Criteria for Allergic Bronchopulmonary Aspergillosis Abpa mnemonic Escape A escape ABPA

Skin reactivity to Aspergillus antigen Pulmonary infiltrates Elevated serum IgE levels The most sensitive physical sign of pulmonary embolism sinus tachycardia Livedo reticularis + shortness of breath following fracture of femur fat emboli Blue bloater chronic bronchitis CHEST EXAMINATION PHYSICAL FINDINGS Disease Trachea Fremitus Percussion Sounds

Items 145146

For each chest description, choose the appropriate skeletal deformity. 145. A 4-year-old boy has a marked depression of the sternum below the clavicular-manubrium junction. (CHOOSE 1 DEFORMITY) 146. A 9-year-old girl has a chest deformity in which the sternum protrudes from the thorax. (CHOOSE 1 DEFORMITY) 144. Posterior mediastinum (CHOOSE 2 MASSES)

Items 185188

For each patient with a heart murmur, choose the most likely heart lesion responsible for the murmur. i. Hypertrophic cardiomyopathy j. Mitral valve prolapse k. Ventricular septal defect l. Atrial septal defect m. Idiopathic calcific aortic stenosis 185. A 50-year-old man presents with syncope while dancing at his high school reunion party. His blood pressure is normal but pulse pressure is narrow. Heart examination reveals a crescendo-decrescendo systolic murmur heard best at the 2nd left...

Items 335336

For each patient with joint pain, choose the best diagnosis. c. Systemic lupus erythematosus 335. A 69-year-old man taking hydralazine for hypertension presents with joint pain and chest pain. On cardiac examination, the patient has a pericardial rub. (CHOOSE 1 DIAGNOSIS) 336. A 17-year-old woman complains of intermittent ankle pain and swelling, photosensitivity, and oral ulcers. On physical examination, joints are normal but a peri-cardial rub is audible. (CHOOSE 1 DIAGNOSIS)

Physical Diagnosis

PreTest Self-Assessment and Review Fourth Edition Assistant Professor of Medicine Medicine Clerkship Director UMDNJ-New Jersey Medical School Newark, New Jersey Attending Physician Division of Gastroenterology Bayshore Community Hospital Holmdel, New Jersey McGraw-Hill tFSVS Medical Publishing Division la nil PreTest Series New York St. Louis San Francisco Auckland Bogot Caracas Lisbon London Madrid Mexico City Milan Montreal New Delhi San Juan Singapore Sydney Tokyo Toronto A Division of The...

Questions

DIRECTIONS Each of the numbered items or incomplete statements in this section is followed by answers or by completion of the statements. Select the one lettered answer or completion that is best in each case. 189. A 42-year-old woman presents to the emergency room complaining of the sudden onset of right upper abdominal pain. Her pain started after eating a hamburger for lunch. She is nauseated and vomited twice at home. She denies diarrhea. Her temperature is 102.2 F, blood pressure is 140 90...

The answer is c Fauci 14e pp 13951396 Dissection of the

Aorta occurs when the intima is interrupted so that blood enters the wall of the aorta and separates its layers, forming a second lumen. It is almost always fatal if left undiagnosed, but with prompt treatment most patients survive. Anything that weakens the media can lead to dissection, but hypertension is the most common risk factor. Aortic dissection is a major cause of morbidity and mortality in Marfan syndrome. Other etiologies of dissection include cystic medial necrosis (described in...

Answers

The answer is d. (Seidel, 4 e, p 440. Fauci, 14 e, pp 1334-1335.) The pericardium is a double-walled sac that protects the heart inflammation and roughening of the sac may result in the formation of a pericardial rub. The sounds represent heart movement against the inflamed pericardium and are best heard with the diaphragm of the stethoscope placed at the left lower sternal border with the patient leaning forward. The scratchy nature of the triphasic sound represents systole and diastole...

Info

A 49-year-old woman is brought to the emergency room after suddenly losing consciousness. Her husband states that the patient was in good health until 2 h ago, when she suddenly complained of a severe headache. After one episode of vomiting, the patient lost consciousness. The husband states that there were no seizure-like movements and no incontinence. The patient did not take any medications, smoke, drink, or use illicit drugs. On physical examination, the patient has a regular heart...

A score of 07 is mild BPH 819 is moderate BPH and 2035 is severe BPH

The answer is b. (Fauci, 14 e, p 1544.) IgA nephropathy (Berger's) is the most commonly encountered form of focal glomerulonephritis worldwide, and patients will often have microhematuria. It may follow an upper respiratory tract infection or physical exertion. Bladder cancer is a common cause of asymptomatic microhematuria but is usually found in patients over the age of 50. Risk factors for bladder neoplasia include aniline, rubber, other organic solvents, industrial dyes, and tobacco...

Syndrome Associated With Hypospadia

The answer is b. (Seidel, 4 e, pp 665-668. Tierney, 39 e, pp 1141-1142.) Germ cell tumors are the most common tumors in men between 20 and 35 years of age. A man who presents with a testicular mass and an elevated serum a-fetoprotein (AFP) level most likely has non-seminomatous testicular cancer. The elevated AFP implies yolk sac or nonseminomatous elements. Patients with seminomas (more common than nonseminomas) often have elevations in human chorionic gonadotropin (hCG). All germ cell...

Terms of

A 21-year-old man presents to your office for a preemployment physical examination. He is 6 ft 3 in. tall and weighs 70 kg. Heart examination is remarkable for a midsystolic click and a grade 2 systolic murmur that increases with Valsalva maneuver. The patient has an arm span that exceeds his height and has long, slender fingers. The thumb sign (Steinberg sign) is positive. Which of the following is the most likely diagnosis 6. A nursing home patient is transferred to the hospital for possible...

Obstetrics and Gynecology

DIRECTIONS Each of the numbered items or incomplete statements in this section is followed by answers or by completion of the statements. Select the one lettered answer or completion that is best in each case. 452. A 23-year-old woman presents with fever and bilateral lower quadrant abdominal pain for two days. She complains of the onset of a mucopurulent vaginal discharge with her menses, which she states is yellowish in color. She has a new sexual partner and uses a nonbar-rier method of...

Pediatrics and Neonatology

The answer is b. (Behrman, 16 e, pp 1385-1399. Hay, 14 e, pp 496-497.) The five congenital heart disorders listed in the answer (the five T's) cause right-to-left shunts and subsequent cyanosis. Tetralogy of Fallot is the most common type of cyanotic heart lesion and consists of Pulmonary stenosis, RVH, an Overriding aorta, and VSD (PROV). Children present with dyspnea, cyanosis after the neonatal period, irritability, easy fati-gability, and retarded growth and development. Physical...

Terms of Use

A 17-year-old patient presents with severe pruritus that is worse at night. Upon examination of the skin, areas of excoriated papules are observed in the interdigital area. Family members report similar symptoms. Which of the following is the most likely diagnosis 51. A 35-year-old woman who had been camping in Wisconsin 2 wk ago develops an erythematous rash on her inner thigh. The macular lesion is 10 cm in diameter and had a distinct red border with central clearing. Two days ago, a...

The answer is c Seidel 4e pp 532533 Normal liver span is 612 cm in the MCL and 48 cm in the midsternal line MSL Micro

Nodular cirrhosis is typically uniform throughout the liver and the nodules are < 3 mm in size. It is due to a metabolic insult such as alcohol use. The nodules of macronodular cirrhosis, which are less uniform, are > 3 mm in size and are due to drugs or infection. 204. The answer is c. (Fauci, 14 e, pp 1626-1629. Sapira, p 273.) Diabetic patients, especially those with poor control, may develop delayed gastric emptying (autonomic dysfunction). Often patients will have a succussion splash...

Infectious Diseases

DIRECTIONS Each of the numbered items or incomplete statements in this section is followed by answers or by completion of the statements. Select the one lettered answer or completion that is best in each case. 426. A 25-year-old heterosexual man develops a urethral discharge and dysuria 5 days after having unprotected sexual intercourse with a new partner. Physical examination reveals meatal erythema. There are no penile lesions and no inguinal lymphadenopathy. A purulent ure-thral discharge is...

The answer is a Fauci 14e pp 14511455 Massive lifethreatening hemoptysis is 100 cc of blood in 24 h The most common

Cause for nonmassive hemoptysis (< 30 cc day) in smokers and nonsmoking patients with a normal chest radiograph is bronchitis. Chronic bronchitis is characterized by excessive secretions manifested by a productive cough, often purulent or bloody, for 3 mo or more for 2 consecutive years in the absence of any other disease to explain the symptoms. Patients are often obese and cyanotic (blue bloater). The mnemonic is BBB Bronchitis Blue Bloater. 117. The answer is a. (Fauci, 14 e, pp...

The answer is d Fauci 14e pp 21162118 Gynecomastia is

Seen in 50-60 of adolescent boys and usually occurs during Tanner stages 2 or 3. It is usually painful and may be unilateral or bilateral. It gradually appears and gradually disappears within 1 year of onset. Pubertal changes that occur during Tanner stages 2 and 3 include growth spurt, growth of testes and penis, spermarche, acne, axillary perspiration, and appearance of pubic hair. The boy in this case should be reassured and followed monthly. If the gynecomastia does not resolve, it will be...

Hematology and Oncology

Purpuric rash abdominal pain glomerulonephritis in a child young patient HENOCH-SCHONLEIN PURPURA HSP Purpura livedo reticularis after a coronary angiogram think CHOLESTEROL ATHEROEMBOLIC DISEASE Purpura livedo reticularis hepatitis B abdominal pain after meals footdrop HTN think POLYARTERITIS NODOSA THROMBOTIC THROMBOCYTOPENIC PURPURA TTP mnemonic FAT RN 2. Anemia, microangiopathic hemolytic schistocytes 5. Neurologic abnormalities confusion, aphasia, headache, coma, seizures HEMOLYTIC UREMIC...

Causes of Hematuria mnemonic Switch Gps

Stones, Sickle cell disease, Scleroderma, SLE, Sulfonamides Wegener's granulomatosis Infections, Instrumentation, Iatrogenic, Interstitial nephritis Trauma, TB, Tumor, TTP, Tubulointerstitial disease Cryoglobulinemia, Cyclophosphamide Hemolytic uremic syndrome, Henoch-Schonlein purpura, Hemophilia Papillary necrosis, Polycystic kidney disease, Polyarteritis nodosa Schistosomiasis, Sponge disease medullary Most common organisms responsible for URINARY TRACT INFECTIONS UTIs mnemonic SEEK PP...