PANCE Test Prep 2022/2023
what vitamin deficiency causes the triad of dermatitis, diarrhea and
dementia? –
niacin (vitamin B3) deficiency =
... [Show More] pellagra
what vitamin deficiency causes bleeding gums, petechiae, poor wound healing,
and loose teeth? –
vitamin C deficiency = scurvy
what is pellagra? –
niacin (vit B3) deficiency
what is scurvy? –
vitamin C deficiency
what vitamin deficiency causes night blindness + dry skin? –
vitamin A
what is the medical term for vitamin D deficiency? –
Rickets / osteomalacia
what is beriberi? –
thiamine (vitamin B1) deficiency
what is the medical term for vitamin B1 (thiamine) deficiency? –
beriberi
what is the treatment of phenylketonuria (PKU)? –
low-phenylalanine diet + tyrosine supplementation
What is Budd-Chiari syndrome? –
hepatic vein thrombosis that causes RUQ pain, ascites, and hepatomegaly
DOC for NSAID-induced ulcer disease? –
misoprostol
"corkscrew" appearance on barium swallow should make you think of what
diagnosis? –
diffuse esophageal spasm
positive Schilling test indicates what? –
pernicious anemia
what kind of metabolic disturbance occurs in pyloric stenosis? –
hypOchloremic, hypOkalemic metabolic alkalosis
what is the classic triad for CHRONIC pancreatitis? –
pancreatic calcification + steatorrhea+ diabetes mellitus
DOC for pruritus in primary biliary cholangitis? –
cholestyramine
name TWO causes of isolated indirect hyperbilirubinemia. –
Gilbert's syndrome,
Crigler-Najjar syndrome
+ IgA endomysial antibody is seen in? –
celiac disease
+ ANCA antibodies are seen in which type of IBD? –
ulcerative colitis
+ ASCA antibodies are seen in which type of IBD? –
crohn's
MC artery affected in mesenteric ischemia? –
SMA
how to dx lactose intolerance? –
hydrogen breath test
Trypanosoma cruzi parasite causes what disease? –
Chagas disease
what nutritional deficiency causes rickets? –
vitamin D deficiency
what is the MCC of thiamine deficiency? –
chronic ETOH abuse
what occupations are associated with berylliosis? –
aerospace and nuclear plant workers
which TB medication is contraindicated in gout? –
pyrazinamide
exposure to pigeon droppings may result in pneumonia caused by what organism? – cryptococcus
MCC of pneumonia in COPD pts? –
Haemophilus influenzae
what are the components of carcinoid syndrome? –
cutaneous flushing + diarrhea + wheezing + low BP
what pulmonary artery pressure is diagnostic for pulmonary hypertension? –
> 25 mmHg
MC symptom vs. sign in acute PE? –
MC symptom = dyspnea
MC sign = tachypnea
what PCWP is diagnostic for ARDS? –
< 18 mmHg
what diagnosis should you think of in a young male nonsmoker with
emphysema? –
alpha1-antitrypsin deficiency
what electrolyte must be given with potassium to ensure proper repletion? -
magnesium
which is more elevated in alcoholic hepatitis, AST or ALT? - AST > ALT
which is more elevated in viral hepatitis, AST or ALT? - ALT > AST
what's a complication of Hirschsprung disease? - toxic megacolon
delayed meconium passage should make you think of what? - Hirschsprung
disease
name a GI complication associated with Henoch-Schonlein purpura. -
intussusception
intussusception is a complication of what vaccine? - rotavirus
best marker of HBV immunity? - anti-HBs (antibody to HBV surface antigen)
DOC for primary prophylaxis of esophageal varices? - propranolol
(nonselective beta blocker)
which hematologic abnormality is associated with gastritis? - pernicious
anemia
common cause of osteomyelitis in children with sickle cell disease? -
salmonella
what is the triad of Wernicke's encephalopathy? - 1. confusion /
encephalopathy
2. opthalmoplegia / oculomotor dysfunction
3. ataxia
cutaneous manifestation of celiac disease? - dermatitis herpetiformis
MC site of pancreatic carcinoma? - head of pancreas
name of physical exam finding of sausage-shaped mass in RUQ with emptiness
in the RLQ? - Dance's sign
(associated w/ intussusception!)
liver disease + Parkinson-like symptoms + Kayser-Fleischer rings = __________?
- Wilson's disease
what vitamin deficiency causes bleeding gums, petechiae, poor wound healing,
and loose teeth? and what is this condition called? - vitamin C deficiency =
scurvy
which antibiotics are used to treat acute diverticulitis? - cipro + flagyl
MCC of iron deficiency anemia? - chronic GI bleed
MC location of colorectal cancer? - cecum
"string sign" on barium swallow indicates what dx? - pyloric stenosis
when taking sulfasalazine for IBD, what vitamin should be supplemented? -
folic acid (folate)
what is the medical term for feeling like there is a lump in your throat? -
globus
MC location of an anal fissure? - posterior midline
DOC for antidromic AVRT (stable)? - procainamide
avoid AV nodal blockers (adenosine, beta-blockers, CCBs, digoxin) in
orthodromic or antidromic AVRT? - antidromic
DOC for primary prophylaxis of esophageal varices? - propranolol
(nonselective beta blocker)
name of physical exam sign characterized by a loud crunching sound, best
heard in LLD? - Hamman's sign
(pathognomonic for mediastinal air!)
MCC of acute vs. chronic aortic regurgitation? - acute MCC = endocarditis
chronic MCC = rheumatic heart disease
MCC of tricuspid regurgitation? - increased R heart pressure / RV dilation EKG with characteristic "Salvador Dali mustache"? - digoxin effect
fibric acid derivatives (eg, gemfibrozil) are contraindicated in what? - biliary
disease
MCC of mitral valve prolapse? - myxomatous valve degeneration
MCC of tricuspid stenosis? - rheumatic heart disease
(TS almost always occurs with MS)
which class of diabetes meds are contraindicated in heart failure? - thiazolidinediones
(eg, pioglitazone)
what medications should be avoided in patients with critical aortic stenosis? -
vasodilators and diuretics
(b/c these pts are preload-dependent!)
"egg-shaped heart" on CXR? - transposition of the great vessels
tx of choice (which pharmacologic class) for long QT syndrome? - beta-
blockers
capture beats and fusion beats confirm the diagnosis of __________? - V-Tach
fetus is at risk for what congenital heart problem if maternal Lithium use
during pregnancy? - Ebstein's anomaly
decrease in SBP (>10mmHg) and weaker pulse during inspiration refers to
__________________ - pulsus paradoxus
name TWO class IC antiarrhythmics. - flecainide, propafenone
digoxin is used to treat what 2 conditions? - CHF & A-Fib
triad of claudication + impotence + decreased femoral pulses = ____________ -
Leriche syndrome
what is the antidote for heparin toxicity? - protamine sulfate [Show Less]