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Mixed > UW 15 > Flashcards

UW 15 Flashcards

1
Q

Complication w bronchiectasis

A

Hemoptysis

- If massive, bronchial arter embolization

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2
Q

Presentation of duodenal hematoma

A

Post BAT
Children
Epigastric pain and vomiting

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3
Q

Duodenal hematoma management

A

NG suction

Parenteral nutrition

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4
Q

Presentation of dactylitis

A

Hand foot pain and symmetric swelling

6 mos - 2 yrs

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5
Q

Presentation of laryngomalacia

A

Inspiratory stridor - exacerbated by exertion/distress

Sx’s in first few wks of life

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6
Q

Presentation of MCA Occlusion

A 
Contralateral somatosensory and motor - Face, Arm, Leg
Conjugate eye deviation TWD infarct
Homonymous hemianopia
Aphasia = dominant
Hemineglct = non-dominant
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7
Q

Presentation of ACA Occlusion

A

Contralateral somatosensory and motor deficit - LE
Abulia - lack of will
Dyspraxia, urinary incontience
Emotional changes

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8
Q

Pt presents with Right sided hemiplegia, lower facial paresis and intact sensory - where is stroke?

A

Pure motor lacunar stroke in posterior limb of internal capsule

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9
Q

Arrhythmia responsible for sudden cardiac arrest most frequently

A

V Fib

- 50% within 1st hour

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10
Q

Lung Dz with Ankylosing Spondylitis

A

Fusion of costovertebral joints result in chest wall motion restriction and restrictive patten on PFTs
Normal or Hi FRC

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11
Q

Liver findings in Reye Syndrome

A

Microvesicular fatty infiltration

Hepatic mitochondrial dysfnc

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12
Q

Lab findings in Reye syndrome

A

Increased ALT, AST
INcreased PT, INR, PTT
Increased ammonia

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13
Q

Polycythemia Vera findings

A

Serum EPO Low
JAK2 mutation
Pruritis, HA, dizziness, visual changes
Hyperviscosity

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14
Q

Labs in Polycythemia Vera

A

High Hg/Hct, platelets, WBC count

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15
Q

Presentation of toxic megacolon

A 
Fever
HR > 120
Neutrophilic leukocytosis
Anemia
Volume depletion
Altered sensorium
Electrolyte changes
HypoTN
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16
Q

Initial test of choice for toxic megacolon

A

Abd Xray

- confirm dilated colon > 6 cm

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17
Q

TX for Adjustment disorder

A

Psychotherapy

CBT

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18
Q

MCC of bacterial pneumonia in young children with CF

A

Staph Aureus - esp with influenza

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19
Q

TX for severe pneumonia in CF child

A

Vanco

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20
Q

MCC macrocytic anemia in sickle cell

A

Folate deficiency

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21
Q

What do needle shaped crystal on UA indicate

A

Uric Acid stones - radiolucent

22
Q

Imaging modality for Radiolucent stones

A

CT or IV pyelography

23
Q

What tests for left sided GI pathology

A

Barium enema

Sigmoidscopy

24
Q

Labs in Conn’s syndrome

A 
HTN
Hypernatremia (mild)
Hypokalemia
Metabolic Alkalosis 
Low Renin
High serum Aldosterone
High serum Bicarb
25
Q

Management in pt with high calcium on labs

A
  1. Recheck w second serum Ca

2. Serum PTH

26
Q

TX for actinomycosis

A

PCN

27
Q

TX for Nocardia

A

TMP SMX

28
Q

How long for Major Depression Dx

A

2 weeks

29
Q

Adjustment disorder timeline

A

Within 3 months of exposure to stressor and lasts up to 6 months after stressor ends

30
Q

Modifications for controlling HTN - most to least effective

A
  1. Weight Loss
  2. DASH diet
  3. Exercise
  4. Dietary Sodium
  5. Alcohol
31
Q

Vit D Deficiency Rickets Risk Factors

A

Increased skin pigmentation
Exclusive breastfeeding
Lack of sun exposure
Maternal Vit D def

32
Q

Vit D Def Rickets Presentation

A

Craniotabes
Delayed fontanel closure
Enlarged skull, costochondral joints, long bone joints
Genu Varum = femoral and tibial bowing

33
Q

Risk Factors for Nasopharyngeal Carcinoma

A

Mediterranean/Far East descent
Recurrent otitis media
Recurrent epistaxis, nasal obstruction
Smoking, Nitrosamine

34
Q

What titers are strongly ass’d with nasopharyngeal ca?

A

EBV

Used to track progress for TX

35
Q

What does tamoxifen increase risk of? Why

A

Endometrial cancer
Acts as partial agonist of estrogen on endometrium
Acts as estrogen antagonist on breast tissue

36
Q

Effect of tamoxifen on osteoclasts

A

Estrogen receptor agonist on osteoclasts - inhibits bone turnover -> decreases risk of osteoporosis

37
Q

IDA labs

A

Only TIBC Hi

Low MCV, Iron, Ferritin, Transferrin

38
Q

ACD labs

A

Only Ferritin Hi

39
Q

Endometriosis

A
  1. Dysmenorrhea
  2. Dyspareunia
  3. Infertility
    Pain is 1-2 wks prior to menses, peaks before menstruation
40
Q

Presentation of pelvic congestion

A

Dull, ill-defined pelvic ache
Worsens prior to menstruation or w standing for long periods of time
Relieved by menses

41
Q

Cause of Howell-Jolly bodies

A

Nuclear remnants w/in RBCs normally removed by spleen

- Physical abuse of spleen, splenectomy

42
Q

Heinz bodies cause

A

Hemoglobin precipitation (G6PD)

43
Q

How to differentiate Preseptal cellulitis and Orbital Cellulitis

A 
Orbital 
- Ophthalmoplegia
- Pain w EOM
- Proptosis
- Vision impaired
NOT seen in Preseptal
Preseptal - oral Abx
Orbital - IV Abx
44
Q

CF GI features

A 
Obstruction 
- Meconium ileus
- Distal intestinal obstruction syndrome
Pancreatic dz
- Exocrine pancreatic insufficiency
- CF diabetes
45
Q

CF Repro feature

A

Infertility - congenital BL absence of vas deferens

46
Q

CF Musculoskeletal features

A

Osteopenia = Fx
Kyphoscoliosis
Digital Clubbing

47
Q

Complications of AAA repair

A

Bowel ischemia

- bloody diarrhea and abd pain

48
Q

Sickle cell - cause of macrocytic anemia

A

Folate deficiency

49
Q

Rubella v Measles

A

Rubella - Pink maculopapular exanthem face to body < 3 days, low grade fever, tender LA

Measles - Fever > 104, coryza, malaise, rash spreads faster and is darker

50
Q

Low LH + advanced bone age + coarse axillary/pubic hair + severe cystic acne

A

Nonclassic CAH by 21-OH deficiency

Mixed (19 decks)

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