UWorld Practice Test Section 1a Flashcards

1
Q

What is usually the first step in the case of protracted labor?

A

amniotomy

oxytocin if membranes already ruptured

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2
Q

What are 3 possible causes of an exudative pleural effusion w/ a high amylase level?

A

pancreatititis, esophageal rupture, and malignancy

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3
Q

What are the states of protein, glucose, and WBCs in a pleural effusion d/t TB?

A

protein very high (>4g/dL), glucose slightly below serum lvl, lymphocytic predominance

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4
Q

In HIV pts, t what CD4 count should anti-retroviral Tx be started?

A

<350/μL

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5
Q

What kind of IV Abx may be given for spontaneous bacterial peritonitis?

A

3rd gen cephalosporin, fluoroquinolone, or extended-spectrum penicillin (e.g. amoxicillin/clavulanic acid)

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6
Q

What lab finding would differentiate porphyria cutanea tarda from bullous pemphigoid?

A

elevated LFTs

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7
Q

What are the most common intracranial tumors in adults?

A

metastases

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8
Q

What are the most common PRIMARY CNS lesions in adults?

A

Gliomas

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9
Q

What condition is St. John’s wort used to treat?

A

mild depression

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10
Q

Symmetric proximal muscle weakness in an elderly person combined with elevated muscle enzymes, such as LDH and CPK.

A

Polymyositis

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11
Q

What is the mech of hypotension in tension pneumothorax?

A

hi intrathoracic pressure impedes venous return

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12
Q

What does “complex” refer to w/ regard to a seizure?

A

loss of consciousness

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13
Q

What does “partial” refer to w/ regard to a seizure?

A

focal

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14
Q

What is the tx for a stable pt w/ wide-complex tachycardia?

A

Amiodarone or Sotalol

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15
Q

What is the tx for a stable pt w/ narrow-complex tachycardia?

A

Vagal maneuvers,
Adenosine,
β-blockers or Ca++ channel blockers

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16
Q

Shiny, thin, hairless skin on the extremitiesand non-healing ulcers suggest what?

A

peripheral vascular disease

17
Q

Severe, symptomatic hypercalcemiais usu. caused by what?

A

malignancy

18
Q

What medication may be used as an alternative to cholecystectomy or as prophylaxis for gallstone formation following gastric bypass surgery?

A

ursodeoxycholic acid

19
Q

What are the 2 most common causes of glomerular hematuria following upper respi inf?

A

PSGN and IgA nephropathy