Uworld Flashcards by Brittani Lowe

Q

Currant jelly stools with sausage-shaped abdominal mass

A

Intussusception

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Q

Target sign on ultrasound

A

Intussusception

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Q

____________ is thought to cause hypertrophy of Peyer’s patches serving as a nidus for telescoping in Intussusception

A

Gastroenteritis

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Q

Increases risk of Intussusception due to formation of small bowel hematoma from autoimmune vasculitis

A

HSP

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Q

Treatment for pinworm

A

Albendazole or pyrantel pamoate

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Q

Enterobius vermicularis

A

Pinworm

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Q

Trypanosoma cruzi

A

Chagas’ disease

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Q

Mainly affects heart (cardiomyopathy, RBBB) and GI tract (megacolon, mega esophagus)

A

Chagas

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Q

Treated with benznidazole

A

Chagas (trypanosoma cruzi)

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Q

First line treatment for strongyloides

A

Ivermectin

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Q

Presents with urticaria, abdominal pain, and respiratory probs (dry cough, SOB, and wheezing)

A

Strongyloides

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Q

Onchocerciasis is also known as

A

River blindness

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Q

Causes ocular lesions and dermatitis

A

River blindness

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Q

River blindness is treated with

A

Ivermectin

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Q

Acute dysentery with liver abscess

A

Amebiasis

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Q

Green-yellow, frothy, malodorous discharge

A

Trichomonas vaginitis

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Q

Treat trichomonas vaginitis and amebiasis with

A

Metronidazole

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Q

Antimalarial drug used to treat chloroquine-resistant malaria

A

Quinine

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Q

Recurrent sinus, pulmonary, and GI infections since 6 months

A

X-linked agammaglobulinemia (Bruton’s agammaglobulinemia)

Q

See absence of lymphoid tissue (small tonsils and LNs)

A

X-linked agammaglobulinemia (Bruton’s agammaglobulinemia)

Q

Decreased immunoglobulins and B cells, but normal T cells

A

X-linked agammaglobulinemia (Bruton’s agammaglobulinemia)

Q

No response to vaccinations

A

X-linked agammaglobulinemia (Bruton’s agammaglobulinemia)

Q

Give immunoglobulin replacement or prophylactic antibiotics

A

X-linked agammaglobulinemia (Bruton’s agammaglobulinemia)

Q

Caused by a defect in tyrosine kinase that prevents development of mature B cells

A

X-linked agammaglobulinemia (Bruton’s agammaglobulinemia)

Q

Impaired T cell development causing severe combined immunodeficiency

A

Adenosine deaminase deficiency

Q

Severe, recurrent viral, fungal, and bacterial infections. FTT

A

Adenosine deaminase deficient

Q

Increased risk of disseminated bacterial infections with encapsulated bacteria (strep pneumo, neisseria)

A

Complement deficiencies

Q

Occurs in chronic Granulomatous disease

A

Impaired oxidative burst

Q

Recurrent skin, sinus, and pulmonary infections with catalase + organisms (staph aureus, Serratia)

A

Impaired oxidative burst in chronic Granulomatous disease

Q

Consistent with DiGeorge (22q11 micro deletion)

A

Thymic hypoplasia

Q

Thymic hypoplasia with DiGeorge may cause

A

Hypocalcemia

Q

See cardiac defects, FTT, recurrent infections, and hypocalcemia

A

Thymic hypoplasia with DiGeorge

Q

Within 30 mins-4 days ssee abdominal pain, vomiting (maybe hematemesis), diarrhea (maybe Melena), Hypotensive shock from bleeding, and metabolic acidosis

A

Iron ingestion

Q

Within 2 days get hepatic necrosis

A

Iron ingestion

Q

Within 2-8 wks get pyloric stenosis

A

Iron ingestion

Q

See radiopaque (small opacities) pills and anion gap metabolic acidosis

A

Iron ingestion

Q

Treat with whole bowel irrigation, deferoxamine, and supportive care for breathing, airway, and circulation

A

Iron ingestion

Q

Erosive to the GI mucosa causing Melena and hematemesis

A

Iron ingestion

Q

Causes nausea and vomiting, but pts remain asymptomatic within 24 hrs of ingestion

A

Acetaminophen

Q

Tinnitus, fever, hyperpnea (resp. Alkalosis), and metabolic acidosis

A

Aspirin

Q

Chronic process seen on routine lab screening. Most children are asymptomatic

A

Lead poisoning

Q

Nausea, vomiting, and blurry vision

A

Overdose of Vit A

Q

Chronic toxicity LEDs to increased ice (pseudo tumor cerebri)

A

Vit A overdose

Q

Vitamin B12 (riboflavin) is a

A

Water soluble vitamin

Q

Hypercalcemia. Nausea, vomiting, confusion, polyuria, and polydipsia

A

Vit D overdose

Q

Can cause hemolytic anemia and high bilirubin

A

Vit K overdose