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Step 2 > uworld test2 > Flashcards

uworld test2 Flashcards

1
Q

subareolar mobile mass

A

galactocele- duct blockage with milk accumulation post-breastfeeding

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2
Q

distinguishing feature between mastitis and abscess

A

abcess is a fluctuant mass

both have fevers and erythema

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3
Q

2-10 days after chole, patient gets N/V, fever, abdominal pain, no dilatation of ducts and elevated alk phos

A

bile leak

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4
Q

are physicians legally required to report their impaired colleagues?

A

yes, commonly to hospital’s physican health program

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5
Q

management of infantile hemangioma

A

observe- most regress

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6
Q

painless solid mass in testicle

A

testicular cancer

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7
Q

preload, afterload, and CO in cardiogenic shock

A

preload: up (build up)
afterload: up (compensatory vasoconstriction)
CO: down (low stroke volume)

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8
Q

pseudohyphae with budding yeast

A

candida

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9
Q

meds for mild-moderate sunburn

A

NSAIDs

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10
Q

contra to using NSAIDs for gouty attacks, and to use colchicine instead

A

heart failure, on anticoagulants (ASA, plavix, apixiban)

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11
Q

signs of acute liver failur

A
  • encephalopathy
  • elevated AST, ALT
  • elevated INR, PT
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12
Q

contralateral extesnor posturing and babinski, and ipsi nonreactive pupil is caused by

A

uncal herniation

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13
Q

cause of uncal herniation

A

basal ganglia hemorrhage - from HTN, cocaine, etc

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14
Q

decreased REM latency

A

narcolepsy- enter REM quickly

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15
Q

thromboangitis obliterans

A

nonatherosclerotic vaso=occlusive disorder leading to ischemic ulcers and gangrene

associated with smoking

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16
Q

QRS prolongation is over

A

100

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17
Q

epigastric pain thats partially relieved by leaning forward

A

pancreatitis

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18
Q

do you correct pancreatitis hypocalcemia?

A

itll correct itself when you treat pancreatitis- only treat with calcium is severe or symptomatic

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19
Q

most common etiology of persistent nasal obstruction in childhood- mouth breathing, sinus infections, snoring

A

adenoid hypertrophy- not visualized on physical easily!

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20
Q

fetal fibronectin is helpful to decide preterm labor in which weeks

A

<34 weeks

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21
Q

which vitamin deficiency: punctate hemorrhage and corkscrew hair

A

C

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22
Q

contra to copper IUD

A

wilson dz, copper allergy
heavy menstrual bleeding
acute pelvic infection

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23
Q

fever, ear pain, and deviation of ear

A

mastoiditis

24
Q

treatment of mastoiditis

A

IV abx

25
Q

dermal sign of antiphospholipid syndrome

A

livedo reticularis

26
Q

which coag abnl in antiphospholipid syndrome

A

PTT prolonged

27
Q

how does doxorubicin produce cardiotoxicity vs trastuzumab

A

dox: myocyte necrosis and fibrosis- irreversible
tras: loss of myocardial contractility (stunning)- reversible

28
Q

painless penile ulcer and inguinal LAD for months

A

penile cancer

29
Q

how long does syphilis chancre last

A

3-6 weeks

30
Q

pressors help which type of shock

A

distributive- anaphylactic

31
Q

can you have cachexia in COPD?

A

yes, ya pink puffer!

32
Q

local vascular complications of cardiac cath

A
  • hematoma (no bruit)
  • pseudoaneurysm (pulsatile, systolic bruit)
  • AV fistula (continuous bruit)
33
Q

crepitus in joint dz

A

osteoarthritis

34
Q

optic disc cupping

A

open angle glaucoma

35
Q

hypoglycemia, hypocalcemia, polycthemia for what type of infant

A

large for gestational age

36
Q

confluent morbiliform rash, eosinophilia, systemic sxs

A

DRESS syn- from offending drug (phenytoin, carbamzapine)

37
Q

treatment for dormant malaria P vivax

A

primaquine in addition to the nl chloroquine

38
Q

femoral pulses delayed to brachial pulses

A

coarctation of aorta

39
Q

dx of coarctation of aorta

A

echo

40
Q

onychlolysis vs onychomycosis

A

lysis: separation of nail plate from nail bed, seen in psoriasis
mycosis: fungus

41
Q

harsh holosystolic murmur over 4th LSB with palpable thilll

A

VSD

42
Q

do you have to tell mom if teen is superficial cutting?

A

no

43
Q

1 most effective way of preventing herpes transfer to your partner

A

consistent condom use (abstinence during outbreaks is only 50% effective because asx shedding)

44
Q

differentiating CML from myelodysplastic

A

myelodyplastic: pancytopenia

CML: leukocytosis, HSM

45
Q

inadequate fixation of lower pole of testis to tunica vaginalis

A

causes twisting of spermatic cord –> testicular torsion

46
Q

is urine sodium high or low in SIADH

A

high

47
Q

omental caking

A

intra-abdominal carcinomatosis - can lead to SBO

48
Q

causes of many uric acid kidney stones

A

gout
tumor lysis syndrome
acidic pH- chronic diarrhea

49
Q

vision changes, HA, dizzy, ataxia, HSM, LAD, leukocytosis, anemia

A

waldresntrom macroglobulinemia- hyperviscous!

50
Q

paraphimosis

A

when you retract foreskin and then it gets stuck

urological emergency! manually or surgically retract it back

51
Q

upper lung lobe cavity- which cancer?

A

squamous

52
Q

how does hcg relate to TSH

A

shares a subunit, so hcg can stimulate TSH receptors

53
Q

indirect hernia

A

male infants
patent processus vaginalis
protrudes thru inguinal ring
lateral to inf epigastric vessles

54
Q

direct hernia

A

old men
weakness of transversalis fascia
protrudes thru Hasselbach triangle
medial to inf epigastric vessels

55
Q

femoral hernia

A

women
weakness of prox femoral canal
protrudes thru femoral ring
inferior to inf inguinal ligament

56
Q

first line treatment of genital warts in pregnancy

A

trichloracetic acid

Step 2 (22 decks)

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