UWorld Flashcards
(27 cards)
Diagnosis and Treatment of infant with:
- History of conjuctivitis
- Persistent cough: series of short dry coughs
- after nasal congestion for multiple weeks,
- rales, and hyperinflation on CXR
Chlamydial pneumonia, spread by vaginal contact during delivery
Treat with 14 days of oral erythromycin (watch out for pyloric stenosis)
Diagnosis with:
- Narrow complex tachycardia
- VFib after treatment with adenosine
- Delta waves
WPW
Adenosine is correct treatment, but sometimes causes VFib
Does a retroverted uterus cause increased risk of abortion
No
Laboratory findings in Exogenous hyperthyroidism (taking thyroid hormone)
Low TSH, high T4, Low radioiodine uptake, low thyroglobulin (measure of thyroid inflammation)
Type of bias that occurs when using a gold standard selectively to confirm a positive or negative test and result.
Verification bias which causes overestimates of sensitivity
Cause of renal failure in patient with chronic back pain and kidney stone with WBC casts and elevated BUN/Cr
Analgesic nephropathy (WBC casts). Unilateral kidney stone does not cause elevated BUN/Cr
Diagnosis and what to test for in patient with new onset erythematous plaque with greasy scales an dandruff
Seborrheic dermatitis, need to test for HIV
Extraarticular management of Ankylosing Spondylitis
Acute anterior uveitis, aortic regurg, apical pulmonary fibrosis, IgA nephropathy and restrictive lung disease
Treatment for person with erythema nodosum and CXR with bilateral hilar fullness but normal lungs
Nothing, asymptomatic pulmonary sarcoid have a high rate of spontaneous remission, just needs follow up
Complication which needs to be screened for in patients with Primary Biliary Cirrhosis
Osteoporosis
Mechanism to initial approach of symptoms management in Acute decompensated CHF
Lower preload with diuretics and/or vasodilators (nitro), but do not give vasodilator with signs of shock
Antibiotics for mamallian bites and what it is covering
Amox/Clav because it covers oral flora (including eikenella)
Treatment for photoaging (rough, wrinkles, hyperpigmented facial skin)
Tretinoin
Management of goiter causing compression symptoms
Surgery, iodine ablation may make it larger
Antibiotic associated with infantil pyloric stenosis
Macrolides (esp erythromycin)
Treatment of toxic megacolon
Test for Cdiff (treat if positive) and try medical management with steroids. Avoif ASA compounds and opioids.
Diet for acute stroke patients
NPO, especially with dysarthria, until bedside swallow eval can be performed
Dose of heparin to give ischemic stroke patients and why
Low dose to prevent DVTs, full dose can cause hemorrhagic transformation
Blood pressure parameters for stroke patients
220/120 for non-thrombolytic patients
185/105 for thyombolysis patients
Medications to discontinue prior to surgery
Estrogens (including SERMS) increase risk of VTE
ACE inhibitors for non-CHF patients
Diuretics hold the morning of
Antibiotics for endometritis
Clinda and gent (metronidazole is contraindicated in breast feeding moms)
Steps to stop epistaxis
- Nostril pinching
- topical vasoconstrictor
- Cauterization/nassal packing
- Surgery
Evaluation of breast mass by age
<30 - ultrasound, if something concerning, will get mammogram
>30 mammogram +/- ultrasound
Presentation and treatment of alopecia areata
Smooth distinct area of hair loss
treat with intralesional or topical corticosteroids
