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IM
UWORLD 7
39
Medical
Graduate
02/19/2014

Additional Medical Flashcards

 


 

Cards

Term
trichinosis is an infectino with what?
Definition
round worm trichinella
Term
how do you get trichinosis
Definition
undercooked pork
Term
phases of trichinosis
Definition
1. first week of infection and larvae invade gi wall: abdo pain, NVD
2. second week there is local and systemic hypersensitivity rxn = splinter hemorrhages, conjunctival and retinal hemorrhage, periorbital edema, chemosis
3. larva enter mm --> mm pain and weakness and swelling
Term
what test is used to determine if a pt has a boerhaave syndrome?
Definition
gastrografin esophagography
Term
signs of venous insufficiency
Definition
lower extremity pitting edema
varicose veins
venous ulcers
Term
what improves pain associated with venous insufficiency
Definition
walking and elevation anc compression
Term
Rotor syndrome
vs Dubin Johnson
Definition
BOTH:
-benign condition
-defect in hepatic storage of conjugated bilirubin
-conjugated bilirubin spills into plood
-LFT normal
-both conjugated and unconjugated bilirubinemia

Dubin Johnson has pigment on biopsy and Rotor is normal on biopsy
Term
MOA of statin
Definition
inhibits intracellular synthesis pathway (HMG CoA reductase inhibitor)
Term
drug induced idiosyncratic rxn
Definition
aka NMS
-dirphoresis
-rigid abdo mm
-lead pipe rigidity of extremities
- tremor
-fever
Term
tx nocardia
Definition
tmp-smx
Term
who is at high risk for vertebrbral osteomyelitis
Definition
IVDA
sickle cell anemia
IC pt
Term
most important clue to vertebral osteomyelitis
Definition
tenderness to gentle percussion
Term
labs in vertebral osteomyelitis
Definition
hi platelets
normal or hi wbc
hi ESR
Term
best test for vertebral osteomyelitis
Definition
MRI
Term
tx of vertebral osteomyelitis
Definition
IV abx long term
+- surg
Term
dx criteria for DKA
Definition
glu >250
pH <7.3
bcab < 15-20
plasma ketones +
Term
bp difference in R v L arm
Definition
aortic insuf
aortic regurg
aortic dissection
Term
aortic regurg murmur
Definition
diastolic decresendo at LSB
Term
what drug can cause bladder cancer
Definition
cyclophosphamide
Term
longterm tx of hypercalcemia of malignancy
Definition
bisphosphanates
Term
tx svered symptomatic hypercalcemia
Definition
vigourous IV fluids
Term
use of lidocaine
Definition
control ventricular arryhtmias
dec risk of v fib
Term
major risk of lidocaine
Definition
asystole
DO NOT USE IN ACUTE CORONARY SYNDOMES
Term
tx for 3rd degree hear block
Definition
plcemaker placement
Term
major risk of untreated 3rd deg heart block
Definition
v tach
v fib
Term
major features of polymyositis
Definition
slow progressive proximal weakness

probs with stairs and brushing hairsyst

abnormal mm biopsy
Term
how do we determine where to do mm biopsy in pt withs suspected polymyosistis
Definition
MRI
Term
major diff twix polymyositis and PMR
Definition
PMR is more pain
polymyo is more weakness
Term
what murmur disappears on squatting
Definition
MVP
Term
systemic features of mitral stenosis
Definition
hemoptosis
nocturnal cough
exertional dyspnea
risk for stroke
Term
bone pain
renal failture
hypercalcemia
Definition
MM
Term
what does matching do to a study
Definition
eliminate confounding factors
Term
what is unique about cocain associated chest pain
Definition
dilated pupils
atrophic nasal mucosa
normal CK and troponin
Term
manage cocaine chest pain
Definition
benzos
Term
Winters formula?
Definition
expected decrease in pCO2 in metabolic acidosis

pCO2 = 1.5(HCO3) +8
Term
what type of hypersensitivity is aspirin
Definition
pseudo allergic rxn
Term
major features of aspirin hypersensitivity
Definition
1. nsaid/asa use
2. nasal blockage
3. bronchoconstriction episodes
Term
duodenal vs gastric ulcers and pain time
Definition
duodenal ulcer pain improves with food

gastric ulcers pain worsens with food
Term
tx of hyperkalemia EKG changes
Definition
ca gluconate
inulin, sodium polystyrene sulfonate
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