U-World nein nein nein

Question 1

Bronchogenic carcinoma

Answer 1

most common CA w/ asbestos

50% have pleural plaques

Question 2

Mesothelioma

Answer 2

unilateral pleural plaque

large pleural effusions

Question 3

Cryptosporidium in healthy people

Answer 3

common cause of traveler’s diarrhea
watery
resolves in 10-14 days

Question 4

Dysentery

Answer 4

bloody mucoid diarrhea

Question 5

if over 30% of the body has SJS, the we call it?

Answer 5

TEN

SJS denotes less than 10%

Question 6

Tetanus immune globulin

Answer 6

used for immediate passive immunity in symptomatic patients

OR

prophylaxis for people who did not receive at least 3 childhood vaccinations

Question 7

Hep C ddx

Answer 7

1/2 of people can clear hep c spontaneously

so if + Hep C antibody–> measure Hep C RNA

Question 8

Pleural fluid analysis of esophageal rupture

Answer 8

high amylase and acidic pH

cxr: widened mediastinum

Question 9

Pancreatitis and pleural effusion

Answer 9

pancreatitis can cause left sided pleural effusion w/ ↑ amayase

Question 10

Community acquired pneumonia common bugs

Answer 10

Strep pneumo
H Flu
Legionella
Mycoplasma

Question 11

Community acquired inpatient rx

Answer 11

Fluoroquinolone- moxifloxacin

OR

beta lactam + macrolide (ceftriaxone + azithromycin)

(for ICU care always add the beta lactam)

Question 12

Neoadjuvant is?

Answer 12

therapy before standard of care rx

Question 13

Salvage therapy is

Answer 13

therapy after standard of care has failed

Question 14

Rx for malignant otitis externa

Answer 14

bug= pseudomonas

drug: IV ciprofloxacin

Question 15

Cystinuria

Answer 15

recurrent renal stones
hexagonal crystals
screening test: cyanide nitroprusside

Question 16

Sialadenosis

Answer 16

benign non-inflammatory enlargement of salivary glands in alcoholics

Question 17

Testing for multiple myeloma

Answer 17

serum/urine protein electrophoresis

peripheral smear for rouleaux

free light chain analysis

confirm with bone marrow biopsy, but that is last test

Question 18

Small intestine bacterial overgrowth

Answer 18

malabsorption syndrome
s/s: bloating,flatulence, diarrhea, wt loss, anemia

ddx by egd

rx: 10 day abx

Question 19

What mimics polymyositis but with more systemic signs

Answer 19

hyperthyroidism

Question 20

Muddy brown casts

Answer 20

ATN

Question 21

RBC casts

Answer 21

glomerulonephritis

Question 22

WBC casts

Answer 22

interstitial nephritis

pyelonephritis

Question 23

Fatty casts

Answer 23

nephrotic syndrome

Question 24

Waxy casts

Answer 24

CKD

Question 25

Blue toe syndrome

Answer 25

cholesterol emboli

Question 26

CLL is diagnosed by ______

Answer 26

flow cytometry

Question 27

urease producing microorganisms can cause ________ stones

Answer 27

struvite stones

Question 28

Enthesitis

Answer 28

inflammation and pain at sites of tendon/ ligament attachment

common in Ankylosing Spondylitis

Question 29

What bone problem does RA put you at risk for?

Answer 29

osteopenia, osteoporosis, and bone fxs

Question 30

osteitis deformans is aka

Answer 30

paget disease

Question 31

Order of pneumonia vaccines

Answer 31

13 –> 23

Question 32

_________ should be considered for people traveling to developing countries

Answer 32

Hep A

Question 33

febrile non-hemolytic transfusion rxn

Answer 33

most common transfusion rxn
s/s: fever, mailaise
leukoreduction can prevent it

Question 34

What should all patients with suspected achalasia have?

Answer 34

EGD to rule out malignancy which can mimic

Question 35

Methanol poisoning

Answer 35

anion gap met acidosis

can lead to vision loss (optic hyperemia) or coma