uworld3 Flashcards
oral white plaque precursor to squamous cell carc
leukoplakia
cause of cyanosis when feeding that’s relieved when crying
choanal atresia- failure of posterior nasal passage to canalaize
subluxation of radial head (nursemaid’s elbow) treatment
hyperpronation of forearm
or spinate forearm and flex elbow (more painful)
can you have MDD after bereavement episode?
yes!
bright red exophytic nodule in HIV patient is…and treated how…
bacillary angiomatosis (bartonella)
oral erythromycin
most common complication of sickle cell trait
painless hematuria
prostate dz that causes irritative voiding sxs, pain with ejaculation, and back pain
chronic prostatitis/chronic pelvic pain syndrome
elderly patient with severe ear pain exacerbated by chewing, and drainage is caused by what and treated with what
malignant (necrotizing) otitis externa - pseudomonas
IV cipro
genu varum
bow-legged (rickets)
rickets characteristics
genu varum
costochrondral joint hypertrophy
large anterior fontanell
craniotabes
differentiating SCID, Bruton, and CVID
SCID: low T cells and B cells
Bruton: absent B cells, low Igs, nl T cells
CVID: low Igs, nl T and B cell counts, less severe and older than Bruton
what has better survival for ESRD? HD or transplant?
transplant
free floating bowel in amniotic sac
gastroschisis
postcoital bleeding, mucopurulent discharge, friable cervix
acute cervicitis (gonorrhea/chlamydia)
newborn with resp compromise, absent breath sounds on left, scaphoid abdomen likely has
congenital diaphragmatic hernia
manage congnetial diaphragmatic hernia
endotracheal intubation
then gastric tube to decompress stomach/bowel
which has prodrome (lightheaded, sweating)- vasovagal or cardiogenic syncope?
vasovagal
timing of postpartum blues vs depression
blues: 2-3 days, w/in 14
depression: 4-6 weeks, up to 1 year
which post-MI complication would lead to chest pain, profound shock, and rapidly progress to death (5 days out)
free wall rupture–> tamponade
interventircular septum rupture post-MI presentation
VSD- holosystolic murmur
shock, CP, biventricular failure
post-MI papillary muscle rupture presentation
pulm edema
new holosystolic murmur
c dif risk factors besides abx
PPIs- gastric acid suppression
hospitalization
drug interactions with viagra
nitrates, alpha blockers (zosins)
ppx for malaria
mefloquine- 2 weeks before trip, till 4 weeks after
doxy
atovaquone-proguanil
order of most common valves to be screwed in infective endocarditis
- mitral regurg
- aortic regurg
- tricuspid regurg– IV drug users most common
how does estrogen and andorgens affect TBG levels
estrogen increases it (by decreasing clearance), androgens decrease
how does levo need to be adjusted for estrogen therapy
increase it because increased TBG leads to the need of more exogenous thyroid hormone to saturate it (nl people can just increase their own)
which drugs increase TH metabolism
carbamazepine
rifampin
phenytoin
RR interpretation
> 1 : pos association
<1: neg association
the farther from 1, the stronger the association
3 days post-CABG: fever, WBCs, mediastinal widening
acute mediastinitis- debride and abx!
KB test for Rho
determines dose of Rhogam post-procedures, delivery, etc
take sample of mom RBCs- look on slide at remaining fetal hgb post-acid
condyloma acuminata vs lata
acum: genital warts HPV
lata: syphilis
renal and urinary changes in pregnancy
Increased: Renal blood flow, GFR, bm permeability, protein excretion
Decreased: serum BUN, Cr
dx when you suspect oropharyngeal dysphagia (choking, regurg, cough, aspirating)
videofluoroscopic barium swallow
what can confirm dx of fetal demise when fetal doppler doesnt pick up heart beat
transabdominal US
which cause of GI bleed? painless, right colon, over 60 yo, associated with renal dz and vWB and AS
angiodyplasia- AVMs and dilated submucosal veins
what are best serologies to test for initial hep B infection
HBsAg and IgM anti-HBc (will remain up in window period)
PBC complications
HCC
vit def –> osteomalacia, porosis
which murmur causes hemoptysis/orthopnea/PND and thromboembolic events
mitral stenosis (–> LAE)
treat lyme in kids
amoxicillin (tetracylines contra)
which med can lead to achilles tendionopathy
fluroquinolone
hyper IgM syndrome is a defect in
CD40 (class switching)
ipecac purpose
induce vomiting, dont do for toxic ingestions!
painless hematochezia in toddler, think…
meckel’s diverticulum
osteo plantar puncture wounds caused by which bacteria
staph aureus, pseudomonas
what labs to order to evaluate female’s virilization, and intrepretation
testosterone and DHEAS
high T, nl DHEAS: ovarian source
high DHEAS: adrenal tumor
P2y12 rec blocker
ex. clopidogrel, prasrugel, ticagrelor
reduce M&M in NSTEMI
meds that caused pill induced esophagiits
tetracyclines
bisphosphonates
NSAIDs, ASA
potassium Cl, iron
what is this: 4 month old with macrocytic anemia, craniofacial abnl, low Hgb and reticulocytes, triphalyngeal thumbs, etc
diamond blackfan- defect in erythroid progenitor cells –> apoptosis of RBCs
fanconi syndrome
pancytopenic bm failure
