Uworld 10/11 Flashcards
58 m has a tonic clonic seizure at random, after several weeks of headaches. He is a former smoker with a 45 pack year history. Cardiopulmonary auscultation is normal, and no masses are present on abdominal examination. CN are intact. MRI of brain shows several, discreet, circumscribed lesions at the junction of the gray and white matter with surrounding edema. HIV is negative. Whats the cause
Metastatic lung cancer - do chest xray to confirm
Old man has difficulty hearing after being on asparin, diuretics, an acei, and BB. He has hearing loss in both ears. What is causing the deafness.
Furosemide
asa usually causes tennitis. Could cause hearing loss if high doses
11 month old has 3 days of fever, and rhinorrhea and nasal congestion for the past week. She completed oral abx 3 weeks ago for ear infection. Fever is 102.9, otoscopy shows bilateral bulging and pink tympanic membranes with poor mobility on insufflation. Oropharynx had no lesions or sores., and lungs are clear.
What is the cause, and whats the next step
Acute otitis media
Oral Antibiotics again.
First line is amoxicillin, 2nd line is AMoxicillin Clauvanate.
What does bulging tympanic membrane mean?
Middle ear effusion.
For OMedia, when do you observe?
Low fever, >6 months old, mild or no pain, unilateral.
When do you use topical abx for ear infection?
When its Otitis externa - normal tympanic membrane, purulant discharge
Dude suddenly faints after complaining of dizziness and becomes unresponsive. Was given cpr and comes back in 60 seconds. ECG shows normal sinus rhythm, ventricular premature complexes, and a 3 mm ST segment elevation in leads V1-V3. What is the most likely primary pathophys mechanis for the syncope?
Reentrant ventricular arryhtmia. Guy had V-Fib.
Postbirth bleed after having to take the placenta in pieces, unresponsive to uterine massage or uterotonic medications, the uturus is firm.
Placenta Accreta
Prebirth bleeding, abdominal pain, fetal HR abnormalities
Placental Abruption
15 year old kid is in the hospital for elbyo pain and swelling. Hes had F8 deficiency and has been getting prophylactic F8 transusions since he was 11 months. His activated PTT is 112. The patients elbow has edema, tenderness, and limited ROM. What is the cause of the symptoms
Inhibitor development - develops in 25% of patients with severe hemophilia A as a complication of the treatment. The immune system makes antibodies against the infused factor,
So see a patient with increased bleeding frequency despite treatment.
in pellagra, what counts as the “dementia” in the three D’s
poor concentration, irritability, aggressiveness, and dementia.
What are the symptoms of Fanconi syndrome
Glucosuria, aminoaciduria, and phophaturia are present. –> cause of RTA2
in diabetic neuropathy, what is the difference between axonapathy of large fibers vs small fibers?
Small fiber injuyr shows positive symptoms = pain, aprasthesias.
Large fiber - negtive symptoms - numbness, loss of proprioception and vibration sense, and diminished ankle reflexes. Loss of POSITION sense (sway with eyes closed)
