Shared Flashcard Set

Details

Step 3 Smart book day 3
USMLE
48
Medical
Professional
11/12/2017

Additional Medical Flashcards

 


 

Cards

Term
2-10 painless papules on distal ext
pain with passive extension
asymmetric polyarthralgia

patient dx'd with UTI
Definition
Disseminated Gonoccal infxn

Dual therapy for tx
Term
this is decreased in a chronic alcoholic; causing myopathy
Definition
Phosphate; levels will be normal!

deficiency 2/2 Vit D def
Term
Sudden painless vision in one eye; central vision affected

on exam, CHERRY RED SPOT

major assoc
Definition
Central artery retinal occlusion

hx of amaurosis fugax
Term
fundus with retinal hemorrhages and optic disc edema (resembling thunder)
Definition
Central vein occlusion
Term
increase in floaters and flashing lights

incr elevation of retina
Definition
retinal detachment
Term
vitreal haze, floaters with DARK streaks

decr red reflex, visible hemorrhage
Definition
vitreous hemorrhage
Term
painful monoocular loss with optic disc edema with afferent pupillary defect
Definition
optic neuritis
Term
melanoma w/u
Definition
excisional biopsy with 1-3 mm margin
Term
Asx GBS bacturia tx
Definition
immediate Amoxil/Keflex
repeat UC in one week
Term
repeated episodes of vomiting with retrosternal chest pain

dyspnea, odynophagia L pleural effusion
Definition
Esophageal rupture

confirm with esophagram
Term
esophageal injury d/t med ingestion
Definition
erosive esophagitis
Term
pain meds contra'd in kids
Definition
oral codeine and tramadol
Term
what are two types of dysphagia and tx
Definition
Oropharyngeal dysphagia- they cant initiate swallow, recent ear pain, drooling

esophageal- food sticking in throat
Term
study that uses >2 interventions and combinations
Definition
factorial study design
Term
subjects of control are matched to cases and analyzed
Definition
nested study
Term
urgent warfarin reversal
Definition
Prothrombin complex
Term
infection, AKI, flank pain after initial treatment of urteral stone
Definition
Perc Nephrostomy
Term
common cause of UTI in kids with constipation
Definition
constipation causes rectal distention and obstruct bladder emptying
Term
pregnancy lyme dz tx
Definition
14-21 d of Amoxil or Cefuroxime
Term
jaundice in first week of life, lactation failure which leads to decr in bili elim.

showing sx's of dehydration
Definition
Breastfeeding failure jaundice
Term
jaundice at 3-5 days, peaking at 2 weeks

tx
Definition
Breast milk jaundice

keep feeding
Term
tx for cataplexy
Definition
SNRI, SSRI, TCAs, Sodium oxylate
Term
watery scant urethral fluid
aseptic gram stain
Definition
Non gonococcal urethritis- chlamydia, ureaplasma, myco

tx Azithro
Term
purulent urethral fluid
diplococci gram stain

tx
Definition
Gonoccal urethritis
cef and azithro
Term
how to tx recurrent urethritis
Definition
repeat urethral fluid Gram stain
either non compliance or not adequate coverage
Term
NNT equation
Definition
1/ARR (control-experimented)
Term
acute ischemic event of retinal artery

what is this a marker of?
Definition
Amaurosis fugax, Carotid atherosclerosis
Term
decr complement dsDNA
next step
Definition
SLE nephritis

biopsy first!
Term
untreated Celiac dz has risk of what
Definition
enteropathy assoc T cell lymphoma
Term
post coital spotting, mucopur d/c
Definition
chlamydia
Term
candida vaginitis tx
Definition
Fluconazole
Term
STI treatment always requires what for dx
Definition
TESTING, use NAAT
Term
how to offer anticoagulation in pregnancy
Definition
LMWH throughout
Unfractionated days before delivery

make sure to dc at delivery
Term
chronic hypoxia MCC sec cause
OSA is a risk
O2 sats drop MAINLY at NIGHT
Definition
Polycythemia
Term
wide Confidence Interval means what
Definition
small sample size and decr power
Term
how to handle TB and healthcare workers
Definition
1. TB skin test/IGRA
2. repeat 8-10 weeks
Term
applicability of a study's results BEYOND groups assessed
Definition
External validity
Term
conclusions regarding cause and effect in study
"are we observing what we think we are"

what helps this concept
Definition
Internal validity

Randomization
Term
how to treat hemorrhage in lieu of Renal failure with NORMAL coags, impaired platelet function.
Definition
Desmopressin, dialysis, estrogen
Term
tibial stress fx w/u
Definition
x ray but remember <50% sensitive for detecting in first 2-3 weeks
Term
tachypnea, tachycardia, anterior chest bruises, cyanosis

w/u
Definition
suppl O2, NIPPV, pain
Term
lithium toxicity tx
Definition
ASX- bowel irrigation
Sx- hemodialysis
Term
brain death criteria
Definition
clinical criteria
neuro exam
apnea
Term
(+) tourniquet test fevers, lung/heart failure
Definition
dengue fever
Term
this bp med can causes photosensitvity rashes. why?
Definition
Thiazides bc they contain sulfur!
Term
Guillan Barre w/u
Definition
1. monitor Vital Capacity/negative IF

Tx- IVIG or plasmapheresis
Term
progression of GBS
Definition
2-4 wks progressive motor weakness

slow spontaneous recovery over months
Term
acute severe anemia in SCD
decr Retic count
Definition
Aplastic crisis

Aplastic anemia has PANCYTO
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