UWorld_7.20 Flashcards

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1
Q

Management of prepatellar bursitis

A
  • prepatellar bursitis = “housemaid’s knee” often 2/2 s.aureus
  • aspiration of bursal fluid for cell count/gram stain
  • negative ==> anti-inflam. + activity modification
  • positive ==> drainage + abx
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2
Q

5-alpha reductase deficiency presentation

A
  • cannot convert testosterone to dihydrotestosterone

- ambiguous genitalia @ birth + internal male genital tract

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3
Q

Beckwith-Wiedmann syndrome presentation

A
  • deregulation of imprinting @ 11p15 ==>
  • fetal macrosomia, rapid growth
  • omphalocele/umbilical hernia
  • macroglossia
  • hemihyperplasia
  • wilms tumor
  • hepatoblastoma
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4
Q

hemihyperlasia in infant ==> ?

A

beckwith-wiedmann syndrome

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5
Q

Type I RTA

A
  • poor H+ secretion into urine

- distal

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6
Q

Type II RTA

A
  • poor bicarb resorption

- proximal

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7
Q

Type IV RTA

A
  • aldosterone resistance

- hyperkalemia

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8
Q

Tx of restless legs

A

-supplement iron @ ferritin

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9
Q

Presentation of right ventricular infarct

A
  • hypotension
  • JVD
  • clear lung fields
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10
Q

Type of radiation used for recurrence after radical prostatectomy

A

salvage

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11
Q

Anion gap metabolic acidosis

A
  • methanol
  • uremia
  • dka
  • polyethylene glycol
  • isoniazid
  • lactic acidosis
  • ethylene glycol
  • salicylate
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12
Q

BAT + LUQ pain radiating to shoulder ==> dx?

A

suspect splenic injury

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13
Q

Evaluation of nonbloody nipple d/c w/out lumps

A
  • pregnancy test
  • guiac test
  • serum prolactin, TSH
  • consider pituitary MRI
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14
Q

Splenectomy ==> impaired _____?

A

phagocytosis

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15
Q

MALT (mucosa-assoc. lymphoid tissue) tumor management

A
  • tx H. pylori

- omeprazole + clarithromycin + amoxicillin

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16
Q

Vaccines after splenectomy

A
  • PCV13, meningococcal, h. flu @ 14 s/p splenectomy
  • PPSV23 next + 5 years later + @ 65yo
  • Mening. q5yrs
17
Q

Henoch-Schonlein purpura presentation

A
  • palpable purpura
  • arthritis/arthralgia
  • abdominal pain/intussusceptions
  • renal dz ~ IgA nephropathy
18
Q

+ TB skin test in healthy patient

A

> 15mm

19
Q

+ TB skin test in non-healthy/special populations

A
  • > 5mm @: HIV+, immunosuppressed, known TB

- >10mm @: “high-risk” e.g. immigrants, healthcare workers, IVDU

20
Q

Aortic regurgitation murmur

A
  • early diastolic
  • high pitched, blowing @ left sternal border
  • louder on expiration
21
Q

Most common clotting disorder

A

Factor V Leiden

22
Q

Uveitis presentation

A
  • blurred vision with moderate pain
  • conjunctival injection
  • constricted pupils just
23
Q

Von-Gierkes disease presentation

A
  • G6-phosphatase deficiency
  • 3-4 mo. w/hypoglycemia, lactic acidosis, hyperuricemia, hyperlipidemia
  • doll-like face
  • thin extremities
  • short
  • protuberant abdomen
24
Q

“brick dust” in neonate diapers = ?

A
  • uric acid crystals

- not concerning if growing/feeding well

25
Q

Pulmonary nodule high-risk characteristics

A
  • older, w/long smoking hx, irregular margins

- surgical excision

26
Q

Biliary atresia presentation

A
  • @ 1-8wks:
  • jaundices
  • pale stools/dark urine
  • hepatomegaly
  • conj. hyperbili
  • mild elevated LFTs
27
Q

Breast milk jaundice presentation

A
  • unconj. hyperbili

- @ week 2 of life