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Step 2 > UWorld Questions > Flashcards

UWorld Questions Flashcards

1
Q

Elevated capillary wedge pressure and right atrial pressure

A

left sided HF leading to right sided HF

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2
Q

Membranoproliferative glomerulonephritis etiology

A 
C3 deposition (type II is dense deposit disease
caused by persistent activation of alternative pathway
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3
Q

Valley fever cause

A

coccidiomycosis

pneumonia, erythema nodosum/multiforme, arthralgias

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4
Q

Wenebach is which type of heart block

A

Mobitz type I

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5
Q

Mobitz II is due to defect where

A

his-purkinje

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6
Q

Mobitz I due to defect where

A

AV node

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7
Q

Tx acetaminophen overdose

A

activated charcoal within 4 hr

acetaminophen level

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8
Q

Systemic sclerosis antibodies

A

anti-topo I

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9
Q

Tx of actinomyces

A

PCN

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10
Q

Pulmonary wedge pressure approximates what

A

LA pressure (useful in assessing volume overload)

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11
Q

Bullous pemphigoid etiology

A

hemidesmosomes

tense blisters

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12
Q

Tumor lysis syndrome lytes

A

hyperkalemia
hyperphosphatemia
hypocalcemia (phos binds it and precipitates it out)

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13
Q

Progressive multifocal leukoencephalopathy etiology

A

JC virus

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14
Q

Tx narrow complex tachycardia and unstable

A

synchronized cardioversion

shocks at QRS

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15
Q

Tetanus toxin mechanism

A

blocks glycine release

no inhibition possible

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16
Q

Common variable immunodeficiency

A

severely decreased IgG
low IgM and IgA
very susceptible to many infections

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17
Q

PPx in renal transplant pts

A

TMP-SMX for 6-12 mo

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18
Q

Tx of legionella infection

A

levofloxicin

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19
Q

Sx of legionella infection

A

pneumonia
GI upset
neuro sx
hyponatremia

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20
Q

Renal stones
when to use HCTZ
when to use potassium citrate

A

HCTZ: calcium stones (reduces Ca2+ excretion)

K citrate: uric acid stones, alkalinizes urine

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21
Q

Afib ectopic origin

A

pulmonary veins

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22
Q

Aflutter ectopic origin

A

tricuspid valve

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23
Q

Transudate vs exudate in pleural effusion

A

pleural/serum of protein and LDH
<0.5 is transudate
>0.5 is exudate

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24
Q

COPD survival: stop smoking and

A

long term oxygen therapy

if patient qualifies

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25
Q

How to prevent flushing due to niacin

A

aspirin!

caused by prostaglandin release

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26
Q

Haptoglobin in hemolysis

A

decreased!

it binds the free hgb

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27
Q

Necrotizing otitis externa tx

A

cipro

due to pseudomonas

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28
Q

Tox of epo

A

HTN

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29
Q

Superficial thrombophlebitis what to look for

A

pancreatic cancer

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30
Q

When can you no longer give live vaccines in HIV?

A

<200

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31
Q

When to do something about a positive tuberculin skin test

A

> 5 high risk
10 mod risk
15 everyone

32
Q

How does adenosine work in stress test

A

vasodilator

33
Q

Which OH does kidney add to vit D

A

1

34
Q

Transcutaneous pacing used when

A

symptomatic bradycardia

35
Q

Bronchiectasis etiology

A

recurrent infections

36
Q

Dx bronchiectasis

A

HRCT

bronchial wall thickening

37
Q

Niacin used to

A

decrease triglyceride

38
Q

Poison ivy allergic or irrtant

A

allergic (type IV hypersensitivity)

39
Q

Management of narrow complex tachycardia

A

adenosine

40
Q

Neoadjuct therapy given when

A

before standard therapy

radiation before surgery

41
Q

Calcium oxalate crystals are associated with

A

ethylene glycol poisoning

fomepazil-inhibits alcohol dehydrogenase, sodium bicarb-fixes acidosis, dialysis for severe

42
Q

Paroxysmal tachycardia in young person due to

A

AVNRT

vagal maneuvers result in slower AV conduction

43
Q

Trimethoprim tox

A

hyperkalemia

acts like K-sparing diuretic

44
Q

Pulmonary miliary TB

A

reticuloendothelial lacing

may also affect liver

45
Q

Akylosing spondylosis sx

A

pain at multiple joints

46
Q

B12 deficiency due to terminal ileum damage or

A

gastrectomy (due to loss of IF)

47
Q

Adhesive capsulitis definition

A

decrease >50% of passive and active ROM

48
Q

Echinococcus granulosus is carried by

A

dogs

human liver cysts

49
Q

Hydroxychloroquine tox

A

retinopathy

50
Q

Tx of 1˚ biliary cirrhosis

A

ursodeoxycholic acid

51
Q

Abx for human bite wound

A

augmentin

52
Q

What precipitates pseudo gout

A

hyperparathyroidism

53
Q

Anesthetic hypopigmented lesions caused by

A

LEPROSY

54
Q

Sx HCV

A

arthralgias, renal failure (both due to cryo), also low C4 levels

55
Q

Anticoagulation in CKD

A

unfractionated heparin

then transition to warfarin

56
Q

Hypertrophic osteoarthropathy is associated with

A

lung malignancy

57
Q

Red vascular lesions on the abdomen

A

cherry angiomas

58
Q

When do strawberry hemangiomas occur

A

infancy

59
Q

High aldo effect on bicarb

A

increases bicarb

60
Q

Is there blasts in MN

A

YES IT’S BLASTO

61
Q

Lambert-Eaton syndrome Ab against

A

pre-synaptic calcium channels

62
Q

Dermatomyositis/polymyosisitis weakness

A

proximal

63
Q

ITP can cause platelets to go how low

A

SUPER low

64
Q

Drugs that cause priapism

A

trazadone

prazosin

65
Q

Obesity hypoventilation syndrome

A

hypercapnia –> acidosis
bicarb retention to compensate
decreased Cl to balance

66
Q

Lynch syndrome cancers

A

colon
endometrial
ovarian

67
Q

Cyclophosphamide toxicity

A

bladder carcinoma, hemorrhagic cystitis with prolonged use

68
Q

When do diabetics start statin therapy

A

age 40

69
Q

Vit D deficiency effect on PTH, Ca, and Phos

A

high PTH

low Ca and Phos

70
Q

SCC/BCC affect which lip

A

SCC: lower
BCC: upper

71
Q

Bx site for amyloid

A

abdominal fat pad

72
Q

Sx of babesiosis

A

systemic sx + hemolysis

dx on blood smear

73
Q

Tx nocardia

A

TMP-SMX

74
Q

When to use IVC filters

A

when anticoagulation is contraindicated

75
Q

Nitro toxicity

A

cyanide poisoning

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