Aaron: Uworld IM deck 3

Question 1

Anti-thyroid medication:
1st trimesters use what?
2nd trimesters use what?

Answer 1

1st: PTU
2nd: Methimazole

Question 2

Prolactinoma can cause what problems?

Answer 2

Osteoporosis

Question 3

Medullary Thryoid Cancer, once diagnosed, what is the next lab value that should be analyzed?

Answer 3

Plasma Free metanephrines, need to know before surgery, if elevated, treat before surgery

Question 4

If a woman has amenorrhea before 40 years old, what is the best treatment?

Answer 4

Conjugated equine estrogen with medroxyprogesterone acetate

Question 5

What hormone levels should be evaluated to determine thyroid treatment efficacy?

Answer 5

Total T3 and free T4

Question 6

Hypertension, Hyperglycemia, mood swings, osteoporosis, hypokalemia, and metabolic alkalosis?

Answer 6

Cushing Syndrome

Question 7

What measurement does a Case Control typically use?

Answer 7

Odds Ratio

Question 8

When data is normally distributed, what value is most centrally distributed?

Answer 8

mean of the data

Question 9

When data is not normally distributed, what value is most centrally distributed?

Answer 9

median of the data

Question 10

A highly sensitivity test can rule a disease in or out?

What is it good for?

Answer 10

High sensitivity can rule out a disease

Good Screening test

Question 11

A highly specific test can or cannot confirm a test?

What is it good for?

Answer 11

High specificity can confirm a disease

Good Confirmatory test

Question 12

ANOVA is good for looking at what?

What value will it have?

Answer 12

It is good at looking at the mean value for several groups (3 or more groups)

F value, can make a p-value out of it

Question 13

Internal Validity can be increased by what?

Answer 13

Blinding the observers, having a tightly controlled study

Question 14

External Validity can be increased by what?

Answer 14

Making it more similar to real live patients and people

Question 15

Pearson Chi Square test looks at what?

Answer 15

Categorical Data, 2 groups for non-numerical data (Presence of MI (yes or no))

Question 16

When are abdominal binders used in female patients (s/p C-section)?

Answer 16

Fascial Dehiscence only, only use temporarily 2/2 emergency surgery

Question 17

Ischemic or hemorrhagic stroke allows for permissive HTN?

Answer 17

Ischemic stroke

Question 18

Hemorrhagic Stroke what is the goal BP?

Answer 18

SBP should be 140-160

Question 19

A patient has abnormal bleeding s/p gastric bypass surgery, what is something that should be evaluated?

Answer 19

Vitamin C levels

Question 20

When a patient has extra iron, what should they be given?

Answer 20

Deferoxamine

Question 21

What is the inheritance pattern of Myotonic Dystrophy?

Answer 21

Autosomal Dominant

Question 22

Chromosomal abnormalities and congenital infection shows up in what trimester?

What type of growth delay?

Answer 22

1st Trimester

Symmetric Growth Delay

Question 23

Uteroplacental insufficiency and maternal malnutrition can cause what kind of growth delay?

When is the onset?

Answer 23

Asymmetric Growth Delay

2nd/3rd Trimester

Question 24

Tumor Lysis syndrome will cause problems with what type of blockage?

Answer 24

Obstructing Calcium-phosphate stones

Question 25

Variable deceleration on the fetal monitor means what?

Answer 25

Umbilical Cord Compression

Question 26

Sinusoidal Fetal heart tracing is code for what?

Answer 26

Fetal Anemia

Question 27

What causes late decelerations on the baby monitor?

Answer 27

Placental Insufficiency

Question 28

A patient with recurrent episodes of fever, dyspnea, nonproductive cough, and fatigue, that coincide with intermittent inhaled antigen exposure, but resolves and can repeated as well, what is this?

Answer 28

Acute Hypersensitivity Pneumonitis

Question 29

Ataxia, confusion, CNS depression, nausea, vomiting, and nystagmus with anti-seizure medications would be what?

Answer 29

Phenytoin overdose

Question 30

Vascular nerve root compression in the face is what?

Answer 30

Trigeminal Neuralgia

Question 31

If a young patient has sudden onset jaundice after a fast, young female, no other smoking gun pathologies, no alcohol abuse hx, what is the next thought?

Answer 31

Gilbert Syndrome, no further tests

Question 32

Cervical spondylosis Myelopathy has upper and lower extremity what?

Answer 32

weakness, diminished reflexes and increased reflexes & spasticity upper and lower extremities

Question 33

Sudden onset unconsciousness, midsized, fixed pupils, abnormal limb posturing with an increase in ICP, what is this?

Answer 33

Brain Herniation, also called Cushing's Triad

Question 34

Gait Instability Truncal Ataxia Postural Incoordination With alcohol what is this?

Answer 34

Alcoholic Cerebellar Degeneration

Question 35

ABG on room air (hypercapnia, normal A-a gradient), no intrinsic pulmonary disease

Answer 35

OSA

Question 36

Hyponatremia Fever diarrhea Recently returned from a trip, what is this?

Answer 36

Legionella's Disease, Levofloxacin

Question 37

Cervical Radiculopathy usually arises after heavy activity. What test should be done?

Answer 37

MRI of the shoulder

Question 38

Waldenstrom Macroglobulinemia have elevated what? Multiple Myeloma have elevated what?

Answer 38

IgM elevated (has vision problems) IgG, IgA, and light chains

Question 39

Glucocorticoid replacement is what? Mineralocorticoid replacement is what?

Answer 39

Hydrocortisone Fludrocortisone

Question 40

Dermatitis, diarrhea, and dementia is what disease? This can be seen with medication treatment?

Answer 40

Pellagra Isoniazid and no B6

Question 41

Liver Disease Hyperpigmentation Diabetes Mellitus Arthropathy Cardiac Enlargement What is this?

Answer 41

Hemochromatosis

Question 42

Parkinsonism Urogenital Dysfunction (erectile dysfunction) Autonomic Dysfunction (orthostatic dysfunction) Ataxia Rare, genetic disease, what is this?

Answer 42

Multiple System Atrophy

Question 43

Pseudogout is caused by calcium pyrophosphate dihydrate crystals, what else are these crystals seen?

Answer 43

Calcium Phosphate stones

Question 44

Cor Pulmonale is right heart failure secondary to what?

Answer 44

Elevated pulmonary artery systolic pressure

Question 45

Diffuse abdominal pain, peripheral neuropathy, and positive urobilinogen most likely due to what? Additionally, Neuropsychiatry and autonomic dysfunction Young female with little past medical history

Answer 45

Acute Intermittent Porphyria

Question 46

Diarrhea patient should have what?

Answer 46

Reassure patient, nutrition consult, loperamide, antibody endomysial, ESR, CRP, abdominal Xray

Question 47

Diarrhea patient, maybe Celiac, what should be done?

Answer 47

Endoscopy Vitamin B12 Folic Acid Vitamin A Vitamin E Copper Iron Studies and Ferritin Zinc CRP and ESR PT/PTT INR Bone Densitometry Biopsy: small bowel, pneumococcal vaccine

Question 48

Before 34 weeks, what should be given for a patient's baby lung development?

Answer 48

Dexamethasone

Question 49

PSGN in a young child what should be ordered?

Answer 49

Antibody Streptolysin O Antibody c-ANCA Chest xray antibody glomerular basement membrane Cryoglobulin serum Abdomen Ultrasound ANA Peds nephro Fluid restriction, Low Sodium diet, nutrition consult

Question 50

Elevated Liver enzymes, what should be avoided?

Answer 50

TYLENOL!!!!!!!!!!!!!!!!!!!!!!!!!!!!! for pain give morphine

Question 51

Elevated LFTs and abdominal tenderness, what should be done?

Answer 51

Abdominal U/S Acetaminophen toxicity Sputum Culutre

Question 52

Elevated LFTs and abdominal tenderness, what should be done? Nausea

Answer 52

Abdominal U/S Acetaminophen toxicity Sputum Culture Zofran

Question 53

Myasthenia Gravis tx? Another test?

Answer 53

Thymectomy and Pyridostimine EMG

Question 54

Surgery what should be ordered?

Answer 54

Type and Screen, PT/PTT, INR

Question 55

Patient has headaches, high BP, and vision changes, what are the first two big things to do?

Answer 55

CT head, possible bleed, and nicardipine drip

Question 56

When a patient has nausea, what should be done?

Answer 56

NPO and give zofran

Question 57

COPD exacerbation, after steroids, what is one more thing to order?

Answer 57

Albuterol and Ipratropium

Question 58

Elderly, fever, female, if +west nile virus, what should be done?

Answer 58

Get all the CSF stuff Chest xray, Urine tox TDAP, mammogram, pap, and exercise