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Flashcards in Uworld Set 4 Deck (67):
1

glomerulonephritis showing erythrocyte casts proteinuria hypertension following sunburn with significantly low complement

SLE

2

what is the cause for CNS findings associated with SLE

vasculitis

3

fever rash eosinophilia with blood cell casts and eosinophiluria

drug induced interstitial nephritis

4

ear nose throat and pulmonary vasculitis

granulomatosis with polyangiitis

5

pruritus
fatigue
hepatomegaly
elevated serum bilirubin
positive antimitochondrial antibody

primary biliary cholangitis

6

three main testable complications of Primary biliary cholangitis

nutritional deficiency
hepatocellular carcinoma
osteomalacia

7

why is ascending cholangitis NOT associated with primary biliary chalangitis

it is an intrahepatic destruction of bile ducts not extrahepatic

8

what is the difference between primary biliary cholangitis and primary sclerosing cholangitis

PBC is only intrahepatic
PSC is both intra and extra
PSC is associated with inflammatory bowel disease and colonic cancer
PBC is associated with antimitochondrial antibodies and hepatocellular carcinoma

9

nausea and vomiting
pneumobilia
hyperactive bowel sounds
dilated loops of bowels

gallstone ileus

10

hypercapneic patients with poor mental status
hemodynamic instability
profound acidemia

intubation

11

how long should NPPV be trialed in acute exacerbation of COPD patients prior to intubation

2 hours

12

pertinent history for patients with absence seizures

prior febrile seizures
family history of seizure disorder

13

absence seizure patients are at increased risk for

ADHD

14

what tumors are seen in association with tuberous sclerosis

cardiac rhabdomyosarcoma
renal angiomyolipoma

15

intermittent muscle weakness triggered by strong emotions

cataplexy

16

optic gliomas associated with what disorder

neurofibromatosis type I

17

low B cell counts are a feature of

X linked bruton agammaglobulinemia

18

CGD patients would see recurrent infections with what two commonly tested bugs

staph aureus
aspergillus

19

lab values that are crucial in diagnosis of splenic sequestration in a sickle cell patient

normocytic anemia
high retic count
low hgb/hct
low platelets

20

reticulocyte count very low, platelets normal in a sickle cell patient following viral illness

parvovirus B19
sickle cell aplastic crisis

21

thymoma found in what part of the mediastinum

anterior

22

retrosternal thyroid teratoma and lymphoma

anterior mediastinum

23

all neurogenic tumors are located in what portion of the mediastinum

posterior

24

bronchogenic cysts are in what portion of the mediastinum

middle

25

thymoma associated with what disease

myasthenia gravis

26

treatment for stable ectopic pregnancy

methotrexate

27

what are the three most common secondary causes of digital clubbing

occult lung malignancy
CF
right to left shunting

28

megakaryocytes releasing PDGF and VEGF in the fingers can lead to

digital clubbing

29

digital clubbing in individuals with COPD should prompt a search for

occult malignancy

30

basal ganglia or putamenal hemorrhage usually 2/2

hypertension

31

what are the arteries that are implicated in hypertensive intraparenchymal bleeds AKA charcot bouchard aneurysms

lenitculostriate arteries

32

most common cause of spontaneous lobar/cortical hemorrhager (occipital, parietal)

cerebral amyloid angiopathy

33

MCC for intraparenchymal brain hemorrhage in children

AVM

34

MCC for subarachnoid hemorrhage in adults

berry aneurysm rupture

35

black box warning associated with propylthiouracil in treatment of hypertension

liver injury

36

most serious side effect of anti thyroid drugs

agranulocytosis

37

which treatment for hyperthyroidism can worsen ophthalmopathy seen in graves' disease

radioactive iodine therapy

38

injury to shoulder in which there is decreased passive and active motion

adhesive capsulitis

39

condition of thumb injury in new mothers that hold their babies outstretched with thumbs upright

de quervain tenosynovitis

40

pain with radial flexion of the wrist and point tenderness over the trapezium

flexor carpi radialis tenosynovitis

41

should be considered for patients with an MS who do not respond to corticosteroids

plasmapharesis

42

muscle relaxant used to calm spasms in MS

baclofen

43

merdication commonly tested that decreases recurrence of MS used in chronic maintenance therapy

interferon Beta

44

medial knee pain and focal tenderness without trauma

pes anserinus pain syndrome

45

valgus stress test illiciting pain indicates

medial collateral ligament

46

what is the mechanism by which shock occurs in severe acute pancreatitis

release of inflammatory markers by the pancreas leads to vasodilation and increased capillary permeability leading to massive fluid extravasation into the space surrounding the pancreas

47

inferior and posterior wall MI

artery most likely involved

right coroanry

48

most likely artery involved in inferior wall MI

RCA

49

what is the reason for heart block accompanying RCA MI

damage to the AV node

50

patients that are high risk for toxic megacolon

IBD

51

drugs preferred for IBD associated toxic megacolon

corticosteroids

52

toxic megacolon in HIV patient

CMV

53

if diagnosis of pancreatitis is still unclear after lab testing

CT

54

3 main situations in which ERCP can be utilized

biliary pancreatitis (can decrease morbidity and mortality)
chronic recurrent pancreatitis
draining pancreatic pseudocysts

55

medication used specifically for aspergillosis

voriconizole

56

treatment for a mother with HIV and viral load greater than 1000 at the time of delivery

c section and zidovudine

57

drug administered to baby for 6 weeks following birth to HIV mother

zidovudine

58

expansion of CGG repeats

fragile X

59

fragile X syndrome has aspects of what two disorders

ADHD
autism

60

aractnodactyly most commonly found in

marfans

61

common syndromic cause of gynecomastia in males

klinefelters

62

hemihyperplasia associated with

beckwith wiedemann

63

macroglossia
omphalocele
hypoerinsulinism

beckwith weidemann

64

obesity in the setting of intellectual disability in children

prader willi

65

thin vermillion border
palpable fissures
thin philtrum

fetal alcohol syndrome

66

stroke in a kid

SCD

67

confirmation of stroke in a kid with SCD

MRI