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Step 2 CK > Uworld Set 4 > Flashcards

Uworld Set 4 Flashcards

1
Q

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

A

SLE

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2
Q

what is the cause for CNS findings associated with SLE

A

vasculitis

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3
Q

fever rash eosinophilia with blood cell casts and eosinophiluria

A

drug induced interstitial nephritis

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4
Q

ear nose throat and pulmonary vasculitis

A

granulomatosis with polyangiitis

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5
Q 
pruritus
fatigue
hepatomegaly
elevated serum bilirubin
positive antimitochondrial antibody
A

primary biliary cholangitis

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6
Q

three main testable complications of Primary biliary cholangitis

A

nutritional deficiency
hepatocellular carcinoma
osteomalacia

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7
Q

why is ascending cholangitis NOT associated with primary biliary chalangitis

A

it is an intrahepatic destruction of bile ducts not extrahepatic

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8
Q

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

A

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

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9
Q

nausea and vomiting
pneumobilia
hyperactive bowel sounds
dilated loops of bowels

A

gallstone ileus

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10
Q

hypercapneic patients with poor mental status
hemodynamic instability
profound acidemia

A

intubation

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11
Q

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

A

2 hours

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12
Q

pertinent history for patients with absence seizures

A

prior febrile seizures

family history of seizure disorder

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13
Q

absence seizure patients are at increased risk for

A

ADHD

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14
Q

what tumors are seen in association with tuberous sclerosis

A

cardiac rhabdomyosarcoma

renal angiomyolipoma

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15
Q

intermittent muscle weakness triggered by strong emotions

A

cataplexy

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16
Q

optic gliomas associated with what disorder

A

neurofibromatosis type I

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17
Q

low B cell counts are a feature of

A

X linked bruton agammaglobulinemia

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18
Q

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

A

staph aureus

aspergillus

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19
Q

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

A

normocytic anemia
high retic count
low hgb/hct
low platelets

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20
Q

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

A

parvovirus B19

sickle cell aplastic crisis

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21
Q

thymoma found in what part of the mediastinum

A

anterior

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22
Q

retrosternal thyroid teratoma and lymphoma

A

anterior mediastinum

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23
Q

all neurogenic tumors are located in what portion of the mediastinum

A

posterior

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24
Q

bronchogenic cysts are in what portion of the mediastinum

A

middle

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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

Step 2 CK (10 decks)

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