U World 4ever

Question 1

step 1 for intermittent asthma

Answer 1

SABA PRN

Question 2

Step 2 persistent asthma

Answer 2

Low dose inhaled steroid

Question 3

When do you add long acting bronchodilator in asthma

Answer 3

daily SABA use

nightly awakening > 1/week

Question 4

Thyroid storm vs malignant hyperthermia

Answer 4

thyroid= no muscle ridgid

has lid lag

Question 5

Malignant hyperthermia s/s

Answer 5

↑ HR, CK, K, and temp

Question 6

Rx for reactive arthritis

Answer 6

NSAIDs

Question 7

Medullary thyroid cancer

Answer 7

parafollicular C cells

marker= calcitonin

Question 8

Antibody in hashimoto

Answer 8

thyroid peroxidase antibody

Question 9

Causes of transudative pleural effusion

Answer 9

CHF
cirrhosis
nephrotic syndrome
peritoneal dialysis

Question 10

Exudate characteristics

Answer 10

pleural protein/serum protein > 5

pleural LD/serum LDH > 0.6

Question 11

PE pleural fluid

Answer 11

usually exudative

Question 12

Rx for primary biliary cholangitis

Answer 12

ursodeoxycholic acid

delays disease progression

Question 13

Lung nodule found but you have no prior CXR. Next step?

Answer 13

CT to characterize the lesion

Question 14

Vibrio vulnificus

Answer 14

marine bacteria
affects people with liver disease
rapidly progresses to nec fasc w/ hemorrhagic bullous

Question 15

2 types of diabetes insipidus

Answer 15

central- high serum Na

nephrogenic- renal ADH resistance, usually nrml serum Na

Question 16

Dressler syndrome

Answer 16

pericarditis occurring weeks after an MI

pain relieved by sitting fwd

Rx: NSAIDs

Question 17

Increasing the HCM murmur

Answer 17

valsalva (↓ preload= ↑ murmur)

Question 18

Most common cause of aortic regurg in developed country

Answer 18

Bicuspid aortic valve

decrescendo diastolic murmur

Question 19

EKG of wolff parkinson white

Answer 19

short PR
delta wave
wide QRS
T wave abnormal

*dueto accessory pathway

Question 20

Long QT on ECG

Answer 20

QT > 450-470 msec

Question 21

Progressive multifocal leukoencephalopathy

Answer 21

demylinating disease

CD4 < 200

Question 22

Most common ear problem in HIV

Answer 22

auditory tube dysfunction from HIV LAD obstruction

Question 23

Common CBC change in TSS

Answer 23

toxic shock often has thrombocytopenia

other s/s: hypotension, erythroderma, NVD

Question 24

Aspirin exacerbated respiratory disease

Answer 24

non-IgE allergic rxn

common w/ asthma

Question 25

Reason for urge incontinence

Answer 25

detrusor overactivity

rx: kegels, antimuscarinics (oxybutynin)

Question 26

1st line rx for non-inflammatory acne

Answer 26

Topical retinoids

Question 27

Topical _______ may be used in rosacea

Answer 27

metronidazole

Question 28

Urinary retention from neurogenic bladder rx

Answer 28

cholinergic agonists- bethanechol

Question 29

A pessary helps with this kind of incontinence

Answer 29

stress incontinence

Question 30

Cell mediated hypersensitivity

Answer 30

Delayed, type 4

s/s 48-72 hours later, mostly skin findings

Question 31

Type 2 hypersensitivity

Answer 31

Antibody binds antigen

ex: hemolytic anemia

Question 32

Type 1 hypersensitivity

Answer 32

Allergic/ immediate

IgE mediated mast cell release

Question 33

Advanced HIV meningitis

Answer 33

cryptococcal

Question 34

Rx for cerebral toxoplasmosis

Answer 34

CT= ring enhancing lesions and edema

rx: sulfadiazine-pyrimethamine

Question 35

What is the biggest lifestyle factor associated with pancreatic cancer

Answer 35

smoking

Question 36

How do bisphosphonates work?

Answer 36

inhibit osteoclasts and suppress bone turnover