Uworld Form 1 Flashcards by Alex Hamidi

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

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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

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What are the main features of malabsorption?

MC d/t what?

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

Celiac disease

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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

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Chemo can cause what?

Puts pt at what risk?

Neutropenia

Systemic infections (bacterial) and sepsis

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

SVC syndrome

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What is a normal leukocyte count?

4,500 - 11,000

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What is a 1st line tocolytic?

SEs?

Nifedipine

Flushing, HA, palpitation

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TPN can cause what complications after 48 hours?

After 2 weeks?

Central line-associated bloodstream infection

Cholelithiasis

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Fever, back pain, neurologic manifestation means what?

Spinal epidural abscess, do broad spectrum Abx

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SAAG > 1.1 indicates what?

Ascites d/t portal HTN

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Brain tumor, what is the best predictor of prognosis?

Degree of anaplasia, NOT metastasis

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

HHV-6 roseola

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

Cisplatin - oto/renal toxicity
Etoposide
Docetaxel

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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

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Ankle-brachial index is used to assess for what?

Peripheral arterial disease

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Hot shower (Uhthoff phenomenon) can exacerbate what condition?

M.S.

Optic neuritis

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What are the MAIN risks of GD for the baby?

Respiratory distress syndrome
Preterm delivery
Macrosomia

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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?

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