uworld15 Flashcards

1
Q

stopping chronic glucocorticoids leads to central or peripheral adrenal insuff?

A

central

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2
Q

someone aspirates vomit and gets bilateral infiltrates, crackles, resp distress

A

aspiration pneumonitis- inflammationin response to gastric acid

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3
Q

dx for zencker’s diverticulum

A

contrast esophogram

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4
Q

sxs of malaria

A

cyclical fever
GI
anemia
thrombocytopenia

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5
Q

when is vaginal delivery contraindicated?

A
  • classical c-section

- myomectomy with extensive uterine involvement

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6
Q

which heart defect associated with DiGeorge?

A

truncus arteriosus

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7
Q

_____ should be suspected in cyanotic infant with left axis deviation and absent R waves

A

tricuspid atresia

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8
Q

which abx can cause hyperkalemia?

A

TMP SMX

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9
Q

do you need urine clx before giving abx for uncomplicated UTI?

A

no

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10
Q

physiologic jaundice is due to

A

because UGT enzyme activity isnt up till 2 weeks

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11
Q

why do patients with HHS or DKA lose K?

A

osmotic diuresis d/t hyperglycemia

might not seem like it because glucose and insulin deficiency makes K come out of their shells

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12
Q

preferred method of resp support for COPD exacerbation

A

noninvasive positive pressure ventilation

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13
Q

how does acetozolamide help with pseudotumor cerebri

A

inhibits choroid plexus carbonic anhydrase–> decreasing CSF production

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14
Q

whats seen with juvenille idiopathic arthritis

A

anemia

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15
Q

why are initial menstrual cycles irregular in teens?

A

hypo-pit-gonadal axis immaturity

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16
Q

what does bleeding after exogenous progesterone administration confirm?

A

normal endogenous estrogen and proliferative endometrium

17
Q

is asthma-exacerbated resp dz IgE mediated?

A

no

18
Q

which type of shock is cardiac index increased

A

septic

19
Q

which type of shock is PCWP (preload) increased?

A

cardiogenic

20
Q

which type of shock is RA pressure (afterload) increased?

A

cardiogenic

21
Q

which type of shock is MvO2 increased?

A

septic

22
Q

which type of shock is SVR increased?

A

cardiogenic and hypovolemic

23
Q

purple mottled feet, eosinophilia, WBC on UA, abdominal pain, after stent placement

A

cholesterol embolism

24
Q

soft S2

A

AS