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Step 2 > uworld4 > Flashcards

uworld4 Flashcards

1
Q

which eye dz makes straight lines appear wavy?

A

macular degeneration

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2
Q

hyposthenuria

A

inability for kidneys to concentrate urine

seen in sickle cell

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3
Q

mother gets Hep B during pregnancy. what do you give newborn?

A

vaccine and HBIG within 12 hours

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4
Q

patient with AMS, hypothermia, bradyapnea hypoxia most likely has

A

opioid intoxication

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5
Q

can you have opioid tox if your pupils are enlarged?

A

yes, co-ingestion with meth

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6
Q

hydroxychloroquine side effect

A

retinopathy

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7
Q

serious complication of EBV

A

tonsil enlargement –> actue airway obstruction

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8
Q

dx for avascular necrosis of hip

A

MRI

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9
Q

facticious disorder vs malingering

A

factitious: primary gain of sick role
malingering: secondary gain- external benefits

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10
Q

somatic symptom vs illness anxiety vs conversion disorder

A

somatic: has physical sxs and anxiety

illness anxiety: no sxs, just anxiety

conversion: neurological sxs

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11
Q

dx of peritonsillar vs retropharyngeal abscess

A

pertonsillar: clx
retro: CT

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12
Q

west syndrome

A

<1 yo
infantile spasms
treat with ACTH, cosyntropin
hypsrarrythmia on EEG

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13
Q

intussception tx- at dif stages

A

preferred: air enema

if ischemic bowel: laparoscopy

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14
Q

which cyanotic congential dz has no heart murmurs

A

transposition of great vessels

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15
Q

how does squatting in tet spells help reduce cyanosis?

A

increase systemic vascular resistance- make more blood flow down pulm artery instead of through VSD

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16
Q

VSD sound on ausculation

A

holosystolic murmur

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17
Q

if you find a click in hip exam in newborn

A

f/u with US in 4 weeks (some self-resolve)

if bad then –> palvnik harness

18
Q

retinoblastoma risk of developing what

A

osteosarcoma

19
Q

treatment of strabismus in congenital vs acquired

A

congenital: surgery
acquired: eye patch, glasses to correct lazy eye

20
Q

teen who drank etoh and then has lower abdominal pain, think…and how to evaluate

A

UPJ obstruction- check with renal US

21
Q

hypospadias tx

A

non-emergent surgery using foreskin (delay that circumcision)

22
Q

most common renal cancer among kids

A

wilms tumor

23
Q

When to use CT for renal peds issues

A

trauma- contrast

stones- non contrast

24
Q

posterior urethral valve clues

A

oligohydramnios
distended bladder- cant get out
no urinary ouput

do US and catheter and then surgery

25
Q

treatment for acute chest syn or stroke in sickle cell

A

exchange transfusion

26
Q

netropenia and albinism

A

chediak higashi

27
Q

nitro blue tests for

A

oxidative burst in phagocytes

if none–> chronic granulomatous dz

28
Q

many WBCS but still infections, delayed umbilical cord separation

A

leukocyte adhesion def

29
Q

Wiskott aldrich mneumonic

A 
wiskott 
aldrich
thrombocytopenia
eczema
recurrent staph inf
30
Q

nl pupil mm

A

2-4

31
Q

which microbe dz: eosinophilia, GI, periorbital edema, myositis

A

trichinella

32
Q

meds for tourettes

A

antipsychotics for severe

alpha 2 agonists for mild

33
Q

agranulocytosis

A

complete absence of neutrophils

34
Q

bHcg and AFP in seminomas vs non-sem

A

sem: elevated bHCG

non-sem: elevated both bHCG and AFP

35
Q

REM sleep behavior disorder

A

seen in older men- possible neurodegeneration

dream enactment (bad dream + motor)

36
Q

parvovirus B19 in adults

A

viral arthritis- resembles RA but low ESR, less morning stiffness

self limiting- 1-2 months

37
Q

when should baby respond to name

A

6 mo

38
Q

hazard ratio

A

the chance an event occurs in treatment group compared to control group

> 1: more likely in treatment group
<1: more likely in control group

39
Q

what is this: megaloblastic anemia, atrophic glossitis (shiny tongue), hx of automimmune disorders

A

pernicious anemia

40
Q

what tests to do when you suspect adrenal insuff

A

8 am serum cortisol
plasma ACTH
ACTH stim test

41
Q

ACTH stim test

A

infuse ACTH

normally–> rapid increase in cortisol

but in primary adrenal insuff–> no sig rise

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