Uworld set 5 Flashcards
definition of exudative effusion based on pleurocentesis analysis
protein (p)/protein (s) >0.5
LDH (p)/ LDH(s) >0.6
two testable main connective tissue diseases that can lead to pericarditis
rheumatoid arthritis and SLE
pericarditis with BUN >60
uremia
part of pericarditis examination that would be expected to be normal in uremic pericarditis
ecg would be normal
treatment for uremic pericarditis
hemodialysis
two medication types that are testable as first line therapy for viral or idiopathic pericarditis
NSAIDs or colchicine
testable lab findings for children with juvenile rheumatoid arthritis inflammatory markers ferritin gammaglobulins PLT Hgb
increase increase increase increase decrease
four evidence based options in the treatment of bipolar I
lithium or valproate plus one of:
quetiapine
lamotrigine
what is the problem with carbemazepine in bipolar
it is a cyp450 activator, can activate its own degradation
3 most common causes for cough lasting greater than 8 weeks
postnasal drip
asthma
GERD
substance that accumulates in treatment with ACE to cause cough
bradykinin
what is the long term risk with lichen sclerosis
SCC
immediate management for lichen sclerosis
punch Bx for SCC
topical corticosteroids
vulvovaginal atrophy will lack what characteristics of lichen sclerosis
white plaques and anogenital involvement
steroid used in the treatment of lichen sclerosis
clobetasol
elevated serum calcitonin tests signifies what thyroid malignancy
medullary thyroid carcinoma
catch up vaccination for HPV until age
26
pap testing begins at what age
21
dry mouth
dysphagia
dental caries
sjogrens
dental caries plus variable transient enlargement of salivary glands
bulimia
recommended PPX for all contacts with pertussis
macrolide ABX
urine copper
serum copper
ceruloplasmin levels
used to R/o what liver disease
wilsons
serum iron and ferritin levels used to rule out what liver disease
hemochromatosis
midfacial hypoplasia microcephaly cleft lip and palate digital hypoplasia hgirsutism developmental delay
fetal hyndantoin syndrome
interstitial keratitis hutchinson teeth saddle nose saber shins deafness central nervous system involvement
syphillis
this recreational drug has increased risk of placental abruptions
cocaine
eosinophilia
blue toe livedo reticularis
acute / subacute kidney injury
preceeded by cardiac catheterization
cholesterol emboli syndrome
reticular erythematousx or purple discoloartion of the skin that blanches when pressure is applied
livedo reticularis
shoulder pain
ipsilateral ptosis and miosis
significant smoking history
superior pulmonaryh sulcus tumor
AKA pancoast tumor
edrophonium testing used for
MG
Tumor necrosis factor inhibitors are a testable medication used in what disease if it is refvractory to normal therapy
rheumatoid arthritis
abdominal pain and hematemsis hypovolemic shock metabolic acidosis cool extremities radiopaque pill in bowels
iron poisoning
used in TCA and ASA overdose
sodium bicarbonate
used in patients suffering torsades des pointes induced by prolonged QT interval
magnesium
most dialyzable toxin
lithium
used for moderate to severe lead intoxication
calcium EDTA
irritability poor appetite headaches abdominal pain anemia
in a child
lead poisoning
cardioprotective in cases of hyperkalemia
calcium gluconate
chelating agent in mild to moderate lead poisoning
oral succimer
used in cases of acetaminophen intoxication
N acetylcysteine
women get mammograms until what age
75
interval commonly recommended for cholesterol screening in normal individuals
5 years
hemodynamically stable patients with a positive FAST
abdominal CT
age of onset >65
monoarticular arthritis
chondrocalcinosis
CPPD (calcium pyrophosphate dihydrate) arthritis
T/F tibotalar joint is not involved in plantar fasciitis
T
initial treatment in PSVT
adenosine or carotid message
lidocaine can be used in the treatment of what arrhythmia
ventricular
child with new onset migraine headache first line
if refractory?
NSAIDs
triptans
presence of a soft and single second heart sounds suggestive of
aortic stensosis
hopw does the peak of the systolic murmur of AS relate to severity
early peak, less severe
late peak, more severe
arrhythmia most commonly responsible for sudden cardiac arrest in the setting of acute MI
vfib
predominant mechanism responsible for ventricular arrhythmias in the immediate post infarction period
reentry
monomorphic papules or pustules
lack of somedones cysts or nodules
location and age of onset atypical
taking drugs
drug induced acne, glucocorticoids commonly the culprit
occupational exposure to the pollutant dioxin can cause
chloracne
levels of electrolytes in adrenal insufficiency
hyperkalemia
hyponatermia
what are the three medications now used for chemoprophylaxis for malaria for travelers to endemic countries
atovaquone-progaunil
mefloquine
doxycycline
medication in malaria treatment that begins more than 2 weeks prior to travel continues during the stay and for four weeks after return
mefloquine
fever and acute monoarticular arthritis
synovial fluid analysis
loss of joint space
osteophyte formation
subchrondral sclerosis
osteoarthritis
burning pain and paresthesia at the lateral thigh
what nerve
lateral cutaneous femoral (meralgia paresthetica)
pain localized to the lateral high and worse with direct pressure
lateral trochanteric bursitis
history of uterine procedures or infection with scarring of the uterine cavity
asherman syndrome
diagnostic workup for ashermann syndrome
hysteroscopy and hormonal therapy (to test for uterine growth)
menopause before age 40 with elevated FSH and low estradiol
premature ovarian insufficiency (hypergonadotropic hypogonadism)
best test for a suspected pituitary adenoma
MRI
hyperandrogenism in late childhood should raise concern for
atypical CAH
recommended in the treatment of a cat bite in addition to copious irrigation
amoxicillin/clavulanate
mechanism of pathology for vitiligo
destruction of melanocytes
this infection is characterized by hypopigmentation with anesthesia
mycobacterium leprae
infection causing tinia versicolor
malasezzia furfur
autosomal dominant disorder characterized by patchy absence of melanocytes
piebaldism
