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Flashcards in UWorld_7.31 Deck (45):
1

Active herpes lesions @ delivery ==> ?

c-section

2

abnormal biophysical profile

-NST: 50% contractions

3

Kallman syndrome cause

-X-linked recessive
-d/o of olfactory neurons and GnRH ==>
-hypogonadotropic hypogonadism + difficulty smelling

4

Leukoplakia characteristics

-white granular patch @ buccal mucosa
-assoc. w/smokeless tobacco and alcohol use
-precancerous ==> squamous carcinoma w/in 10 years

5

Cavernous hemangioma presentation

-soft, blue compressible masses
-@ brain/organs = assoc. VHL

6

Strawberry vs. Cherry hemangioma

-strawberry = infants
-cherry = elderly

7

Herpangina presentation/cause/tx

-fever
-sore throat
-gray vesicles/ulcers @ posterior oropharynx
-caused by Coxsackie A virus
-supportive tx

8

Herpetic gingivostomatitis presentation/cause/tx

-fever
-sore throat
-erythematous gingiva
-clusters of vesicles @ anterior oropharynx
-caused by HSV-1
-tx = oral acyclovir

9

pseudogout vs. gout crystals

-pseudogout = calcium pyrophosphate ==> rhomboid, positive birefringence
-gout = urate/uric acid crystale ==> needle-shaped, negative birefringence

10

Acalculous cholecystitis presentation

-@ severely ill patients
-vague clinical signs of infection
-gallbladder wall thickening + pericholecystic fluid

11

Physical activity in mononucleiosis

avoid contact sports for >3weeks

12

Smoker w/clubbing + sudden joint pain ==> ?

-hypertrophic osteoarthropathy
-assoc. w/lung cancer ==> CXR for eval

13

ARDS management

-mechanical ventilation:
-low TV (prevent alveolar overdistension)
-high PEEP
-permissive hypercapnia
-adequate oxygenation (SpO2 > 88%)

14

Milk-induced colitis presentation

-presents at age 2-8 weeks
-regurgitation or vomiting
-+/- painless bloody stools
-+/- eczema

15

Milk-induced colitis tx

-elimination of milk & soy from maternal diet of exclusively breastfed infants
-hydrolyzed formula in formula-fed infants

16

Echinococcosis presentation

-caused by tapeworm echinococcus
-hydatid cysts w/daughter cysts @ liver
-assoc. w/sheep contact

17

Risk in pig farmers

neurocysticercosis

18

Most sensitive lab abnormality for hypovolemia

elevated BUN/serum Cr

19

Alcoholic hallucinosis vs. delirium tremens

-both have hallucinations
-hallucinosis = stable vital signs, intact orientation
-tremens = unstable vitals, AMS

20

anti-cardiolipin antibodies ==>

anti-phospholipid antibodies

21

Cryoglobulinemia presentation

-vasculitis w/skin, kidney, joint involvement
-low complement, elevated RF
-increased LFTs

22

pH in ASA toxicity

near-normal (2/2 mixed resp. alkalosis and met acidosis)

23

"dominant frontal lobe" =

left hemisphere frontal (Broca's location)

24

D-xylose test

-pancreatic insuff. ==> normal absorption
-malabsoprtion ==> decreased absorption
-if improves w/rifaximin ==> SBBO
-if doesn't improve w/rifaximin ==> celiac

25

Complication of giant cell arteritis

aortic aneurysm

26

indinavir: MOA, SE

-MOA: protease inhibitor
-SE: crystal-induced nephropathy

27

life-threatening complications of HIV therapy

1. didanosine-induced pancreatitis
2. abacavir-related hypersensitivity syndrome
3. lactic acidosis 2/2 NTRIs
4. SJS 2/2 NNTRIs
5. nevirapine-assoc. liver failure

28

Pancoast tumor presentation

-shoulder pain + pain/paresthesis @ forearm
-horner's syndrome (ptosis, miosis, anhidrosis)
-weakness/atrophy of hand m.
-enlarged supraclavicular nodes

29

Normal AG metabolic acidosis

-diarrhea
-fistulas
-carbonic anhydrase inhibitors (acetazolamide)
-renal tubular acidosis
-ureteral diversion
-iatrogenic

30

Endometrial hyperplasia management

-w/atypia ==> hysterectomy
-w/out atypia ==> progestin

31

neuroimaging in autism

increased total brain volume

32

neuroimaging in OCD

orbitofrontal cortex & striatum

33

neuroimaging in panic d/o

decrease amygdala volume

34

neuroimaging in PTSD

hippocampal volume

35

neuroimaging in schizophrenia

enlargement of cerebral ventricles

36

GI illness + periorbital edema, myositis ==> dx?

trichenellosis

37

Trichinellosis presentation/cause

-ingestion of undercooked meat
-GI illness, then resolves
-muscle stage:
-myositis
-fever, subungal splinter hemorrhages
-periorbital edema
-**eosinophilia

38

Carcinoid syndrome presentation

-skin: flushing, telangiectasias, cyanosis
-GI: diarrhea, cramping
-cardiac: valvular lesions (R>L)
-pulmonary: bronchospasm
-niacin def. ==> dermatitis, diarrhea, dementia

39

Parkinsonism + orthostatic hypotension + autonomic sx ==> dx?

multiple system atrophy/Shy-drager syndrome

40

Exam findings in ankylosing spondylitis

-arthritis (SI)
-reduced chest expansion & spinal mobility
-enthesitis (tenderness @ tendon insertion)
-dactylitis
-uveitis

41

Clinical presentation of alcoholic hepatitis

-jaundice, fever, anorexia
-RUQ pain
-abdominal distention
- +/- m. weakness
- +/- hepatic encephalopathy

42

Tx of vaginismus

kegels + dilation

43

Patchy erythema @ small palate of child/infant ==> ?

forschheimer spots; assoc. w/rubella

44

Measles vs. Rubella rash

-rubella = pinkish maculopapular rash, spreads quickly
-measles = darker, reddish-brown, spreads more slowly + higher fevers

45

Chronic bronchitis vs. bronchiectasis

-chronic bronchitis = chronic cough w/minimal or no sputum
-bronchiectasis = large volume sputum, chronic cough