UWorld_7.04 Flashcards

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1
Q

Cardiac, Pulmonary, other complications of carcinoid syndrome

A
  • cardiac: valvular lesions
  • pulmonary: bronchospasm
  • other: niacin deficiency ==> dermatitis, diarrhea, dementia
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2
Q

Cause of NPH

A

decreased CSF absorption

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3
Q

TCA overdose management

A
  • ABCs/supportive

- sodium bicarbonate

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4
Q

Risk for orbital cellulitis

A

bacterial sinusitis

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5
Q

Causes of crystal-induced AKI

A
  • acyclovir
  • sulfa
  • MTX
  • ethylene glycol
  • protease inhibitors
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6
Q

Renal complications of acyclovir

A

crystal-induced AKI

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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
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8
Q

Side effects of loop diuretics

A
  • hypokalemia
  • metabolic alkalosis
  • prerenal AKI
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9
Q

Evaluation/management of suspected ovarian cancer

A

ex-lap (avoid biopsy b/c risk of spread)

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10
Q

Approach to adult cardiac arrest

A
  1. 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.
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11
Q

Characteristics of malignant otitis externa

A
  • caused by Pseudomonas aeruginosa
  • commonly @ DM/immunosuppressed
  • severe pain with drainage
  • tx: anti-pseudomonal abx (ciprofloxacin)
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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
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13
Q

Causes of hypocalcemia

A
  • hypomagnesium
  • drugs
  • blood transfusion
  • hypoparathyroidism
  • metabolic, inflammatory, neoplasm, PTH resistance
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14
Q

IgA nephropathy presentation

A
  • w/in 5 days of URI
  • common @ young adult men
  • recurrent hematuria
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15
Q

IgA nephropathy dx

A
  • normal complement

- mesangial IgA deposits on biopsy

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16
Q

post-strep nephropathy presentation

A
  • 10-21 days after URI
  • more common @ children
  • hematuria
  • adults: asx vs. acute nephritic
17
Q

post-strep nephropathy dx

A
  • low C3 complement
  • elevated ASO ab
  • biopsy w/subepithelial humps of C3