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Uworld Gaby > UW 21 > Flashcards

UW 21 Flashcards

1
Q

Management of Myasthenic crisis

A

Corticosteroids
IVIG
PLasma exchange

Stop anticholinesterase medication to reduce secretions

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2
Q

Treatment of myathenia gravias

A

anticholinesterase

Pyridostigmine

Prednisone, azathioprine, cyclosporin, mycophenolate

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3
Q

Treatment for Inflammatory bowel disease

A

5-ASA (aminosalisylic)

Mesalamine, sulfasalazine, balzalazide

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4
Q

D xylose test

A

Used in patients with diarrhea due to malabsorption

D-xylose is given orally, if brush border is intact, it should be absorbed (it does not need pancreatic enzymes) and excreted in the urine. (Normal or due to pancreatic insufficiency)

If no absorption.. Problem is at mucosa (not enzymatic)

False positive situations (no absorption)
………. Delayed gastric emptying
………. Decreased glomerular filtration
………. Bacteria overgrowth (give antibiotics and try again.. if still positive test.. think celiac)

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5
Q

Management of shoulder dystocia

A

BECALM

Breath
Elevate legs, thighs close to body
Call for help
Apply suprapubic pressure
enLarge vagina
Manuvers
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6
Q

Causes of restrictive cardiomyophathy

A

LEASH

Loeffler d.
Endocardial fibroelastosis
Amyloidosis
Sarcoidosis
Hemochromatosis
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7
Q

Amyloidosis presentation

A 
Cardio: restrictive cardiomyaopathy
Renal: proteinuria or nephrotic sd
GI: hepatomegaly
Neuro: mixed peripheral neuropathy
Macroglosia
Easy brusing, waxy skin, bleeding
Respiratory: pulmonary nodules. Tracheobronchial infiltrations, pleural efusions
Hemato: anemia, thrombocytopenia

Diagnosis: abdominal fat aspiration biopsy

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8
Q

Sings of restrictive cardiomyopathy

A

Looks like Hypertrophic without hystory of hypertension

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9
Q

Side effects associated with quinolones

A

Aquilles tendon rupture
Retinal detachment
Aortic aneurysm rupture

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10
Q

Ganglion cyst

A

Non tendet cyst common on the wrist

Usually an underlying M/E disorder

Transluminate

Spontaneously regression. No treatment needed unless painful

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11
Q

Muddy brown cast vs. RBC cast

A

Muddy brown: acute tubular necrosis

RBC: glomerulonephritis

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12
Q

Management of Chicken pox exposure and infection on a neonate

A

Infection: Acyclovir

Exposure:
Stay away from infected person

If mother developed rash -5 days or +2 respective to delivery: Immunoglobulin

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13
Q

Diagnosis and treatment for hemophilias

A

Diagnosis:
Elevated PTT, normal PT and platelet count
Absence or decreased factor VIII (A) or IX (B)

Treatment:
Factor replacement
Desmopresin for mild A

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14
Q

Labs in Rocky Mountain spotted fever

A

Low Na
Low Platelets
Elevated LFTs

Lymphopenia may be seen

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15
Q

Side effect of progestin only contraception

A

Irregular, prolonged bleeding

Pregnancy like symptoms

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16
Q

Preferred benzo for alcohol withdrawal

A

Lorazepam (no active metabolites, safe in patients with decreased liver function)

17
Q

Hypothermia clasification and management

A

Mild: 32-35
Lots of shivering, confusion, lethargy
External warming, just blankets

Moderate: 28-32
Less shivering, begining of cardivascular colapse \, bradicardia, hypoventilation)
Active external warming (warm blankets..)

Severe: <28
Coma, true cardiovascular collapse
Active internal rewarming (peritoneal fluids)

For all:
Warmed IV fluids
Intubation if necessary

18
Q

Cats infections dxx

A

Bartonella: cat scratch disease. Node at site of lesion + lymphadenopathy. Treat with azithromycin

Pasturella: cellulitis. Amoxicilin

19
Q

What is Chlordiazepoxide

A

Benzo

20
Q

Mg toxicity presentation and treatment

A

Mild: nausea, headache, hyporeflexia
Moderate: hypocalcemia, areflexia, somnolence
Severe: respiratory depresion

Stop Mg infusion
IV calcium gluconate bolus

Increased risk in renal failure

21
Q

Unprovoke seizure image of choice

A

Emergency setting: Non contrast CT

Elective: MRI (preferred)

22
Q

Indications of emergent toracotomy with a hemothorax

A

> 1500cc of blood
200cc/hr
continous need of blood transfusion to maintain BP

23
Q

Folic acid deficiency causes

A

Medications: phenytoin, methrotrexate, tmp-smx
Low dietary intake, alcoholism
Chronic hemolysis
Malabsorption

24
Q

Causes of Iron deficiency anemia in infants

A

<1 year
Nutrition. Delayed introduction of solids

> 1year
Excesive milk consumption
Low dietary intake

25
Q

Early manifestation of vasooclusive crisis

A

Edema of hands and feet

Uworld Gaby (77 decks)

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