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Step 3 Final > Aaron: Uworld IM Deck 2 > Flashcards

Aaron: Uworld IM Deck 2 Flashcards

1
Q

What drug can help acute heart failure exacerbation if no chest pain or ST elevations?

A

Nitroglycerin

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2
Q

What abx has a photosensitivity reaction?

A

Hydrochlorothiazide

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3
Q

Topical Fluocinonide 0.05% is the tx for what skin condition?

A

Psorasis

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4
Q

CML, what is the best treatment choice?

A

Tyrosine Kinase Inhibitor

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5
Q

Mono infection, persistent lymphadenopathy, what should be done?

A

Biopsy

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6
Q

If a patient has a smoking history and left lung mass, what is a concerning sign?

A

Right Leg hyper-reflexia

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7
Q

As a general rule of thumb, if a patient has a brain tumor, what is it most likely?

A

Metastatic cancer, individual brain tumors do happen, but #1 is metastasis

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8
Q

DIC vs ITP what labs will be normal for ITP and not normal in DIC?

A

Ddimer, PT, and PTT

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9
Q

Medullary Cancer s/p surgery 6 months and Calcitonin is still elevated, what is going on? What is the next step?

A

Metastasis, repeat CT scan of Neck and Chest

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10
Q

If a patient has Hodgkin Lymphoma, (treatment or no treatment), what is most likely cause of an AKI?

A

Tumor Lysis Syndrome

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11
Q

Iron Deficiency anemia in a 55 year old male, what is the next best test?

A

FOBT (I know)

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12
Q

If a patient has HIT, should they avoid all Heparin products for the rest of their life?

A

YES!!!!

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13
Q

Tumor Lysis Syndrome can cause Kidney Damage, what is the common stone type?

A

Calcium Phosphate Stones

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14
Q

Does an IVC filter increase the risk of a DVT?

A

Yes! But it halves the risk of a PE

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15
Q

A young male with a mom family history of clotting disorder. Patient develops a cold leg, no pulses. Sensation and ROM are intact. What is the most likely diagnosis?

A

Atrial Myxoma, i know.

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16
Q

Microcytic Anemia, what is the next best step to evaluate?

Normocytic Anemia, what is the next best step to evaluate?

A

Iron Studies

Reticulocyte Count

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17
Q

Once Multiple Myeloma is diagnosed, what is the next best step?

A

Whole Body CT scan w/out contrast

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18
Q

If a patient has Autoimmune metaplastic atrophic gastritis, what is the most common endoscopic finding?

A

Absent Rugae in the fundus

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19
Q

Elevated PSA and Shoulder Pain, what else should be done?

A

Should biopsy, concern for a metastatic prostate lesion

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20
Q

CCL onset, what is a poor prognostic sign seen in the labs?

A

Thrombocytopenia

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21
Q

A patient has a recent MVA, they have chest discomfort a day later with normal coronaries and troponins. What is another thing to think about?

A

Takotsubo CM

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22
Q

All CHF potential patients need what?

A

Echo

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23
Q

Bicuspid valve has an increased risk of what?

A

Aortic Aneurysm

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24
Q

Patients with HOCM and asthma. If non-selective Beta blockers are not needed. What is the next best medication?

A

Calcium channel blocker, such as verapamil

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25
Q

A young patient 30 years old, severe HTN recently, facial swelling, pulses equal throughout, family Hx of HTN, what is next place to look?

A

Renal Interstitial Disease

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26
Q

What is the number one risk factor for colon cancer?

A

Alcohol

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27
Q

What is the best Anemia of Chronic Disease treatment?

A

Treat the underlying cause, i.e. RA, give infliximab

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28
Q

Type 2 HIT occurs, Argotroban is started, if the platelets take a hit, eventually warfarin needs to be restarted. When should that happen?

A

After the platelet levels recover

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29
Q

Cryoprecipitate which contains what clotting products?

A

Factors VII and XII, vWF

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30
Q

FFP is used to replete what?

A

Multiple Clotting Deficiency factors

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31
Q

Platelet dysfunction can lead to decrease platelet aggregation due to uremia despite normal platelet numbers. What can help that problem?

A

Desmopressin and help improve vWF

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32
Q

Prostate metastasis to the spine, what is the treatment for that?

A

Radiation therapy, no Neurosurgery unless there is a structural problem

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33
Q

When HTN drugs are being handed out, what is one other test that has to be checked first?

A

Fasting Lipid Panel

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34
Q

Aortic Dissection, what is the drug of choice?

A

Esmolol

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35
Q

Peri-infarct pancreatitis, what is the next treatment step?

A

Aspirin

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36
Q

A stent is place s/p 3 days, inflation and scratchy heart sounds are heard, what is the most likely diagnosis?

A

Pericarditis

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37
Q

Trastuzumab can cause cardiotoxicity. Is the cardiotoxicity permanent?

A

No, it can be reversed

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38
Q

Severe HTN s/p cocaine use can cause elevated BP. If a patient has right arm and leg weakness. What is the next best step?

A

Scan Chest, concern for Dissection

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39
Q

Acute Paronychia is called what? What is the treatment?

A

Finger nailbed infection

Tx: Warm Water soaking and abxs

40
Q

Scaly and itchy skin, Ichthyosis Vulgaris, what is the treatment of choice?

A

Urea-containing lotion

41
Q

Actinic Keratosis that leads to squamous cell carcinoma, what is the treatment of choice?

A

Topical 5-fluorouracil cream

42
Q

Psoriatic arthritis is best treated with what?

A

Methotrexate

43
Q

Rash in flexural surfaces, genitals, and mouth. Plus the patient is Hep C positive. What is the most likely rash cause?

A

Lichen Planus

44
Q

Gingko Bilboa, what is the most common side effect?

A

Bleeding Disorder

45
Q

If a young person has unilateral light sensitivity, blurry vision, sudden onset, no trauma, what is the most likely cause?

A

Anterior Uveitis

46
Q

A-fib with structural heart disease, what is the best medication?

A-fib without structural heart disease, what is the best medication?

A

Amiodarone

Flecanide

47
Q

What drug inhibits the tubular secretion of diogoxin?

A

Verapamil

48
Q

In acute decompensated heart failure, what medication should be avoided?

A

Metoprolol

49
Q

First line drug to slow down a-fib

A

Beta blocker or non-dihydropyr. calcium channel blocker

50
Q

If the patient has a bicuspid valve, what should all 1st degree family members have?

A

Echo

51
Q

CKD patients can have atypical symptoms for what kind of cardiac condition?

A

Myocardial Infarction

52
Q

A patient has widened QRS complex after having chemotherapy, what is this heart arrythmia due to?

A

Severe Hyperkalemia

53
Q

Edema, asicities, and hepatic congestion, what are the things to think about?

A

Constrictive Pericarditis

54
Q

If a patient has elevated STs and no troponin increase, not to mention cocaine use, what is the next best test?

A

PCI

55
Q

Number #1 thing that reduces blood pressure?

A

Weight loss

56
Q

Loud first heart sound and mid-diastolic rumble best heard at cardiac apex and elevated right heart pressures, what could this be?

A

Mitral stenosis 2/2 Rheumatic Heart Disease

57
Q

A patient on a statin that has elevated CK levels 2/2 injury or exertion should do what before the medication is restarted?

A

Recheck CK levels

58
Q

Restless Leg Syndrome has what associated disease?

A

Iron Deficiency Anemia

59
Q

What is the treatment for Restless Leg Syndrome?

A

Gabapentin

60
Q

SLE patient’s have a higher risk of what heart problems?

A

Coronary Atherosclerosis

61
Q

If a patient aspirates, should they be empirically covered for anaerobes?

A

No, not unless they have an abscess or empyema

62
Q

In order for patients to have Acute Interstitial Nephritis, what are a few other hallmark signs?

A

Fever and Rash, if not, think ATN

63
Q

Back pain that wraps around the back to the front with marked weakness and numbness/tingling, decrease reflexes, and upgoing Babinksi reflexes is concerning for epidural spinal cord compression. What is the next treatment step?

A

High Dose Corticosteroids and MRI

64
Q

If deciding breath death or no brain death, the patient took benzos and baclofen, what must be done first?

A

Wait 3-5 days, drugs have to wear off first before brain death can be pronounced

65
Q

Are migraines associated with a runny nose and eye tearing?

A

Usually no, think about Cluster headaches

66
Q

What is the Bromocriptine mechanism of action?

A

A dopamine agonist

67
Q

Assuming a young kid has paralysis via tick bite, what is the next best step?

A

Look for and remove Tick

68
Q

If a person may have Lyme disease with facial paralysis, what is the next best step? Steroids or Lyme Serology

A

Lyme Serology

69
Q

Pregnant patients that have M.S. are more likely to have what problems with giving birth?

A

More likely to have C-Section or Vaginal Assitance during delievery

70
Q

M.S. exacerbation what is the best treatment?

A

IV steroids

71
Q

Xanthochromia has RBC breakdown, which means blood has been there a long time, if a patient has RBCs but no Xanthochromia, what does this mean?

A

A blood vessel was hit on the way in, traumatic lumbar puncture

72
Q

If a patient has Herpes Encephalitis, what is a common diagnostic feature as well?

A

AMS

73
Q

Oromandibular Dystonia has sustained, involuntary muscle contractions, but they can be relieved by what?

A

A sensory trick, i.e. a water bottle pushing on the jaw

74
Q

What lung function feature should be evaluated with GBS?

A

Bedside Vital Capactiy

75
Q

Idiopathic Intracranial HTN is managed with Acetazolamide. What is the prescribed management with this drug?

A

Decreased CSF production by the choroid Plexus

76
Q

When a patient has a symptomatic pituitary tumor, what is the next step in management? Assuming really high Prolactin level

A

Add dopamine agonist, first then potential surgery

77
Q

Does Bell’s palsy have a high recurrence rate?

A

Yes

78
Q

What type of stroke has oculomotor palsy attached to it?

A

PCOM aneurysm

79
Q

Bad vitamin B12 can lead to what?

A

Ineffective Erythropoesis

80
Q

S/P Stroke diagnosis, should patients be given DVT prophylaxis?

A

Yes

81
Q

What is a non-common stroke cause in young adults? Particularly with high risk sexual activity?

A

Syphillis Menioencephalitis

82
Q

Reduced blood flow to the brain can cause vertigo symptoms, stocking-glove pattern, what is the name of this phenomenon?

A

Vertebrobasilar Insufficiency

83
Q

Stocking and glove decrease in sensation bilaterally, what is the most common cause of this problem?

A

Diabetic neuropathy, also can have loss of cremasteric muscle.

84
Q

If a patient is hemodynamically stable and has bright red rectal bleeding. What should the patient have done?

A

Emergent Colonoscopy

85
Q

A high stool gap will show what?

Chronic malabsorption syndrome, what will it be?

A

Celiac’s Disease, osmotic diarrhea (high)

Secretary Diarrhea: low gap

86
Q

SAAG score greater than 1.1 one indicates what?
SAAG score lower than 1.1 one indicates what?

A

Portal Hypertension (CHF, Cirrhosis, and Alcoholic Hepatitis)
Non-portal Hypertension (peritoneal carcinomatosis, TB, and nephrotic syndrome)

87
Q

A patient has gastric reduction surgery and has constant diarrhea. We are concerned for dumping syndrome. What is the right diet?

A

High Protein

88
Q

Transmural lymphocytic inflammation is code for what, in a GI patient? May also have crypt abscesses.

A

Crohn’s Disease

89
Q

Overweight patient with elevated Liver enzymes, no acute causes, infections, or drug use. What is the most likely cause?

A

NASH

90
Q

If an admitted variceal bleeding patient is admitted to the hospital, what is the most common adverse advent that can happen, to them? Assume they are a heavy alcoholic with a large belly

A

SBP

91
Q

Young patient, with GERD, difficulty swallowing, what is the first thing to think about?

A

Stricture

92
Q

What is a common finding with Celiac’s Disease?

A

Iron Deficiency Anemia

93
Q

If a woman has a positive AMA what does this mean?

A

PBC, will need a transplant

94
Q

Hepatic adenoma, greater than 5 cm what should be done?

A

Surgery

95
Q

Cherry red lesions in the colon can cause anemia, these lesions are associated with vW disease and Aortic stenosis, what is the name of the lesion?

A

Angiodysplasia

96
Q

PSC, can damage the bile ducts, but is also associated with what?

A

Ulcerative Colitis

Step 3 Final (12 decks)

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