UWORLD random 3/19a Flashcards

1
Q

polyhydramnios cause

A

impaired fetal swallowing
- GI obstruction, anencephaly

increased fetal urination
- high cardiac output (anemia, parvovirus, hemorrhage)

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2
Q

prenatal anti-epileptic use

A

++ fetal neural tube defects like anencephaly

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3
Q

acute rheumatic fever

A

sydenham chorea
pancarditis (mitral regurg)
migratory arthritis

mitral stenosis

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4
Q

___ supplementation bypasses folate deficiency

A

thymidine

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5
Q

sickle cell mutation

A

glu –> val at position 6

GAA–>GTA
GAG–> GTG

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6
Q

PKU inheritance

A

AR

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7
Q

pentose phosphate pathway

oxidative vs nonoxidative

A

reversible

ribulose 5 phosphate

non-reversible

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8
Q

NRTI inhibits ___ in viral genome replication

A

3’-5’ phosphodiester bond formation

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9
Q

refractory severe asthma tx

A

anti-IgE antibodies

omalizumab

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10
Q

highest urine osmolarity in setting of low ADH - where in nephron?

A

bottom of loop of henle

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11
Q

___ down regulate gastric acid secretion

A

intestinal influences

after a meal

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12
Q

nitroprusside infusion ADR

A

cyanide toxicity = confusion, lethargy, altered mental status, seizures, CV collapse, lactice acidosis, bright red venous blood

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13
Q

cyanide tox tx

A

direct binding of cyanide ions (hydroxocobalamin), induce methemoglobinemia (sodium nitrite), dexotifying sulfur donors (sodium thiosulfate)

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14
Q

immunoflorescence of PSGN

A

granular
deposits of IgG, IgM, C3

starry sky

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15
Q

EM of PSGN

A

subepi humps = antigen-antibody complexes

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16
Q

RANK-L

A

stimulate mature multinucleated osteoclasts

increase osteoclast activity

blocked by osteoprotegerin (via estrogen)

17
Q

ADHD tx

A

increase release of NE/dopa, block NE/dopa reuptake

18
Q

internal hemorrhoids blood supply

A

mid/superior rectal veins

internal iliac and inferior mesenteric veins

19
Q

external hemorrhoids blood supply

A

inferior rectal vein
internal pudendal
internal iliac

20
Q

bite cells

21
Q

cancer tx + oliguria

A

tumor lysis syndrome

22
Q

uric acid crystals in kidneys

A

precipitates in acidic environment

distal tubules, collecting ducts = low pH

23
Q

thrombotic thrombocytopenic purpura sx

A

neuro sx (sensory loss due to lacunar stroke), anemia with schistocytes, thrombocytopenia, AKI

24
Q

TTP cause

A

deficiency of ADAMTS13 (vWF cleaving protease)

diffuse microvascular thrombosis

25
rifampin ADR
GI, red orange body fluids, rash
26
isoniazid ADR
neurotox, hepatotox
27
pyrazinamide ADR
hepatotox, hyperuricemia
28
ethambutol tox
optic neuropathy
29
Listeria elimination from body depends on...
cell-mediated immunity intracellular neonates up to 3mo are vulnerable
30
intracellular bacteria
``` chlamydia legionella listeria mycobacterium neisseria nocardia rickettsia salmonella typhi ```
31
intracellular fungi
cryptococcus histoplasma pneumocystis
32
intracellular protozoa
plasmodia | toxoplasma
33
COPD lung fxn tests
+ RV TLC RV/TLC - FEV1 FVC FEV1/FVC
34
carcinoid syndrome tx
octreotide | analog of stomatostatin
35
portavacal anastamoses
esophageal varices l gastric --> esophageal hemorrhoids sup rectal --> mid/inf rectal caput madusae paraumb --> sup/inf epigastric
36
muscles used when sitting up from supine
external ab obliques rectus abdominis hip flexors ** iliopsoas = psoas major, minor & iliacus
37
enlargement of gastric folds
zollinger-ellison gastrinoma with parietal cell hyperplasia
38
uncal herniation sx
ipsi fixed and dilated pupil ipsi paralysis of oculomotor muscles contra/ipsi hemiparesis contra homonymous hemianopsia with macular sparing
39
uncal herniation
medial temproal lobe herniates through gap between crus cerebri and tentorium