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Internal Medicine with 100- correct answers(passed)
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Internal Medicine with 100- correct answers(passed)
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Internal Medicine with100% correct
answers(passed)
define obesity hypoventilation syndrome - answer daytime hypercapnia
in an obese pt.
s/s of obesity hypoventilation syndrome - answer daytime somnolence.
fatigue.
decreased exercise tolerance.
dyspnea.
memory deficits.
complications of obesity hypoventilation syndrome - answer obstructive
sleep apnea.
HTN.
pedal edema.
hepatomegaly.
increased JVP.
polycythemia.
treatment for obesity hypoventilation syndrome - answer weight loss.
CPAP during sleep.
s/s of gastric cancer - answer epigastric pain.
dysphagia.
early satiety.
weight loss.
,PE findings for gastric cancer - answer palpable abdominal mass.
abdominal distension.
palpable liver edge below the costal margin (metastatic).
Diagnosing gastric cancer - answer EGD w/ biopsy
Serologic markers associated with gastric cancers - answer CEA.
CA 125.
CA 19-9.
signs of metastatic cancer - answer virchow node - left supraclavicular.
irish node - left axillary.
sister mary joseph node - periumbilical.
define polyarteritis nodosa - answer systemic necrotizing vasculitis of
medium-sized arteries.
what is polyarteritis nodosa associated with - answer hep B.
hep C.
hairy cell leukemia.
s/s of polyarteritis nodosa - answer HTN.
fever.
sore throat.
myalgias.
arthritis.
,livedo reticularis.
skin ulcers.
gangrene.
Raynaud's phenomenon.
define livedo reticularis - answer mottled, lace-like purple discoloration
of the skin.
complications of polyarteritis nodosa - answer necrotizing lesions.
microaneurysms (can lead to organ ischemia).
Diagnosing polyarteritis nodosa - answer initial = elevated ESR +
negative ANCA.
Diagnostic = biopsy.
treatment for polyarteritis nodosa - answer steroids.
Define multiple sclerosis - answer CNS disorder.
demyelination of white matter in the brain/spinal cord.
degeneration of axons & neurons.
astrocytic sclerosis.
multiple sclerosis trends - answer 20-50 y/o.
, women > men.
further from the equator.
genetics = HLA-DR2.
s/s multiple sclerosis - answer optic neuritis.
monocular vision loss.
bilateral internuclear ophthalmoplegia.
Marcus Gunn pupil = afferent pupillary defect.
fatigue.
ataxia.
tremor.
spasticity.
charcot neurological triad - MS - answer nystagmus.
intention tremor.
scanning speech.
Uhthoff phenomenon - multiple sclerosis - answer worsening of
symptoms with high temperatures.
fatigue.
concentration problems.
urinary urgency.
Lhermitte sign.
define Lhermitte sign - answer neck flexion causing an electrical
sensation from the neck that radiates down the spine into the extremities.
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