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Flashcards in UWorld Questions Deck (75):
1

Elevated capillary wedge pressure and right atrial pressure

left sided HF leading to right sided HF

2

Membranoproliferative glomerulonephritis etiology

C3 deposition (type II is dense deposit disease
caused by persistent activation of alternative pathway

3

Valley fever cause

coccidiomycosis
pneumonia, erythema nodosum/multiforme, arthralgias

4

Wenebach is which type of heart block

Mobitz type I

5

Mobitz II is due to defect where

his-purkinje

6

Mobitz I due to defect where

AV node

7

Tx acetaminophen overdose

activated charcoal within 4 hr
acetaminophen level

8

Systemic sclerosis antibodies

anti-topo I

9

Tx of actinomyces

PCN

10

Pulmonary wedge pressure approximates what

LA pressure (useful in assessing volume overload)

11

Bullous pemphigoid etiology

hemidesmosomes
tense blisters

12

Tumor lysis syndrome lytes

hyperkalemia
hyperphosphatemia
hypocalcemia (phos binds it and precipitates it out)

13

Progressive multifocal leukoencephalopathy etiology

JC virus

14

Tx narrow complex tachycardia and unstable

synchronized cardioversion
(shocks at QRS)

15

Tetanus toxin mechanism

blocks glycine release
(no inhibition possible)

16

Common variable immunodeficiency

severely decreased IgG
low IgM and IgA
very susceptible to many infections

17

PPx in renal transplant pts

TMP-SMX for 6-12 mo

18

Tx of legionella infection

levofloxicin

19

Sx of legionella infection

pneumonia
GI upset
neuro sx
hyponatremia

20

Renal stones
when to use HCTZ
when to use potassium citrate

HCTZ: calcium stones (reduces Ca2+ excretion)
K citrate: uric acid stones, alkalinizes urine

21

Afib ectopic origin

pulmonary veins

22

Aflutter ectopic origin

tricuspid valve

23

Transudate vs exudate in pleural effusion

pleural/serum of protein and LDH
<0.5 is transudate
>0.5 is exudate

24

COPD survival: stop smoking and

long term oxygen therapy
(if patient qualifies)

25

How to prevent flushing due to niacin

aspirin!
caused by prostaglandin release

26

Haptoglobin in hemolysis

decreased!
it binds the free hgb

27

Necrotizing otitis externa tx

cipro
due to pseudomonas

28

Tox of epo

HTN

29

Superficial thrombophlebitis what to look for

pancreatic cancer

30

When can you no longer give live vaccines in HIV?

<200

31

When to do something about a positive tuberculin skin test

>5 high risk
>10 mod risk
>15 everyone

32

How does adenosine work in stress test

vasodilator

33

Which OH does kidney add to vit D

1

34

Transcutaneous pacing used when

symptomatic bradycardia

35

Bronchiectasis etiology

recurrent infections

36

Dx bronchiectasis

HRCT
bronchial wall thickening

37

Niacin used to

decrease triglyceride

38

Poison ivy allergic or irrtant

allergic (type IV hypersensitivity)

39

Management of narrow complex tachycardia

adenosine

40

Neoadjuct therapy given when

before standard therapy
(radiation before surgery)

41

Calcium oxalate crystals are associated with

ethylene glycol poisoning
(fomepazil-inhibits alcohol dehydrogenase, sodium bicarb-fixes acidosis, dialysis for severe)

42

Paroxysmal tachycardia in young person due to

AVNRT
vagal maneuvers result in slower AV conduction

43

Trimethoprim tox

hyperkalemia
(acts like K-sparing diuretic)

44

Pulmonary miliary TB

reticuloendothelial lacing
may also affect liver

45

Akylosing spondylosis sx

pain at multiple joints

46

B12 deficiency due to terminal ileum damage or

gastrectomy (due to loss of IF)

47

Adhesive capsulitis definition

decrease >50% of passive and active ROM

48

Echinococcus granulosus is carried by

dogs
(human liver cysts)

49

Hydroxychloroquine tox

retinopathy

50

Tx of 1˚ biliary cirrhosis

ursodeoxycholic acid

51

Abx for human bite wound

augmentin

52

What precipitates pseudo gout

hyperparathyroidism

53

Anesthetic hypopigmented lesions caused by

LEPROSY

54

Sx HCV

arthralgias, renal failure (both due to cryo), also low C4 levels

55

Anticoagulation in CKD

unfractionated heparin
then transition to warfarin

56

Hypertrophic osteoarthropathy is associated with

lung malignancy

57

Red vascular lesions on the abdomen

cherry angiomas

58

When do strawberry hemangiomas occur

infancy

59

High aldo effect on bicarb

increases bicarb

60

Is there blasts in MN

YES IT'S BLASTO

61

Lambert-Eaton syndrome Ab against

pre-synaptic calcium channels

62

Dermatomyositis/polymyosisitis weakness

proximal

63

ITP can cause platelets to go how low

SUPER low

64

Drugs that cause priapism

trazadone
prazosin

65

Obesity hypoventilation syndrome

hypercapnia --> acidosis
bicarb retention to compensate
decreased Cl to balance

66

Lynch syndrome cancers

colon
endometrial
ovarian

67

Cyclophosphamide toxicity

bladder carcinoma, hemorrhagic cystitis with prolonged use

68

When do diabetics start statin therapy

age 40

69

Vit D deficiency effect on PTH, Ca, and Phos

high PTH
low Ca and Phos

70

SCC/BCC affect which lip

SCC: lower
BCC: upper

71

Bx site for amyloid

abdominal fat pad

72

Sx of babesiosis

systemic sx + hemolysis
dx on blood smear

73

Tx nocardia

TMP-SMX

74

When to use IVC filters

when anticoagulation is contraindicated

75

Nitro toxicity

cyanide poisoning