uworld4 Flashcards
which eye dz makes straight lines appear wavy?
macular degeneration
hyposthenuria
inability for kidneys to concentrate urine
seen in sickle cell
mother gets Hep B during pregnancy. what do you give newborn?
vaccine and HBIG within 12 hours
patient with AMS, hypothermia, bradyapnea hypoxia most likely has
opioid intoxication
can you have opioid tox if your pupils are enlarged?
yes, co-ingestion with meth
hydroxychloroquine side effect
retinopathy
serious complication of EBV
tonsil enlargement –> actue airway obstruction
dx for avascular necrosis of hip
MRI
facticious disorder vs malingering
factitious: primary gain of sick role
malingering: secondary gain- external benefits
somatic symptom vs illness anxiety vs conversion disorder
somatic: has physical sxs and anxiety
illness anxiety: no sxs, just anxiety
conversion: neurological sxs
dx of peritonsillar vs retropharyngeal abscess
pertonsillar: clx
retro: CT
west syndrome
<1 yo
infantile spasms
treat with ACTH, cosyntropin
hypsrarrythmia on EEG
intussception tx- at dif stages
preferred: air enema
if ischemic bowel: laparoscopy
which cyanotic congential dz has no heart murmurs
transposition of great vessels
how does squatting in tet spells help reduce cyanosis?
increase systemic vascular resistance- make more blood flow down pulm artery instead of through VSD
VSD sound on ausculation
holosystolic murmur
if you find a click in hip exam in newborn
f/u with US in 4 weeks (some self-resolve)
if bad then –> palvnik harness
retinoblastoma risk of developing what
osteosarcoma
treatment of strabismus in congenital vs acquired
congenital: surgery
acquired: eye patch, glasses to correct lazy eye
teen who drank etoh and then has lower abdominal pain, think…and how to evaluate
UPJ obstruction- check with renal US
hypospadias tx
non-emergent surgery using foreskin (delay that circumcision)
most common renal cancer among kids
wilms tumor
When to use CT for renal peds issues
trauma- contrast
stones- non contrast
posterior urethral valve clues
oligohydramnios
distended bladder- cant get out
no urinary ouput
do US and catheter and then surgery
treatment for acute chest syn or stroke in sickle cell
exchange transfusion
netropenia and albinism
chediak higashi
nitro blue tests for
oxidative burst in phagocytes
if none–> chronic granulomatous dz
many WBCS but still infections, delayed umbilical cord separation
leukocyte adhesion def
Wiskott aldrich mneumonic
wiskott aldrich thrombocytopenia eczema recurrent staph inf
nl pupil mm
2-4
which microbe dz: eosinophilia, GI, periorbital edema, myositis
trichinella
meds for tourettes
antipsychotics for severe
alpha 2 agonists for mild
agranulocytosis
complete absence of neutrophils
bHcg and AFP in seminomas vs non-sem
sem: elevated bHCG
non-sem: elevated both bHCG and AFP
REM sleep behavior disorder
seen in older men- possible neurodegeneration
dream enactment (bad dream + motor)
parvovirus B19 in adults
viral arthritis- resembles RA but low ESR, less morning stiffness
self limiting- 1-2 months
when should baby respond to name
6 mo
hazard ratio
the chance an event occurs in treatment group compared to control group
> 1: more likely in treatment group
<1: more likely in control group
what is this: megaloblastic anemia, atrophic glossitis (shiny tongue), hx of automimmune disorders
pernicious anemia
what tests to do when you suspect adrenal insuff
8 am serum cortisol
plasma ACTH
ACTH stim test
ACTH stim test
infuse ACTH
normally–> rapid increase in cortisol
but in primary adrenal insuff–> no sig rise
