UWorld_7.04 Flashcards
1
Q
Cardiac, Pulmonary, other complications of carcinoid syndrome
A
- cardiac: valvular lesions
- pulmonary: bronchospasm
- other: niacin deficiency ==> dermatitis, diarrhea, dementia
2
Q
Cause of NPH
A
decreased CSF absorption
3
Q
TCA overdose management
A
- ABCs/supportive
- sodium bicarbonate
4
Q
Risk for orbital cellulitis
A
bacterial sinusitis
5
Q
Causes of crystal-induced AKI
A
- acyclovir
- sulfa
- MTX
- ethylene glycol
- protease inhibitors
6
Q
Renal complications of acyclovir
A
crystal-induced AKI
7
Q
Clinical presentation of crystal-induced AKI
A
- usually asx
- elevated creatinine w/in 1-7 days of starting drugs
- UA: hematuria, pyuria and crystals
8
Q
Side effects of loop diuretics
A
- hypokalemia
- metabolic alkalosis
- prerenal AKI
9
Q
Evaluation/management of suspected ovarian cancer
A
ex-lap (avoid biopsy b/c risk of spread)
10
Q
Approach to adult cardiac arrest
A
- start CPR, give O2, attach defib
2a. if vfib/vtach ==> shock, then ==> CPR x 2min., IV access
2b. if PEA/asystole ==> CPR x 2min.; IV access, Epi q3-5min.
11
Q
Characteristics of malignant otitis externa
A
- caused by Pseudomonas aeruginosa
- commonly @ DM/immunosuppressed
- severe pain with drainage
- tx: anti-pseudomonal abx (ciprofloxacin)
12
Q
Tick-borne vs. botulism presentation
A
- botulism: descending paralysis and early cranial n. involvement; pupillary abnormalities
- tick-borne paralysis: progressive ascending, no pupillary abnormalities
13
Q
Causes of hypocalcemia
A
- hypomagnesium
- drugs
- blood transfusion
- hypoparathyroidism
- metabolic, inflammatory, neoplasm, PTH resistance
14
Q
IgA nephropathy presentation
A
- w/in 5 days of URI
- common @ young adult men
- recurrent hematuria
15
Q
IgA nephropathy dx
A
- normal complement
- mesangial IgA deposits on biopsy
