All Knowmedge internal medicine flashcard

8/10/2019 All Knowmedge internal medicine flashcard

1/22

24 hour urine cortisol greater than what value suggests a Cushing problem?

Greater than 100 mg/dl

Along with homocysteine, what levels can be elevated with vitamin B12 deficiency?

Methylmalonic acid levels

Anaphlyaxis reaction is an example of which type of hypersensitivity reaction?

Type 1 hypersensitivity reaction

Anti-smooth muscle antibodies areassociated with which condition?

Autoimmune hepatitis

Ascitic fluid containing polymorphonuclearleukocytes (PMNs) greater than this numberindicates spontaneous bacterial peritonitis (SBP)?

Greater than 250/mm3

ATP7B mutation is associated with which condition?

Wilson's Disease

Back pain that improves with leaningforward is the the classic presentation of

what musculoskeletal condition?

Spinal stenosis

Before starting patient on TNF-alphainhibitors, what test should be performed?

Purified protein derivative(PPD) tuberculin skin test

Besides a traumatic tap, what condition isoften associated with red blood cells in thecerebrospinal fluid on lumbar puncture?

HSV encephalitis

Besides elevated MCV, what else can beelevated with folate deficiency?

Homocysteine levels


2/22

Besides rhabdomyolysis, what three majorconditions will produce blood in the urine

without seeing RBCs in urine?

Contamination with povidine, vitamin Cexcess, Paroxsysmal nocturnal

hemoglobinuria (PNH)

Best next step after pt has tried NSAIDs /OCPs for primary dymenorrhea but

symptoms persist >3 months?

Ultrasound to rule out uterine

abnormalities like fibroidsBilateral lateral rectus palsy is often seen

with what vascular condition?Cavernous sinus thrombosis

Blister cells or bite cells on peripheralsmear are most often seen with what

condition?

Glucose 6 phosphatedehydrogenase deficiency (G6PD)

Blood pressure greater than or equal to what value is a contraindication for t-PA therapy in patients with ischemic stroke?

Systolic blood pressure greater than185mmHg or Diastolic blood pressure greater

than 110mmHg

Boceprevir and Telaprevir are new hepatitisC agents that can only be used against which

HCV genotype?

HCV genotype 1

Breast cancer along with sarcomas,leukemia, lymphoma, brain tumors andadrenal cancer defines which syndrome?

Li-Fraumeni Syndrome

Digestion of which toxin from reef fish cancause for peri-oral parasthesias to occur?

Ciguatera toxin

During exercise, what is the formula used todetermine the maximum heart rate an

individual should achieve?

(220 - age in years) X 85%

Excessive ingestion of licorice can lead to which electrolyte abnormality?

Hypokalemia


3/22

Finasteride, used to assist patients with benign prostatichyperplasia , acts on which enzyme to inhibit conversionof testosterone to dihydrotestosterone?

5 alpha reductase

Foamy macrophages on PAS stain on a small bowel biopsy is seen in what condition?

Whipple's Disease

Greater than what value is the white bloodcell (WBC) count expected to be in cases of

septic arthritis?

More than 50,000/uL

How do residual lung volumes and DLCOchange with kyphosis compared to normal

lungs?

DLCO remains normal while residual lung volumes are increased compared to normal

How do you differentiate chronic hepatitis Binfection from the carrier state?

Check liver function tests. Increased inchronic state and normal in carrier state

How many days after aminoglycoside usecan acute tubular necrosis arise?

4-5 days

If a diabetic patient requires insulin therapy andhas normal renal function, how many units/kg isthe recommended daily insulin requirement?

0.5 units/kg

If patient with inflammatory bowel disease isfound to have dysplasia on colonoscopy, whatis the next step in management?

Proctocolectomy

If pts with osteoarthritis present withmorning stiffness, what length of time should

it not exceed?

30 minutes

In hemochromatosis, which condition, if developed, is irreversible?

Hypogonadism which can leadto infertility


4/22

In males, a creatinine level of this orhigher is a contraindication to giving

metformin?

1.5 mg/dl or higher

In patient with antibodies to pre-synapticacetylcholine receptors, are reflexes

increased or decreased?

Decreased (condition is Eaton-

Lambert Syndrome)Individuals who have both Addison's Diseaseand Hashimoto thyroiditis are known to have

what syndrome?

Schimdt's Syndrome (autoimmunepolyglandular type II)

Long term use of NSAIDS increases,decreases, or has no effect on the risk of

developing colon cancer?

Decreases

Long-term use of which potent antibioticrequires performing regular eye exams?

Linezolid

Loss of passive flexion of the foot when thecalf is squeezed with achilles tendon tears is

known as what test?

Positive Thompson test

Muddy brown casts in a urinalysis is aclue towards which renal process?

Acute tubular necrosis (ATN)

Name four commonly prescribedmedications that can cause aseptic

meningitis.

TMP-SMX (Trimethoprim-Sulfamethoxazole), IVIG (Immunoglobulin),

NSAIDS, Carbamazepine

Name the four main causes of microcytic anemia.

Thalassemia, Iron deficiency, Anemia of chronic disease, Sideroblastic anemia

(mnemonic TICS)

Name the supplement: Sleep aid also usedfor stress/anxiety relief. If combined with

EtOH, can oversedate.

Kava


5/22

Name the supplement: Used againstdementia. Can increase the risk of bleeding.

Ginkgo Biloba

Name the supplement: Used against thecommon cold. Can cause nausea, rash and

itchiness.

Echinacea

Name the supplement: Used as an anti-depressant. Can potentially inducescytochrome P450 drug metabolism.

St. John's Wort

Name the supplement: Used for benignprostatic hyperplasia. Can cause headaches

and/or abdominal pain/nausea.

Saw Palmetto

Name three conditions that are very oftenassociated with hypogammaglobulinemia

CLL, nephrotic syndrome, bronchiectasis

NSAIDS are known to cause allergic interstitial nephritis without eosinophils. What other class of medication isknown to cause allergic interstitial nephritis withouteosinophils about 33% of the time?

Proton pump inhibitors (PPI)

An obese individual with headaches is found to have ahigh opening pressure during lumbar pressure. Whatis the best medication for this pt's l ikely condition?

Acetazolamide (Carbonicanhydrase inhibitor)

Of the MCP, PIP, and DIP joint, which of thefollowing is least likely to be involved with

rhematoid arthritis?

DIP joint

Of the three major forms of hepatitis, which does not currently have a vaccine

against it?

Hepatitis C

On a DEXA scan, what T score will indicate osteoporosis?

T score of less than -2.5


6/22

On fundoscopic examination, whichcondition is associated with cherry red spots

of the macula?

Retinal artery occlusion

On the morning of surgery, what changeshould be made to long standing insulin in

diabetic patients?

Give half the dose of long

acting insulin

Optic chiasm compression willlead to what eye abnormality?

Bitemporal hemianopsia

Patient develops a pneumonia soon afterrecovering from the flu. What organism is

most often associated in this scenario?

Staphylococcus aureus

Patient is found to have a Pelger-Huetanomaly and hyposegmented neutrophils. What condition does this patient likely have?

Myelodysplastic syndrome

Patient is found to have left homonymousquadrantanopia. Where is the lesion?

Right optic radiation

Patient is found to have positive antibodiesto soluble liver antigen (SLA). Whatcondition does this patient likely have?

Autoimmune hepatitis (which alsohas anti-smooth muscle antibodies)

Patient who uses cocaine and has a weak handshake. What is the likely diagnosis?

Inclusion body myositis

Patient with polymyositis is on high dosesteroids. CPK levels are improving but

weakness worsening. What to do?

Taper down on the steroids

Patient with rheumatoid arthritis on leflunomidedecides she wants to get pregnant. What is the bestnext step in management?

Give cholestyramine for 9-11days


7/22

Peripheral blood showing smudge cells ismost specifically associated with what

condition?

Chronic LymphocyticLeukemia (CLL)

Post renal transplant lymphoma is mostoften associated with which organism?

Epstein Barr Virus (EBV)

Post-gallbladder removal, patient has rightupper abdominal pain and still has elevated

LFTs. Next step in management?

Check manometery studies to ruleout sphincter of oddi function

Proxmimal bicarbonate reabsorption isseen in which renal tubular acidosis type?

Renal tubular acidosis type 2

Strong family history of premature heartdisease + patient has a low HDL. What level

is likely to be elevated?

Lipoprotein a or Lp(a)

Sweet's Syndrome can be associated with what type of malignancy?

Acute myelogenous leukemia

Trastuzumab is used for what positivemarker in patients with breast cancer?

HER2/neu positive

Treatment of MALT requireseradication of what organism?

Heliobacter Pylori (H. pylori)

Two fasting blood sugars greater than what # will diagnose diabetes mellitus?

125 mg/dl

What antibody can be associated inindividuals who have Crohn's Disease?

Anti-Saccharomyces cerevisiaeantibodies (ASCA)


8/22

What are the CD markers for a ReedSternberg cell in Hodgkin's lymphoma?

CD15 and CD30

What are the most common vitaminK dependent clotting factors?

Factors II, VII, IX, and X

What are the MRI T1 (increased/decreased)and T2 (increased/decreased) signal changesseen in patients with multiple sclerosis?

Decreased T1 and IncreasedT2

What are the organisms thatmay lead to struvite stones?

Urea-splitting bacteria (Proteus,Klebsiella, or Pseudomonas)

What are the possible agents for treatinghypertension in pregnant women?

Hydralazine, Labetalol, Alphamethyldopa

What are the reflexes you would expect in anindividual who has antibodies to post

synaptic acetylcholine receptors?

Normal

What are the triad of diseases in multipleendocrine neoplasia (MEN) type I?

Parathyroid, pituitary, and pancreatic--remember them as the 3P's of MEN I

What are the two most common HLA markersassociated with a condition that has positiveantibodies to tissue transglutaminase?

HLA DQ-2 and HLA DQ-8

What are the two most common nerveroot impingements in lower back pain?

L5 and S1

What area of the brain is affected with thediagnosis featuring bradykinesia, cogwheelrigidity, postural instability and resting tremor?

Substantia nigra (likely diagnosis isParkinson's disease)


9/22

What blood test is the initial screeningtest for suspected systemic mastocytosis?

Serum tryptase level

What cardiac condition has a loud holosystolicmurmur w/ palpable thrill along left sternal

border over 3rd or 4th intercostal space?

Ventricular septal defect

(VSD) What class of anti-depressants can be used

for patients who are suffering from urgeincontinence?

TCAs (Tricyclic anti-depressants)

What class of medication is the first-linetreatment of renal crisis in scleroderma?

ACE inhibitors

What condition does a patient likely have if onphysical exam you hear a loud systolic ejectionmurmur at the right 2nd intercostal space?

Aortic stenosis

What condition is known as "spotlessRocky Mountain spotted fever"?

Ehrlichiosis

What condition is often associated withantibodies positive to glutamic acid

decarboxylase?

Type 1 Diabetes Mellitus

What condition is often associated withhypersegmented neutrophils?

Vitamin B12 deficiency

What condition is often associated with pigeon or bat droppings?

Histoplasmosis

What degree of stenosis is an indicationfor carotid endarterectomy in female

patients?

70-99% stenosis


10/22

What degree of stenosis is an indication forcarotid endarterectomy in male patients whoare symptomatic? And asymptomatic?

50-99% in symptomatic. 60-99% in asymptomatic.

What enteropathic organism is most oftenassociated with Guillain-Barre Syndrome

Campylobacter jejuni

What environmental exposure can lead toacute vitamin B12 deficiency?

Nitrous oxide

What group of testicular cancer isnot sensitive to radiation therapy?

Non-seminomas (eg. teratoma, embryonalcarcinoma, choriocarcinoma, yolk sac tumor)

What hematologic condition is oftenassociated with restless leg syndrome?

Iron deficiency anemia

What hematological condition is caused by a membrane defect of spectrin deficiency?

Hereditary spherocytosis

What HLA marker can often beassociated with ankylosing spondylitis?

HLA-B27

What is a very common organism forUTIs in young, pregnant women?

Staphylococcus saprophyticus

What is Charcot's triad? Fever, Right upper quadrantabdominal pain, and Jaundice

What is the anti-depressant category of choice in patients with bulemia?

SSRIs


11/22

What is the antibiotic of choice for mildClostridium difficile colitis? Severe?

PO or IV metronidazole for mild.PO vancomycin for severe.

What is the best management in anindividual who has overdosed on TCAs and

has widened QRS on EKG?

Bicarbonate

What is the best next step in a patient withaspirin allergy who will be undergoing

elective coronary angioplasty?

Aspirin desensitization. Pts undergoingelective angioplasty should be pre-treated

with aspirin and clopidogrel.

What is the best screening blood test for acromegaly?

Insulin growth factor 1 (IGF-1)

What is the best treatment for penicillin-allergic, pregnant female with UTI?

Nitrofurantoin

What is the best way to prevent foot ulcersfrom occuring in diabetic patients?

Perform monofilament testing

What is the earliest lab value to increaseafter repleting iron in patients with iron

deficiency anemia?

Reticulocyte count

What is the enzyme that convertstestosterone to estradiol?

Aromatase

What is the fundoscopic exam finding oftenseen with idiopathic intracranial

hypertension (Pseudotumor cerebri)?

Papilledema

What is the goal hemoglobin level inpatients with end stage renal disease?

11-12 g/dl (higher than this can increaserisk of embolism or strokes)


12/22

What is the goal uric acid level to preventfurther attacks in patients with gout?

Less than 6mg/dl

What is the gold standard for diagnosingsmall intestinal bacterial overgrowth?

Endoscopy with jejunal

aspirate What is the gold standard imaging

modality for diagnosing kidney stones?Noncontrast spiral CT

What is the ideal LDL goal in CADpatients or CAD equvialent patients?

Less than 70 mg/dl

What is the inheritance pattern forHereditary Hemorrhagic Telangiectasia

(HHT)?

Autosomal dominant. HHT is also knownas Osler-Weber-Randau syndrome

What is the initial diagnostic test to check inan individual you suspect of having

polymyositis?

Creatine phosphokinase (CPK)or Creatinine kinase (CK)

What is the initial diagnostic test to check inan individual you suspect to have temporal

arteritis?

Erythrocyte sedimentationrate (ESR)

What is the laboratory screeningtest for chronic alcohol abuse?

Carbohydrate free transferrinlevel elevated

What is the leading cause of death inpatients with systemic lupus erythematosus?

Cardiovascular disease

What is the leading cause of suddencardiac death in young athletes?

Hypertrophic cardiomyopathy


13/22

What is the main anti-depressant to beavoided in patients with seizure disorder?

Buproprion

What is the main pulmonary function testthat helps differentiate obstructive from

restrictive lung disease?

Total lung capacity (TLC)

What is the main vector of LymeDisease in North America?

Ixodes scapularis

What is the MOST commoncause of aseptic meningitis?

Enterovirus (more thanEchovirus)

What is the most common cause of pneumonia in HIV patients?

Streptococcus pneumoniae

What is the most common cause of septicarthritis in inviduals greater than 40 years of

age?

Staph aureus

What is the most common electrolyteabnormality associated with tamoxifen use?

Hypercalcemia

What is the most common extra-articularmanifestation of rheumatoid arthritis?

Rheumatoid nodules

What is the most common presentingsymptom of an individual with acute

altitude sickness?

Headaches

What is the most commonsubytpe of thyroid cancer?

Papillary thyroid cancer(papillary carcinoma)


14/22

What is the most common symptom of Hereditary Hemorrhagic Telangiectasia

(HHT)?

Epistaxis (nose bleeding)

What is the most common type of glomerulonephritis throughout the world?

IgA Nephropathy

What is the most commonly used agent inthe treatment of Familial Mediterranean

Fever?

Colchicine

What is the most important prognosticfactor in a patient with breast cancer?

Lymph node positivity

What is the most likely diagnosis in a patienton hemodialysis with skin ulcerations and anelevated calcium-phosphate product?

Calciphylaxis

What is the most likely diagnosis in diabeticpt with diarrhea, weight loss, flatulence and vitamin A, D, B12 deficiencies?

Small intestinal bacterialovergrowth

What is the most likely organism thatcauses post partum endometritis?

Group B Streptococcus(Streptococcus agalactiae)

What is the most sensitive method of diagnosing avascular necrosis?

MRI

What is the most specific test fordiagnosing rheumatoid arthritis?

Anti-citrullinated protein(anti-CCP) antibody

What is the name of the sign in which RLQpain is elicited with LLQ palpation in apatient suspected of having appendicitis?

Positive Rovsing sign


15/22

What is the number of dermatomes over which apatient with Herpes Zoster virus requires bothcontact and airborne precautions?

Two dermatomes

What is the rash that is commonly associated with celiac disease?

Dermatitis herpetiformis

What is the recommendation for initialcolonoscopy after inflammatory bowel diseasediagnosis and follow up colonoscopies?

8 years after diagnosis andthen every 1-2 years

What is the simplest test to differentiateanemia of chronic disease from iron

deficiency?

Total iron-binding capacity (TIBC)

What is the syndrome that contains thetriad of ptosis, miosis, and anhidrosis?

Horner's Syndrome

What is the treatment of choice for unstablept with wide complex tachycardia?

Immediate synchronizedcardio version

What is the treatment of choiceof dermatitis herpetiformis?

Dapsone

What is the treatment of M3form of AML?

All-Trans Retinoic Acid(ATRA)

What is the triad of symptoms you wouldexpect in a patient with normal pressure

hydrocephalus (NPH)?

Ataxia (wide based gait), dementia,and urinary incontinence

What is the valvular abnormality that canresult from dissection of the ascending

aorta?

Aortic regurgitation


16/22

What is the valvular condition mostcommonly associated with pulsus tardus in

the carotids?

Aortic stenosis

What kidney stones are mostcommonly missed on plain xrays?

Uric acid stones

What mutation is often associated with polycythemia vera?

JAK2 mutation

What organism can cause febrile, hemolyticanemia esp in pts who visited Nantucket or

Long Island area?

Babesia microti

What organism is known as the"great mimicker" of appendicitis?

Yersinia enterocolitica

What organism is known tocause Q fever?

Coxiella burnetti

What reflexes (increased/decreased) would you expect with someone who is diagnosed

with West Nile Virus meningits?

Decreased

What rheumatological condition can often be associated with temporal arteritis?

Polymyalgia rheumatica(PMR)

What thyroid test level tends to beelevated in patients who have sick

euthyroid syndrome?

Reverse T3 (rT3)

What two antibiotics are most commonly used for the treatment of diverticulitis?

Ciprofloxacin andMetronidazole


17/22

What two conditions are associated with bisferiens pulse in the carotids?

Aortic regurgitation andhypertrophic cardiomyopathy

What type of kidney stones areoften implicated in recurrent UTIs?

Struvite (Magnesium

ammonium phosphate) stones What type of reflexes would you expect in

a patient who has uncontrolledhypothyroidism?

Delayed

What vitamin deficiency can occur with use of Isoniazid (INH)?

Vitamin B6 (Pyridoxine)

What vitamin or mineral deficiency isassociated with rash and alopecia in patients

on TPN feeding?

Zinc deficiency

What will be the folate and vitamin B12levels in patients with Caribbean tropical

sprue?

Normal folate, decreased vitamin b12 levels

What would you expect pleural effusionglucose level to be in individuals with

rheumatoid arthritis?

Less than 30 mg/dl

What would you expect the C3 complement levelsto be (increased/decreased/same) in a patient withpost-infectious glomerulonephritis?

Decreased

Which agent used in the treatment of rheumatoid arthritis requires frequent eye

exams?

Hydroxychloroquine

Which antibody is associated with coldagglutinin hemolytic anemia?

IgM


18/22

Which antibody is associated with CREST syndrome?

Anti-centromere

Which antibody is most specifically associated with type I diabetes?

Anti-glutamic acid

decarboxylase Which class of anti-depressants are

associated with widened QRS complex thatcan be treated with bicarbonate?

Tricyclic antidepressants(TCAs)

Which class of anti-diabetic agents should beavoided in patients who have underlying

congestive heart failure (CHF)?

Thiazolidinedione

Which class of antibiotics is most notoriously contraindicated in individuals with

myasthenia gravis?

Aminoglycosides

Which class of medication is used to prevent vasospasm in patients with subarachnoid

hemorrhage?

Calcium channel blockers (eg.nimodipine, nifedipine)

Which congestive heart failure medication isused for symptomatic relief but does not

decrease mortality?

Furosemide (Lasix)

Which disease is associated with decreaseduroporphyringoen decarboxylase activity?

Porphyria cutanea tarda

Which extra-intestinal manifestions canmirror inflammatory bowel disease?

Arthritis and ErythemaNodosum

Which form of lung cancer is most often associated with ectopic production of parathyroid hormone-related peptide (PTHrp)?

Squamous cell carcinoma of the lung


19/22

Which form of nephrotic syndrome ismost associated with heroin use?

Focal segmentalglomerulosclerosis

Which form of nephrotic syndrome isoften associated with lithium use?

Minimal change disease

Which gene test should be checked beforeadministering azaithioprine to preventdangerous bone marrow suppression?

TPMT gene test (thiopurine S-methyltransferase)

Which hepatitis B markerindicates active replication?

HBeAg

Which hepatitis C treatment medicationmay exacerbate autoimmune hepatitis?

Interferon

Which hepatitis infection is the only type that is a DNA virus?

Hepatitis B

Which herpes virus is associated with Kaposi's sarcoma?

Human herpes virus 8

Which HIV medication is known to cause anasymptomatic elevation in MCV?

Zidovudine

Which HIV medication requires you to check HLA B-5701 to prevent hypersensitivity

reaction?

Abacavir

Which knee test can indicate that patient hasa lateral collateral ligament tear?

Positive varus test


20/22

Which marker is oftenassociated with ovarian cancer?

CA 125

Which marker is often associated with pancreatic cancer?

CA 19-9

Which myeloproliferative disorder isassociated with BCR-ABL or t (9,22)

translocation?

Chronic MyelogenousLeukemia (CML)

Which organism can be associated withBurkitt's Lymphoma and nasopharyngeal

carcinoma?

Epstein-Barr Virus (EBV)

Which organism causesTrench Fever?

Bartonella quintana

Which organism commonly causesmeningitis in infants and the elderly,requiring treatment with ampicillin?

Listeria monocytogenes

Which organism is considered acontaminant in the blood if no central venous

catheter is present?

Staphylococcus epidermidis

Which organism is known tocause "desert rheumatism?"

Coccidioidomycosis

Which organism is notoriously known tocause hemolytic uremic syndrome (HUS)?

Escherichia coli O157:H7

Which organism is the most commoncause of diabetic foot ulcers?

Staphylococcus aureus


21/22

Which pain medication should be avoidedin patients who are taking SSRIs for

depression?

Tramadol (concurrent use of SSRI withtramadol can cause serotonin syndrome)

Which renal disorder can present both asnephritic and nephrotic syndrome?

Membranoproliferative

glomerulonephritis (MPGN)

Which statin is the drug of choice in HIV patients?

Pravastatin

Which subtype of nephrotic syndrome ismost commonly associated with hepatitis B

infections?

Membranous nephropathy

Which two CD markers are often deficient inindividuals with paroxsysmal nocturnal

hemoglobinuria? (PNH)

CD55 and CD59

Which two hyperthyroid conditions willcause low radioactive iodine uptake?

Thyroiditis and exogenous use of thyroid medication

Which two murmurs decrease in intensity with leg raising and squatting?

Hypertrophic obstructive cardiomyopathy (HOCM) and Mitral valve prolapse (MVP)

Which two murmurs will decrease inintensity with squatting, sitting or leg

raising?

Hypertrophic obstructive cardiomyopathy and Mitral valve prolapse

Which type of anemia is a commoncomplication of chronic lymphocytic

leukemia?

Warm agglutinin autoimmunehemolytic anemia

Which type of beta blockers are okay togive to patients with hypertension and

asthma?

Cardioselective beta blockers (metoprolol,atenolol, bisoprolol, nebivolol)


22/22

Which type of cancer is least likely tometastasize to the brain and usually

produces blastic bone lesions?

Prostate cancer

Which type of lung cancer can give aparaneoplastic syndrome of gynecomastia?

Large cell carcinoma

Which type of renal tubular acidosis isassociated with defect in proximal

bicarbonate absorption?

Renal tubular acidosis type II

Which vitamin is used toenhance iron absorption?

Vitamin C (Ascorbic acid)

Which vitamin toxicity may lead toidiopathic intracranial hypertension

(Pseudotumor cerebri)?

Vitamin A

With allergic bronchopulmonary aspergillosis (ABPA), what two labs will be

increased?

IgE and peripheral eosinophilsgreater than 10 percent

With osteoarthritis, what would you expectthe ESR and CRP levels to be?

Normal (versus elevated inrheumatoid arthritis)

With systemic lupus erythematosus exacerbation, what would you expect the complement (high/low), anti-dsDNA (pos/neg) and ESR (high/low) levels to be?

Low complement, pos anti-dsDNA, high ESR

With terminal complement deficiency, to which organism are patients most

susceptible?

Neisseria meningitis

Within what age range does USPSTFrecommend one-time screening for AAA in

men with a smoking history?

65 to 75 years

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