Uworld Form 1 Flashcards
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?
VSD
RV O2 % will be > RA O2%
They should be the same
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?
Polymyositis
What are the main features of malabsorption?
MC d/t what?
Large-volume diarrhea, BORBORYGMI, weight loss, maybe even fracture
Celiac disease
What presents w/temp > 100.0, ABD pain/tenderness, AMS, HoTN, HoThermia in alcoholic?
What else special?
SBP aka “intestinal bacterial translocation”
SAAG > 1.1
Chemo can cause what?
Puts pt at what risk?
Neutropenia
Systemic infections (bacterial) and sepsis
Pt that has a HA that is worse when leaning forward w/JVD and PMHx of smoking has what?
SVC syndrome
What is a normal leukocyte count?
4,500 - 11,000
What is a 1st line tocolytic?
SEs?
Nifedipine
Flushing, HA, palpitation
TPN can cause what complications after 48 hours?
After 2 weeks?
Central line-associated bloodstream infection
Cholelithiasis
Fever, back pain, neurologic manifestation means what?
Spinal epidural abscess, do broad spectrum Abx
SAAG > 1.1 indicates what?
Ascites d/t portal HTN
Brain tumor, what is the best predictor of prognosis?
Degree of anaplasia, NOT metastasis
What causes 3-5 days of high fever then blanching rash?
HHV-6 roseola
What chemotherapy drugs are used to treat non-small cell lung cancer?
Cisplatin - oto/renal toxicity
Etoposide
Docetaxel
What is normal serum protein?
Effusions d/t Tb have what values?
6-8 g/dL
High protein (> 4), high lymphocytes, low glucose, LDH > 500, low pH
Ankle-brachial index is used to assess for what?
Peripheral arterial disease
Hot shower (Uhthoff phenomenon) can exacerbate what condition?
M.S.
Optic neuritis
What are the MAIN risks of GD for the baby?
Respiratory distress syndrome
Preterm delivery
Macrosomia
What is separation of the nail from the nail bed called?
Seen in what?
Onycholysis
Graves
ASD is what kind of heart defect?
Left-to-right
Best way to slow progression of diabetic nephropathy is how?
BP control
Goal is < 140/90
Does a pt w/MVP need IE prophylaxis for a dental procedure?
Who does?
No
Prosthetic heart valve, previous IE, transplanted heart, Cong, heart disease
Gastric bypass can cause what symptoms?
D/t what?
Gallstones
Rapid weight loss
Tension Pneumo causes HoTN by what physiological mechanism?
Impeded VENOUS RETURN to RA by compressing Vena Cava
Aortic root dilation = ?
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
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?
Complex partial seizures
TLE
CXR in “posterior segment of RUL” indicates what?
Aspiration PNA
Pt w/hypoxia, tachycardia, tachypnea should raise suspicion for what?
Right heart pressures show what?
Gradient bw PA and PCWP?
PE
Increased
Big —> PA will be HIGH and the PCWP (LA) will be low
Pt with a V/Q scan that says low or mod probability of PE, what is the next step?
CT-Angio even if pregnant!
Pts w/BAT can often have what lab finding?
D/t what?
Thrombocytosis
Splenectomy
Loss of palpable radial pulse during inspiration means what?
Feature of what problem?
Pulsus paradoxus
Cardiac tamponade
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?
PSGN
Glomerular
According to uWorld, what is latent stage labor?
Active?
0-6cm
6-10cm
Pt w/hepatic encephalopathy, what cause you don’t normally think of can precipitate it?
Look for what?
GI bleed
BUN/Cr > 20:1, FOBT +
Pt w/pancreatic adenocarcinoma can cause what?
Treat how?
CBD obstruction and extrahepatic cholestasis
Endoscopic stent placement
Pt w/chest pain, dec CO, pulsus paradoxus following a viral infection have what?
Results from what?
cardiac tamponade
Acute pericarditis
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?
Cataracts
Loss of red reflex
DIC is a type of what?
Will see what labs?
MAHA
Crazy high LDH, ALP, V. High INR, dec Fibrinogen
Pt w/estimated cardiac risk < 7.5% can be monitored how often?
Q5 years
Pt from Thailand what does it raise concern for?
Hookworm infection - ancylostoma duodenale or Necator americanus
Causes diarrhea, get stool ova and parasites
What NNRTI can cause dizziness, insomnia, vivid or bizarre dreams, depression, anxiety?
Use caution in which pts?
Efavirenz
Psychiatric illness
Alzheimer disease is d/t what pathology?
Low Acetylcholine activity
What is the mammogram screening guidelines?
Q2 years 50-74 y/o
MM causes what in the kidneys?
Renal tubular damage
Pt w/delirium should be treated how acutely?
Haloperidol NOT BENZOs
Pts w/sickle cell are at risk for what?
Encapsulated infections
MC #1 Strep pneumo
