uworld9 Flashcards
best med for diabetic autonimic neuropathy of gastroparesis
metoclopramide
pes anserinus pain syndrome
sharp, localized pain of anteriomedial tibial plateau just below joint line of knee
no swelling, x-rays nl
how do thiazides affect lipids and glucose?
causes hyperglycemia (by impairing insulin release)
causes increased LDL and triglycerides
what is this: iron def anemia + weight loss + rash in teenager
celiac dz
majority of rabies in US comes from which animal
bat
what is this: short, frequent fractures, translucent teeth
osteogenesis imperfecta
what is this: exertional SOB, pounding heart sensation, widened pulse pressure
aortic regurg
fanconi anemia pathophys
aut rec- DNA repair defect
what gifts can you accept from drug reps
small ones that benefit patients
attributable risk percent formula
(1-RR)/RR
untreated herpes can lead to more frequent or less frequent outbreaks?
always leads to less frequent, but treatment helps speed up process
what vitamin helps reduce M&M in measles?
vitamin A
can red reflex be normal in cataract?
yes early on
which is loss of central vision, and which peripheral? macular degernation vs open angle glaucoma
mac: loss of central
open angle glaucoma: loss of peripheral
initial management of frostbite
rapid rewarming with warm bath
first line pharm for etoh disorder
naltrexone- reduces cravings
acamprosate- keeps abstinence
testing for EBV
heterophile antibody testing
how to differentiate mono from strep
mono: >2 weeks (long time), generalized LAD
strep: shorter time, just cervical LAD
can you hospitalize patient involuntarily if they refuse hospitalization?
yes, highly contagious threat to the community!
pulmonary contusion needs what type of fluids
colloid
can infective endo be etiology for mesenteric ischemia?
yes- septic emboli
bulging round mass through the vagina in a teen who hasnt had her period yet
imperferote hymen
how does oxytocin toxicity cause seizures?
oxytocin, like ADH, reabsorbs water –> hyponatremia
serotonin discontinuation syndrome sxs
dysphoria, fatigue, insomnia, myalgia
dizzy, GI, tremor
neurosensory (shock, rushing, paresthesias, vivid dreams)
serotonin disc syn begins how many days after discontiatuon
2-4
riboflavin deficiency sxs
angular cheilosis stomatitis glossitis normocytic anemia sebhorreic dermatitis
what symptoms of serotonin syndrome make it more that instead of hypertensive crisis
dilated pupils,
hyperreflexia
hyperthermia
indications for renal/bladder US in kids with febrile UTI
- 1st time and < 2 years old
- recurrent
- refractory to abx
- fam hx of urologic dz, HTN, poor growth
pain of hip that is felt in groin, back, and pelvis and can radiate down legs is due to
osteoarthritis
bupoprion contraindicated in
anorexia, bulimia, seizure disorders
vaccines given in gestational or chronological age
chronological
which abx causes photosensitivity
tetracyclines
painful genital lesion with dysuria and urinary retention
herpes simplex virus- (lumbosacral neuropathy–> urinary retention)
dx HSV
PCR
