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Step 2 > UWorld 4 > Flashcards

UWorld 4 Flashcards

1
Q

PCOS @ risk for what cancer

A

endometrial

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2
Q

which kid UTIs get an U/S

A
  • < 24 mo
  • recurrent UTIs in kids
  • UTI with fam hx renal dz
  • UTI doesn’t respond to abx
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3
Q

tx: tourettes

A

antipsychotics

alpha-2 adrenergics

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4
Q

urinalysis with envelope shaped crystals

A

ethylene glycol poisoning

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5
Q

when do you suspect septic pelvic thrombophlebitis

A

post c-section of pelvic surgery

look for refractory fever after abx given for endometritis/chorioamnionitis

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6
Q

tx: septic pelvic thrombophlebitis

A

anticoagulation

broad spectrum antibiotics

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7
Q

MC cardiac defect in Downs

A

complete AV septal defect

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8
Q

auscultation in complete AV septal defect

A 
loud S2 (pulm HTN)
systolic ejection murmur (ASD)
holosystolic murmur (VSD)
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9
Q

when do you get wernicke’s encephalopathy

A

alcoholism
hyperemesis gravidarum
(both get thiamine)

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10
Q

what UA things will you see with prerenal AKI

A

BUN/Cr > 20
FeNa < 1%
no sig casts or protein or cells

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11
Q

CI: what’s significant with RR

A

doesn’t include 1

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12
Q

when do kids get visual acuity exams

A

start at 3

every well child visit

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13
Q

CXR: nodular lesions with surrounding ground-glass opacities

A

think about invasive pulmonary aspergillosis

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14
Q

WPW EKG

A

short PR
delta wave
wide QRS with ST/T wave changes

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15
Q

underlying WPW problem

A

accessory pathway bypasses AV node

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16
Q

MCC clubbing

A

lung malignancies
CF
right to left shunts (cyanotic ones)

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17
Q

risk a/w scaphoid frx

A

osteonecrosis

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18
Q

tx: BPH

A 
alpha antags (-zosins)
5-alpha reductase inhibitors (finasteride) -- takes 6 - 12 mo
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19
Q

which APGARs get resuscitation

A

< 7

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20
Q

at what HR do you give a neonate chest compressions

A

< 60

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21
Q

tx: acute bipolar depression

A

*quetiapine/lurasidone
*lamotrigine
lithium
valproate
olanzapine and fluoxetine

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22
Q

what to think about with right heart failure

A 
pulm HTN
constrictive pericarditis (low venous return)
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23
Q

hyposthenuria

A

can’t concentrate urine

a/w sickle cell

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24
Q

dream enactment dx

A

REM sleep behavior d/o

may be prodromal for neurodegeneration

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25
Q

tx: ITP (kids)

A

if only cutaneous sx observe (most better in 6 mo)

if they’re bleeding give IVIg or glucocorticoids

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26
Q

that normal rash on newborns

A

erythema toxicum neonatorum

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27
Q

crazy dry, scaly skin, worse in winter

A

ichthyosis vulgaris

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28
Q

tx: ichthyosis vulgaris

A

emollients first

then try keratolytics (salicylic) or retinoids

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29
Q

tx: neonatal conjunctivitis

A

GC: IM ceftriaxone
chlamydia: PO macrolide

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30
Q

whats the name of the other bovis

A

gallolyticus

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31
Q

risks of EPO therapy in ESRD pts

A

worsening HTN
HA
red cell aplasia (rare)

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32
Q

urinary problems post menopause

A

GU syndrome of menopause

E deficiency –> atrophy of vagina and urethral epithelium –> UTIs, incontinence (stress and urge)

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33
Q

high loss to follow up –> what kind of bias

A

attrition (selection bias)

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34
Q

tx: pseudotumor cerebri

A
  1. acetazolamide

2. shunt if doesn’t work (LPs or steroids till surgery)

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35
Q

head/neck firm, solitary, non-tender LN in smoker

A

probably SCC

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36
Q

HTN effects on kidney

A

atherosclerotic lesions

nephrosclerosis (hypertrophy and fibrosis of arterioles) –> glomerulosclerosis

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37
Q

MC lung cancer in nonsmokers

A

adenocarcinoma

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38
Q

swelling w/o discoloration on newborn head over 1 cranial bone

A

cephalohematoma

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39
Q

diffuse swelling +/- discoloration on newborn head

A

caput succedaneum

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40
Q

eye: stony hard

A

think acute angle glaucoma

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41
Q

path: inflammatory spondyloarthritis

A

inflammation at ligamentous insertions (enthesitis)

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42
Q

age: UC

A

bimodal – young or old (15 - 40; 50 - 80)

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43
Q

why do women get hTN post epidural (+ppx)

A

block sympathetic nerves –> vasodilation (give IVF before)

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44
Q

ddx: terminal hematuria

A

bleeding from bladder, prostate or post urethra

clots –> think CA

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45
Q

fetal malposition vs malpresentation

A

malposition: relation of presenting part to pelvis
malpresentation: presenting part

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46
Q

optimal fetal position

A

occiput anterior

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47
Q

optimal fetal presentation

A

vertex

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48
Q

MCC of arrested 2nd stage

A

fetal malposition

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49
Q

what to check in kid with recurrent cystitis

A

constipation (–> stasis)

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50
Q

ppx: post cat bite

A

amoxicillin/clavulanate

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51
Q

cushing’s dx: 1st step in workup

A

24 hr cortisol, late night salivary cortisol and/or low dose dexamethasone

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52
Q

ddx: conductive hearing loss

A

cerumen impaction
middle ear infection
bony tumors/ear bones not moving
otosclerosis

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53
Q

MC org: contact lens keratitis

A

pseudomonas

gram negs

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54
Q

when does OR = RR

A

when disease incidence is low

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55
Q

mgmt: SCC of head/neck

A
  1. panendoscopy

2. bx

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56
Q

when to suspect amyloidosis nephrotic syndrome

A

RA

enlarged kidneys/liver

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57
Q

systolic-diastolic abdominal bruit

A

renal artery stenosis

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58
Q

pelvic U/S: ovarian mass w/ thickened endometrium

A

granulosa cell tumor

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59
Q

malignant HTN

A

retinal hemorrhages

papilledema

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60
Q

AEs: trastuzumab

A

cardiotoxicity (get an echo before you start)

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61
Q

possible nerve stuff with preeclampsia with severe features

A

hyperreflexia

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62
Q

porcelain GB @ risk for

A

GB adenocarcinoma

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63
Q

female: high T and androstenedione, no estradiol or estrone

A

aromatase deficiency

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64
Q

kid: daily fever, arthritis, and pink macular rash

A

juvenile idiopathic arthritis

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65
Q

causes of chronic renal insufficiency in kids

A

think vesicoureteral reflux or posterior urethral valves (boys only)

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66
Q

BUN/Cr > 20

A

prerenal azotemia

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67
Q

morbid obesity effect on girl hormones

A

–> anovulation
ovaries still make E –> normal FSH/LH
they just don’t make progesterone

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68
Q

carcinoid vit deficiency

A

niacin

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69
Q

eyes: distortion of straight lines

A

macular degeneration

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70
Q

pale, edematous nasal mucosa

A

allergic rhinitis

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71
Q

ovarian tumor making E

A

granulosa cell tumors

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72
Q

ovarian tumor making beta hCG

A

dysgerminoma

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73
Q

ovarian tumor making androgens

A

sertoli-leydig

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74
Q

ovarian tumor making LDH

A

dysgerminoma

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75
Q

tx: hypovolemic hypernatremia

A

NS

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76
Q

RFs hypertriglyceridemia

A 
fam hx
DM/obesity
hypothyroidism
nephrotic syndrome
EtOH
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77
Q

dx: bronchiectasis

A

chest CT: bronchial dilation/thickening with lack of airway tapering

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78
Q

kid bone x ray: hypodense lesion w/ sclerotic margins

A

think of osteoid osteoma

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79
Q

RFs shoulder dystocia

A

macrosomia
maternal obesity/excess weight gained in pregnancy
GDM
post-term

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80
Q

sarcoidosis: non-lung things

A

eyes: uveitis
skin: erythema nodosum
cardio: can cause AV block and LBBB, dilated or restrictive CM

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81
Q

pain from endometriosis vs pain from dysmenorrhea

A

endometriosis usually hurts a couple days before menses, not first couple days of menses

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82
Q

Hep C preggo

A

give hep A/B vaccines if hasn’t had them
don’t treat (teratogens)
breastfeeding is fine
c-section won’t help

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83
Q

RFs for vertical hep C transmission

A

HIV co-infection

high viral load

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84
Q

how do you know if they’re doing EPO or steroids

A

EPO doesn’t have aggression, testicular atrophy or gynecomastia

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85
Q

ITP vs TTP CBC

A

ITP: thrombocytopenia
TTP: hemolytic anemia + thrombocytopenia

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86
Q

pancytopenia after meds, toxins or viral infxn

A

aplastic anemia

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87
Q

meth vs PCP

A

no nystagmus in meth

meth lasts longer (20+ hrs), PCP lasts < 8 hrs

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88
Q

best way to transport an amputated finger

A

wrap in gauze, moisten with saline, put in bag, put bag on ice

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89
Q

otitis media complications

A

facial nerve palsy

mastoiditis

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90
Q

mumps complications

A

aseptic meningitis

orchitis (+ infertility)

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91
Q

measles complications

A

pneumonia

subacute sclerosing panencephalitis

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92
Q

post surgery: tachycardia, HTN, arrhythmias, tremor, AMS, lid lag

A

thyroid storm

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93
Q

oxytocin toxicity

A

similar to ADH –> hNa, hTN, tachysystole

hNa –> HA, n/v, seizures

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94
Q

bleeding problems in CF pts

A

panc insufficiency –> vit K def –> factor 1972, C, S –> PT up

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95
Q

who gets PPSV23 before 65

A

chronic heart, lung, or liver dz (kidney gets both)

DM, smokers, alcoholics

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96
Q

mgmt: hypovolemic hypernatremia

A

NS till euvolemic
then can switch to hypotonic (5% dextrose or 1/2NS)
don’t do water deprivation test till euvolemic

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97
Q

how do nitrates help

A

systemic venodilation –> down preload, LVEDV

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98
Q

calcium oxalate crystals in urine

A

ethylene glycol poisoning

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99
Q

tx: cyanide poisoning

A

sodium thiosulfate

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100
Q

when do you give fomepizole

A

ethylene glycol

methanol

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101
Q

tx: elevated homocysteine levels

A

B6 + folate

give B12 if low

102
Q

what drugs cause acne

A

glucocorticoids
cyclosporine/azathioprine
antiTB, anticonvulsants

103
Q

mgmt: chondrocalcinosis

A

pseudogout

check for HPTH, hTh and hemochromatosis

104
Q

which afibbers get anticoagulated

A 
CHADS VASC
CHF
HTN
Age > 75 (2)
DM
Stroke (2)
Vascular dz
Age 65 - 74
Sex category
0 = none, 1 = ASA, 2+ = oral anticoags
105
Q

path: COPDer gets a pneumo

A

alveolar destruction –> blebs –> blebs rupture –> air leaks into pleural space –> pneumo

106
Q

mutation in Lesch-Nyhan

A

Hypoxanthine-guanine phosphoribosyl transferase (HPRT)

107
Q

abx for rheumatic fever

A

initial dx: PCN
PPx: q 4 wks
RF w/o carditis: for 5 years or till 21 (longer one)
RF w/ carditis: 10 or 21
RF w/ carditis and persistent valvular dz: 10 or 40

108
Q

path: Crohn’s pt w/ kidney stones

A

fat malabsorption –> fat binds to Ca in gut –> Ca doesn’t bind to oxalate in gut –> up absorption of oxalate absorption –> Ca oxalate stones

109
Q

drugs that increase risk of heat stroke

A

anticholinergics
antihistamines
phenothiazines
TCAs

110
Q

complication of whiplash

A

syringomyelia

111
Q

syringomyelia sxs

A

decreased motor, pain/temp

light touch, vibe intact

112
Q

biggest RF for ischemic vs hemorrhagic stroke

A

both are HTN

113
Q

kid: fever, pharyngitis, vesicles/grey ulcers in posterior pharynx

A

herpangina (coxsackie A)

114
Q

conjugated hyperbili + normal AST/ALT/AlkPhos

A

Dubin-Johnson

Rotor

115
Q

conjugated hyperbili + elevated AST/ALT + normal AlkPhos

A

intrinsic liver dz

viral hepatitis, hemochromatosis

116
Q

conjugated hyperbili + slightly elevated AST/ALT + crazy high AlkPhos

A 
intrahepatic cholestasis (PBC)
biliary obstruction
117
Q

pitting vs nonpitting edema

A

lymphedema = nonpitting

liver/heart/kidney fail = pitting

118
Q

suprasellar, calcified mass

A

craniopharyngioma

119
Q

nephrotic syndrome + restrictive CM + big organs + waxy skin + bleeding

A

amyloidosis

120
Q

amyloidosis a/w

A 
RA
chronic infections (TB, bronchiectasis)
IBDs
malignancy
vasculitis
121
Q

dx: amyloidosis

A

bx fat pad

122
Q

GVHD: areas of attack

A

skin (maculopapular rash)
guts (bloody diarrhea)
liver (LFTs, jaundice)

123
Q

path: GVHD

A

donor T cells

124
Q

thrombotic vs embolic strokes

A

thrombotic has stuttering progression w/ periods of improvement
embolic is abrupt and worse at the beginning. diff infarcts in diff places

125
Q

tx: stable angina

A

ASA
NG
BB +/- CCB

126
Q

tx: CMV

A

ganciclovir

127
Q

wheres the lesion: hemineglect

A

parietal on opposite side of neglect

neglect right = left parietal

128
Q

bernard sequard syndrome

A

ipsilateral hemiparesis
ipsi prop/vibe/light touch
contra pain/temp (start two down from lesion)

129
Q

tx: spontaneous pneumo

A

small, stable: obs and O2
large, stable: needle decompression
large, unstable: tube thoracostomy

130
Q

chronic bronchitis vs bronchiectasis

A

chronic usually from smoking, bronchiectasis from recurrent infxns

131
Q

carcinoid heart/lungs

A 
valvular lesions (R > L)
bronchospasm
132
Q

tenosynovitis, dermatitis (pustules), asymmetric migratory polyarthralgias

A

disseminated GC

133
Q

oligoclonal bands in CSF

A

MS

134
Q

multiple peptic ulcers and diarrhea

A

Zollinger Ellison

135
Q

explain steatorrhea in ZES

A

excess gastric acid inactivates panc enzymes

136
Q

mgmt: crazy lung bleed

A

bad lung down (lateral recumbent)

bronchoscopy

137
Q

what is the “dominant” lobe

A

R handed = L lobe dominant

138
Q

lobe for brocas aphasia

A

dominant frontal

139
Q

lobe for wernickes aphasia

A

dominant temporal

140
Q

amphetamines in pregnancy risks

A

FGR, fetal demise
preterm labor
placental abruption
preeclampsia

141
Q

GDM sugar goals

A

fasting < 95
1 hr postprandial < 140
2 hr postprandial < 120

142
Q

mgmt: shoulder dystocia

A

BE CALM

  1. Breathe, don’t push
  2. Elevate hips against abdomen (McRoberts)
  3. Call for help
  4. Apply suprpubic pressure
  5. enLarge vaginal opening (episiotomy)
  6. Maneuvers
143
Q

shoulder dystocia maneuvers

A

deliver posterior arm
rotate 180 (Wood’s corkscrew)
collapse ant shoulder (Rubin)
replace fetal head for c-section (Zavanelli)

144
Q

RAS system in pancreatitis

A

hypovolemia –> renin –> up renal vessel SVR and up Na reabsorption

145
Q

MC orgs epididymitis

A

< 35: neisseria gonorrhea

> 35: e coli

146
Q

MC orgs: osteomyelitis in kids

A

healthy: staph
sickle: salmonella or staph

147
Q

melanosis coli

A

dark brown colon discoloration

laxative abuse

148
Q

tx: patellofemoral pain syndrome

A

quad/hip abd/knee extensors exercises

no high impact

149
Q

complement and platelets in HSP

A

normal

150
Q

secondary HTN with evidence of atherosclerosis

A

think renovascular dz

151
Q

secondary HTN with brachial-femoral pulse delay

A

coarctation

152
Q

secondary HTN with hypokalemia

A

hyperaldo

153
Q

secondary HTN with constipation, fatigue

A

hypothyroid

154
Q

secondary HTN with proximal muscle weakness, ecchymosis, ED

A

cushing syndrome

155
Q

villous atrophy

A

celiacs

156
Q

celiac Ab testing

A

IgA things (anti-transglutaminase/endomysial) may be negative because celiacs is a/w IgA deficiency

157
Q

RFs for aspergillosis

A

immunocompromise (invasive)

hx of pulm dz (TB) (chronic)

158
Q

what to expect in acute liver failure

A

AST/ALT crazy high
encephalopathy
INR > 1.5
renal failure

159
Q

possible earliest sign of sickle cell

A

dactylitis (hand-foot syndrome)

symmetric hand/foot swelling @ 6 mo to 4 yrs

160
Q

wtf is pseudocyesis

A

psych pregnancy
pregnancy sx, thinks test is +
usually following loss or infertility

161
Q

small platelets in repeatedly sick baby (+path)

A

wiskott aldrich (impaired cytoskeleton stuff)

162
Q

which immunodef has impaired class switching

A

hyper IgM

163
Q

type of syncope from pooping

A

situational (cardioinhibitory)

164
Q

pertussis ppx: close contacts

A

macrolide x 5 days

< 1 mo = azithromycin

165
Q

dx: fibromuscular dysplasia

A

CT angio abdomen

166
Q

mgmt: neurogenic bladder

A

clean intermittent catheterization q 4 - 6 hrs

167
Q

which is worse sessile or pedunculated colon polyps

A

sessile

168
Q

gait dysfxn, left sided weakness, HA worse in the AM

A

brain tumor

169
Q

SAAG: how and why

A

serum alb - fluid alb
> 1.1 = portal HTN (RHF, cirrhosis)
< 1.1 = other (TB, renal)

170
Q

Leriche syndrome

A

PAD of aorta into common iliacs

claudication, impotence, LE atrophy

171
Q

what fluids to give SIADH pts

A

mild (Na > 120) usually just fluid restrict

severe (< 120) need hypertonic soln with osm > urine osm

172
Q

osm of IVFs

A

NS (300)

1/2NS (150)

173
Q

the sleep problem austin apparently has

A

delayed sleep phase syndrome

174
Q

tx: brain mets

A

single: resect, then whole brain radiation
multiple: whole brain radiation

175
Q

EGD: discreet ulcers surrounded by normal mucosa (mid esophagus)

A

think pill esophagitis

176
Q

RSV complications

A

apnea (esp < 2 mo)

resp failure

177
Q

ppx: RSV

A

palivizumab

178
Q

when to give RSV ppx

A

premie < 29 wks
chronic lung dz of prematurity
hemodynamically significant congenital heart dz

179
Q

ddx single lytic bone lesion + hypercalcemia in kid

A

neoplastic (Ewing, langerhans, mets)

180
Q

DMD vs BMD

A

DMD more severe (absent dystrophin)

DMD < 5 yo

181
Q

tx: ureteral stone

A

tamsulosin (relaxes ureteral muscles)

182
Q

suppurative thyroiditis thyroid levels

A

euthyroid

183
Q

which thyroiditis is painful

A

subacute (de Quervain)

184
Q

thyroid stuff with TPO Ab

A

hashimoto

painless

185
Q

thyroid stuff with elevated ESR/CRP

A

subacute (de Quervain)

186
Q

how do you know if natremia is hypotonic or hypertonic

A

serum osm < 275 = hypo

serum osm > 275 = hyper

187
Q

SIADH expected levels

A 
usually euvolemic
UNa > 40
serum uric acid low
K normal
acid base is normal
188
Q

meds causing SIADH

A

carbamazepine
SSRIs (esp old folk)
NSAIDs

189
Q

signs of sepsis post burns

A

change in appearance (partial –> full thickness)
SIRS things
AMS

190
Q

MC orgs: burn infections

A

immediate: staph

> 5 days: gram negs (pseudomonas) or fungi (candida)

191
Q

HCV, purpura, hematuria, proteinuria, low complement

A

cryoglobulinemia

192
Q

bone x ray: moth eaten

A 
ewings sarcoma (kid)
fibrosarcoma (adult)
193
Q

bone x ray: fusiform defect w/ scalloping

A

chondrosarcoma

194
Q

bone x ray: central lytic lesion w/ surrounding sclerosis

A

osteomyelitis

195
Q

subungual tumor

A

glomus tumor

196
Q

when do you worry about undescended testicles

A

bilateral and or

> 6 mo

197
Q

complications of cryptorchidism

A 
subfertility (early is better)
testicular cancer (prepubertal is better)
testicular torsion (do orchiopexy)
inguinal hernia (defect fixed during repair)
198
Q

internuclear ophthalmoplegia

A

one eye doesn’t adduct, other abducts with nystagmus
lesion of medial longitudinal fasciculus
a/w MS (bilateral)

199
Q

most specific test for ankylosing spondylitis

A

x ray

200
Q

MC arrhythmias immediately after MI

A

reentrant ventricular arrhythmias

201
Q

high leukocyte alkaline phosphatase score

A

leukemoid rxn

202
Q

low leukocyte alkaline phosphatase score

A

CML

203
Q

hexagonal crystals on UA and positive nitroprusside test

A

cystinuria

204
Q

when do you do colonoscopy for UC pts

A

8 years post dx, then q 1 - 2 yrs

205
Q

when do you colonoscopy for HNPCC pts

A

strt @ 20 - 25

q 1 - 2 yrs

206
Q

how do you know if its an arterial or neuropathic ulcer

A

arterial on tips of toes

neuropathic under bony prominences, punched out

207
Q

when can you see V/Q mismatch

A

PE

pneumonia

208
Q

TTP pentad

A 
thrombocytopenia
hemolytic anemia
renal insufficiency
neuro
fever
209
Q

persistent leg swinging after DTR test

A 
muscle hypotonia (pendular reflexes)
see in cerebellar dz
210
Q

ataxia, nystagmus, intention tremor/dysmetria

A

cerebellar dysfxn (EtOH)

211
Q

b/l cordlike thickening of breasts

A

fibrocystic changes

212
Q

tx: fibrocystic changes

A

NSAIDs or OCPs

213
Q

complications of shoulder dystocia post delivery

A

Erb Duchenne

Klumpke palsy

214
Q

what is klumpke palsy

A

damage to C8 T1
claw hand
horner
intact moro + biceps reflex

215
Q

back pain, normocytic anemia, lytic lesions

A

MM

216
Q

temp for heat stroke

A

> 40.5 (105)

217
Q

who’s most likely to have weird ACS presentations

A

women
old
DM

218
Q

macrosomia, macroglossia, big arms/legs (hemihyperplasia), and hernia/omphalocele

A

Beckwith-Wiedemann syndrome

219
Q

complications of Beckwith-Wiedemann syndrome

A

hepatoblastoma

Wilms tumor

220
Q

peripheral blood smear in someone with splenectomy (or auto)

A

Howell-Jolly bodies

221
Q

effects of E on thyroid things

A

up TBG

need more levo if hypothyroid

222
Q

post transplant ppx

A

TMP-SMX

ganciclovir

223
Q

AEs of levo/carbidopa

A

confusion, somnolence, hallucinations

dyskinesia (late)

224
Q

RF for warfarin skin necrosis

A

protein C def

225
Q

chemo effects on lady hormones

A

transient amenorrhea

ovarian failure happens earlier

226
Q

rapid upstroke and rapid collapse pulse

A

AR

227
Q

cells with periodic acid Schiff (PAS) positive material

A

think Whipples

+ lymphoblasts (ALL, CLL)

228
Q

TdT

A

ALL

229
Q

Auer rods

A

AML

230
Q

leukemia after benzene exposure

A

AML

231
Q

things that spark intussusception

A

meckel’s

Peyer patch hypertrophy

232
Q

miscarriage and thyroid things

A

anti-TPO a/w miscarriage (hashimoto + painless thyroiditis)

ppx with levo

233
Q

auscultation things for pneumo

A

hyperresonance to percussion
diminished breath sounds
decreased tactile fremitus
decreased venous return (hTN)

234
Q

HIV: fever, cough, diarrhea, splenomegaly, high alk phos

A

MAC

235
Q

complication of full thickness burns

A

constrict venous/lymph drainage –> compartment syndrome

236
Q

pain worse with bladder filling or sex and relieved by voiding

A

interstitial cystitis

237
Q

PE –> what heart stuff

A

RBBB, right heart strain

238
Q

pain over area previously affected by stroke

A

thalamic pain syndrome

allodynia

239
Q

pneumonia: what side to lie on and why

A

pneumonia side up
gravity increases blood flow (intrapulmonary shunting)
want blood going to good part of lung

240
Q

morbilliform exanthem

A

adult parvo

measles

241
Q

contraindications to amnioinfusion

A

hx of uterine surgery

242
Q

birth plan with hx of vertical c section or open myomectomy

A

planned c section @ 36 - 37 wks

laparotomy + hysterotomy if labor earlier

243
Q

hypokalemia sx

A

fatigue, weakness, cramps, hyporeflexia, arrhythmias

244
Q

dyspnea, swollen head/neck

A

SVC syndrome

245
Q

TSS: describe rash

A

diffuse, macular rash

includes palms, soles

246
Q

halos around lights

A

acute angle glaucoma

247
Q

tx: wegners

A

corticosteroids

cyclophosphamide or rituximab

248
Q

urate crystals in soft tissues

A

tophi

gout

249
Q

continued ear drainage despite abx

A

think cholesteatoma

250
Q

workup: 1st DVT

A

cancer screening

inherited coag only looked into if v young or fam hx

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