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Uworld Gaby > Step3 3 > Flashcards

Step3 3 Flashcards

1
Q

Hip dysplasia

A

Newborn:
Hip clunk, asymmetric leg creases

Later in life:
Maybe asymptomatic until weight-bearing or even later.
Trendelenburg gait, toe walking
Leg length discrepancy
Activity-related pain. Front hip and groin

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2
Q

Auricular hematoma

A

Immediate drainage and pressure

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3
Q

Pancreatitis due to analgesics

A 
Tylenol
NSAIDs
Opioids
Mesalamine
Sulfasalazine
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4
Q

Pancreatitis due to antibiotics

A

TMP-SMX
Metronidazole
Tetracyclines
Isoniazid

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5
Q

Pancreatitis due to Immunusupresants

A

Steroids
Azathioprine
Mercaptopurine

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6
Q

Pancreatitis due to antihypertensive (4)

A

Lisinopril
Losartan
Furosemide
Thiazide (Hydrochlorothiazide, chlortalidone)

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7
Q

Pancreatitis due to antiepileptics

A

Valproate

Carbamazepine

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8
Q

Pancreatitis due to antivirals

A

Lamivudine

Didanosine

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9
Q

Personal risk factors for colon cancer

A

Alcohol (>3/day)
Smoke (current and long term)
Obesity
>50 yoa

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10
Q

Conditions that increase Thyroxine-binding globulin

A

Hormones: pregnancy, OCPs, tamoxifen

Acute hepatitis

(Need to increase levothyroxine dose)

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11
Q

Conditions that decrease Thyroxine-binding globulin

A

High dose corticosteroids-hypercortisolism
Hypoproteinemia (Nephrotic sd, starvation)
Androgenic hormones
Chronic liver disease

(Need to decrease levothyroxine dose)

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12
Q

Newborn with GBS positive mother management

A

Prophylaxis >4hrs before delivery?
Yes: observation for 48hrs

No:
>37 weeks and < 18 hr of ROM?
Yes: observation for 48hrs
No: cbc, blood culture, observation for 48hr

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13
Q

Management of status epilepticus

A

Secure IV, airways
Give benzos IV or any other way (diazepam rectal, midazolam i.m)
Adjuvant: Fosphenytoin, valproate

If no improvement, consider Benzo infusion

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14
Q

What infectious (travelers) disease causes cerebral edema?

A

Malaria

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15
Q

What infectious (travelers) disease causes circulatory collapse?

A

Dengue

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16
Q

What infectious (travelers) disease causes intestinal perforation?

What is the presentation?

A

Typhoid

fever, chills, bradycardia, abdominal pain, rose spots

17
Q

Idnications for treatment of Subclinical Hyperthyroidsm

A

TSH <0.1
or

TSH 0.1-0.5 and
>65 
Heart disease
Osteoporosis
Nodular thyroid disease
18
Q

Clinical/lab presentation of Subclinical Hyperthyroidism

A

Low TSH

Normal T4 T3

+/- Symptoms

19
Q

Causes of Subclinical Hyperthyroidism

A

Graves
Exogenous hormone
Nodular thyroid disease

20
Q

TCAs overdose presentation

A

Tri Cs: Convulsion, coma, cardiotoxic

21
Q

Gynecomastia drugs

A

DISCKOS

Digitalis
Isoniazid
Spironolactone
Cimetidine
Ketoconazol
O esteroids
Stilbostrol
22
Q

Presentation and Labs in Myelofibrosis

A

Fever, sweats, weight loss, and hepatosplenomegaly

Elevated LDH
Reticulocytes
Teardrop RBCs

23
Q

Risks factor for Post intensive care syndrome

A

ICU delirium
ARDS
Prolonged mechanical ventilation

24
Q

Clinical features of Post Intensive Care syndrome

A

Psychiatric: PTSD, depression

Neurocognitive: memory loss, lack of concentration, processing speed

Motor

25
Q

Conditions to stop antihypertensive medications (2)

A

Under target blood pressure with single therapy

Patient adherence to non pharmacologic treatment (diet, exercise)

26
Q

Tampering of antihypertensive medication

A

Long-acting (eg. amlodipine): change to every other day or lower dose and follow up

Short-acting (eg. lisinopril): lower dose to a minimum and follow up

Stop the medication and follow up 1-2 months

27
Q

Labs in Post Strep Glomeruloneprihitis

Urine
Blood

A

Urine:
Blood, casts, protein

Blood:
Elevated creatinine
ASTO positive (can be negative after atb treatment or if it was due to skin infection)
Low C3

28
Q

Etiology of Multifocal atrial tachycardia

A

Worsening pulmonary disease (COPD exacerbation)

Catecholamine surge (eg. sepsis)

Electrolyte disturbance (eg. hypokalemia)

29
Q

Clinical Findings on Multifocal Atrial Tachycardia

A

Usually asymptomatic

Rapid irregular rhythm

ECG: >3 P waves with different morphology, >100 bpm

Uworld Gaby (77 decks)

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