uworld14 Flashcards
most common brain tumor in kids
pilocytic astrocytoma
which pediatric brain tumor causes weakness, seizures, and sensory changes
pilocytic astrocytoma
what doesnt develop with mullerian agenesis
uterus, cervix, upper 1/3 vagina
sporothrix lesions
papules ulcerate- odorless nonpurulent fluid
dx and tx of sporothrix
dx: cultures- aspirate fluid or bx
tx: itraconazole for 3-6 mo
vitiligo associated with
other autoimmune disorders (lupus, hashimoto, addison)
elevated CK and muscle weakness
polymyositis
tx of polymyositis
steroids
also methotrexate, azathioprine
chronic GERD predisposes to
barret’s esophagus
erosive esophagitis
stricture formation
failure of neural crest migration during fetal intestinal development
hirschprung disease
first line for ringworm
topical antifungals (clotrimazole, terbinafine, etc)
second line is oral
history of repetitive wrist extension and pain with resisted extension and passive flexion with pain at the elbow that radiates down
lateral epicondylitis
tx for somatic symptom disorder
SSRIs
poison ivy/oak is what type of hypersensitivit rxn?
4
4 pathophys mechanisms of hypersenitivity types
1: IgE mediated (urticaria, anaphylaxis)
2: IgG and IgM (goodpasture, AIHM)
3: Abs-Ag complex (lupus)
4: T-cell and macrophage (TB, contact derm)
someone with ESRD on HD gets massive HTN crisis
side effect of epo therapy
hereditary telengastias sxs
diffuse telengastasia
recurrent epistaxis
AVMs
corneal vesicles and dendritic ulcers, and eye pain, blurred vision
herpres simplex keratitis
conjunctivitis and dendriform ulcers in eye, as well as pain, fever
herpes zoster opthalmicus
can bronchitis give hemoptysis?
yes, chronic
giant cell arteritis with vision sxs (amarosis fugax or arteritic anterior ischemic optic neuropathy) management
IV methylprednisone for 3 days, followed by oral
worry about temporal art biopsy after, cmon!
which tinea needs to be treated as opposed to orally?
tinea capitis - griseofulvin
onychomychosis- terbanifine
which eye do you patch in kid with cross eyes
good eye
complications of bacterial meningitis
hearing loss
Cerebral palsy
epilepsy
intellectual disability
order of management when you suspect bacterial meningitis
- LP
- IV abx
you dont need CT head in infant apparently
initial screening test for thalassemia in mom
CBC
super scaly and ashy, worse after winter and increases with aging
ichthyosis vulgaris
dx of acute angle closure glaucoma
goniscopy
ocular tonometry is helpful to measure pressure
pheo HTN surges can be triggered by
intra-abdominal pressure
surgery
meds- anesthesia
most common skin malignancy on immunosuppressants
squamous
most common cause of death in renal transplant or dialysis patients
cardiovascular disease
which thyroid cancer is known to cause obstructive sxs (hoarseness, dysphagia)
thyroid lymphoma
management of androgen insensitivity syndrome
gonadectomy for cancer prevention
gender reassignment counseling
what confirms breast mass
biopsy
which food poisoning is vomiting predominant
staph aureus
bacillus
norovirus
Todd’s paralysis
transient FND (hemiparesis) after seizure
initial management of suspected septic arthritis
arthrocentesis
best markers for resolving DKA
serum anion gap
beta-hydroxybutyrate
recurrent painful apthous ulcers, genital ulcers, uveitis, erythema nodosum, venous thrombosis
behcet syndrome
preseptal cellulitis
infection anterior to orbital septum
painful eyelid swelling and erythema
in contrast to orbital cellulitis, no opthalmoplegia, proptosis, or painful eye movements
when is odds ratio a close approximation to relative risk?
if the incidence of disease is low in the population
which other diabetic med can help lose weight besides metformin?
GLP-1 agonist
which travelers diarrhea has prolonged watery diarrhea
giardia
cryptosporidium parvum
cyclospora
drug-induced acne caused by which drugs
steroids
azathioprine
anticonvulsants, antipsychotics
anti-TB drugs
thymus is a sharply demarcated triangle to the right of heart in CXR until what age (sail sign)
3
