uworld 7/30 Flashcards

1
Q

ABX for Cath procedure if pen anaphylaxis

A

clindimycin or vanc

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2
Q

how long before vet c def turns into the scurvy

A

3 months before sx

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3
Q

Ottawa ankle rules for malleolar pain

A

tender at posterior margin of medial malleolus
tender at posterior margin of lateral malleolus
unable to bear weight for 4 steps

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4
Q

Ottawa ankle rules for mid foot pain

A

tender at navicular
tender at base of 5th metatarsal
unable to bear weight 4 steps

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5
Q

signs of bladder cancer older adults

A

hematuria
hydronephrosis
voiding sx

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6
Q

von willebrand PT and platelet

A

normal

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7
Q

von willebrand pt

A

sometimes prolonged sometimes normal

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8
Q

von willebrand bleeding time

A

always increased

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9
Q

risk factor for breech presentation

A

leiomyomas

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10
Q

viral load threshold for c section oney HIV mom

A

1000

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11
Q

tx for hydronephrosis in pregnancy if cr normal

A

just watch it, will solve when baby leaves

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12
Q

predictor of complications with TCA overdose

A

QRS

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13
Q

problem in neonat coarctation of aorta and tx

A

increased lv after load from thickening of tunica media of aortic arch

tx prostaglandin E1 if severe and surgical repair

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14
Q

x-linked agammaglobulinemia pathophys

A

impaired B cell maturation and immunoglobulin production

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15
Q

x-linked agammaglobulinemia clinical manifestation

A

recurrent sinopulm and go infections after 6 months

small or absent lymphoid tissue-tonsils and adenoids

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16
Q

x-linked agammaglobulinemia lab findings

A

flow cytometry ⬇️ CD19+ B cells
normal T cells
⬇️ immunoglobulins and down arrow ⬇️ antibody response to vaccines

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17
Q

agranulocytosis is

A

the complete absence of neutrophils

18
Q

who gets c section and is not offered external cephalic version

A

breech, prior c section, placenta previa

19
Q

hemophilia a inheritance

A

x-linked recessive

20
Q

depression def sleep changes

A

decreased rem latency and slow wave step. also increased REM and REM sleep density

21
Q

acute stress disorder timeframe

A

lasts >3 days , < 1 month after event event

22
Q

hep c can have what derm findings

A

porphyria cutanea tarda

or lichen planus

23
Q

Ehrlichiosis region

A

south/central US

24
Q

Ehrlichiosis clinical presentation

A

flu like illness
confusion
rarely spots

25
Q

Ehrlichiosis labs

A

leukopenia with thrombocytopenia

elevated liver enzymes and ldc

26
Q

Ehrlichiosis dx

A

morule in monocytes

pcr

27
Q

Ehrlichiosis tx

A

doxy

28
Q

nitrates in the urine means

A

enterobacteriacae

29
Q

how does RAAS system make organ failure worse

A

sympathetic response to low CO vasodilation constricts and Na retention to maintain organ perfusion, this is bad bc it further decreases CO

30
Q

K+ goal hyperosmolar hyperglycemia

A

5.3

31
Q

statin myopathy moa

A

INTRAcellular HMG-COA reductase enzyme inhibition stopped it from becoming mevalonic acid, maybe some coenzyme Q10 stuff

32
Q

auto immune arthritis picture + DIP enrollment + nail pitting dx

A

psoriatic arthritis will mention dry skin with rash or psoriasis

33
Q

what causes breathing abnormalities ankylosis spondylitis

A

chest wall motion restriction

34
Q

how to avoid gout attacks

A
weight loss
stop OH
avoid diuretics
avoid eating organs 
low fat diet 
decrease sea food and red meat
35
Q

what meds can cause drug induced acne

A

steroids, androgens
immunomodulators
anticonvulsants
isoniazid

36
Q

what improves mortality with STEMI

A

restoration of coronary blood flow

37
Q

Taenia sodium tx

A

albendazole
seizure management
steroids

38
Q

complication of PBC

A

malabsorption of fat sol bit–> osteomalacia or osteoporosis

hepatocellular carcinoma

39
Q

factor 5 linen deficency moa

A

activated protein c resistance

40
Q

conn syndrome levels

A

low rennin high aldosterone

high bicarb

41
Q

what is procavlgia fugal

A

rectal pain unrelated to dedication