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UWorld Step 2 > Uworld Form 1 > Flashcards

Uworld Form 1 Flashcards

1
Q

What is something that is possible that can occur 3-5 days post-MI that presents w/holosystolic murmur best heard at LL sternal border?

How will you know?

A

VSD

RV O2 % will be > RA O2%
They should be the same

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2
Q

55 y/o man with inc weakness for 6 weeks that can’t climb stairs, then can’t get up from a chair, then has weak arms w/BIG CK and AST and elevated aldolase has what?

A

Polymyositis

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3
Q

What are the main features of malabsorption?

MC d/t what?

A

Large-volume diarrhea, BORBORYGMI, weight loss, maybe even fracture

Celiac disease

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5
Q

What presents w/temp > 100.0, ABD pain/tenderness, AMS, HoTN, HoThermia in alcoholic?

What else special?

A

SBP aka “intestinal bacterial translocation”

SAAG > 1.1

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6
Q

Chemo can cause what?

Puts pt at what risk?

A

Neutropenia

Systemic infections (bacterial) and sepsis

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7
Q

Pt that has a HA that is worse when leaning forward w/JVD and PMHx of smoking has what?

A

SVC syndrome

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8
Q

What is a normal leukocyte count?

A

4,500 - 11,000

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8
Q

What is a 1st line tocolytic?

SEs?

A

Nifedipine

Flushing, HA, palpitation

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9
Q

TPN can cause what complications after 48 hours?

After 2 weeks?

A

Central line-associated bloodstream infection

Cholelithiasis

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10
Q

Fever, back pain, neurologic manifestation means what?

A

Spinal epidural abscess, do broad spectrum Abx

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12
Q

SAAG > 1.1 indicates what?

A

Ascites d/t portal HTN

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13
Q

Brain tumor, what is the best predictor of prognosis?

A

Degree of anaplasia, NOT metastasis

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13
Q

What causes 3-5 days of high fever then blanching rash?

A

HHV-6 roseola

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14
Q

What chemotherapy drugs are used to treat non-small cell lung cancer?

A

Cisplatin - oto/renal toxicity
Etoposide
Docetaxel

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15
Q

What is normal serum protein?

Effusions d/t Tb have what values?

A

6-8 g/dL

High protein (> 4), high lymphocytes, low glucose, LDH > 500, low pH

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16
Q

Ankle-brachial index is used to assess for what?

A

Peripheral arterial disease

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16
Q

Hot shower (Uhthoff phenomenon) can exacerbate what condition?

A

M.S.

Optic neuritis

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17
Q

What are the MAIN risks of GD for the baby?

A

Respiratory distress syndrome
Preterm delivery
Macrosomia

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18
Q

What is separation of the nail from the nail bed called?

Seen in what?

A

Onycholysis

Graves

19
Q

ASD is what kind of heart defect?

A

Left-to-right

21
Q

Best way to slow progression of diabetic nephropathy is how?

A

BP control

Goal is < 140/90

22
Q

Does a pt w/MVP need IE prophylaxis for a dental procedure?

Who does?

A

No

Prosthetic heart valve, previous IE, transplanted heart, Cong, heart disease

25
Q

Gastric bypass can cause what symptoms?

D/t what?

A

Gallstones

Rapid weight loss

26
Q

Tension Pneumo causes HoTN by what physiological mechanism?

A

Impeded VENOUS RETURN to RA by compressing Vena Cava

28
Q

Aortic root dilation = ?

A

Aortic Regurgitation aka Aortic insufficiency

If it is d/t bicuspid aortic valve then it will be heard along the Left sternal border at the 3rd and 4th ICS w/pt sitting up

29
Q

Pt that has repeated episodes of blank staring for 1 minute then appears confused and drags feet for 20-30 minutes is having what?

Caused by what?

A

Complex partial seizures

TLE

30
Q

CXR in “posterior segment of RUL” indicates what?

A

Aspiration PNA

31
Q

Pt w/hypoxia, tachycardia, tachypnea should raise suspicion for what?

Right heart pressures show what?
Gradient bw PA and PCWP?

A

PE

Increased
Big —> PA will be HIGH and the PCWP (LA) will be low

32
Q

Pt with a V/Q scan that says low or mod probability of PE, what is the next step?

A

CT-Angio even if pregnant!

34
Q

Pts w/BAT can often have what lab finding?

D/t what?

A

Thrombocytosis

Splenectomy

35
Q

Loss of palpable radial pulse during inspiration means what?

Feature of what problem?

A

Pulsus paradoxus

Cardiac tamponade

37
Q

Pt that has acute pharyngotonsillits 1 month ago and then gets red urine w/rbc’s that are dysmorphic has what?

D/t what pathology?

A

PSGN

Glomerular

38
Q

According to uWorld, what is latent stage labor?

Active?

A

0-6cm

6-10cm

40
Q

Pt w/hepatic encephalopathy, what cause you don’t normally think of can precipitate it?

Look for what?

A

GI bleed

BUN/Cr > 20:1, FOBT +

41
Q

Pt w/pancreatic adenocarcinoma can cause what?

Treat how?

A

CBD obstruction and extrahepatic cholestasis

Endoscopic stent placement

42
Q

Pt w/chest pain, dec CO, pulsus paradoxus following a viral infection have what?

Results from what?

A

cardiac tamponade

Acute pericarditis

46
Q

Pt that has difficulty night driving and sees halos from lights and excessive glare from light w/inability to read small print has what?

What clinical sign?

A

Cataracts

Loss of red reflex

47
Q

DIC is a type of what?

Will see what labs?

A

MAHA

Crazy high LDH, ALP, V. High INR, dec Fibrinogen

48
Q

Pt w/estimated cardiac risk < 7.5% can be monitored how often?

A

Q5 years

50
Q

Pt from Thailand what does it raise concern for?

A

Hookworm infection - ancylostoma duodenale or Necator americanus

Causes diarrhea, get stool ova and parasites

53
Q

What NNRTI can cause dizziness, insomnia, vivid or bizarre dreams, depression, anxiety?

Use caution in which pts?

A

Efavirenz

Psychiatric illness

55
Q

Alzheimer disease is d/t what pathology?

A

Low Acetylcholine activity

60
Q

What is the mammogram screening guidelines?

A

Q2 years 50-74 y/o

63
Q

MM causes what in the kidneys?

A

Renal tubular damage

65
Q

Pt w/delirium should be treated how acutely?

A

Haloperidol NOT BENZOs

66
Q

Pts w/sickle cell are at risk for what?

A

Encapsulated infections

MC #1 Strep pneumo

UWorld Step 2 (17 decks)

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