UWorld_7.12 Flashcards
Exacerbating factors in trochanteric bursitis of hip
- lying on side
- external pressure to upper lateral thigh
Exacerbating factors in osteoarthritis of hip of hip
-internal rotation of hip
True positive rate =
False positive rate =
TP rate = sensitivity
FP rate = 1 - specificity
PFTs in pulmonary fibrosis
- restrictive pattern
- reduced FEV1 and FVC but normal FEV1/FVC ratio
- reduced: FRC, TLC, RV
Adverse effects of estrogen receptor modulators
- e.g. tamoxifen, raloxifene
- hot flashes
- VTE
- endometrial hyperplasia & carcinoma
Management of duodenal ulcer
- antisecretory therapy/PPI
- abx (amoxicilin + clarithromycin) if 2/2 H. pylori
CV complications in Marfan’s syndrome
- aortic dilation, regurgitation, or dissection
- mitral valve prolapse
Most common cause of death in acromegaly
CHF/cardiac causes
Tx of syphilis in pt. w/PCN allergy
- Doxycycline x 14 days
- IN PREGNANCY: PCN desensitization and tx w/PCN
Bacterial cause of malignant otitis externa
pseudomonas
Uric acid stone management
- hydration
- alkalinization of urine
Indications of secondary causes of hypogonadotropic hypogonadism (@ males)
- H/A
- very low testosterone
- gynecomastia +/- galactorrhea
- evidence of other pituitary hormone deficiencies
Evaluation of secondary hypogonadotropic hypogonadism
- measurement of other pituitary hormones: thyroid, prolactin
- visual field testing
- MRI if: elevated PRL, test
Clinical manifestations of rickets
- craniotabes (“ping-pong ball” skull)
- delayed fontanel closure
- enlarged: skull, costochorndral joints, long bone joints
- pronounce genu varum
Presentation of infective endocarditis in IVDU
- s.aureus @ tricuspid valve = more common
- fragments can embolize to lungs ==> nodular infiltration with cavitation
- systemic sx, pleuritic chest pain, dyspnea, cough
- +/- heart murmur, peripheral sx (splinter hemorrhages or Janeway lesions) typically absent
