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Step 2 > uworld13 > Flashcards

uworld13 Flashcards

1
Q

RDS treatment

A

continuous positive air pressure ventilation

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2
Q

transient tachypnea of newborn pathophys

A

inadequate alveolar fluid clearance at birth–> pulm edema

tachypnea at birth, resolves after 2 days

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3
Q

newborn has macroglossia, macrosomia, and one side of body thats larger than other

A

beckwith-wiedmann (check abdominal US for wilms!)

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4
Q

children draw up legs for abdominal pain

A

intussception

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5
Q

can you start HAART therapy during acute infection in untreated HIV pat?

A

no,s tart 2 weeks after to prevent immune reconstitution sydrome

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6
Q

untreated vesicoureteral reflux complications if left untreated

A

renal scarring dut to recurrent UTIs

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7
Q

if kid has bilateral partodi swelling, think…

A

mumps! also orchitis and aseptic meningitis

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8
Q

kid hits toothebrush against back throat when falling and develops hemiparesis and aphasia

A

carotid artery dissection from penetrating trauma

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9
Q

recurrent edema after stress, dental extraction, trauma

A

hereditary angioedema- C1 inhibitor deficiency

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10
Q

diagnosing TTP

A

peripheral blood smear

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11
Q

all patients with cocaine toxicity and myocardial sichemia should be treated with

A

supp O2 and benzos

ASA, nitroglycerin, and CCB also good

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12
Q

what coags are abnl in antiphospholipid syndrome

A

prolonged PTT and PT

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13
Q

drugs for meningitis in person >50

A

vanco, amp, 3rd gen ceph

dont need amp in 2-50

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14
Q

ulcer at 1st or 5th metatarsal

A

pressure ulcer

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15
Q

epigastric burning provoked by heavy lifting, think…

A

angina

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16
Q

apnea is cessation of breathing for how long

A

10 sec

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17
Q

upper lobe cavity with surrounding inflammation

A

TB

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18
Q

chronic stridor thats better prone, worse supine

A

laryngomalacia

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19
Q

chronic biphasic stridor that improves with neck extension

A

vascular ring

20
Q

patients can be asx for ___ hrs after acetaminophen OD

A

24

21
Q

adminster charcoal to patients with acetaminophen OD within ___ hrs

A

4

22
Q

dx laryngomalacia

A

direct laryngoscopy

23
Q

tx larngomalacia

A

most spontaneously resolve within 18 mo

or surgery

24
Q

how does NPV and PPV change with increased prevalance of disease?

A

increased PPV, decreased NPV

25
Q

what type of biopsy for suspected melanoma

A

excisional

26
Q

pathophys of tardive dyskinesia

A

Dopamine D2 receptor upregulation and supersenitivity

27
Q

differntiating avascular necrosis and vaso-occlusive crisis in sickle cell patient

A

avascular: chronic, no fever, no erythema
vaso: acute, >1 joint, fever, erythema

28
Q

dx of lead poisoning in kid

A

1) capillary fingerstick blood

if above >5:
2) confirmatory venous lead

29
Q

baby is hypertonic and hyperreflexic

A

cerebral palsy

30
Q

risk factors for cerebral palsy

A

preterm
IUGR
intrauterine infection
etoh/tobacco

31
Q

which med can help with ureteral stone

A

alpha blockers- reduces tone and reflex after spasm

32
Q

treatment for ITP at dif stages of sxs

A

only cutaneous: observe, self-resolve w/in 6 mo

if mucosal bleeding and if youre an adult and platelets<30,000: steroids, IVIG

33
Q

after dx made of testicular solid mass through US, what should you do?

A

radical orchiectomy and cord- then investigate if you need additional chemo

34
Q

pharm for social anxiety

A

SSRI

35
Q

statin should be started for someone aged ____ who has a calculated risk above ____

A

40-75

7.5%

36
Q

can you disclose health info if someone has passive SI?

A

no, only imminent suicide risk

37
Q

someone with down syndrome has UMN signs, urinary incontinence, vertigo, torticollis from what dz

A

atlantoaxial instability

–> laxity in posterior transverse ligament between C1, C2–> compress spinal cord

38
Q

sickle cell aplastic crisis

A

severe anemia
low retic count, no splenomegaly

sudden halt in erythropoiesis

39
Q

most common cause of aplastic crisis

A

parvovirus b19

40
Q

recurrent pneumonia, giardia, AOM in 6 month old

A

x-linked agammaglobulinemia

41
Q

recurrent severe bacterial, fungal (candida) and viral infections and FTT

A

SCID

42
Q

nighttime bedwetting is normal before age

A

5

43
Q

side effect of hydroxyurea

A

myelosuppression (anemia, thrombocytopenia, neutropenia)

44
Q

do you need consent for emergent surgery in conscious patient?

A

yes!

45
Q

most common causes of AR in developed world vs developing

A

developed: bicuspid aortic valve
developing: rheumatic fever

46
Q

drug of choice for lyme during pregnancy

A

amoxicillin

47
Q

most likely end to person with hep A

A

complete recovery by 3-6mo

Step 2 (22 decks)

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