uworld test Flashcards
greatest risk to parenteral feeding
bloodstream infection
thready pulses that disappear with inspiration. think…
pulsus paradoxus- cardiac tamponade!
are lungs clear in cardiac tamponade?
yes
which meningitis has slow waves over fronto-temporal region?
HSV
which type of back pain relieved when walking uphill or sitting with legs up?
lumbar spinal stenosis
imaging for spinal stenosis
MRI
TB pleural fluid analysis
yellow exudative
low glucose
high lymphocytes
high protein
headaches worse when leaning forward
superior vena cava syndrome
most common cause of superior vena cava syn
malignancy (lung, lymphoma)
how to prevent lethargic patient from getting pneumonia?
sit upright- prevent aspiration
how does pneumothorax decrease venous return?
compressing vena cava
which type of seizures in adults looks like blank stares, lip smacking, and todd’s paralysis (leg dragging)
partial complex- temporal lobe epilepsy
fetuses are at risk of what wit diabetic moms
preterm
resp distress syn
macrosomia
does pancreatitis have to come with elevated lipase?
apparently not with chronic
thiazide + leg cramps. think…
hypokalemia
HTN + hypokalemia, think
primary hyperaldosteronism
reaaaaallly high Ca levels, think
PTH-related protein from cancer (larger Ca than primary PTH)
viral URI + heart dz
myocarditis –> dilated cardiomyopathy
what did you ingest? green stool
iron
which knee injury’? tenderness at joint line, and locking/clicking when joint rotated or extended with load?
meniscal tear
smudge cells
CLL
treatment of CLL
rituximab- anti CD 20
do you need abx ppx for someone with MVP undergoing tooth extraction?
no
treatment for acute dystonia from antipsychotics
anticholinergics- benadryl, benztropine, trihex
most common ovarian cancer
epithelial carcinoma
what can relieve obstruction in pancreatic adenocarcinoma so patients can stop feeling itchy?
endoscopic stent placement of common bile duct
diarrhea + iron def anemia + thailand
hookworm!
fragile x causes what
Intellectual disability + autistic features
what does it mean if oxygenation in RV is greater than RA when normally they should be similar
VSD
what is this: low CO, elevated RA and RV and pulm artery pressures, but not elevated PWCP
pulm embolism
loss of cremaster reflex, think
testicular torsion emergency
whats a common cause of meningitis in immunocompromised
listeria- treat with amp
which murmur is heard better when sitting up and leaning over while holding breath in expiration?
AR
vivid dreams, anxiety, insomnia from which HIV med
efavirenz
side effects of abacavir and lamivudine
lactic acidosis, hepatotoxicity
aba: hypersensitivity rxn
management of urge incontinence
bladder training
antimuscarinic agents
what happens if you take triptan + ergot derivative
severe prolonged vasoconstriction –> stroke, MI, high BP, seizure
migraine preventative meds
topiramate
divelproex sodium
TCAs
beta blockers
vision blurring, glare, halos
cataract
ocular exam finding in cataract
loss of ref reflex
can there be a thrombocytosis for months after surgery?
yes for some patients
which tocolytic causes HA, tachycardia, flushing, HA
nifedipine
which tocolytic causes tachycardia, pulm edema, hyperglycemia, hypotension
beta agonist
which tocolytic causes gastritis and platelet dysfunction
indomethacin
best medicine to reduce triglycerides
fenofibrate
sign of hypertriglyceridemia
xanthomas, pancreatitis
