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Mixed > UW 16 > Flashcards

UW 16 Flashcards

1
Q

Cavitary lesion that moves with position change

A

Aspergilloma

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2
Q

Presentation of Histo on CXR or CT

A

Central or target calcification

Calcified nodes in the lung, mediastinum, spleen, liver

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3
Q

Presentation of acute hemolytic RXN due to ABO incompatibility

A

W/in 1 hour
Fever, flank pain, hemoglobinuria, renal failure, DIC
Positive Direct Coombs

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4
Q

Renal Vein thrombosis presentation

A

Sudden onset Abd pain, fever, hematuria

MC in membranous GN

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5
Q

X-ray findings in Gout

A

Punched out erosions w a rim of cortical bone

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6
Q

X-ray findings in RA

A

Periarticular osteopenia and joint margin erosions

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7
Q

Ectopic Pregnancy WU

A

If B-hCG < 1,500 need TVUS

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8
Q

How does B-hCG change in pregnancy? Ectopic?

A

Doubles every 48 hours initially

Rises slower in Ectopic

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9
Q

Latency period

A

When amount of time passes before exposure to a risk modifier has a clinically evident effect on disease process

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10
Q

Presentation of constrictive pericarditis

A

Scarring, loss of elasticity of pericardial sac - prevents venous return to the right heart during inspiration causing right heart failure
Peripheral edema, ascites, hepatic congestion w hepatomegaly, elevated JVP

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11
Q

Best preventive measure for post op atelectasis

A

Breathing exercises
Forced expiration technique
Incentive spirometry

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12
Q

Hepatojugular reflex indicates

A

Failing RV that cannot accommodate increase in venous return w abdominal compression

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13
Q

MCC of hepatojugular reflux

A

Constrictive pericarditis
RV Infarction
Restrictive cardiomyopathy

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14
Q

When to involuntarily admit Psych pts

A

Command auditory hallucinations to hurt self or others
Danger to self/others
Grave disability to care for self

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15
Q

Presentation of Adult Still’s Dz

A

Inflammatory disorder
Recurrent high fevers > 39/102
Rash - maculopapular, nonpruritic, trunk and extremities
Arthritis

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16
Q

Do we see arthritis in Post strep GN

A

NO.

No fingertip pain either - think IE

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17
Q

Pathophys of renal probs in multiple myeloma

A

Obstruction of distal and collecting tubules by large laminated casts that contain paraproteins

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18
Q

Posterior urethral valve Presentation

A

Boys only

MCC chronic renal insufficiency children

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19
Q

Presentation of AR PKD

A

Infancy
Large flank massess
REsp distrress- pulm hypoplasia
Potter faces

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20
Q

VUR

A

Recurrent/chronic pyelonephritis
Parenchymal scarring
HTN
Renal insufficiency

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21
Q

Causes of Fetal Growth Restriction

A

Symmetric - Fetal factors

Asymmetric - Maternal factors

22
Q

Causes of asymmetric growth restriction

A

HTN
DM
Preeclampsia
Cigarette smoking

23
Q

Causes of symmetric growth restriction

A

Genetic disorders
Congenital heart dz
IU Infxn

24
Q

MCC IU Infxn

A

CMV - most women asymptomatic

25
Q

Metabolic derangement w ASA toxicity

A

Resp Alkalosis - stimulates resp center in medulla causing tachynea
THEN
AG Met Acidosis = uncoupling of oxidative phosphorylation

26
Q

Long-term home oxygen for COPD pt reqs

A
  1. PaO2 < 55 or SaO2 55%

3. resting awake PaO2.60 w SaO2 > 90

27
Q

Heme values in Hypovolemic shock

A

LOW: RAP, PCWP, CI, Mixed venous O2 sat
High: SVR

28
Q

Heme values in Cardiogenic shock

A

LOW: CI
High: RAP, PCWP, SVR, Mixed venous O2 sat

29
Q

Heme values in Septic shock

A

LOW: SVR
High: CI, Mixed venous O2 sat
Normal/slight low: RAP, PCWP

30
Q

MCC of First degree AV block w normal QRS duration

A

Conduction delay in AV node

31
Q

Pt w fetus w BL renal agenesis and PROM

A

Allow spontaneous vag delivery

Incompatible w life

32
Q

Presentation of CLL

A

Splenomegaly
Anemia
Thrombocytopenia

33
Q

Poor prognostic factor in CLL

A

Thrombocytopenia

34
Q

Presentation Pulmonary contusion

A

Parenchymal bruising - lung

Tachypnea, tachycardia, hypoxia

35
Q

PE of pulm contusion

A

Chest wall bruising

Decreased breath sounds

36
Q

CXR pulm contusion

A

Patchy irregular alveolar infiltrate

37
Q

ARDS v Pulm contusion

A

ARDS - 24-48 hrs from trauma
BL lung involvement
P. contusion - within 24 hrs

38
Q

MC predisposing factor - acute bacterial sinusitis

39
Q

Antipsychotic causes hypothermia

A

Fluphenazine - inhibits autonomic thermoregulation/body’s shivering

Other typical APs

40
Q

MC AE of Radioiodine therapy

A
  1. Hypothyroidism

2. Ophthalmopathy

41
Q

Anticholinergic effects of antihistamines

A

Eye/oropharyngeal dryness

Urinary retention - Inhibit muscarinic receptors in PS - failure of detrusor to contract

42
Q

Presentation amaurosis fugax and MCC

A

Transient visual loss
“Curtain falling down”
MCC retinal emboli from Ipsi carotid artery - atherosclerosis

43
Q

MCC constrictive pericarditis in developing countries

44
Q

Management of PEA

A
  1. CPR

2. Vasopressors - epineprhine

45
Q

Management of Pulseless V tach

A

Defribillation

46
Q

What does malassezia furfur cause?

TX?

A

Tinea Versicolor - pale, velvety pink/whitish hypopigmented macules
TX: topical selenium sulfide and ketoconazole

47
Q

PT on OCPs w high BP management

A
  1. Discontinue OCP and reassess
  2. Persists - lifestyle modification
  3. Low dose thiazide
48
Q

Presentation of avascular necrosis of femoral head

A

Sickle Cell

Pain in hip progressive

49
Q

Polymyositis Presentation

A

Slowly progressive proximal muscle weakness of LE
Difficulty ascending/descending stairs or rising from sitting
Next - Prox UE weakness = difficulty combing hair
NO skin fidings

50
Q

Best diagnostic study for polymyositis

A

Muscle Bx

- mononuclear infiltrate surrounding necrotic and regenerating muscle fibers

51
Q

Asplenic pts unable to mount which kind of response?

A

Phagocytosis

52
Q

Intracellular killing defect ass’d with

A

CGD

NADPH oxidase deficiency

Mixed (19 decks)

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