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