uworld17 Flashcards
paget disease of bone sxs
most asx
bone pain/deformity:
- skull (HA, hearing loss)
- spine (stenosis, radiculopathy)
- long bones (bowing, fracture, arthritis)
paget dz of bone labs- Ca, Phos, alk phos, urine hydroxyproline
Ca and Phos nl
Alk phos & urine hydroxyroline (collagen breakdown) high
does diagnosis of CAP require CXR?
actually yes!
recurrent hexagonal crystal nephrolithiasis and positive cyanide nitroprusside test is positive for …
cystinuria- cystine stones
ideal location of endotracheal tube (for intubation)
2-6 cm above carina
what happens when endotracheal tube pressed too far?
overinflation of right lung, underinflation of left
—>decreased breath sounds on left, asymmetric lung expansion
procedure for pneumothorax vs life threatening tension pneumothorax?
regular: chest tube
tension: needle thoracostomy
what should you think with shoulder pain, limited ROM, and tenderenss to palpation at tendon insertion sites (enthesitis)
anklyosing spondylitis and other spondylarthropathies
small fiber injury sxs vs large fiber in diabetic neuropathy
small: positive sxs- pain, paresthesias, allodynia
large: negative- numb, loss of proprio/vib, diminished reflexes
whats first drug to give someone who has MI?
aspirin
dactylitis, think…
psoriatic arthritis
should you anticoagulate patients with likely PE in moderate-severe distress?
yes!
amyloidosis sxs
nephrotic syn
cardiomyopathy
HSM
sensory, periph, autonomic neuropathy
bleeding
waxy easy bruising skin
dx and tx of amyloidosis
dx: abdominal fat pad biopsy
tx: colchicine
CPPD typically happens after
surgery
overuse
illness
autoimmune hemolytic anemia and hereditary spherocytosis are intravascular or extravascular hemolysis?
extravascular
how to differentiate AIHA and HS on coombs?
AIHA: coombs pos
HS: coombs neg
biggest risk factor for aortic dissection
HTN
thyroid storm sxs
tachycardia, hypertension arrythmias high fever tremor lid lag AMS
someone with PV and painful toe likely has
gout! high cell turn over
is gout pos or negatively bifringent
negative (CPPD is positive)
which abx to use for human bite?
augmentin (amox-clavulanate)
cover gram pos, GNR, anaerobes
cyclophosphamide can lead to
bladder cancer
hydroxychloroquine side effect
optic neuritis, visual disturbances
GI distress
G6PD def
