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UWorld > ComQuest > Flashcards

ComQuest Flashcards

1
Q

“Egg on a String” CXR in newborn is associated with …

A

Transposition of Great Vessels

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2
Q

DOC for OCD?

A

SSRI … (not SNRI)

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3
Q

Coagulation labs expected to be seen in Hemophilia A?

A

All normal, except prolonged PTT

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4
Q

What accounts for PTT prolongation in Hemophilia A?

A

Lack of Factor 8

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5
Q

Treatment position for Superior Pubic Shear?

A

Ipsilateral hip extension + abduction

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6
Q

Treatment position for Inferior Pubic Shear?

A

Ipsilateral hip flexion + abduction

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7
Q

Treatment position for Pubic compression?

A

Hips + knees flexed + adducted, then abducted

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8
Q

Treatment position for Superior Innominate Shear?

A

Ipsilateral LE heald above ankle malleoli

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9
Q

Treatment position for Inferior Innominate Shear?

A

Patient laying on contralateral side while physician places hand on ipsilateral ischial tuberosity, other hand on ipsilateral ilium

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10
Q

What is the most important modifiable risk factor contributing to ischemic CVA?

A

HTN

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11
Q

Change to BMP in Multiple Myeloma?

A

Decreased AG

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12
Q

Treatment position for anterior tenderpoint on typical ribs?

A

F STRT

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13
Q

Change to muscle tone in Lambert Eaton on repetition?

A

Increased

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14
Q

CI to muscle energy?

A

Critically ill, recent surgery, major cardiovascular event

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15
Q

Complication of silicosis?

A

TB

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16
Q

Complication of twin-to-twin transfusion in donor twin?

A

Anemia, oligohydramnios

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17
Q

Complication of twin-to-twin transfusion in receptor twin?

A

Jaundice, CHF, polyhydramnios

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18
Q

Pathogen most commonly responsible for surgical site infection?

A

Staph aureus

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19
Q

Sacral axis of respiration?

A

Superior

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20
Q

DOC for postherpetic neuralgia?

A

Amitriptyline

21
Q

Electrolyte changes seen in 21-hydroxylase deficiency?

A

Hyponatremia, hypokalemia … LOW renin

22
Q

Best treatment for 21-hydroxylase deficiency?

A

Hydrocortisone

23
Q

Clinical presentation of antisocial personality disorder?

A

Implusivitiy, disregard for rights of others, inability to conform to social norms

24
Q

Indication for surgical repair of AAA?

A

Asymptomatic, size > 5.5 cm; Symptomatic, any size

25
Q

Renal disorder associated with lithium?

A

Nephrogenic diabetes insipidus

26
Q

Renal disorder associated with gentamycin?

A

Acute tubular necrosis

27
Q

Biliary diagnosis associated with jaundice?

A

Acute choledocolithiasis

28
Q

Parasite associated with appendicitis?

A

Pinworm

29
Q

Alternative name for pinworm?

A

Enterobius vermicularis

30
Q

Difference between Z scores and T scores?

A

Z scores = used when parameters of population are known; T scores = estimates of population parameters

31
Q

Most common location for gastrinoma?

A

Duodenum

32
Q

First step in management of hypercalcemic crisis in setting of malignancy?

A

IV normal saline

33
Q

TB contact precautions?

A

Airborne

34
Q

2 uncommon associations with shoulder dystocia?

A

Multiparity, prolonged 2nd stage labor

35
Q

Patient presents for back pain; (+) seated flexion on L, sacral sulcus is shallow on L, R ILA is anterior, lumbosacral spring test is (+) - diagnosis?

A

Backward, L-on-R sacral torsion

36
Q

Patient presents for back pain; (+) seated flexion on L, sacral sulcus is shallow on L, R ILA is anterior, lumbosacral spring test is (+) - L5 diagnosis?

A

Flexed, Rr Sr

37
Q

Patient position during treatment of ribs 1-5?

A

Flexion of head

38
Q

Patient position during treatment of ribs 6-10?

A

Reaching for knee

39
Q

4 DOCs for patients with new essential HTN?

A

CCB, ACEI, ARB, thiazide diuretic

40
Q

Bests management of pemphogous vulgaris?

A

Oral prednisolone

41
Q

Screenings that every 11-12 yo should undergo?

A

Depression, Substance abuse (tobacco, ETOH, drugs)

42
Q

Which vaccines are 11-12 yo eligible for?

A

HPV, Meningococcal

43
Q

4 tests that should be ordered for any female with dysuria?

A

UA, pregnancy testing, chlamydia screen, gonorrhea screen

44
Q

ABX of choice for pyelonephritis?

A

Ceftriaxone + hospital admission

45
Q

Treatment of choice for tympanostomy tube otorrhea?

A

Topical ciprofloxacin ear drops

46
Q

5 treatments for stable angina?

A

B blockers, statin, ASA, NTG, smoking cessation

47
Q

Best management of unstable angina?

A

Classified as ACS - morphine, O2, NTG, aspirin, B blocker + statin, clopidogrel, heparin, PCI

48
Q

2 tests needed in patients with new asthma diagnosis?

A

CXR, spirometry

49
Q

4 treatments for patients with new asthma exacerbation?

A

Albuterol, systemic steroids, avoidance of triggers, asthma education

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