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Flashcards in mar 6 Deck (30)
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1
Q

which is more anterior, the trachea or the esophagus?

A

the trachea

2
Q

lab findings of rocky mountain spotted fever?

A
  • low platelets
  • low sodium
  • increased AST/ALT
3
Q

how does rocky mountain spotted fever effect platelets?

A

decreases them due to intravascular platelet destruction

4
Q

abdominal findings of rocky mountain spotted fever?

A

severe abdominal pain

5
Q

what are potential complications of a biliary cyst?

A
  • cholangiocarcinoma
  • acute cholangitis
  • pancreatitis
  • stone formation
6
Q

treatment of a biliary cyst?

A

Surgical resection

7
Q

why is surgical resection of a biliary cyst important?

A

decreases risk of future malignancy

8
Q

what is the most common secondary cause of resistant hypertension (hypertension that doesnt respond to 3+drugs)?

A

renovascular disease

9
Q

renal vein thrombosis is most commonly associated with which nephrotic syndrome?

A

membranous nephropathy

10
Q

why is the risk of renal vein thrombosis increased in nephrotic syndrome?

A

loss of ATIII

11
Q

what usually precedes SJS?

A

fever and flu-like symptoms

12
Q

treatment of botulinism?

A

equine serum heptavalent botulinum antitoxin

13
Q

immunoglobulin findings in CD40 ligand deficiency?

A

elevated IgM, low igG

14
Q

findings of X-linked agammaglobulinemia?

A

low immunoglobulins (all) and reduced CD19+ B cells

15
Q

clinical presentation of erlichiosis?

A
  • flu like illness

- neurological symptoms

16
Q

lab findings of erlichiosis?

A
  • leukopenia and thrombocytopenia

- elevated LFTS and lactate dehydrogenase

17
Q

treatment of erlichiosis?

A

doxycycline

18
Q

what is the opening pressure on spinal tap in a patient with HSV encephalitis?

A

normal

19
Q

what is the opening pressure on spinal tap in a patient with cryptococcal menignitis?

A

ELEVATED

20
Q

onset of cryptococcal menignitis?

A

insidious

21
Q

what kind of myocarditis is caused by kawasaki disease?

A

lymphocytic myocarditis

22
Q

lugn findings in beta blocker overdose?

A

diffuse wheezing

23
Q

blood sugars in beta blocker overdose?

A

decreased - may cause hypoglycemia

24
Q

treatment of calcium channel overdose?

A

glucagon

25
Q

treamtent of beta blocker overdose?

A

glucagon

26
Q

what indicates that a facial nerve palsy is central?

A

forehead sparing

27
Q

what is a normal GFR?

A

60 or above

28
Q

A GFR of <30 is considered..

A

severe renal impairement

29
Q

which anticoagulants CANNOT be used in a patient with severe renal impairment?

A

low-molecular weight heparin (enoxaparin), fondaparinux, rivaroxabin

30
Q

what anticoagus do you give to a patient with severe renal impairment?

A

warfarin - bridged with UNfractionated heparin