Amboss Incorrects

Question 1

1) Blood in sputum
2) repeated episodes of sinusitis( upper / LRT manifestations)
3) palpable non blanching skin lesions( nec vasculitis)
4) septal perforation
5) glomerulonephritis( Inc Cr, proteinuria, hematuria with RBC cast)
6) CXR- multiple cavitating, nodularlesions B/L

Answer 1

Inc c- Anca( Gpa)

Question 2

Specific-1) Bronchial asthma, multifocal mononeueopathy, E/o eosinophilia.
Rare
2)Fever , hemoptysis, hematuria, and chronic rhinosinusitis, septal perforation
Not seen-
3) pleuritic chest pain, ulceration of nasal mucosa, nodular cavitating lesions on cxr.

Answer 2

Eosinophilic GPA

Question 3

1) camping trip
2) Flu like symptoms ( eg: fever, headache, myalgia), GI symptoms ( eg: abdominal pain, nausea, vomiting) and a branching, macular rash- began at wrists and ankles— to palms and soles.

Answer 3

RMSF

Question 4

RMSf

Answer 4

Doxycycline- 1) within 5 days ofsp onset.

2) dental staining- short course of t/t( <21 days)
Ass with low r/o Ade

Question 5

RMSF

Answer 5

Confirmatory tests- 1) skin biop
2) pcr test
3) indir. Fluo Ab test–inc in- IgG
Specif Abs
But 1 st doxy administered

Question 6

1) impaired repetition and language comprehension- can speak fluently- produce non sensical phrases
Lack awareness of impairment
2) mostly ass with left MCA distribution.
3) MCA stroke- gaze deviation towards side of infarction and C/L homony hemianop with macular sparing.

Answer 6

Wernicke aphasia

Question 7

1) impaired comprehension
2) intact repetition
3) fluent speech

Answer 7

Transcortical sensory aphasia

Question 8

Word finding difficulty- fluent speech and intact comprehension

Answer 8

Anomic aphasia

Question 9

1) MC affects women 30-50 years of age.
2) related to breast changes - prev surgeries, injuries, infections or breast pathologies
3) should receive diagnostic imaging to screen for breast Ca., ass with malignancy.
4) focal tenderness

Answer 9

Non cyclical mastalgia

Question 10

Non cyc. Mastalgia. NBS?

Answer 10

USG( < 30 yrs), OCP - Inc r/o mast

Question 11

Non cyc mastalg

Answer 11

After malignancy r/o– conservative therapy— 1) hot and cold compress
2) topical / oral Analge
3) diet modifications ( dec caffeine and high fat foods)
4) well fitting bra

Question 12

Lack of control, excess consumption of food, concern abt gaining weight maybe present.
R/o-
1) No purging
2)

Answer 12

Binge eating disorder

Question 13

1) H/o left side chest pain - worse with inspiration, 3 d ago, high intensity interval training program, tenderness to palpation of left lateral sternal border, no card abn, no lyng prob. NBS

Answer 13

Costochondritis

Question 14

Costochondritis. Young pt., less than 35,

Answer 14

Supportive care( rest, ice, and analgesia) without further evaluation

Question 15

Costochon, young, no abn lung / heart

Answer 15

Conservative

Question 16

Acute abdomen in premature infants- low br. Wt.
2- 4 wks after birth, once oral feeding began.
Poor feeding, lethargy, vomiting, diarrhea, hematochezia, dec PLT, dis abd with decrease bowel sounds

Answer 16

NEC

Question 17

New born
55/35, Na - dec below 135
K- Inc than 5
Hco3— dec . Diag and t/t

Answer 17

21- hydroxylase def and glucocort and fludrocosti T/t

Question 18

Pt requests c sec, prematurely due to fear of pain during labor

Answer 18

Inform pt about prenatal chilldbirth education and obstetric analgesia