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Flashcards in UWorld Random facts Deck (22):
1

Tendency of study subjects to change their behavior as a result of their awareness that they are being studied

Hawthorne effect

2

The fact that the a researcher's beliefs in the efficacy of treatment can potentially change the outcome

Pygmalion effect

3

Why does a TCA overdose cause arrhythmias and how do you treat it?

Blockage of fast cardiac sodium channels, can see prolonged QRS, treat with sodium bicarbonate (increases serum pH, which favors the non-ioned form of the drug, making it less accessible to bind to sodium channels)

4

MOA of cyanide toxicity

Cyanide is a potent mitochondrial toxin that binds to Fe3+ in cytochrome oxidase, inhibiting the electron transport chain and halting aerobic respiration in the cell

5

Presentation of cyanide toxicity

Altered mental status, seizures, cardiovascular collapse, lactic acidosis, and bright red venous blood

6

Sx of phenylketonuria even with tyrosine supplementation

Deficiency of dihydrobiopterin reductase

7

Most common pathologic cause of unilateral fetal hydronephrosis is

A narrowing or kinking of the proximal ureter at the ureteropelvic junction

8

What does the internal laryngeal nerve do?

(CN X) Contains only sensory and autonomic fibers, mediated the affect limb of the cough reflex by carrying sensation from the mucosa superior to the vocal cords

9

Causes of pulsus paradoxus

Pericardial effusion, constrictive pericarditis, asthma/COPD exacerbation

10

When would you not want to use probenecid?

In a patient with bad renal function. It should not be used in patients at risk for nephrolithiasis or uric acid nephropathy

11

MOA of rasburicase

A recombinant version of urate oxidase that catalyzes the conversion of uric acid to alienation, which is 5-10 times more soluble than uric acid

12

Non-surgical tx for gallstone

Bile acid supplementation (e.g., ursodeoxycholic acid)

13

What prevents the hematogenous spread of candida?

Neutrophils

14

MOA of enfuvirtide

Interacts with the p41 antigen on HIV-1 and prevents p41-mediated membrane fusion between the vision and host cells

15

Respiratory changes seen in ARDS

Ventilation-perfusion mismatch (causes right-to-left shunting and hypoxemia) and increased physiologic dead space (leads to decreased alveolar ventilation and hypercapnia)

16

Major adverse effect of amphotericin B

Nephrotoxicity

17

MOA of imiquimod

Imidazoquinolone nucleoside analog that acts as an agonist of TLR 7 and 8 and leads to activation of NF-kB. Used as an immunomodulator in the tx of genital or perianal warts/condyloma acuminata and actinic keratosis

18

Best indicator of severity on auscultation of mitral stenosis

Length of time between S2 and the opening snap

19

What factors keep a drug in the plasma compartment?

Large molecular weight, extensively bound to plasma proteins, or is highly charged

20

Lab values in primary hyperaldosteronism

Normal sodium (b/c of aldosterone escape), low potassium, high bicarb

21

Smooth muscle cell antibodies

Autoimmune hepatitis

22

The essential pathogenic mechanism for Shigella infection

Mucosal invasion (invades particularly through the M cells)