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Flashcards in UWorld_7.25 Deck (28):
1

Secondary causes of gout

-hematologic malignancies
-tumor lysis syndrome
-psoriasis

2

Sx of polycythemia vera

-H/A
-aquagenic pruritus
-HSM

3

Ventilation =

TV * RR

4

Heart defects assoc. w/Digeorge

-cyanotic heart defects:
-truncus art.
-transposition

5

Cause of death in FA

cardiomyopathy

6

Gonococcal septic arthritis presentation

-asymmetric polyarthralgias or isolate purulent mono/oligo arthralgias
-assoc. w/skin rash and tenosynovitis
-young, sexually active
-most silent (no preceding infection)

7

Reactive arthritis presentation

-assoc. w/chlamydia or GI infections
-arthritis
-conjunctivitis
-urethritis

8

Vaccines in chronic liver disease

-Hep A/Hep B
-flu
-Tdap q10 yrs.
-PCV23 followed by normal pneumococcoal @ 65

9

Dx of myasthenia gravis

-edrophonium (tensilon) test
-ice pack test ==> improvement in weakness
-Ach receptor antibodies
-CT for thymoma eval

10

Enuresis age cut-off and tx

-incontinence > 5yo
-1st line = desmopressin; 2nd line: TCAs (impramine, amitriptyline)

11

Sodium bicarb use in metabolic acidosis

@ pH

12

isoniazid SE

-pyridoxine (B6) antagonist
-supplement w/B6 during tx

13

Sideroblastic anemia presentation

-microcytic/hypochromic + elevated iron and decreased TIBC

14

elevated alk phos + anti-mitochondrial ab + ==> dx?

primary biliary cholangitis

15

Tx of primary biliary cholangitis

ursodeoxycholic acid

16

Neuro status in clinical brain death

-absent cortical and brain stem fxns
-spinal cord may be fxning, DTRs present

17

Legg-Calve-Perthes disease

-idiopathic avascular necrosis of femoral capital epiphysis
-boys ages 4-10

18

Tx of cryptococcal meningoencephalitis

-amphotericin B + flucytosine IV x 2wks
-then fluconazole x 1 yr.
-serial LPs to reduce ICP if needed

19

cryptococcal meningoencephalitis presentation

-subacute fungal infection
-HIV w/CD4

20

Statin MOA

-imhibit HMG-CoA reductase
-inhibits intracellular synthesis of LDL receptors ==> decreased receptors @ cell membranes

21

Imaging in eval of aortic dissection

-TEE if elevated Cr or contrast allergy
-chest CT
-MRI

22

Trimethoprim SE

-hyperkalemia 2/2 blockade of epithelial sodium channel @ collecting tubule
-inhibits renal tubular secretion of Cr ==> artificial elevation of Cr

23

Cat bite ppx

amoxicillin/clavulanate

24

Adenosine use

-management of patients w/narrow-QRS-complex tachycardia
-slows conduction through AV node

25

Paroxysmal supraventricular tachycardia presentation

-abrupt onset/offset
-AVNRT, AVRT, atrial tachy, jxnl tachy
-palpitations, dizziness, lightheadedness
-SOB, diaphoresis, chest pain, presyncope

26

Electrolytes in Cushing's

hypernatremia
hypokalemia

27

Dx of esophageal perforation

-CXR
-CT
-water-soluble esophagogram

28

Testing if idiopathic thrombocytopenic purpura

HIV and Hep C