's. Workup for alarm sx's? XR when?
Erythema nodosum, hyperCa//
bilateral hilar adenopathy//
biopsy of affected organ//
non-caseating granulomatous disease// - ✔✔Unique signs of sarcoidosis? See what on CXR?
Confirm dx how? See what?
needle thoracostomy - ✔✔Tension pneumo suspected- first step?
, posterior aspect of leg//
diminised Achilles reflex - ✔✔S1 does sensory where? Other key sign of involvement?
indirect inguinal hernia//
Valsalva or cough - ✔✔What hernia increases in size with increased abd pressure? Done
how?
12 or more weeks//
21 day course of Antibiotics (Augmentin or ceph)//
less than 4 weeks - ✔✔Length of chronic sinusitus? Tx? Length of acute?
contact drematitis//
poison ivy, oak, sumac//
tYPE 4 - ✔✔Red vesicular rash after hiking = suspect ___ from what? What type HS?
Chondrocyte - ✔✔What cell most important in the initiation of OA?
BUN:Cr ratio//
>20 prerenal
<15 intra
>15 postrenal - ✔✔Use what value to differentiate the 3 types of azotemia? result for each?
external compression - ✔✔Tx of lympohedema?
cafe au lait macules, neurofibromas, iris hamartomas (Lisch nodules), optic gliomas//
Slit lamp exam//
to look for th eye stuff - ✔✔Key signs of NF type 1? Next step after PE in dx? Why?