UWorld Practice Test Section 1a Flashcards Preview

STEP II > UWorld Practice Test Section 1a > Flashcards

Flashcards in UWorld Practice Test Section 1a Deck (19):
1

What is usually the first step in the case of protracted labor?

amniotomy
(oxytocin if membranes already ruptured)

2

What are 3 possible causes of an exudative pleural effusion w/ a high amylase level?

pancreatititis, esophageal rupture, and malignancy

3

What are the states of protein, glucose, and WBCs in a pleural effusion d/t TB?

protein very high (>4g/dL), glucose slightly below serum lvl, lymphocytic predominance

4

In HIV pts, t what CD4 count should anti-retroviral Tx be started?

<350/μL

5

What kind of IV Abx may be given for spontaneous bacterial peritonitis?

3rd gen cephalosporin, fluoroquinolone, or extended-spectrum penicillin (e.g. amoxicillin/clavulanic acid)

6

What lab finding would differentiate porphyria cutanea tarda from bullous pemphigoid?

elevated LFTs

7

What are the most common intracranial tumors in adults?

metastases

8

What are the most common PRIMARY CNS lesions in adults?

Gliomas

9

What condition is St. John's wort used to treat?

mild depression

10

Symmetric proximal muscle weakness in an elderly person combined with elevated muscle enzymes, such as LDH and CPK.

Polymyositis

11

What is the mech of hypotension in tension pneumothorax?

hi intrathoracic pressure impedes venous return

12

What does "complex" refer to w/ regard to a seizure?

loss of consciousness

13

What does "partial" refer to w/ regard to a seizure?

focal

14

What is the tx for a stable pt w/ wide-complex tachycardia?

Amiodarone or Sotalol

15

What is the tx for a stable pt w/ narrow-complex tachycardia?

Vagal maneuvers,
Adenosine,
β-blockers or Ca++ channel blockers

16

Shiny, thin, hairless skin on the extremitiesand non-healing ulcers suggest what?

peripheral vascular disease

17

Severe, symptomatic hypercalcemiais usu. caused by what?

malignancy

18

What medication may be used as an alternative to cholecystectomy or as prophylaxis for gallstone formation following gastric bypass surgery?

ursodeoxycholic acid

19

What are the 2 most common causes of glomerular hematuria following upper respi inf?

PSGN and IgA nephropathy