uworld11 Flashcards

1
Q

complications of hemophilia

A

arthrosis- hemosiderin deposits in joints

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2
Q

side effect of ECT

A

anterograde and retrograde amnesia

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3
Q

if someone has a picture that looks like PPROM but negative nitrazine blue test, vaginal pooling, and fern, what likely is it?

A

urinary incontinence

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4
Q

most common vaginal foreign body in kid and what to do

A

toilet paper- irrigation with warmed fluid

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5
Q

TTP presentation

A

hemolytic anemia with schistocytes
thrombocytopenia

sometimes: renal failure, neuro, fever

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6
Q

TTP treatment

A

plasma exchange
steroids
rituximab

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7
Q

trachoma

A

chlamydia blindness

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8
Q

sudden loss of vision unilaterally with floaters, fundus hard to visualize

A

vitreous hemorrhage- d/t diabetic retinopathy

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9
Q

next step in COPD exacerbation when people fail bronchodilators, steroids, abx

A

noninvasive positive-pressure ventilation

if fail that, then you can intubate

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10
Q

how to differentiate CML from leukomoid rxn

A

leukocyte alkaline phosphatase (LAP)
CML: low
Leuk: high

CML may present with basophilia

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11
Q

can patients with infective endocarditis be treated orally?

A

no, IV preferred

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12
Q

tellogen effluvium

A

acute diffuse hair loss

d/t stress, pregnancy, weight loss, psych trauma

self-limiting to a year

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13
Q

pain elicited by extending the knee while compressing the patella

A

compression test, diagnostic of patellofemoral syndrome

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14
Q

first line drug for fibromyalgia

A

TCAs

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15
Q

hypothyroidism metabolic abnlormalities

A

hyperlipidemia
hyponatremia
asx elevations of CK and AST/ALT

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16
Q

what should you use in smoking cessation if they are bulimic and dont like varenicline?

A

nicotene patch, gum

17
Q

sympathetic opthalmia

A

after one eye gets penetrating injury, the other eye gets vision loss, uveitis, papillary edema

d/t uncovering hidden antigens

18
Q

most common bacteria of acute bacteria sinusitis

A

strep pneumo

19
Q

best imaging to detect gallstone-induced pancreatitis

A

RUQ US

20
Q

most common bacteria for acute cervical lymphadenitis

A

staph aureus

21
Q

what is this: elevated AST/ALT, palpable purpura, arthralgias, glomerulonephritis, low complement, pos RF

A

cryoglobunemia types II and III

22
Q

cryo type I sxs

A

asx,

hyperviscous, thrombosis

livedo reticularis

normal complement

23
Q

dz associations of cryo type I vs II/III

A

I: lymph or hemo- eg multiple myeloma

II/III: HCV, HIV, lupus

24
Q

calcium and phos levels in paget dz of bone

A

normal

25
Q

dont use tetracylcines in kids under

A

8 years old

26
Q

is null hypothesis no association or that associations are the same

A

no association

27
Q

most effective agent for allergic rhinitis

A

intranasal glucocorticoid

28
Q

cherry red macula and HSM and areflexia

A

neimann pick

29
Q

enzyme def in niemann pick

A

sphingomyelinase

30
Q

patient gets microcytic anemia with TB drugs, take what to supplement

A

pyridoxine