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step 2 uworld > april 13 > Flashcards

april 13 Flashcards

1
Q

most common complication in a patient with sickle cell trait?

A

Renal issues- painless or gross hematuria from sickling in the medulla.
Hyposthenuria

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2
Q

What is hyposthenuria?

A

impairment in concentrating the urine

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3
Q

is splenic infarction likely to occur in sickle cell trait?

A

no

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4
Q

whats the most common CNS lesion that occurs in tuberous sclerosis?

A

subependymal giant cell tumour

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5
Q

A patient with early puberty and advanced bone age has high LH. Diagnosis?

A

Central precocious puberty

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6
Q

A patient with eraly puberty and advanced bone age has low LH. Next step?

A

GNRH stimulation test

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7
Q

A patient with eraly puberty and advanced bone age has low LH. The GNRH stimulation test results in low LH. Diagnosis?

A

Peripheral precocious puberty

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8
Q

A patient with eraly puberty and advanced bone age has low LH. The GNRH stimulation test results in high. Diagnosis?

A

Central precocious puberty

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9
Q

A patient has early development sexual characteristics but a normal bone age. Diagnosis?

A

Just premature thelarche/adrenache (nothing pathological)

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10
Q

A patient with status epiplepticus remains unconscious after being treated with benzos. What is happening?

A

They are either having side effects from the benzos, or having nonconvlusive status epilepticus (still having seizures without convulsing)

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11
Q

A patient with status epiplepticus remains unconscious after being treated with benzos. What test shoudl you do?

A

EEG - to determine if they are still having seizures

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12
Q

What is a SAAG?

A

Calculation: serum albumin concentration - peritioneal albumin concentration

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13
Q

SAAG > 1.1 indicates…

A

portal hypertension

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14
Q

Lab findings in hodgkin lymphoma

A

Eosinophilia
Lymphopenia
Elevated LDH

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15
Q

Do patients with hodgkin lymphoma have lymphocytosis?

A

no - lymphopenia

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16
Q

patients with hodgkins lymphoma may experience severe pain in areas with lymphadenopathy after…

A

drinking alcohol

17
Q

the antimitochondrial anitbody is positive in…

A

primary biliary cholangitis

18
Q

treatment of primary biliary cholangitis?

A

Ursodeoxycholic acid

19
Q

Patients with HIV are prone to which endocrine problem?

A

SIADH (especially after pulmonary infection)

20
Q

what is the most common location for the ectopic foci of afib?

A

pulmonary veins

21
Q

what is the most common location of the ectopic foci that cause atrial flutter?

A

rentrant circult in the tricuspid annulus

22
Q

is prophylaxis againt MAC still recommended for patients wiht CD4 < 50?

A

no - very low rates of MAC

23
Q

what blood finding may be present in high altitude pulmonary edema?

A

milk leukocytosis

step 2 uworld (57 decks)

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