UWorld 9/25/14 Flashcards Preview

Intern Year > UWorld 9/25/14 > Flashcards

Flashcards in UWorld 9/25/14 Deck (18):
1

What is the single-item alcohol abuse screen that should be used before CAGE?

"How many times in the past year have you had >/= 5 drinks (4 for women) in the last year?"

2

What does CAGE stand for?

Cut-down (ever tried?)
Annoyed by ppl criticizing your drinking
Guilty
Eye-opener (to calm nerves)

3

What are the two main causes of hypocalcemia following parathyroidectomy?

relative hypoparathyroidism and hungry bone syndrome

4

Briefly describe relative hypoparathyroidism following parathyroidectomy.

Normal parathyroid tissue that remains is suppressed temporarily from prolonged hypercalcemia.

5

Briefly describe hungry bone syndrome.

Large influx of calcium to bones depletes serum Ca++.

6

Which sickle cell patients should take hydroxyurea?

those w/ recurrent vaso-occlusive crises

7

what is the drug of choice for prevention of cluster headaches?

verapimil

8

What is the drug of choice for abortion of cluster headaches?

Sumatriptan

9

Acute mgmt of cluster headaches begins with _______.

100% oxygen inhalation

10

Which cause of brain lesions in AIDS pts appears on MRI as non-enhancing demyelinating lesions without mass effect?

progressive multifocal leukoencephalopathy (PML -- JC virus)

11

Which is the most common bacterial pathogen in necrotizing fasciiitis?

Group A Strep (S. pyogenes)

12

What is the appropriate empriric antibiotic treatment for necrotizing fasciitis (שלושה דברים)?

1. Zosyn or a carbapenem (GAS & anaerobes)
2. Vanc (MRSA)
3. Clindamycin (inhibit strep/staph toxins)

13

What is an effect on thyroid function shared by amid atone and propranolol?

Decreased conversion of T4 to T3.

14

What is an easy and inexpensive test that can be performed on a or suspected of diabetic neuropathy?

Tuning fork test (vibratory sense)

15

What class of drug is Duloxetine?

SNRI

16

What are the first line drugs for the treatment of the pain of diabetic neuropathy (other than for glycemic control)?

Duloxetine, pregabalin, and TCAs

17

Screening test for primary hyperaldosteronism (Conn's syndrome)

Aldosterone to renin activity ratio

18

Patients with untreated acromegaly have increased mortality, mainly due to _______.

Cardiovascular disease