UWorld_8.01 Flashcards

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1
Q

Trachoma presentation

A
  • folicular conjuctivits

- neovascularization

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2
Q

Lacunar thalamic stroke presentation

A
  • sudden onset contralateral sensory loss

- weeks/months later ==> thalamic pain syndrome = burning pain worse w/light tough

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3
Q

Hypercalcemia 2/2 immobilization presentation

A

-immobilization ==> high bone turnover

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4
Q

Management of PCOS anovulation

A
  • clomiphene citrate

- metformin

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5
Q

negative FOBT in elderly pt. w/iron def. anemia ==> evaluation

A
  • colonoscopy, endoscopy

- neg. FOBT does not rule out GI bleed

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6
Q

Management/eval of suspected bladder outlet obstruction

A
  • bladder scan

- catheterization

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7
Q

Aspirin-exacerbated respiratory disease presentation/tx

A
  • bronchospasm
  • nasal congestion
  • assoc. w/pt. w/asthma or chronic rhinosinusitis w/nasal polyposis
  • tx = avoid NSAIDs, leukotriene receptor antagonists (montelukast)
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8
Q

Management of PFPain Syndrome

A
  • NSAIDs
  • activity modification
  • stretching/exercise
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9
Q

Most common cause of painless, gross hematuria in adults

A

bladder tumors

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10
Q

Hepatic adenoma presentation

A
  • benign tumor @ young/middle-aged owmen taking OCPs

- complications = growth, rupture, malignant transformation

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11
Q

Indications for imagining in acute pyelonephritis

A
  • persistent clinical sx despite tx @ 48-72 hours
  • hx of nephrolithiasis
  • complicated pyelo
  • unusual urinary findings
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12
Q

Cutaneous larva migrans presentation

A
  • travel to tropical regions

- pruritic, elevated serpiginous lesions on skin

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13
Q

Evaluation of unexplained myositis

A
  1. TSH/T4

2. m. biopsy if negative

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14
Q

Causes of myopathy

A
  • connective tissue dz
  • endocrine/metabolic dz: thyroid, cushings, electrolytes
  • drus/toxins: CS, statins, zidovudine, colchicine, etoh/heroin/cocaine
  • other: infections, trauma, hyperthermia
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15
Q

Syncope w/urination dx

A

situation syncope

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16
Q

Felty syndrome presentation

A
  • rheumatoid arthritis
  • neutropenia
  • splenomegaly
17
Q

Study design to determine incidence vs. prevalence

A
  • cross-sectional ==> prevalence

- cohort ==> incidence

18
Q

endocarditis causes s/p dental procedure

A

-viridans strep: mutans, sanguis, etc. (not strep bovis, strep pneumo)

19
Q

Outpatient tx of CAP

A
  • healthy = macrolide vs. doxycycline

- comorbid conditions = fluoroquinolone or beta-lactam or macrolide

20
Q

Inpatient (non-ICU) tx of CAP

A
  • fluoroquinolone OR

- beta-lactam + macrolide (ceftriaxone + azithryomycin)

21
Q

CURB criteria

A
  • Confusion
  • Uremia (BUN >20)
  • RR > 30
  • BP 65
  • 1 pt. each
  • 2+ ==> inpt. admission
  • 4+ ==> ICU
22
Q

Inpatient ICU tx of CAP

A
  • iV beta-lactam + macrolide

- IV beta-lactam + fluoroquinolone

23
Q

FAS presentation

A
  • small palpebral fissures
  • smooth philtrum (vertical groove above upper lip)
  • thin vermilion border
24
Q

Myotonic MD presentation

A
  • onset @ age 12-30

- facial weakness, hand grip myotonia, dysphagia

25
Q

Causes of watery diarrhea predominant food poisoning

A
  • C. perfringens
  • enterotoxic E. coli
  • enteric viruses
  • cryptosporidium
  • cyclospora
  • intestinal tapeworms
26
Q

Causes of bloody diarrhea predominant food poisoning

A
  • salmonella
  • campylobacter
  • Shiga-toxin E. Coli
  • shigella
  • enterobacter
  • vibrio
  • yersinia
27
Q

Complete heart block sx and management

A
  • dizziness, worsening angina

- management = cardiac pacing

28
Q

FSH in turner’s syndrome

A

elevated 2/2 to lack of negative feedback due to ovarian dysgenesis/poor ovarian fxn