UWorld 12/7/14 Flashcards
Infant with nasal congestion, cough, wheezing/crackles, and respi distress in winter.
Bronciolitis
What is the most common cause of bronchiolitis?
RSV
Hematuria, pyuria, and proteinuria (+ increasded BUN and Cr) in a long-term user of analgesics.
Analgesic nepropathy
Acute renal colic w/ hematuria in a pt w/ long-term analgesic use.
Acute papillary necrosis (2/2 analgesic nephropathy)
What are the 3 C’s of measles?
cough, coryza, and conjunctivitis
What typical physical exam finding precedes the rash in measles?
Koplik’s spots
What are the appropriate therapeutic options for actinic keratosis?
Cryotherapy, surgical excision, curettage, or 5-FU cream.
3 causes of hypercalcemia in malignancy
Conversion of Vit D to active form (lymphoma, sarcoid); bone mets; PTHrP
Tx for hypercalcemia
Fluids; zolendronate; lasix
Hi Ca++, hi PTH –> next test?
24-hr ursine Ca++ (& 24-hr urine Cr to ensure
2 main causes of diaphragmatic paralysis in the infant
birth trauma or cardiothoracic surgery (injuring phrneic nerve)
What brachial plexus injury is classically associated with the “waiter’s tip” position of the arm?
Erb’s palsy
At what age do you stop Pap smears if the pt is low -risk?
65
Cervical Ca. screening for women 21-29 with avg risk?
Pap smear q3 yrs
Cervical Ca. screening for women 30-65 with avg risk?
Pap smear q3 yrs OR Pap smear + HPV testing q5 yrs
What is the effect of mitral regurg on EF (in pts w/ normal LV function)?
increase
Why does mitral regurg increase EF?
LV volume overload (and increased contractility - Starling forces)
What is the significance of a normal EF in a pt w/ severe mitral regurg?
significant LV dysfunction
So what is a normal EF in a pt w/ severe mitral regurgitation?
> 60%
What are the indications for surgery in pts w/ severe mitral regurg?
LVEF <60% or symptoms of HF
What is the effect of aortic regurg on EF?
no effect
