UWorld_7.20 Flashcards Preview

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Flashcards in UWorld_7.20 Deck (27):
1

Management of prepatellar bursitis

-prepatellar bursitis = "housemaid's knee" often 2/2 s.aureus
-aspiration of bursal fluid for cell count/gram stain
-negative ==> anti-inflam. + activity modification
-positive ==> drainage + abx

2

5-alpha reductase deficiency presentation

-cannot convert testosterone to dihydrotestosterone
-ambiguous genitalia @ birth + internal male genital tract

3

Beckwith-Wiedmann syndrome presentation

-deregulation of imprinting @ 11p15 ==>
-fetal macrosomia, rapid growth
-omphalocele/umbilical hernia
-macroglossia
-hemihyperplasia

-wilms tumor
-hepatoblastoma

4

hemihyperlasia in infant ==> ?

beckwith-wiedmann syndrome

5

Type I RTA

-poor H+ secretion into urine
-distal

6

Type II RTA

-poor bicarb resorption
-proximal

7

Type IV RTA

-aldosterone resistance
-hyperkalemia

8

Tx of restless legs

-supplement iron @ ferritin

9

Presentation of right ventricular infarct

-hypotension
-JVD
-clear lung fields

10

Type of radiation used for recurrence after radical prostatectomy

salvage

11

Anion gap metabolic acidosis

-methanol
-uremia
-dka
-polyethylene glycol
-isoniazid
-lactic acidosis
-ethylene glycol
-salicylate

12

BAT + LUQ pain radiating to shoulder ==> dx?

suspect splenic injury

13

Evaluation of nonbloody nipple d/c w/out lumps

-pregnancy test
-guiac test
-serum prolactin, TSH
-consider pituitary MRI

14

Splenectomy ==> impaired _____?

phagocytosis

15

MALT (mucosa-assoc. lymphoid tissue) tumor management

-tx H. pylori
-omeprazole + clarithromycin + amoxicillin

16

Vaccines after splenectomy

-PCV13, meningococcal, h. flu @ 14 s/p splenectomy
-PPSV23 next + 5 years later + @ 65yo
-Mening. q5yrs

17

Henoch-Schonlein purpura presentation

-palpable purpura
-arthritis/arthralgia
-abdominal pain/intussusceptions
-renal dz ~ IgA nephropathy

18

+ TB skin test in healthy patient

>15mm

19

+ TB skin test in non-healthy/special populations

- >5mm @: HIV+, immunosuppressed, known TB
- >10mm @: "high-risk" e.g. immigrants, healthcare workers, IVDU

20

Aortic regurgitation murmur

-early diastolic
-high pitched, blowing @ left sternal border
-louder on expiration

21

Most common clotting disorder

Factor V Leiden

22

Uveitis presentation

-blurred vision with moderate pain
-conjunctival injection
-constricted pupils just

23

Von-Gierkes disease presentation

-G6-phosphatase deficiency
-3-4 mo. w/hypoglycemia, lactic acidosis, hyperuricemia, hyperlipidemia
-doll-like face
-thin extremities
-short
-protuberant abdomen

24

"brick dust" in neonate diapers = ?

-uric acid crystals
-not concerning if growing/feeding well

25

Pulmonary nodule high-risk characteristics

-older, w/long smoking hx, irregular margins
-surgical excision

26

Biliary atresia presentation

-@ 1-8wks:
-jaundices
-pale stools/dark urine
-hepatomegaly
-conj. hyperbili
-mild elevated LFTs

27

Breast milk jaundice presentation

-unconj. hyperbili
-@ week 2 of life