uworld test2 Flashcards
subareolar mobile mass
galactocele- duct blockage with milk accumulation post-breastfeeding
distinguishing feature between mastitis and abscess
abcess is a fluctuant mass
both have fevers and erythema
2-10 days after chole, patient gets N/V, fever, abdominal pain, no dilatation of ducts and elevated alk phos
bile leak
are physicians legally required to report their impaired colleagues?
yes, commonly to hospital’s physican health program
management of infantile hemangioma
observe- most regress
painless solid mass in testicle
testicular cancer
preload, afterload, and CO in cardiogenic shock
preload: up (build up)
afterload: up (compensatory vasoconstriction)
CO: down (low stroke volume)
pseudohyphae with budding yeast
candida
meds for mild-moderate sunburn
NSAIDs
contra to using NSAIDs for gouty attacks, and to use colchicine instead
heart failure, on anticoagulants (ASA, plavix, apixiban)
signs of acute liver failur
- encephalopathy
- elevated AST, ALT
- elevated INR, PT
contralateral extesnor posturing and babinski, and ipsi nonreactive pupil is caused by
uncal herniation
cause of uncal herniation
basal ganglia hemorrhage - from HTN, cocaine, etc
decreased REM latency
narcolepsy- enter REM quickly
thromboangitis obliterans
nonatherosclerotic vaso=occlusive disorder leading to ischemic ulcers and gangrene
associated with smoking
QRS prolongation is over
100
epigastric pain thats partially relieved by leaning forward
pancreatitis
do you correct pancreatitis hypocalcemia?
itll correct itself when you treat pancreatitis- only treat with calcium is severe or symptomatic
most common etiology of persistent nasal obstruction in childhood- mouth breathing, sinus infections, snoring
adenoid hypertrophy- not visualized on physical easily!
fetal fibronectin is helpful to decide preterm labor in which weeks
<34 weeks
which vitamin deficiency: punctate hemorrhage and corkscrew hair
C
contra to copper IUD
wilson dz, copper allergy
heavy menstrual bleeding
acute pelvic infection
fever, ear pain, and deviation of ear
mastoiditis
treatment of mastoiditis
IV abx
dermal sign of antiphospholipid syndrome
livedo reticularis
which coag abnl in antiphospholipid syndrome
PTT prolonged
how does doxorubicin produce cardiotoxicity vs trastuzumab
dox: myocyte necrosis and fibrosis- irreversible
tras: loss of myocardial contractility (stunning)- reversible
painless penile ulcer and inguinal LAD for months
penile cancer
how long does syphilis chancre last
3-6 weeks
pressors help which type of shock
distributive- anaphylactic
can you have cachexia in COPD?
yes, ya pink puffer!
local vascular complications of cardiac cath
- hematoma (no bruit)
- pseudoaneurysm (pulsatile, systolic bruit)
- AV fistula (continuous bruit)
crepitus in joint dz
osteoarthritis
optic disc cupping
open angle glaucoma
hypoglycemia, hypocalcemia, polycthemia for what type of infant
large for gestational age
confluent morbiliform rash, eosinophilia, systemic sxs
DRESS syn- from offending drug (phenytoin, carbamzapine)
treatment for dormant malaria P vivax
primaquine in addition to the nl chloroquine
femoral pulses delayed to brachial pulses
coarctation of aorta
dx of coarctation of aorta
echo
onychlolysis vs onychomycosis
lysis: separation of nail plate from nail bed, seen in psoriasis
mycosis: fungus
harsh holosystolic murmur over 4th LSB with palpable thilll
VSD
do you have to tell mom if teen is superficial cutting?
no
1 most effective way of preventing herpes transfer to your partner
consistent condom use (abstinence during outbreaks is only 50% effective because asx shedding)
differentiating CML from myelodysplastic
myelodyplastic: pancytopenia
CML: leukocytosis, HSM
inadequate fixation of lower pole of testis to tunica vaginalis
causes twisting of spermatic cord –> testicular torsion
is urine sodium high or low in SIADH
high
omental caking
intra-abdominal carcinomatosis - can lead to SBO
causes of many uric acid kidney stones
gout
tumor lysis syndrome
acidic pH- chronic diarrhea
vision changes, HA, dizzy, ataxia, HSM, LAD, leukocytosis, anemia
waldresntrom macroglobulinemia- hyperviscous!
paraphimosis
when you retract foreskin and then it gets stuck
urological emergency! manually or surgically retract it back
upper lung lobe cavity- which cancer?
squamous
how does hcg relate to TSH
shares a subunit, so hcg can stimulate TSH receptors
indirect hernia
male infants
patent processus vaginalis
protrudes thru inguinal ring
lateral to inf epigastric vessles
direct hernia
old men
weakness of transversalis fascia
protrudes thru Hasselbach triangle
medial to inf epigastric vessels
femoral hernia
women
weakness of prox femoral canal
protrudes thru femoral ring
inferior to inf inguinal ligament
first line treatment of genital warts in pregnancy
trichloracetic acid
