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PANCE Rosh Review with 100- correct answers(passed).
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PANCE Rosh Review with 100- correct answers(passed).
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PANCE Rosh Review with 100%correct answers(passed)
Which side is endocarditis more common on? - answer Left
Strep viridans, staph, enterococcus
roth spots - answer retinal hemorrhages with central clearing seen on
funduscopic examination in endocarditis
osler nodes - answer painful nodules on fingers and toes in endocarditis
janeway lesions - answer painless erythematous plaques on the palms
and soles in endocarditis
splinter hemorrhages - answer occur beneath the nails due to septic
emboli in endocarditis
what is hallmark for imaging of endocarditis? - answer transesophageal
echo
Endocarditis criteria - answer Duke criteria:
having either both major criteria, 1 major and 3 minor criteria, or 5 minor
criteria
major endocarditis criteria - answer 2 + blood cx or abnormal echo
minor endocarditis criteria - answer predisposing risk factors or IV drug
use, fever, vascular events (septic emboli and janeway lesions),
immunologic events (osler nodes or roths spots), echo findings not
meeting major criteria, + blood cx not meeting major criteria
,Tx IV drug user w/ endocarditis - answer Cefepime + Vancomycin
PE findings endocarditis - answer FROM JANE
fever, roth spots, osler nodes, murmur, janeway lesions, anemia, nailbed
hemorrhages, emboli
Tx thyroid storm - answer propranolol, PTU (faster onset than MMI),
Iodine (at least 60 minafter PTU administration), corticosteroids, fluid
resuscitation, rapid cooling
acute mastoiditis tx - answer CT scan temporal bone, IV antibiotics
what lab finding is highly specific in guillain-barre syndrome? - answer
albumin-cytological dissociation
-elevated protein with only mild pleocytosis on CSF analysis
Tx Guillain-barre - answer IVIG or plasma exchange
PE findings guillain-barre - answer bilateral ascending muscle weakness,
loss of DTR, follows GI or respiratory illness
Miller Fisher syndrome - answer rare form of GBS characterized by the
triad of ophthalmoplegia, ataxia, and areflexia (absent reflexes)
Cause of measles (rubeola) - answer paramyxovirus
fever + 3 C's followed by maculopapular rash on face that spreads to
extremities
koplik spots
Roseola - answer Sixths disease, HHV 6 & 7
High fever for 3 days followed by the appearance of a pink maculopapular
rash
, Hand foot & mouth cause - answer coxsackie virus
spread by fecal-oral, respiratory droplets and contact
Rubella - answer german measles, togavirus
fever, conjunctivitis, and lymphadenopathy followed by a maculopapular
rash that starts on the face and spreads to the trunk and limbs
TORCH infections - answer MC infections with congenital anomalies
-toxoplasmosis
-other (syphilis, varicella-zoster, parvovirus B19)
-Rubella
-CMV
-Herpes
Congenital Rubella syndrome - answer sensorineural deafness, cataracts,
cardiac malformations, and neurologic sequelae.
"Blueberry muffin" spots- Purpuric skin lesions associated with congenital
rubella syndrome
Most serious long-term complication of measles? - answer Subacute
sclerosing panencephalitis
Opioid withdrawal symptoms - answer CNS excitation, tachypnea and
mydriasis. Tachycardia and hypertension are common. Additionally,
patients will often complain of nausea, vomiting and diarrhea. Physical
examination may also reveal piloerection, yawning, rhinorrhea and
lacrimation
Tx opioid withdrawal symptoms - answer Clonidine, Zofran
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