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Flashcards in Uworld set 5 Deck (71):
1

definition of exudative effusion based on pleurocentesis analysis

protein (p)/protein (s) >0.5
LDH (p)/ LDH(s) >0.6

2

two testable main connective tissue diseases that can lead to pericarditis

rheumatoid arthritis and SLE

3

pericarditis with BUN >60

uremia

4

part of pericarditis examination that would be expected to be normal in uremic pericarditis

ecg would be normal

5

treatment for uremic pericarditis

hemodialysis

6

two medication types that are testable as first line therapy for viral or idiopathic pericarditis

NSAIDs or colchicine

7

testable lab findings for children with juvenile rheumatoid arthritis
inflammatory markers
ferritin
gammaglobulins
PLT
Hgb

increase
increase
increase
increase
decrease

8

four evidence based options in the treatment of bipolar I

lithium or valproate plus one of:
quetiapine
lamotrigine

9

what is the problem with carbemazepine in bipolar

it is a cyp450 activator, can activate its own degradation

10

3 most common causes for cough lasting greater than 8 weeks

postnasal drip
asthma
GERD

11

substance that accumulates in treatment with ACE to cause cough

bradykinin

12

what is the long term risk with lichen sclerosis

SCC

13

immediate management for lichen sclerosis

punch Bx for SCC
topical corticosteroids

14

vulvovaginal atrophy will lack what characteristics of lichen sclerosis

white plaques and anogenital involvement

15

steroid used in the treatment of lichen sclerosis

clobetasol

16

elevated serum calcitonin tests signifies what thyroid malignancy

medullary thyroid carcinoma

17

catch up vaccination for HPV until age

26

18

pap testing begins at what age

21

19

dry mouth
dysphagia
dental caries

sjogrens

20

dental caries plus variable transient enlargement of salivary glands

bulimia

21

recommended PPX for all contacts with pertussis

macrolide ABX

22

urine copper
serum copper
ceruloplasmin levels

used to R/o what liver disease

wilsons

23

serum iron and ferritin levels used to rule out what liver disease

hemochromatosis

24

midfacial hypoplasia
microcephaly
cleft lip and palate
digital hypoplasia
hgirsutism
developmental delay

fetal hyndantoin syndrome

25

interstitial keratitis
hutchinson teeth
saddle nose
saber shins
deafness
central nervous system involvement

syphillis

26

this recreational drug has increased risk of placental abruptions

cocaine

27

eosinophilia
blue toe livedo reticularis
acute / subacute kidney injury
preceeded by cardiac catheterization

cholesterol emboli syndrome

28

reticular erythematousx or purple discoloartion of the skin that blanches when pressure is applied

livedo reticularis

29

shoulder pain
ipsilateral ptosis and miosis
significant smoking history

superior pulmonaryh sulcus tumor
AKA pancoast tumor

30

edrophonium testing used for

MG

31

Tumor necrosis factor inhibitors are a testable medication used in what disease if it is refvractory to normal therapy

rheumatoid arthritis

32

abdominal pain and hematemsis
hypovolemic shock
metabolic acidosis
cool extremities
radiopaque pill in bowels

iron poisoning

33

used in TCA and ASA overdose

sodium bicarbonate

34

used in patients suffering torsades des pointes induced by prolonged QT interval

magnesium

35

most dialyzable toxin

lithium

36

used for moderate to severe lead intoxication

calcium EDTA

37

irritability
poor appetite
headaches
abdominal pain
anemia

in a child

lead poisoning

38

cardioprotective in cases of hyperkalemia

calcium gluconate

39

chelating agent in mild to moderate lead poisoning

oral succimer

40

used in cases of acetaminophen intoxication

N acetylcysteine

41

women get mammograms until what age

75

42

interval commonly recommended for cholesterol screening in normal individuals

5 years

43

hemodynamically stable patients with a positive FAST

abdominal CT

44

age of onset >65
monoarticular arthritis
chondrocalcinosis

CPPD (calcium pyrophosphate dihydrate) arthritis

45

T/F tibotalar joint is not involved in plantar fasciitis

T

46

initial treatment in PSVT

adenosine or carotid message

47

lidocaine can be used in the treatment of what arrhythmia

ventricular

48

child with new onset migraine headache first line
if refractory?

NSAIDs
triptans

49

presence of a soft and single second heart sounds suggestive of

aortic stensosis

50

hopw does the peak of the systolic murmur of AS relate to severity

early peak, less severe
late peak, more severe

51

arrhythmia most commonly responsible for sudden cardiac arrest in the setting of acute MI

vfib

52

predominant mechanism responsible for ventricular arrhythmias in the immediate post infarction period

reentry

53

monomorphic papules or pustules
lack of somedones cysts or nodules
location and age of onset atypical

taking drugs

drug induced acne, glucocorticoids commonly the culprit

54

occupational exposure to the pollutant dioxin can cause

chloracne

55

levels of electrolytes in adrenal insufficiency

hyperkalemia
hyponatermia

56

what are the three medications now used for chemoprophylaxis for malaria for travelers to endemic countries

atovaquone-progaunil
mefloquine
doxycycline

57

medication in malaria treatment that begins more than 2 weeks prior to travel continues during the stay and for four weeks after return

mefloquine

58

fever and acute monoarticular arthritis

synovial fluid analysis

59

loss of joint space
osteophyte formation
subchrondral sclerosis

osteoarthritis

60

burning pain and paresthesia at the lateral thigh
what nerve

lateral cutaneous femoral (meralgia paresthetica)

61

pain localized to the lateral high and worse with direct pressure

lateral trochanteric bursitis

62

history of uterine procedures or infection with scarring of the uterine cavity

asherman syndrome

63

diagnostic workup for ashermann syndrome

hysteroscopy and hormonal therapy (to test for uterine growth)

64

menopause before age 40 with elevated FSH and low estradiol

premature ovarian insufficiency (hypergonadotropic hypogonadism)

65

best test for a suspected pituitary adenoma

MRI

66

hyperandrogenism in late childhood should raise concern for

atypical CAH

67

recommended in the treatment of a cat bite in addition to copious irrigation

amoxicillin/clavulanate

68

mechanism of pathology for vitiligo

destruction of melanocytes

69

this infection is characterized by hypopigmentation with anesthesia

mycobacterium leprae

70

infection causing tinia versicolor

malasezzia furfur

71

autosomal dominant disorder characterized by patchy absence of melanocytes

piebaldism