uworld13 Flashcards
RDS treatment
continuous positive air pressure ventilation
transient tachypnea of newborn pathophys
inadequate alveolar fluid clearance at birth–> pulm edema
tachypnea at birth, resolves after 2 days
newborn has macroglossia, macrosomia, and one side of body thats larger than other
beckwith-wiedmann (check abdominal US for wilms!)
children draw up legs for abdominal pain
intussception
can you start HAART therapy during acute infection in untreated HIV pat?
no,s tart 2 weeks after to prevent immune reconstitution sydrome
untreated vesicoureteral reflux complications if left untreated
renal scarring dut to recurrent UTIs
if kid has bilateral partodi swelling, think…
mumps! also orchitis and aseptic meningitis
kid hits toothebrush against back throat when falling and develops hemiparesis and aphasia
carotid artery dissection from penetrating trauma
recurrent edema after stress, dental extraction, trauma
hereditary angioedema- C1 inhibitor deficiency
diagnosing TTP
peripheral blood smear
all patients with cocaine toxicity and myocardial sichemia should be treated with
supp O2 and benzos
ASA, nitroglycerin, and CCB also good
what coags are abnl in antiphospholipid syndrome
prolonged PTT and PT
drugs for meningitis in person >50
vanco, amp, 3rd gen ceph
dont need amp in 2-50
ulcer at 1st or 5th metatarsal
pressure ulcer
epigastric burning provoked by heavy lifting, think…
angina
apnea is cessation of breathing for how long
10 sec
upper lobe cavity with surrounding inflammation
TB
chronic stridor thats better prone, worse supine
laryngomalacia
chronic biphasic stridor that improves with neck extension
vascular ring
patients can be asx for ___ hrs after acetaminophen OD
24
adminster charcoal to patients with acetaminophen OD within ___ hrs
4
dx laryngomalacia
direct laryngoscopy
tx larngomalacia
most spontaneously resolve within 18 mo
or surgery
how does NPV and PPV change with increased prevalance of disease?
increased PPV, decreased NPV
what type of biopsy for suspected melanoma
excisional
pathophys of tardive dyskinesia
Dopamine D2 receptor upregulation and supersenitivity
differntiating avascular necrosis and vaso-occlusive crisis in sickle cell patient
avascular: chronic, no fever, no erythema
vaso: acute, >1 joint, fever, erythema
dx of lead poisoning in kid
1) capillary fingerstick blood
if above >5:
2) confirmatory venous lead
baby is hypertonic and hyperreflexic
cerebral palsy
risk factors for cerebral palsy
preterm
IUGR
intrauterine infection
etoh/tobacco
which med can help with ureteral stone
alpha blockers- reduces tone and reflex after spasm
treatment for ITP at dif stages of sxs
only cutaneous: observe, self-resolve w/in 6 mo
if mucosal bleeding and if youre an adult and platelets<30,000: steroids, IVIG
after dx made of testicular solid mass through US, what should you do?
radical orchiectomy and cord- then investigate if you need additional chemo
pharm for social anxiety
SSRI
statin should be started for someone aged ____ who has a calculated risk above ____
40-75
7.5%
can you disclose health info if someone has passive SI?
no, only imminent suicide risk
someone with down syndrome has UMN signs, urinary incontinence, vertigo, torticollis from what dz
atlantoaxial instability
–> laxity in posterior transverse ligament between C1, C2–> compress spinal cord
sickle cell aplastic crisis
severe anemia
low retic count, no splenomegaly
sudden halt in erythropoiesis
most common cause of aplastic crisis
parvovirus b19
recurrent pneumonia, giardia, AOM in 6 month old
x-linked agammaglobulinemia
recurrent severe bacterial, fungal (candida) and viral infections and FTT
SCID
nighttime bedwetting is normal before age
5
side effect of hydroxyurea
myelosuppression (anemia, thrombocytopenia, neutropenia)
do you need consent for emergent surgery in conscious patient?
yes!
most common causes of AR in developed world vs developing
developed: bicuspid aortic valve
developing: rheumatic fever
drug of choice for lyme during pregnancy
amoxicillin
most likely end to person with hep A
complete recovery by 3-6mo
