Step3 50

Question 1

Conditions that exacerbate bleeding of angiodysplasia lesion on the colon

Answer 1

ESRD: secondary to uremia

vWF deficiency

Aortic stenosis

Question 2

Malignancies associated with dermatomyositis

Answer 2

Lung, colon, ovarian

Question 3

Risk factors for Barret’s esophagus

Management

Answer 3

Age >40
Male
White
Obese
Family history of BE (1st degree)
Smoking (past and current)
Hiatal hernia

Upper endoscopy:

No findings: no further workup

Positive findings:
No dysplasia: PPIs and reevaluation in 3-5 years
Low dysplasia: PPIs and reevaluation in months
High dysplasia: endoscopic eradication + PPIs

Question 4

NRDS

Meconium aspiration

Trasient trachypnea of the new born

Answer 4

NRDS:
Ground-glass appearance, lack of focal opacities

Coarse, irregular infiltrates, lung expansion, pneumothorax

Trasient trachypnea of the new born
Perihiliar string
Diabetic mother, c-section, premature

Question 5

Management of asthma exacerbation on a pregnant patient

Answer 5

Albuterol
Ipatrompium

If no improvement:
Systemic steroids (oral preferred)

If severe
MgSO4
NO EPINEPHRINE
Intubate

O2% >95% vs non-pregnant patients

Question 6

Physical findings on endometriosis

Answer 6

Immobile uterus

Cervical motion tenderness

Adnexal mass

Nodularity of the rectovaginal septum, posterior cul de sac, uterosacral pain