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UWorld Step 2 Days > Day 7 > Flashcards

Day 7 Flashcards

1
Q

why do patients with preeclampsia get epigastric pain?

A

referred pain from capsular stretching of liver

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2
Q

what can happen in brain with patients who have preeclampsia? aside from seizure

A

can have acute ischemic stroke

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3
Q

what three meds for high BP in pregnancy

A

labetalol, hydralazine, nifedipine

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4
Q

can brachial cleft cysts drain fluid?

A

yes…especially if infected

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5
Q

what is time requirement for cyclothymic disorder?

A

2 years!!

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6
Q

what is rx for acute hereditary angioedema?

A

c1 inhibitor concentrate

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7
Q

what complement levels are low in hereditary angioedema?

A

c1 and c4

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8
Q

what are signs/sx of kallman syndrome?

A

primary amenorrhea, lack of smell, low FSH and LH

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9
Q

what is chromosome in CML?

A

9;22, BCR-ABL

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10
Q

what is rx of CML?

A

imatinib…tyrosine kinase inhibitor

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11
Q

what is treatment of severe versus mild histoplasmosis?

A

severe is Amphotericin B and mild is itraconazole

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12
Q

formula for sensitivity

A

TP/TP+FN

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13
Q

formula for specificity

A

TN/TN+FP

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14
Q

sensitivity is good at ruling in our out disease?

A

rule out…SnOUT

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15
Q

specificity is good at ruling in or out disease?

A

in…SpIN

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16
Q

what is normal 1hr glucose test?

A

less than 140

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17
Q

irregularly shaped hyperpigmented macules on face is what in a pregnant patient?

A

melasma

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18
Q

what is difference between ODD and CD?

A

ODD is basically you dont get along and talk back to authority figures..CD you actually break laws and break shit

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19
Q

apnea and vital sign instability can be early sign of what in infant?

A

NEC

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20
Q

what is classic sleep finding in MDD?

A

decreased REM sleep latency

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21
Q

what is next step in eval of acromegaly after finding elevated IGF?

A

glucose suppression test

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22
Q

what are CSF findings in cryptococcal meningitis?

A

low WBC, low glucose, and elevated protein

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23
Q

what coag study is often abnormal in anti phospholipid syndrome?

A

PTT prolongation

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24
Q

what hyperthyroid states have low iodine uptake?

A

thyroiditis and taking thyroid meds

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25
how do you differentiate between thyroiditis and levothyroxine abuse when patient has low uptake on iodine scan?
measure thyroglobulin...thyroiditis is high and levothyroxine abuse will have low thyroglobulin
26
what are two issues with gastroschisis while baby in utero?
oligohydramnios and growth restriction
27
what virus causes croup?
parainfluenza
28
what imaging sign is associated with croup
steeple sign
29
rx of pjp infection
bactrim and roidds
30
two imaging options for diagnosing kidney stones
US or NON contrast CT
31
what is conservative management of adenomyosis?
OCPs/progestin IUD
32
what is definite treatment of adenomyosis?
hysterectomy
33
what is apnea of prematurity?
brief spells of baby not breathing and will desat but is fine between spells
34
what is rx of apnea of prematurity?
caffeine and non invasive ventilation if needed
35
what are potential complications of oligohydramnips?
meconium aspiration, preterm and cord compression
36
what are potential complications of polyhydramnios?
cord prolapse, PPROM and preterm
37
what should you do to a keratocanthoma?
excise it and biopsy
38
describe a keratocanthoma
rapidly growing skin nodule wiht keratin pplug and ulceration
39
what hip condition can you give steroid injection for?
trochanteric bursitis
40
what metabolic acid base issue with bicarb leak?
met acidosis
41
how does hypothyroidism cause amenorrhea?
due to high prolactin levels that lead to inhibition of GnRH
42
what is leading cause of pneumonia in kids with CF?
staph aureus
43
what is leading cause of penumonia in adults with CF?
pseuodomonas
44
yellow white fluffy lesions on optho exam means what?
CMV retinitis
45
what are sc of CMVretinitis?
blurred vision, floaters, flashing lights sensation
46
who gets CMV retinitis?
AIDS
47
what is rx of cmv retinitis?
valganciclovir
48
what opioid meds cannot be given to patient with CKD?
morphine, codeine, tramadol
49
bacterial meningitis CSF
wbc 1000+, low glucose, protein >250
50
tuberculosis meningitis CSF
100-500 WBC mainly lymphocytes, low glucose, protein 100-500
51
viral meningitis csf
wbc count 10-500 (lymph), 40-70 glucose, low protein
52
GBS has what in CSF?
loads of protein
53
what is management of functional constipation in an infant?
give them prune juice
54
what is main difference between narcissist and histrionic?
the drama and erratic behavior of histrionics
55
two antibiotics that cause distal symmetric neuropathy?
flagyl and fluoroquinolones
56
case control studies use what for analysis?
odds ratio
57
what labs are elevated in PSC?
bilirubin and alk phos
58
what are CNS symtpoms of lyme diseae?
CN palsy, meningitis
59
whatis cardiac sign of lyme disease?
2:1 av block
60
what is rx of lyme disease?
doxy, but if have cardiac or neuro manifestations then need CTX
61
what are the two common findings with entamoeba histolytica infection?
diarrhea, can be bloody then liver abscess
62
what is rx of entamoeba?
flagyl and paromomycin
63
what are two main outcomes in reyes syndrome?
liver failure and rapidly progressive encephalopathy w
64
what labs are abnormal in reyes syndrome?
liver enzymes (except normal bilirubin), PT, PTT and iNR elevated
65
what acid base disturbance in reyes syndrome
metabolic acidosis
66
what is rx of reye syndrome?
supportive care
67
what are presenting sx of HIV associated neurocognitive disorder?
Cd4 less than 200...leads to impaired memory, personality changes, impaired attention, can also have ataxia
68
what is MSK finding of lung disease?
hypertrophic osteoarthropathy
69
how much time between onset of stroke sx of fibrinolytic therapy?
has to be within 4.5 hours
70
how do you diagnose malaria?
thin and thick blood smears
71
what are blood findings in labs with malaria?
anemia and thrombocytopenia

UWorld Step 2 Days (23 decks)

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