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UW 16 Flashcards

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1
Q

Cavitary lesion that moves with position change

A

Aspergilloma

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2
Q

Presentation of Histo on CXR or CT

A

Central or target calcification

Calcified nodes in the lung, mediastinum, spleen, liver

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3
Q

Presentation of acute hemolytic RXN due to ABO incompatibility

A

W/in 1 hour
Fever, flank pain, hemoglobinuria, renal failure, DIC
Positive Direct Coombs

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4
Q

Renal Vein thrombosis presentation

A

Sudden onset Abd pain, fever, hematuria

MC in membranous GN

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5
Q

X-ray findings in Gout

A

Punched out erosions w a rim of cortical bone

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6
Q

X-ray findings in RA

A

Periarticular osteopenia and joint margin erosions

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7
Q

Ectopic Pregnancy WU

A

If B-hCG < 1,500 need TVUS

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8
Q

How does B-hCG change in pregnancy? Ectopic?

A

Doubles every 48 hours initially

Rises slower in Ectopic

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9
Q

Latency period

A

When amount of time passes before exposure to a risk modifier has a clinically evident effect on disease process

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10
Q

Presentation of constrictive pericarditis

A

Scarring, loss of elasticity of pericardial sac - prevents venous return to the right heart during inspiration causing right heart failure
Peripheral edema, ascites, hepatic congestion w hepatomegaly, elevated JVP

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11
Q

Best preventive measure for post op atelectasis

A

Breathing exercises
Forced expiration technique
Incentive spirometry

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12
Q

Hepatojugular reflex indicates

A

Failing RV that cannot accommodate increase in venous return w abdominal compression

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13
Q

MCC of hepatojugular reflux

A

Constrictive pericarditis
RV Infarction
Restrictive cardiomyopathy

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14
Q

When to involuntarily admit Psych pts

A

Command auditory hallucinations to hurt self or others
Danger to self/others
Grave disability to care for self

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15
Q

Presentation of Adult Still’s Dz

A

Inflammatory disorder
Recurrent high fevers > 39/102
Rash - maculopapular, nonpruritic, trunk and extremities
Arthritis

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16
Q

Do we see arthritis in Post strep GN

A

NO.

No fingertip pain either - think IE

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17
Q

Pathophys of renal probs in multiple myeloma

A

Obstruction of distal and collecting tubules by large laminated casts that contain paraproteins

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18
Q

Posterior urethral valve Presentation

A

Boys only

MCC chronic renal insufficiency children

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19
Q

Presentation of AR PKD

A

Infancy
Large flank massess
REsp distrress- pulm hypoplasia
Potter faces

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20
Q

VUR

A

Recurrent/chronic pyelonephritis
Parenchymal scarring
HTN
Renal insufficiency

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21
Q

Causes of Fetal Growth Restriction

Study These Flashcards
A

Symmetric - Fetal factors

Asymmetric - Maternal factors

22
Q

Causes of asymmetric growth restriction

Study These Flashcards
A

HTN
DM
Preeclampsia
Cigarette smoking

23
Q

Causes of symmetric growth restriction

Study These Flashcards
A

Genetic disorders
Congenital heart dz
IU Infxn

24
Q

MCC IU Infxn

Study These Flashcards
A

CMV - most women asymptomatic

25
Metabolic derangement w ASA toxicity
Resp Alkalosis - stimulates resp center in medulla causing tachynea THEN AG Met Acidosis = uncoupling of oxidative phosphorylation
26
Long-term home oxygen for COPD pt reqs
1. PaO2 < 55 or SaO2 55% | 3. resting awake PaO2.60 w SaO2 > 90
27
Heme values in Hypovolemic shock
LOW: RAP, PCWP, CI, Mixed venous O2 sat High: SVR
28
Heme values in Cardiogenic shock
LOW: CI High: RAP, PCWP, SVR, Mixed venous O2 sat
29
Heme values in Septic shock
LOW: SVR High: CI, Mixed venous O2 sat Normal/slight low: RAP, PCWP
30
MCC of First degree AV block w normal QRS duration
Conduction delay in AV node
31
Pt w fetus w BL renal agenesis and PROM
Allow spontaneous vag delivery | Incompatible w life
32
Presentation of CLL
Splenomegaly Anemia Thrombocytopenia
33
Poor prognostic factor in CLL
Thrombocytopenia
34
Presentation Pulmonary contusion
Parenchymal bruising - lung | Tachypnea, tachycardia, hypoxia
35
PE of pulm contusion
Chest wall bruising | Decreased breath sounds
36
CXR pulm contusion
Patchy irregular alveolar infiltrate
37
ARDS v Pulm contusion
ARDS - 24-48 hrs from trauma BL lung involvement P. contusion - within 24 hrs
38
MC predisposing factor - acute bacterial sinusitis
Viral URI
39
Antipsychotic causes hypothermia
Fluphenazine - inhibits autonomic thermoregulation/body's shivering Other typical APs
40
MC AE of Radioiodine therapy
1. Hypothyroidism | 2. Ophthalmopathy
41
Anticholinergic effects of antihistamines
Eye/oropharyngeal dryness | Urinary retention - Inhibit muscarinic receptors in PS - failure of detrusor to contract
42
Presentation amaurosis fugax and MCC
Transient visual loss "Curtain falling down" MCC retinal emboli from Ipsi carotid artery - atherosclerosis
43
MCC constrictive pericarditis in developing countries
TB
44
Management of PEA
1. CPR | 2. Vasopressors - epineprhine
45
Management of Pulseless V tach
Defribillation
46
What does malassezia furfur cause? | TX?
Tinea Versicolor - pale, velvety pink/whitish hypopigmented macules TX: topical selenium sulfide and ketoconazole
47
PT on OCPs w high BP management
1. Discontinue OCP and reassess 2. Persists - lifestyle modification 3. Low dose thiazide
48
Presentation of avascular necrosis of femoral head
Sickle Cell | Pain in hip progressive
49
Polymyositis Presentation
Slowly progressive proximal muscle weakness of LE Difficulty ascending/descending stairs or rising from sitting Next - Prox UE weakness = difficulty combing hair NO skin fidings
50
Best diagnostic study for polymyositis
Muscle Bx | - mononuclear infiltrate surrounding necrotic and regenerating muscle fibers
51
Asplenic pts unable to mount which kind of response?
Phagocytosis
52
Intracellular killing defect ass'd with
CGD | NADPH oxidase deficiency

Mixed (19 decks)

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