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step 2 uworld > UWSA1 > Flashcards

UWSA1 Flashcards

1
Q

what is the most common risk associated with parenteral nutrition?

A

blood stream infection

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2
Q

parenteral nutrition is given through a…,

A

central venous catheter

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3
Q

cholestasis is a common complication of parenteral nutrition when a patient receives it longer than…

A

2 weeks

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4
Q

is hypoglycemia likely in a patient receiving parenteral nutrition?

A

no - more likely hyPERglycemia

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5
Q

ecythma gangrenosum is caused by…

A

pseudomonas aurugenosa

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6
Q

ecythma gangrenosum is seen in …

A

immunocompromised patients

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7
Q

what type of cancer most commonly casues the paraneoplastic cushing syndrome?

A

small cell lung cancer

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8
Q

what type of hormone is ACTH?

A

polypeptide hormone

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9
Q

can you give the live attenuated flu vaccine to a patient with HIV and stable CD4 count?

A

NOOOOO - doesnt matter about CD4 coutn they can get only the inactivated flu vaccine

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10
Q

do you give the BCG vaccine to patients with HIV ?

A

NO

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11
Q

do you give the pneomococcal vaccine to patients with HIV?

A

YES- all patients with HIV

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12
Q

which HIV patients can receive the pneumococcal vaccine?

A

ALL

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13
Q

babies born to moms who had diabetes int he second/third trimester are at highest risk for which complication?

A

respiratory distress - hyperinsulinemia in baby leads to delayed pneumocyte maturation

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14
Q

Why do patients who undergo gastric bypass have high risk of gallstones?

A

rapid weight loss -> increased gallstone formation f

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15
Q

what can you admister as prophylaxis for gallstones after gastric bypass?

A

ursodeoxycholic acid

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16
Q

what causes metabolic acidosis in septic shock?

A

tissue hypermetabolic state -> high lactic acid

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17
Q

what colour is the diarrhea in iron overdose?

A

green/black

18
Q

clinical features of iron poisoning?

A
  • abdominal pain
  • hemetemesis
  • diarrhea
  • shock
  • liver necrosis
19
Q

the BCR:ABL translocation is seen in…

A

CML

20
Q

rituximab is first line treatment for…

A

CLL

21
Q

rituximab MOA?

A

targets CD20 on B lymphocytes

22
Q

does a patient with valvular disease with a heart murmur and no history of IE need prophylaxis for a DENTAL procedure ?

A

no

23
Q

does choriocarcinoma occur in postmenopausal women?

A

no - its associated with gestational trophoblastic disease

24
Q

most common cause of ovarian cancer in postmenopausal women?

A

epithelial ovarian cancer

25
Q

fragile X syndrome is a cause of..

A

autism

26
Q

a 63 year old women with RA gets septic arthritis. Most likely pathogen?

A

GRAM POSITIVE (staph aureus)

27
Q

A very old person or IV Drug user gets septic arthritis. Most likely organism?

A

GRAM NEGATIVE (e coli, pseudomonas)

28
Q

what is the most common coagulopathy with patients with cancer?

A

DIC

29
Q

how often should a woman aged 50-74 receive a mammogram ?

A

every 2 years

30
Q

is focal segmental glomerulosclerosis a nephrotic or nephritic syndrome?

A

nephrotic

31
Q

why are nitrates helpful in treating MI?

A

they cause venodilation - > decreased preload to the heart

32
Q

what is albuminocytologic dissociation?

A

-elevated protein count with normal white blood cell count

33
Q

herpangina is caused by…

A

cocksackie A virus

34
Q

where are the ulcers seen in herpangina

A

uvula/soft palate/tonsils

35
Q

treatment of herpangina?

A

supportive

36
Q

skin findings in granulomatos with polyangitis?

A

non healing ulcers

livedo reticularis

37
Q

treatment of hyperkalemic heart block?

A

calcium gluconate

38
Q

Magnesium sulfate treats with arrhythmia?

A

torsades de pointes

39
Q

A patient has a diabetic foot ulcer and youre worried its caused underlying osteomyeletis. Best next step?

A

bone biopsy and culture

40
Q

are patients who experience shoulder dislocation at increased risk of it recurrring ?

A

yes

41
Q

presentation of copper deficiency?

A
  • brittle hair
  • skin depigmentation
  • neurological disturbance
  • anemia
  • osteoporosis

step 2 uworld (57 decks)

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