UWORLD 2/4/15 Flashcards Preview

Intern Year > UWORLD 2/4/15 > Flashcards

Flashcards in UWORLD 2/4/15 Deck (18)
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1
Q

What is the mech of varenicline (Chantix) for smoking cessation?

A

partial agonist of nicotinic ACh receptor

2
Q

What is a contraindication for varenicline?

A

Hx of unstable psych Sx or suicidal ideation

3
Q

Name a common cause of pancreatitis other than alcohol and gallstones.

A

hypertriglyceridemia

4
Q

Is Phalen’s test hyperflexion or hyperextension of the wrist?

A

hyperFLEXION

5
Q

What dangersou condition should be suspected in any pt w/ celiac sprue who has new-onset GI Sx despite adherence to diet?

A

intestinal T-cell lymphoma

6
Q

Which PFT parameter is used to DIAGNOSE obstructive lung dz?

A

FEV1/FVC

7
Q

Which PFT parameter indicates the SEVERITY of obstructive lung dz?

A

FEV1

8
Q

What FEV1/FVC is diagnostic of obstructive lung dz?

A

<70% predicted

9
Q

What FEV1 constitutes “moderate” COPD by the GOLD criteria?

A

50-80%

10
Q

What FEV1 constitutes “severe” COPD by the GOLD criteria?

A

30-50%

11
Q

What FEV1 constitutes “very severe” COPD by the GOLD criteria?

A

<30%

12
Q

What parts of the body are affected by hereditary angioedema?

A

throat, lips, tongue, and intestinal mucosa (abd pain)

13
Q

What is the first step in Tx of chronic urticaria?

A

daily second-gen H1-blocker

14
Q

Do you give steroids to pts w/ Sx of epidural abscess?

A

NO!

15
Q

What is “Plan-B”, which works up to 72 hrs after intercourse?

A

levonorgestrel

16
Q

What emergency contraceptive pill works up to 5 days after sex and is more effective than levonorgestrel?

A

Ulipristal (Ella)

17
Q

What is the most effective overall type of emergency contraception?

A

copper IUD

18
Q

child w/ subcutaneous nodules, hypopigmented spots, and schwannomas

A

neurofibromatosis type 2