Uworld Set 4 Flashcards Preview

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Flashcards in Uworld Set 4 Deck (53):
1

days that atalectasis is common postop

2-5d

2

most common organism in spinal epidural abscess

staph aureus

3

what is the cancer risk with pernicious anemia

gastric carcinoma

4

initial study of choice in patients with a type A aortic dissection that are hemodynamically stable with no renal involvement

CT angiography

5

study of choice in patients with a type A aortic dissection that hemodynamically unstable or have renal involvement

TTE

6

what contraceptives should be avoided in patients with breast cancer

hormone containing (prog or estrog, can proliferate breast tissue)

7

A baby that remains in transverse or breech lie at 37

ECV

8

type of C section that is a contraindication to TOL

classic (vertical) C section

9

4 major causes of cirrhosis in the USA

viral (B and C (C is more))
chronic etoh
nonalc fatty liver disease
hemochromatosis

10

patients with difficulty adhering to dietary restrictions with warfarin and difficulty with INR monitoring post DVT who represent with a DVT

direct Xa inhibitors (riviroxaban, apixaban etc)

11

thrombolytic therapy reserved for what setting in DVT

massive PE with hemodynamic instability

12

3 demographics that are at increased risk for legionella pneumophila

chronic lung disease
smokers
immunosuppresed

13

child
abdominla pain
fatigue
decreased urination

following blood diarrheal illness

HUS

14

classic triad of HUS

MAHA
thrombocytopenia
kidney injury

15

MAHA thrombocytopenia and increased PT
consistent with

DIC

16

direct coombs testing is positive if the patients have what etiology for anemia

autoimmune destruction

17

following the histologic confirmation of adenocarcinoma of the stomach what is the next best step in management

CT scan for evaluation of the extent of disease

18

removal of H pylori is curative for patients with what gastric carcinoma

MALToma

19

the purpose of hepatic uridine diphosphogluconurate flucuronosyltransferase

conjugated bilirubin

20

T/F Asian infants have even further decreased levels of UGT compared to other babies

T

21

conjugated bili greater than 2 in an infant
c/w

biliary atresia

22

at what age does the anemia of beta thalessemia and jaundice begin to appear

after 6 months
until that time infants still have fetal Hgb

23

gold standard for rapidly rising hyperbilirubinemia to prevent kernicterus

phototherapy

24

what is a very common procedural cause for polycythemia in newborns

delayed cord clamping resulting in excess blood transferred to the fetus from the placental

25

asymptomatic polycythemia infants treatment

fluids

26

symptomatic polycythemia infants treatment

partial exchange transfusion (blood is replaced by NS)

27

increased pulmonary vascular markings or fluid in the fissurs on CXR in an infant with resp distress

TTN

28

ABX of choice for bacillary angiomatosis

erythromycin

29

two medications that are used to decrease serum ammonia in patients with hepatic encephalopathy

lactulose and rifaximin

30

Drugs such as sedatives narcotics
hypovolemia
electrolyte changes (hypokalemia)
increase nitrogen load (bleeding)
infection
TIPS

increase the risk for

hepatic encephalopathy

31

what sort of diet should TIPS patients be put on

low protein (decrease nitrogen load)`

32

when is neomycin used in HE

if lactulose doesnt work and cannot tolerate rifaximin

33

ascites not responsive to medical therapy or variceal bleeding non-responsive to endoscopic therapy

TIPS

34

weight increase and height increase by 12 months

triple weight and 50% increase in height

35

hypogonadism
impaired wound healing
impaired taste
immune dysfucntion
alopecia
rash

Zinc

36

fragile hair skin depigmentation
neurologic dysfunction
sideroblastic anemia

copper

37

soft
irregular
increases with standing
increases with valsalva
tortuous bad in the scrotum

varicocele (pampiniform plexus)

38

why are varicoceles more common on the left side

drains to the left renal vein which passes under the SMA and can be compressed

39

how can varicocele and spermatocele be differentiated

spermatocele is a cyst that will not increase in size with standing or valsalva

40

viral infection inhalation and associated with rheumatologic disease
presents with wheezing
proliferative narrowing of medium and small bronchioles

bronchiolitis obliterans

41

T/F diffuse cutanous SS more commonly involves internal organs

T

42

anti scl 70
anti RNA polymerase III antibodies

diffuse cutaneous SS

43

development of empyema following lung surgery with air on CXR

bronchopleural fistula

44

prolonged QRS >100msec in TCA overdose

sodium bicarb

45

seizures caused by TCAs should be treated with

benzodiazepines

46

utility of small bowel follow through in obstructed patient

stable that does not respond to initial conservative management

47

severe pain in cancer patient

short acting opiate

48

mild to mod pain in cancer patient

non-opiod

49

topical capsaicin is useful for

mild neuropathic pain (postherpic for ex)

50

surgery for myasthenia gravis

thymectomy

51

patient with MS given pyridostigmine that doesnt respond

immunosuppressants
corticosteroids
mycoohenolate mofetil
azathioprine

52

two Musc agonists for glaucoma

pilocarpine
carbachol

53

indication for IVIG and plasmapharesis for MS

MS crisis