UWorld_7.12 Flashcards

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1
Q

Exacerbating factors in trochanteric bursitis of hip

A
  • lying on side

- external pressure to upper lateral thigh

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2
Q

Exacerbating factors in osteoarthritis of hip of hip

A

-internal rotation of hip

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3
Q

True positive rate =

False positive rate =

A

TP rate = sensitivity

FP rate = 1 - specificity

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4
Q

PFTs in pulmonary fibrosis

A
  • restrictive pattern
  • reduced FEV1 and FVC but normal FEV1/FVC ratio
  • reduced: FRC, TLC, RV
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5
Q

Adverse effects of estrogen receptor modulators

A
  • e.g. tamoxifen, raloxifene
  • hot flashes
  • VTE
  • endometrial hyperplasia & carcinoma
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6
Q

Management of duodenal ulcer

A
  • antisecretory therapy/PPI

- abx (amoxicilin + clarithromycin) if 2/2 H. pylori

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7
Q

CV complications in Marfan’s syndrome

A
  • aortic dilation, regurgitation, or dissection

- mitral valve prolapse

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8
Q

Most common cause of death in acromegaly

A

CHF/cardiac causes

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9
Q

Tx of syphilis in pt. w/PCN allergy

A
  • Doxycycline x 14 days

- IN PREGNANCY: PCN desensitization and tx w/PCN

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10
Q

Bacterial cause of malignant otitis externa

A

pseudomonas

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11
Q

Uric acid stone management

A
  • hydration

- alkalinization of urine

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12
Q

Indications of secondary causes of hypogonadotropic hypogonadism (@ males)

A
  • H/A
  • very low testosterone
  • gynecomastia +/- galactorrhea
  • evidence of other pituitary hormone deficiencies
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13
Q

Evaluation of secondary hypogonadotropic hypogonadism

A
  • measurement of other pituitary hormones: thyroid, prolactin
  • visual field testing
  • MRI if: elevated PRL, test
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14
Q

Clinical manifestations of rickets

A
  • craniotabes (“ping-pong ball” skull)
  • delayed fontanel closure
  • enlarged: skull, costochorndral joints, long bone joints
  • pronounce genu varum
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15
Q

Presentation of infective endocarditis in IVDU

A
  • s.aureus @ tricuspid valve = more common
  • fragments can embolize to lungs ==> nodular infiltration with cavitation
  • systemic sx, pleuritic chest pain, dyspnea, cough
  • +/- heart murmur, peripheral sx (splinter hemorrhages or Janeway lesions) typically absent
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16
Q

Blunt trauma + clean CT + delayed deep abdominal pain/systemic sx ==> dx?

A

pancreatic injury