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Flashcards in UWORLD Deck (72):
1

intial treatment for SIADH

fluid restriction

2

ischemi hepatic injury

in a setting of hypotension and hemorragic shock
BRUTAL INCREASE IN TRANSAMINASES

3

msot common casue of infertility in women in the fourth decade of life , and still have menstrual period

decrease in ovarian reserve

4

shoulder damage in trauma , what does it means?

chemical peritonitis, (blood , urine, pancreatic enzimes)

5

acute diskinesia treatmen

anticholinergic(benztropin) or antihistaminics(diphenhydramine)

6

causes of intosuception in younger and older boys

young= peyer partches
older= mercket diverticulum

7

first consideration in miopathy( unexplained elevation in CPK )

hypothyrodism or hyperthyrodisim

8

PCP treatment and dexametazone indication

TMP-SMX
O2 When PaO235

9

msot reliable predictic sign of opiod intoxication

decrease in respiratory rate

10

complications of primary billiary cholangitis

metabolic bone disease,malabsorption,hepatobiliary malignancy

11

leading cause of cerebral palsy

prematuriry

12

weight loss
behavioral changes
erythema of de nasal turbines

cocaine abuse

13

O2 indication in patients with COPD

PaO255%) and PH can be started at PaO2

14

second generation antypsychotids

risperidone
olanzapine
quetiapine
clozapine
aripriprazole
ziprazidone
paliperidone

15

msot common cause of urinary retention in elderly man

BPH

16

neonate with
-hopnatremia/hypernatremia
-poor feeding
-irritability or letargy
-jaundice

DX and Tx

SEPSIS
Rx: ampi and genta

17

Crying infant arching of the back during or after feeding

sandifer Sx( GERD)

18

elevated pulmonary pressure
elevated righ atrial pressure
normla capillary wedge pressure

PE

19

asymptomatic elevation of AKP in elderly patient

paget disease of the bone

20

total loss of motor function below the lession and bilateral lost of pain and temperature uppon burst fracture of a vertebre

anterior cord Sx

21

burning pain and paralysis of upper paralysis with relative sparing of lower extremitis uppon hyperxtension lession

central cord SX

22

Tx for brain mets
solitaty:
multiple:

solitary: Cx
multiple:radiation of the head

23

fever
leukocytosis
left upper cuadrant pain

splenic abscess most commonly associated with endocarditys (S.aureus)

24

first line treatment for idiopathyc intracraneal hypertension

acetazolamide +/- fusosemide

25

digitais most common arrythmia

atrial tachycardia with AV block

26

breastfeeding failure jaundice

jaundice, dehydratation,

27

nephrotic syndrome in afro and latinos

focal segmental
HIV and obesity related

28

nephrotic syndrome in white patinets

membranous
Hep B retaled

29

acute onset back pain and shock symtomps

rupture of a AAA

30

mewtabolic acidosis
abdominal pain
hematemesis

iron overdose

31

Acalculous cholecistitis

in severe ill patients with cholestasis

32

look for Hep C in..

patients tranfused before 1992

33

multiple system atrophy(shy-Drager syndrome)

-parkinsonism
-autonomi dysfunction
-widespred neurologycal sign

34

Riley-Day syndrome(familiar disautonomia)
autosomic ressesive

gross disfunction of autonomic nervious system ande severe orthostatic hypotention.

35

chron disease antibodies

ASCA

36

fanconis anemia

aplasic anemia
abnormla thumbs
hypogonadism
hypo/hyperpigmentation

37

most common cause of sepsis in sickle cell anemia

S.pneumonie

38

Patient with down syndrome and UPN synptoms

atlantoaxial instability

39

mini mental value sugestive of dementia

less than 24

40

CURB 65

confusion
Uremia(BUN >30)
RR(>30 or pO2 less than 60, ph65
0-1 points:HOME
2 or more:admission

41

O2 indication for pt with PCP

pO2

42

ph

suggest empyema(need chest tube)

43

HAP(24 h after admission or after 90 hospitalization in the last 90 days) tx

cover for gram negative bacili
-cefepime or ceftazidime
-piperacillin
-imipenem,meropenem, or doripenem

44

Ventilator associated pneumonia RX

1-.antpseudomol
-cefepime or ceftazidime
-piper
-imipenem,meropenem,doripene,m
PLUS
2-.secodun antipseudomnola
-aminoglucposide or fluroquinolone
PLUS
3-.methicillin-resistant antistaphylococcal agent
-vanco or linezolid

45

lung abscess Rx

clindamycin or penicillin

46

PCP first,second and third line treatment

1-.TMP/SMX
2-.clinda and primaquine
3-.pentamidine

47

HS pupura biopsy finding

leukocytoclastic vasculitis

48

distributive shock causes(VASODILATION) warm extremities

-sespsis
-anaphylaxis
-adrenal insufficiency
-drugs reaction
-CNS injury

49

carpal tunnel syndrome, substance acumulation and associations

-RA
-Hypothyroidism
-Pregnancy

-RA(tenosynovial inframation)
-Hypothyroidism(matrix susbstances like mucin or mucopolysaccharides)
-Pregnancy(fluid acumulation)

50

unique cloranphenicol indication

H-flu meningitis in scholars.

51

acute hep C treatmetn

interferon,ribavirin and boceprevir or telaprevir

52

hypertention,hyperglycemia and wieght gain(obesity)

cushing syndrome

53

only antipsychotic in pregnancy

Lurasidone

54

fanconis anemia

pancitopenia + NO thumbs,horseshoe kidene

55

pure red cell aplasia with three falanges thumb

Diamont-Blackfan anemia

56

infection of submandibular and sublingual glands

ludwings angina
-most common cause of death Aphixia

57

alcohol liver dease

AST/ALT>2
trasminases elevated but

58

seminoma

NO AFP elevation

59

chronic diarrhea
hypokalemia
hypocloremia
mass on pancreas

VIPOMA

60

specific therapy for angioedema

ecallantide

61

steroid indication in PCP

PO2 less than 70
A-a gradient above than 35

62

epididimitis treatment

antibiotics and testicular elvation

63

most common cause of early functional deterioration in liver transplan

technical problems
do a biliary ultrasound and doppler of the vascular anastomosed vessels

64

testicular tumor with elevetad AFP

-yolk sac(looks like glomeruli)
-embrional carcinoma(higly indiferenciated)

65

testicular tumor with elevated ALP

seminoma

66

testicular tumor with elevated B-hCg

-choriocarcinoma
-teratoma

67

follicular carcinoma of teh thyroid treatment

-total thyroidectomy + postoperative radioactive iodine

68

drowning treatmetn

ABC, oxigen, intubation (if needed) and CPAP

69

treatment of choice for patients with amiodarone-induced hypothyroidism

levothyroidism supplementatio

70

best initial therapy for CLL

fludarabine ( on stage II,III and IV)
stage (0 and 1) DO NOT TREAT

71

most common infection causing stevens-johnson syndrome

mycoplasma Pneumoniae

72

next step in a patient with raynaud phenomenon

Nail-fold microspcopy
if enlarged,distorted or paucity of capillary loops,ITS A SECONDARY CAUSE, most commonly mixed connective tissue disorder