UWorld Flashcards

1
Q

When do you x-ray the ankle?

A
  1. Tender at the posterior medial malleolus

2. Tender at posterior lateral malleolus

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2
Q

When do you x-ray the foot?

A
  1. Tender at navicular (midfoot)

2. Tender at base of 5th metatarsal

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3
Q

Which complication of MI is acute and presents with hypotension, clear lungs, and kussmaul sign?

A

Right ventricular failure

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4
Q

Which complication of MI is acute/3-5 days and presents with severe pulmonary edema, and new holosystolic murmur?

A

Papillary muscle rupture

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5
Q

Which complication of MI is acute/3-5 days and presents with chest pain, new holosystolic murmur, biventricular failure, and shock?

A

Interventricular septum rupture

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6
Q

Which complication of MI is within 5 days-2 weeks and presents with chest pain, shock, and distant heart sounds?

A

Free wall rupture

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7
Q

Which complication of MI is within a few months and presents with subacute heart failure and stable angina?

A

Left ventricular aneurysm

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8
Q

Which ligament injury is tested with valgus?

A

MCL

“MC VAL”

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9
Q

Which ligament injury is tested with anterior drawer and lachman?

A

ACL

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10
Q

Which ligament injury is tested with internal/external rotation?

A

Meniscus

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11
Q

What are the 3 immediate (0-2 hours) postop causes of fever?

A
  1. Tissue trauma
  2. Blood products
  3. Malignant hyperthermia
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12
Q

What are the 5 postop causes of fever from 1 day-1 week?

A
  1. Nosocomial infex
  2. SSI
  3. MI
  4. PE
  5. DVT
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13
Q

What are the 5 postop causes of fever from 1 week-1 month?

A
  1. SSI/Catheter infex
  2. C. diff
  3. Drug fever
  4. PE
  5. DVT
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14
Q

What are the 2 postop causes of fever after 1 month?

A
  1. Viral infex

2. SSI

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15
Q

What MSK injury causes a pop and a low-riding patella?

A

Quadriceps tendon rupture

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16
Q

What MSK injury causes rapid-onset hemarthrosis and instability?

A

ACL

17
Q

What MSK injury causes acute pain and swelling in posterior knee?

A

Popliteal cyst rupture

18
Q

What MSK injury causes slow-onset swelling with locking/catching during ROM test?

A

Meniscus tear

19
Q

What jaundice disorder is precipitated by antimalarials, sulfonamides, and also has Heinz bodies and bite cells?

A

G6PD deficiency

20
Q

Do inguinal or femoral hernias need to be corrected by elective surgical repair?

A

Femoral

21
Q

How do you diagnose cardiac tamponade?

A

Echocardiogram

22
Q

Does ovarian torsion cause a decrease in Hct?

A

Yes

23
Q

What do you use MRCP for?

A
  1. Biliary obstruction

2. Cholangiocarcinoma

24
Q

What is ERCP used for?

A

Choledocholithiasis

25
Q

What med should you switch to if a patient develops HIT (2 options)?

A

Argatroban or Fondaparinux

“Arg, Jane Fonda’s HIT workouts are tough!”

26
Q

T/F: topical anesthetic and dapsone can cause methemoglobinemia?

A

True

27
Q

Does HIT cause skin lesions?

A

Yes

28
Q

If a breast biopsy has fat globules and foamy histiocytes, is it cancer?

A

No

29
Q

T/F: LMWH and rivaroxaban are contraindicated in ESRF?

A

True; they are metabolized by the kidney

30
Q

Germ cell tumors have elevated ___?

A

AFP (because they are from the fetus)

31
Q

What 4 terrible T’s could compress the trachea (anterior mediastinal masses)?

A
  1. Thymoma
  2. Teratoma
  3. Thyroid
  4. Terrible lymphoma