Uworld Set 3 Flashcards Preview

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Flashcards in Uworld Set 3 Deck (51):
1

what are the 4 main causes of diarrhea in an HIV patient

cryptosporidium
mycobacterium avium complex
microsporidia
giardia

2

elevated ratio of alpha TSH subunit to beta suggests

pituitary adenoma

3

patient with known pituitary adenoma that has sudden acute headache visual field defects and decreased visual acuity

pituitary apoplexy

4

screening tool for ovarian mass in a postmenopausal patient

CA-125

5

why is needle aspiration of adnexal masses not recommended in postmenopausal patients

potential seeding of tumor cells

6

dilated gas filled loops of bowel with no transition point
nausea
vomiting
abdominal distension
failure to pass flatus or stool
hypoactive or absent bowel sounds

paralytic ileus

7

distended stomach with succession splash

gastric outlet obstruction

8

common obstruction sdecondary to abdominal surgery but can be seen in retroperitoneal abdominal hemorrhage or inflammation intestinal ischemia and electrolyte abnormalities

paralytic ileus

9

precocious puberty
cafe au lait spots
multiple bone defects

McCune Albright syndrome

10

protein affected in mcCune Albright syndrome

G-protein cAMP kinase

11

cafe au lait spots with regular borders
axillary and genital freckles

von recklinhausen syndrome (NF1)

12

gastrointestinal tract polyposis and mucocutaneous pigmentation

peutz jeghers syndrome

13

sporadic phakomatosis characterized by mental retardation seizures visual impairment and port wine stain over trigeminal nerve

sturge weber

14

T/F McCune albright syndrome is associated with hjypercortisolism

T

15

two bugs testable in acute lymphadenitis

staph and strep

16

drug of choice for acute lymphadenitis

clinda

17

acute bilateral lymphadenitis

adenovirus (other URI bugs)

18

subacute unilateral lymphadenitis

non-TB mycobacterium (MAC)

19

acute LAD in the setting of poor dentition and caries

prevotella sp

20

LOW CO and BP in the context of increased PCWP

cardiogenic shock

21

elevated SVR in combination with normal BP CO and PCWP

compensated shock

22

premature adrenarche pubarche severe cystic acne accelerated linear growth and advanced bone age

non classic CAH (21-hydroxylase deficiency)

23

gonadotropin dependent precocious puberty with unilaterally enlarged testicle

leydig cell tumor

24

marfans patient with acute onset chest pain radiating to the neck from anterior chest

aortic dissection (OR MI but in this patient population think dissection)

25

what is the murmur associated with marfans patient showing symptoms of aortic dissection

aortic regurgitation

26

upper limb defects such as deformities of the radius carpal bones and artial septal defect

Holt Oram syndrome

27

smooth circular areas of hair loss without scaling

alopecia areata

28

well demarcated inflammatory plaque scrring and alopecia

discoid lupus erythematosus

29

pressure induced alopecia can occur after

surgery

30

seborrheic dermatitis of the scalp is commonly referred to as

dandruff

31

two female specific carcinomas seen with lynch syndrome

ovarian and endometrial

32

clear cell renal carcinoma and pheochromocytoma are typically tested as a part of what syndromic cause

von hippel lindau

33

inheritance pattern of MEN disorders

autosomal dominant

34

normal A-a gradient

<15

35

patient with breast tenderness, ovarian mass and thickened endometrial strip on pelvic US with postmenopausal bleeding

likely source
next step

granulosa cell tumor
endometrial biopsy (need to rule out concurrent endometrial malignancy)

36

pulmonary issues 2 weeks following initiation of a new antiarrhythmic

amiodarone induced interstitial pneumonitis

37

aggressive behavior
virilization (male pattern baldness deepening voice clitoromegaly)
hypertension

exogenous steroid use (or CAH)

38

nodulocystic acne
obesity
enlarged ovaries on exam
signs of insulin resistance

PCOS

39

what happens to the following in tumor lysis syndrome:
uric acid
K
phos
Ca

+
+
+
-

40

why is the calcium low in tumor lysis syndrome

phosphate binds to the calcium

41

two treatments for tumor lysis syndrome

allopurinol
IV fluid

42

patient with SLE on prednisone with atraumatic hip pain with normal x ray findings

avascular necrosis of the femoral head

43

test of choice in a patient with suspected osteonecrosis of the hip

MRI

44

sudden vasomotor crash and skin hyperpigmentation in a young patient with disseminated meningococcal infection

waterhouse friedrickson syndrome

45

acute epidydymitis age <35

gonorrhea
chlamydial

46

acute epidydymitis age >35

e coli

47

fever malaise myalgias followed by parotitis

mumps

48

thrombocytopenia
renal damage
confusion/AMS
fever
MAHA

TTP (CLASSSSSIC pentad)

49

what is the treatment for TTP

plasmaphoresis

50

what is the crucial last step in dx of TTp

peripheral blood smear

51

eczema
regurgitation or vomiting
painless bloody stools in an infant

milk protein allergy