UWorld_6.23 Flashcards

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1
Q

Management of ventilator in ARDS

A
  1. decreased Fi02 to non-toxic level (
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2
Q

Ventilator settings that impact arterial pO2 & pCO2

A

FiO2 & PEEP ==> pO2 (measure of oxygenation) RR & TV ==> pC02 (measure of ventilation)

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3
Q

Medications that can trigger bronchoconstriction in asthmatics

A

-ASA -b-blockers

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4
Q

Congenital syphillis presentation

A

-HSM -cuatneous lesions -jaundice -anemia -rhinorrhea (classic: clear rhinorrhea)

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5
Q

Congenital rubella presentation

A

-sensorineural hearing loss -cataracts -heart defects -HSM -microcephaly -thrombocytopenic purpura = “blueberry muffin” rash

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6
Q

Presentation/cause of neurogenic leg claudication

A

-lumbar spinal stenosis/spinal OA/degen disc dz -posture-dependent pain -worse w/lumbar extension (i.e. downhill walking) -improves w/lumbar flexion -LE numbness/tingling & weakness

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7
Q

Cause of warfarin-induced skin necrosis

A

-rapidly declining protein C levels -occurs more commonly in pt. w/hereditary protein C deficiency

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8
Q

shoulder dystocia ==> Extended wrist + hyperextended MCPs + flexed IPs + absent grasp ==> dx?

A

-Klumpke palsy -2/2 excess traction @ C8 & T1 - also w/horner’s syndrome (ptsosis, miosis)

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9
Q

Amiodarone: use, adverse effects

A

-class III antiarrhythmic drug -management of ventricular arrhythmias @ CAD or ischemic cardiomyopathy -SE: pulmonary toxicity

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10
Q

Arrest of active labor definition

A

-no cervical change for >4 hours w/adequate contractions -no cervical change for >6 hours w/inadequate contractions

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11
Q

Common DM neuropathies

A

-CNIII -peripheral @ extermities

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12
Q

Presentation of pancreatic adenocarcinoma

A

-weight loss, anorexia -abdominal/back pain - +/- jaundice -recent onset atypical DM -migratory superficial thrombophlebitis -HSM/ascites (if metastasis)

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13
Q

Risk factors for pancreatic adenocarcinoma

A

-smoking -hereditary pancreatitis -chronic pancreatitis -obesity/lack of physical activity

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14
Q

Lab findings in measles

A

-leukopenia (t-cell cytopenia) -thrombocytopenia

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15
Q

Measles prodrome and exanthem

A

-prodrome: -fever, malaise, anorexia -coryza, conjunctivitis, koplik spots (clustered white spots on buccal mucosa) -exanthem: -blanching, reddish-brown maculopapular rash -cephalocaudal & centrifugal spread -spares palms/soles

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16
Q

Modifiable risk factors for osteoporosis

A
  • adequate amounts of both calcium and vitamin D
  • regular exercise
  • cessation of cigarette smoking
  • avoidance of alcohol abuse