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step 2 uworld > april 26 > Flashcards

april 26 Flashcards

1
Q

immediate post op fever is usually caused by…

A

tissue damage during the procedure

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2
Q

bloor smear in CMV infection typically reveals…

A

atypical lymphocytes

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3
Q

rupture of a perianal abscess may lead to a …

A

perianal fistula

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4
Q

suppurative parotitis often occurs in ….

A

elderly patients post op

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5
Q

why are elderly patients (especially those with dementia) at risk of suppurative parotitis?

A

they may have decreased fluid intake -> salivary stasis -> infection

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6
Q

treatment of suppurative parotitis?

A

IV broad spectrum antibiotics, hydration, massage

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7
Q

treatment for sigmoid volvulus with no perforation?

A

flexible sigmoidoscopy

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8
Q

does cervical myelopathy have UMN or LMN signs?

A

both - LMN at the level of the lesion, and UMN signs below

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9
Q

how does cervical myelopathy present?

A

gait dysfunction, extremity weakness, vibration/pain sensation changes

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10
Q

inability to palpate the point of maximal impulse in the heart is characteristic of …

A

a large pericardial effusion

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11
Q

clinic presentation of leriche syndrome?

A
  • bilateral hip, thigh, and buttock claudication
  • absent or diminished femoral pulses
  • impotence
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12
Q

leriche syndrome AKA

A

aortoiliac occlusion

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13
Q

patients with serum sodium <130 and any symptoms of hyponatremia should receive…

A

hypertonic saline 3% boluses

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14
Q

neurological consequence of hyponatremia?

A

cellular swelling and cellular edema

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15
Q

Neonatal circumcision decreases the risk of…

A
  • UTIs as an infant
  • phimosis
  • penile inflammatory conditions
  • spread of STIS
  • penile cancer
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16
Q

what is phimosis?

A

contraction of foreskin preventing retraction

17
Q

risk factors for atraumatic splenic rupture?

A
  • hematologic malignancy
  • infection
  • splenic congestion
  • medications (anticoagulants)
18
Q

how may a burn injury lead to compartment syndrome?

A

excessive fluid accumulations/eschar can compress venous and lymphatic drainage

19
Q

how do you transport an amputated extremity?

A
  • wrap it in damp gauze and put it in a plastic bag

- put it in ICE WATER

20
Q

do you transport an amputated extremity directly on ice?

A

no - IN ICE WATER and sealed in a bag/gauze

21
Q

risk factors for hidradenitis suppurativa?

A
  • smoking

- metabolic syndromes

22
Q

treatment of hidradenitis suppurativa?

A

mild: topical clindamycin
moderate: oral tetracycline
severe: TNF alpha

23
Q

path of transfusion associated lung injury?

A

-transfusion results in massive release of cytokines/ROS -in the pulmonary vasculature -> inflammatory pulmonary edema

24
Q

does transfusion associated circulatory overload have JVD?

A

yes

25
Q

does transfusion associated lung injury have JVD?

A

no

26
Q

what is bronchiolitis obliterans?

A

complication of lung transplant

27
Q

bronchiolitis obliterans - acute or chronic complication of lung transplant?

A

chronic

28
Q

bronchiolitis obliterans PFTs pattern?

A

restrictive

29
Q

path of bronchiolitis obliterans

A

chronic lymphocyte infiltration of lung parynchema

30
Q

are there crackles when auscultating the lungs with bronchiolitis obliterans?

A

NO

31
Q

are there crackles when auscultating the lungs with pulmonary fibrosis?

A

yes

32
Q

management of a nasal hematoma following trauma?

A

drain the hematoma

33
Q

why do you need to drain a hematoma of the nasal spetum?

A

it can turn into a septal abcess or cut off blood supply leading to necrosis of the septum

34
Q

do patients with primary sclerosis cholangitis usually have normal ultrasounds?

A

yes

35
Q

timolol effects on aqueous membrane production?

A

decreases it

36
Q

what kind of hearing loss does menieres disease cause?

A

sensorineural

37
Q

what kind of hearing loss does otosclerosis cause?

A

conductive

step 2 uworld (57 decks)

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