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Step 2 CK > Uworld set 5 > Flashcards

Uworld set 5 Flashcards

1
Q

definition of exudative effusion based on pleurocentesis analysis

A

protein (p)/protein (s) >0.5

LDH (p)/ LDH(s) >0.6

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2
Q

two testable main connective tissue diseases that can lead to pericarditis

A

rheumatoid arthritis and SLE

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3
Q

pericarditis with BUN >60

A

uremia

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4
Q

part of pericarditis examination that would be expected to be normal in uremic pericarditis

A

ecg would be normal

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5
Q

treatment for uremic pericarditis

A

hemodialysis

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6
Q

two medication types that are testable as first line therapy for viral or idiopathic pericarditis

A

NSAIDs or colchicine

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7
Q 
testable lab findings for children with juvenile rheumatoid arthritis
inflammatory markers
ferritin
gammaglobulins
PLT
Hgb
A 
increase
increase
increase
increase
decrease
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8
Q

four evidence based options in the treatment of bipolar I

A

lithium or valproate plus one of:
quetiapine
lamotrigine

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9
Q

what is the problem with carbemazepine in bipolar

A

it is a cyp450 activator, can activate its own degradation

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10
Q

3 most common causes for cough lasting greater than 8 weeks

A

postnasal drip
asthma
GERD

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11
Q

substance that accumulates in treatment with ACE to cause cough

A

bradykinin

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12
Q

what is the long term risk with lichen sclerosis

A

SCC

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13
Q

immediate management for lichen sclerosis

A

punch Bx for SCC

topical corticosteroids

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14
Q

vulvovaginal atrophy will lack what characteristics of lichen sclerosis

A

white plaques and anogenital involvement

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15
Q

steroid used in the treatment of lichen sclerosis

A

clobetasol

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16
Q

elevated serum calcitonin tests signifies what thyroid malignancy

A

medullary thyroid carcinoma

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17
Q

catch up vaccination for HPV until age

A

26

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18
Q

pap testing begins at what age

A

21

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19
Q

dry mouth
dysphagia
dental caries

A

sjogrens

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20
Q

dental caries plus variable transient enlargement of salivary glands

A

bulimia

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21
Q

recommended PPX for all contacts with pertussis

A

macrolide ABX

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22
Q

urine copper
serum copper
ceruloplasmin levels

used to R/o what liver disease

A

wilsons

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23
Q

serum iron and ferritin levels used to rule out what liver disease

A

hemochromatosis

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24
Q 
midfacial hypoplasia
microcephaly
cleft lip and palate
digital hypoplasia
hgirsutism
developmental delay
A

fetal hyndantoin syndrome

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25
Q 
interstitial keratitis
hutchinson teeth
saddle nose
saber shins
deafness
central nervous system involvement
A

syphillis

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26
Q

this recreational drug has increased risk of placental abruptions

A

cocaine

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27
Q

eosinophilia
blue toe livedo reticularis
acute / subacute kidney injury
preceeded by cardiac catheterization

A

cholesterol emboli syndrome

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28
Q

reticular erythematousx or purple discoloartion of the skin that blanches when pressure is applied

A

livedo reticularis

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29
Q

shoulder pain
ipsilateral ptosis and miosis
significant smoking history

A

superior pulmonaryh sulcus tumor

AKA pancoast tumor

30
Q

edrophonium testing used for

A

MG

31
Q

Tumor necrosis factor inhibitors are a testable medication used in what disease if it is refvractory to normal therapy

A

rheumatoid arthritis

32
Q 
abdominal pain and hematemsis
hypovolemic shock
metabolic acidosis
cool extremities
radiopaque pill in bowels
A

iron poisoning

33
Q

used in TCA and ASA overdose

A

sodium bicarbonate

34
Q

used in patients suffering torsades des pointes induced by prolonged QT interval

A

magnesium

35
Q

most dialyzable toxin

A

lithium

36
Q

used for moderate to severe lead intoxication

A

calcium EDTA

37
Q 
irritability
poor appetite
headaches
abdominal pain
anemia

in a child

A

lead poisoning

38
Q

cardioprotective in cases of hyperkalemia

A

calcium gluconate

39
Q

chelating agent in mild to moderate lead poisoning

A

oral succimer

40
Q

used in cases of acetaminophen intoxication

A

N acetylcysteine

41
Q

women get mammograms until what age

A

75

42
Q

interval commonly recommended for cholesterol screening in normal individuals

A

5 years

43
Q

hemodynamically stable patients with a positive FAST

A

abdominal CT

44
Q

age of onset >65
monoarticular arthritis
chondrocalcinosis

A

CPPD (calcium pyrophosphate dihydrate) arthritis

45
Q

T/F tibotalar joint is not involved in plantar fasciitis

A

T

46
Q

initial treatment in PSVT

A

adenosine or carotid message

47
Q

lidocaine can be used in the treatment of what arrhythmia

A

ventricular

48
Q

child with new onset migraine headache first line

if refractory?

A

NSAIDs

triptans

49
Q

presence of a soft and single second heart sounds suggestive of

A

aortic stensosis

50
Q

hopw does the peak of the systolic murmur of AS relate to severity

A

early peak, less severe

late peak, more severe

51
Q

arrhythmia most commonly responsible for sudden cardiac arrest in the setting of acute MI

A

vfib

52
Q

predominant mechanism responsible for ventricular arrhythmias in the immediate post infarction period

A

reentry

53
Q

monomorphic papules or pustules
lack of somedones cysts or nodules
location and age of onset atypical

taking drugs

A

drug induced acne, glucocorticoids commonly the culprit

54
Q

occupational exposure to the pollutant dioxin can cause

A

chloracne

55
Q

levels of electrolytes in adrenal insufficiency

A

hyperkalemia

hyponatermia

56
Q

what are the three medications now used for chemoprophylaxis for malaria for travelers to endemic countries

A

atovaquone-progaunil
mefloquine
doxycycline

57
Q

medication in malaria treatment that begins more than 2 weeks prior to travel continues during the stay and for four weeks after return

A

mefloquine

58
Q

fever and acute monoarticular arthritis

A

synovial fluid analysis

59
Q

loss of joint space
osteophyte formation
subchrondral sclerosis

A

osteoarthritis

60
Q

burning pain and paresthesia at the lateral thigh

what nerve

A

lateral cutaneous femoral (meralgia paresthetica)

61
Q

pain localized to the lateral high and worse with direct pressure

A

lateral trochanteric bursitis

62
Q

history of uterine procedures or infection with scarring of the uterine cavity

A

asherman syndrome

63
Q

diagnostic workup for ashermann syndrome

A

hysteroscopy and hormonal therapy (to test for uterine growth)

64
Q

menopause before age 40 with elevated FSH and low estradiol

A

premature ovarian insufficiency (hypergonadotropic hypogonadism)

65
Q

best test for a suspected pituitary adenoma

A

MRI

66
Q

hyperandrogenism in late childhood should raise concern for

A

atypical CAH

67
Q

recommended in the treatment of a cat bite in addition to copious irrigation

A

amoxicillin/clavulanate

68
Q

mechanism of pathology for vitiligo

A

destruction of melanocytes

69
Q

this infection is characterized by hypopigmentation with anesthesia

A

mycobacterium leprae

70
Q

infection causing tinia versicolor

A

malasezzia furfur

71
Q

autosomal dominant disorder characterized by patchy absence of melanocytes

A

piebaldism

Step 2 CK (10 decks)

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