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Step 3 Final > Aaron: Uworld IM deck 3 > Flashcards

Aaron: Uworld IM deck 3 Flashcards

1
Q

Anti-thyroid medication:
1st trimesters use what?
2nd trimesters use what?

A

1st: PTU
2nd: Methimazole

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2
Q

Prolactinoma can cause what problems?

A

Osteoporosis

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3
Q

Medullary Thryoid Cancer, once diagnosed, what is the next lab value that should be analyzed?

A

Plasma Free metanephrines, need to know before surgery, if elevated, treat before surgery

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4
Q

If a woman has amenorrhea before 40 years old, what is the best treatment?

A

Conjugated equine estrogen with medroxyprogesterone acetate

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5
Q

What hormone levels should be evaluated to determine thyroid treatment efficacy?

A

Total T3 and free T4

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6
Q

Hypertension, Hyperglycemia, mood swings, osteoporosis, hypokalemia, and metabolic alkalosis?

A

Cushing Syndrome

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7
Q

What measurement does a Case Control typically use?

A

Odds Ratio

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8
Q

When data is normally distributed, what value is most centrally distributed?

A

mean of the data

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9
Q

When data is not normally distributed, what value is most centrally distributed?

A

median of the data

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10
Q

A highly sensitivity test can rule a disease in or out?

What is it good for?

A

High sensitivity can rule out a disease

Good Screening test

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11
Q

A highly specific test can or cannot confirm a test?

What is it good for?

A

High specificity can confirm a disease

Good Confirmatory test

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12
Q

ANOVA is good for looking at what?

What value will it have?

A

It is good at looking at the mean value for several groups (3 or more groups)

F value, can make a p-value out of it

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13
Q

Internal Validity can be increased by what?

A

Blinding the observers, having a tightly controlled study

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14
Q

External Validity can be increased by what?

A

Making it more similar to real live patients and people

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15
Q

Pearson Chi Square test looks at what?

A

Categorical Data, 2 groups for non-numerical data (Presence of MI (yes or no))

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16
Q

When are abdominal binders used in female patients (s/p C-section)?

A

Fascial Dehiscence only, only use temporarily 2/2 emergency surgery

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17
Q

Ischemic or hemorrhagic stroke allows for permissive HTN?

A

Ischemic stroke

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18
Q

Hemorrhagic Stroke what is the goal BP?

A

SBP should be 140-160

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19
Q

A patient has abnormal bleeding s/p gastric bypass surgery, what is something that should be evaluated?

A

Vitamin C levels

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20
Q

When a patient has extra iron, what should they be given?

A

Deferoxamine

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21
Q

What is the inheritance pattern of Myotonic Dystrophy?

A

Autosomal Dominant

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22
Q

Chromosomal abnormalities and congenital infection shows up in what trimester?

What type of growth delay?

A

1st Trimester

Symmetric Growth Delay

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23
Q

Uteroplacental insufficiency and maternal malnutrition can cause what kind of growth delay?

When is the onset?

A

Asymmetric Growth Delay

2nd/3rd Trimester

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24
Q

Tumor Lysis syndrome will cause problems with what type of blockage?

A

Obstructing Calcium-phosphate stones

25
Q

Variable deceleration on the fetal monitor means what?

A

Umbilical Cord Compression

26
Q

Sinusoidal Fetal heart tracing is code for what?

A

Fetal Anemia

27
Q

What causes late decelerations on the baby monitor?

A

Placental Insufficiency

28
Q

A patient with recurrent episodes of fever, dyspnea, nonproductive cough, and fatigue, that coincide with intermittent inhaled antigen exposure, but resolves and can repeated as well, what is this?

A

Acute Hypersensitivity Pneumonitis

29
Q

Ataxia, confusion, CNS depression, nausea, vomiting, and nystagmus with anti-seizure medications would be what?

A

Phenytoin overdose

30
Q

Vascular nerve root compression in the face is what?

A

Trigeminal Neuralgia

31
Q

If a young patient has sudden onset jaundice after a fast, young female, no other smoking gun pathologies, no alcohol abuse hx, what is the next thought?

A

Gilbert Syndrome, no further tests

32
Q

Cervical spondylosis Myelopathy has upper and lower extremity what?

A

weakness, diminished reflexes and increased reflexes & spasticity

upper and lower extremities

33
Q

Sudden onset unconsciousness, midsized, fixed pupils, abnormal limb posturing with an increase in ICP, what is this?

A

Brain Herniation, also called Cushing’s Triad

34
Q

Gait Instability
Truncal Ataxia
Postural Incoordination
With alcohol what is this?

A

Alcoholic Cerebellar Degeneration

35
Q

ABG on room air (hypercapnia, normal A-a gradient), no intrinsic pulmonary disease

A

OSA

36
Q

Hyponatremia
Fever
diarrhea
Recently returned from a trip, what is this?

A

Legionella’s Disease, Levofloxacin

37
Q

Cervical Radiculopathy usually arises after heavy activity. What test should be done?

A

MRI of the shoulder

38
Q

Waldenstrom Macroglobulinemia have elevated what?

Multiple Myeloma have elevated what?

A

IgM elevated (has vision problems)

IgG, IgA, and light chains

39
Q

Glucocorticoid replacement is what?

Mineralocorticoid replacement is what?

A

Hydrocortisone

Fludrocortisone

40
Q

Dermatitis, diarrhea, and dementia is what disease?

This can be seen with medication treatment?

A

Pellagra

Isoniazid and no B6

41
Q

Liver Disease
Hyperpigmentation
Diabetes Mellitus
Arthropathy
Cardiac Enlargement
What is this?

A

Hemochromatosis

42
Q

Parkinsonism
Urogenital Dysfunction (erectile dysfunction)
Autonomic Dysfunction (orthostatic dysfunction)
Ataxia
Rare, genetic disease, what is this?

A

Multiple System Atrophy

43
Q

Pseudogout is caused by calcium pyrophosphate dihydrate crystals, what else are these crystals seen?

A

Calcium Phosphate stones

44
Q

Cor Pulmonale is right heart failure secondary to what?

A

Elevated pulmonary artery systolic pressure

45
Q

Diffuse abdominal pain, peripheral neuropathy, and positive urobilinogen most likely due to what?
Additionally, Neuropsychiatry and autonomic dysfunction

Young female with little past medical history

A

Acute Intermittent Porphyria

46
Q

Diarrhea patient should have what?

A

Reassure patient, nutrition consult, loperamide, antibody endomysial, ESR, CRP, abdominal Xray

47
Q

Diarrhea patient, maybe Celiac, what should be done?

A

Endoscopy
Vitamin B12
Folic Acid
Vitamin A
Vitamin E
Copper
Iron Studies and Ferritin
Zinc
CRP and ESR
PT/PTT INR
Bone Densitometry
Biopsy: small bowel, pneumococcal vaccine

48
Q

Before 34 weeks, what should be given for a patient’s baby lung development?

A

Dexamethasone

49
Q

PSGN in a young child what should be ordered?

A

Antibody Streptolysin O
Antibody c-ANCA
Chest xray
antibody glomerular basement membrane
Cryoglobulin serum
Abdomen Ultrasound
ANA
Peds nephro

Fluid restriction, Low Sodium diet, nutrition consult

50
Q

Elevated Liver enzymes, what should be avoided?

A

TYLENOL!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
for pain give morphine

51
Q

Elevated LFTs and abdominal tenderness, what should be done?

A

Abdominal U/S
Acetaminophen toxicity
Sputum Culutre

52
Q

Elevated LFTs and abdominal tenderness, what should be done? Nausea

A

Abdominal U/S
Acetaminophen toxicity
Sputum Culture
Zofran

53
Q

Myasthenia Gravis tx?
Another test?

A

Thymectomy and Pyridostimine
EMG

54
Q

Surgery what should be ordered?

A

Type and Screen, PT/PTT, INR

55
Q

Patient has headaches, high BP, and vision changes, what are the first two big things to do?

A

CT head, possible bleed, and nicardipine drip

56
Q

When a patient has nausea, what should be done?

A

NPO and give zofran

57
Q

COPD exacerbation, after steroids, what is one more thing to order?

A

Albuterol and Ipratropium

58
Q

Elderly, fever, female, if +west nile virus, what should be done?

A

Get all the CSF stuff
Chest xray, Urine tox
TDAP, mammogram, pap, and exercise

Step 3 Final (12 decks)

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