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uworld test Flashcards

1
Q

greatest risk to parenteral feeding

A

bloodstream infection

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2
Q

thready pulses that disappear with inspiration. think…

A

pulsus paradoxus- cardiac tamponade!

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3
Q

are lungs clear in cardiac tamponade?

A

yes

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4
Q

which meningitis has slow waves over fronto-temporal region?

A

HSV

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5
Q

which type of back pain relieved when walking uphill or sitting with legs up?

A

lumbar spinal stenosis

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6
Q

imaging for spinal stenosis

A

MRI

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7
Q

TB pleural fluid analysis

A

yellow exudative
low glucose
high lymphocytes
high protein

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8
Q

headaches worse when leaning forward

A

superior vena cava syndrome

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9
Q

most common cause of superior vena cava syn

A

malignancy (lung, lymphoma)

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10
Q

how to prevent lethargic patient from getting pneumonia?

A

sit upright- prevent aspiration

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11
Q

how does pneumothorax decrease venous return?

A

compressing vena cava

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12
Q

which type of seizures in adults looks like blank stares, lip smacking, and todd’s paralysis (leg dragging)

A

partial complex- temporal lobe epilepsy

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13
Q

fetuses are at risk of what wit diabetic moms

A

preterm
resp distress syn
macrosomia

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14
Q

does pancreatitis have to come with elevated lipase?

A

apparently not with chronic

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15
Q

thiazide + leg cramps. think…

A

hypokalemia

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16
Q

HTN + hypokalemia, think

A

primary hyperaldosteronism

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17
Q

reaaaaallly high Ca levels, think

A

PTH-related protein from cancer (larger Ca than primary PTH)

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18
Q

viral URI + heart dz

A

myocarditis –> dilated cardiomyopathy

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19
Q

what did you ingest? green stool

A

iron

20
Q

which knee injury’? tenderness at joint line, and locking/clicking when joint rotated or extended with load?

A

meniscal tear

21
Q

smudge cells

A

CLL

22
Q

treatment of CLL

A

rituximab- anti CD 20

23
Q

do you need abx ppx for someone with MVP undergoing tooth extraction?

A

no

24
Q

treatment for acute dystonia from antipsychotics

A

anticholinergics- benadryl, benztropine, trihex

25
Q

most common ovarian cancer

A

epithelial carcinoma

26
Q

what can relieve obstruction in pancreatic adenocarcinoma so patients can stop feeling itchy?

A

endoscopic stent placement of common bile duct

27
Q

diarrhea + iron def anemia + thailand

A

hookworm!

28
Q

fragile x causes what

A

Intellectual disability + autistic features

29
Q

what does it mean if oxygenation in RV is greater than RA when normally they should be similar

A

VSD

30
Q

what is this: low CO, elevated RA and RV and pulm artery pressures, but not elevated PWCP

A

pulm embolism

31
Q

loss of cremaster reflex, think

A

testicular torsion emergency

32
Q

whats a common cause of meningitis in immunocompromised

A

listeria- treat with amp

33
Q

which murmur is heard better when sitting up and leaning over while holding breath in expiration?

A

AR

34
Q

vivid dreams, anxiety, insomnia from which HIV med

A

efavirenz

35
Q

side effects of abacavir and lamivudine

A

lactic acidosis, hepatotoxicity

aba: hypersensitivity rxn

36
Q

management of urge incontinence

A

bladder training

antimuscarinic agents

37
Q

what happens if you take triptan + ergot derivative

A

severe prolonged vasoconstriction –> stroke, MI, high BP, seizure

38
Q

migraine preventative meds

A

topiramate

divelproex sodium

TCAs

beta blockers

39
Q

vision blurring, glare, halos

A

cataract

40
Q

ocular exam finding in cataract

A

loss of ref reflex

41
Q

can there be a thrombocytosis for months after surgery?

A

yes for some patients

42
Q

which tocolytic causes HA, tachycardia, flushing, HA

A

nifedipine

43
Q

which tocolytic causes tachycardia, pulm edema, hyperglycemia, hypotension

A

beta agonist

44
Q

which tocolytic causes gastritis and platelet dysfunction

A

indomethacin

45
Q

best medicine to reduce triglycerides

A

fenofibrate

46
Q

sign of hypertriglyceridemia

A

xanthomas, pancreatitis

Step 2 (22 decks)

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