Uworld Test 2 Flashcards
subareolar mass that is well-circumscribed and post-pregnancy
galactocele
bilateral breast tenderness, fullness, and warmth
engorgement
focal breast tenderness, firmness and or erythema with no fever
plugged duct
breast mass that is soft, firm, mobile and non-tender
fibroadenoma
when the bowel is trapped in the hernia and get ischemic
strangulation
when the bowel is trapped in the hernia and blood flow is disrupted
incarceration
what causes a pre-renal AKI
volume depletion leads to decreased renal perfusion. So there is an elevated BUN/Cr ration of >20:1
what can develop after a long AKI
acute tubular necrosis
what does mineralocorticoid deficiency cause
orthostatic hypotension
what does glucocorticoid deficiency cause
fatigue, weight loss, and loss of appetite
what are the electrolyte disturbances with addisons
hypotension, hyperkalemia, hyponatremia and increased plasma renin
what do you add to addison for mineralocorticoid def
fludricortisone
what does functional hypothalamic amenrohea present with and does it repsond to progesterone
it does not respond to progesterone and it presents with amenorrhea and it is from significant weight loss
post-op day 1 with right upper quadrant tenderness, nausea, vomiting, and leukocytosis and obstructive liver enzymes
bile leak- it has normal appearing billiary ducts
bilateral facila nerve palsy with rapid onset and lymphocytic meningitis and radiculoneuritits- mild flu like
Lyme disease
bilateral facial nerve palsy and fheadache, fever, seuzres, and focal deficits
herpes
if a physician is impaired, what do you do
ethical and legal obligation to report the impaired colleague to the physician health program
how do you treat an infantile hemangioma
typically involute and regress, and they can have topical timolol if there is ulceration
painless unilateral tesitular nodule with dull ache sometimes and in younger does not transilluminate
testicular cancer
what is first line medical treatment for eating diroders
fluoxetine
loss of communication skills, decelerated head growth, hand clapping, and gait ataxia- what is the syndrome and what is the gene
REtt and MECP2
developmental delay in a girl with jerky gait happy demeanor and seizures- hat is the syndrome and what is the mutation
it is andelman from the loss of maternal 15 copy
what is the CO, preload and after load for cariogenic shock
increased preload, decreased CO< and increased afterload
what typically grows from intertrigo
candida- kidding plaques
what si the bacterial cause of intertrigo
woods lamp erythrasam and it is red brown plaques with fine scale and coral red under woods lamp
infant has growth restriction, hepatospenomegaly, jaundice, and petechiae, and there are periventricular calcifications and microcephaly
CMV
what do you give for minor sunburns
oral pain medications like NSAIDs
what patients cannot take colchicine
cannot take if severe renal dysfunction and elderly
what patients cannot take NSAIDs
cannot take if there is HF or bleeding risk on other medications
if there is closed cervix and fetus at normal heart rate but there is bleeding
threatened abortion- outpatient observation
what is the cause of urge incontinence
detrusor overactivitis
in acute liver failure, does he Pt or PTT change
PT
what causes a myelomeningocele
folate deficiency
what do you do for depression during pregnancy
sertraline
where is the most common site of hemorrhage in the brain from HTN
basal ganglia
what is the potential consequence of basal ganglia hemorrhage
uncal herniation
potential drug interactions with tramadol
tramadol and sSRI together can cause serotonin syndrome
uterine fundal tenderness leads to
postpartun endometritits
what is the treatment for mycoplasma pneumonia
macrolide or FQ- azirthromucin
what is the best way to prevent atelectasis after surgery
pre-operative pjysical therapy
what happens to REM latency with narcolepsy
decreased REM latency
what is the presentation of entamoeba histolytica
protozoal infection of the gut with food and waye. blood stool with mucus and abdominal pain. See ova and parasites in the stool- use metronidazole and paromomycin
recurrent infections, excema, and microthyombocytopenia, petechiae, and purport and hematuria in a child
iskott aldrich
young smoker with dead toes
thromboangitits obliterans
central bronchiectasis and eosinophilia is what
ABPA
dilated pupils, seizures, hyperthermia, flushed skin, decreased bowel sounds and wide QRS from what overdose
TCa overdose
how do you treat severe hypercalcemia
you treat it with .9% normal saline
what happens with bornchietatasis
permanent destruction and fixation of the airways
