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uworld test2 Flashcards

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1
Q

subareolar mobile mass

A

galactocele- duct blockage with milk accumulation post-breastfeeding

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2
Q

distinguishing feature between mastitis and abscess

A

abcess is a fluctuant mass

both have fevers and erythema

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3
Q

2-10 days after chole, patient gets N/V, fever, abdominal pain, no dilatation of ducts and elevated alk phos

A

bile leak

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4
Q

are physicians legally required to report their impaired colleagues?

A

yes, commonly to hospital’s physican health program

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5
Q

management of infantile hemangioma

A

observe- most regress

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6
Q

painless solid mass in testicle

A

testicular cancer

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7
Q

preload, afterload, and CO in cardiogenic shock

A

preload: up (build up)
afterload: up (compensatory vasoconstriction)
CO: down (low stroke volume)

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8
Q

pseudohyphae with budding yeast

A

candida

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9
Q

meds for mild-moderate sunburn

A

NSAIDs

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10
Q

contra to using NSAIDs for gouty attacks, and to use colchicine instead

A

heart failure, on anticoagulants (ASA, plavix, apixiban)

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11
Q

signs of acute liver failur

A
  • encephalopathy
  • elevated AST, ALT
  • elevated INR, PT
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12
Q

contralateral extesnor posturing and babinski, and ipsi nonreactive pupil is caused by

A

uncal herniation

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13
Q

cause of uncal herniation

A

basal ganglia hemorrhage - from HTN, cocaine, etc

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14
Q

decreased REM latency

A

narcolepsy- enter REM quickly

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15
Q

thromboangitis obliterans

A

nonatherosclerotic vaso=occlusive disorder leading to ischemic ulcers and gangrene

associated with smoking

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16
Q

QRS prolongation is over

A

100

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17
Q

epigastric pain thats partially relieved by leaning forward

A

pancreatitis

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18
Q

do you correct pancreatitis hypocalcemia?

A

itll correct itself when you treat pancreatitis- only treat with calcium is severe or symptomatic

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19
Q

most common etiology of persistent nasal obstruction in childhood- mouth breathing, sinus infections, snoring

A

adenoid hypertrophy- not visualized on physical easily!

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20
Q

fetal fibronectin is helpful to decide preterm labor in which weeks

A

<34 weeks

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21
Q

which vitamin deficiency: punctate hemorrhage and corkscrew hair

A

C

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22
Q

contra to copper IUD

A

wilson dz, copper allergy
heavy menstrual bleeding
acute pelvic infection

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23
Q

fever, ear pain, and deviation of ear

24
Q

treatment of mastoiditis

25
dermal sign of antiphospholipid syndrome
livedo reticularis
26
which coag abnl in antiphospholipid syndrome
PTT prolonged
27
how does doxorubicin produce cardiotoxicity vs trastuzumab
dox: myocyte necrosis and fibrosis- irreversible tras: loss of myocardial contractility (stunning)- reversible
28
painless penile ulcer and inguinal LAD for months
penile cancer
29
how long does syphilis chancre last
3-6 weeks
30
pressors help which type of shock
distributive- anaphylactic
31
can you have cachexia in COPD?
yes, ya pink puffer!
32
local vascular complications of cardiac cath
- hematoma (no bruit) - pseudoaneurysm (pulsatile, systolic bruit) - AV fistula (continuous bruit)
33
crepitus in joint dz
osteoarthritis
34
optic disc cupping
open angle glaucoma
35
hypoglycemia, hypocalcemia, polycthemia for what type of infant
large for gestational age
36
confluent morbiliform rash, eosinophilia, systemic sxs
DRESS syn- from offending drug (phenytoin, carbamzapine)
37
treatment for dormant malaria P vivax
primaquine in addition to the nl chloroquine
38
femoral pulses delayed to brachial pulses
coarctation of aorta
39
dx of coarctation of aorta
echo
40
onychlolysis vs onychomycosis
lysis: separation of nail plate from nail bed, seen in psoriasis mycosis: fungus
41
harsh holosystolic murmur over 4th LSB with palpable thilll
VSD
42
do you have to tell mom if teen is superficial cutting?
no
43
#1 most effective way of preventing herpes transfer to your partner
consistent condom use (abstinence during outbreaks is only 50% effective because asx shedding)
44
differentiating CML from myelodysplastic
myelodyplastic: pancytopenia CML: leukocytosis, HSM
45
inadequate fixation of lower pole of testis to tunica vaginalis
causes twisting of spermatic cord --> testicular torsion
46
is urine sodium high or low in SIADH
high
47
omental caking
intra-abdominal carcinomatosis - can lead to SBO
48
causes of many uric acid kidney stones
gout tumor lysis syndrome acidic pH- chronic diarrhea
49
vision changes, HA, dizzy, ataxia, HSM, LAD, leukocytosis, anemia
waldresntrom macroglobulinemia- hyperviscous!
50
paraphimosis
when you retract foreskin and then it gets stuck urological emergency! manually or surgically retract it back
51
upper lung lobe cavity- which cancer?
squamous
52
how does hcg relate to TSH
shares a subunit, so hcg can stimulate TSH receptors
53
indirect hernia
male infants patent processus vaginalis protrudes thru inguinal ring lateral to inf epigastric vessles
54
direct hernia
old men weakness of transversalis fascia protrudes thru Hasselbach triangle medial to inf epigastric vessels
55
femoral hernia
women weakness of prox femoral canal protrudes thru femoral ring inferior to inf inguinal ligament
56
first line treatment of genital warts in pregnancy
trichloracetic acid

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