U world 2

Question 1

reactive lymphadenopathy rx

Answer 1

Empiric antibiotic therapy with observation for 4 weeks

most common organisms are Staphylococcus aureus and group A Streptococcus.

Question 2

no significant risk of congenital anomalies from SSRI use in pregnancy, except for __________.

Answer 2

paroxetine

Question 3

Treating the flu

Answer 3

treatment of patients with a clinical picture suggesting influenza is recommended, even if a rapid test is negative.

Question 4

Fastest rate for 3% saline for hyponatremia

Answer 4

0.5 mEq/ L/ hr

Question 5

What increases the anion gap

Answer 5

abnormal presence of non-chlorinated acids (unmeasured)

Question 6

envelope shaped crystals in urine

Answer 6

ethylene glycol poison

Can lead to renal failure

Question 7

uremic pericarditis ECG

Answer 7

non-specific

will NOT show diffuse st elevation because there is no myocardial inflammation

Question 8

Diabetic nephropathy renal biopsy

Answer 8

nodular glomerulosclerosis is hallmark

but

diffuse glomerulosclerosis is more common

Question 9

Most common cause of aortic dissection > 60 yo

Answer 9

htn

Question 10

what causes primary polycythemia vera

Answer 10

JAK2 mutations

Question 11

isoniazid and anemia

Answer 11

isoniazid –> B6 antagonist –> sideroblastic anemia

Question 12

CMV vs EBV mono

Answer 12

CMV no pharyngitis

EBV has pharyngitis

Question 13

Apraxia

Answer 13

transmission disturbance on the output side, which interferes with skilled movements.

Question 14

Agnosia

Answer 14

inability to recognize previously familiar sensory input

Question 15

expressive aphasia

Answer 15

loss of the ability to express language.

Question 16

Intertrigo

Answer 16

inflammation of skinfolds caused by skin-on-skin friction and is common on opposing cutaneous or mucocutaneous surfaces

Secondary cutaneous bacterial and fungal infections are common complications.

Question 17

Erythrasma

Answer 17

chronic superficial infection of the intertriginous areas of the skin. The incriminated organism is Corynebacterium minutissimum

Question 18

chronic paronychia

Answer 18

nail tenderness, erythema, swelling, and retraction of the proximal nail fold. Often the adjacent cuticle is absent.

associated with chronic immersion in water or contact irritant (thumb sucking)

Question 19

rx for esophageal spasm

Answer 19

CCBs

Question 20

First line treatment in COPD

Answer 20

antimuscarinic agents (ex ipratropium)

Question 21

Zinc Deficiency

Answer 21

hypogonadism
impaired taste
alopecia
rash (perioral)

Question 22

Mitral stenosis and arrythmias

Answer 22

MS often –> A-Fib from atrial dilation

Question 23

Increased breath sounds

Answer 23

Lobar pneumonia

Question 24

MI to PCI time

Answer 24

• within 12 hours of pain onset
• 120 minutes at noncardiac facility
• 90 at capable facility

Question 25

Of the three types of colon adenomas __________ are the most likely to develop into an adenocarcinoma.

Answer 25

villous adenomas

the 3 are: tubular, tubulovillous, and villous

Question 26

treatments for diabetes mellitus reduces insulin resistance

Answer 26

Pioglitazone- works on PPAR-Y, a receptor that affects several insulin-responsive genes.

Question 27

this class of drugs inhibits the enzyme responsible for the breakdown of the incretins GLP-1 and GIP.

Answer 27

DPP-IV for DMT2

Question 28

Papanicolaou testing

is recommended starting at _____

Answer 28

21 years of age.

Question 29

Testicular cancer screening

Answer 29

Testicular cancer screening, whether by self-examination or as part of the physical examination, is not recommended.

Question 30

Early sign of CKD

Answer 30

The kidney is the source of erythropoietin,

and anemia generally appears when the GFR falls below 60 mL/minute

Question 31

Metolazone is?

Answer 31

Thiazide diuretics

Inhibit NaCl reabsorption in early DCT
–> ↓ diluting capacity of nephron.
↓ Ca2+ excretion.

Question 32

The American Diabetes Association recommends screening all persons older than 45 years old for diabetes ____

Answer 32

every 3 years

fasting glucose is a good test

Question 33

The diagnosis of diabetes may be made by

Answer 33

• 2 random glucose > 200 mg/dL with s/s
• fasting glucose > 126 mg/dL
• glucose reading > 200 mg/dL 2 hours after a 75-g glucose load.