UWorld 11/24/14

Question 0

What is the first step in evaluating any pt. with impaired gastric emptying?

Answer 0

r/o mechanical obstruction (XR, EGD, barium swallow)

Question 1

What do we do for pregnant pts w/ genital herpes?

Answer 1

Acyclovir starting at 36 wks. Caesarean if active infection at term.

Question 2

Diagnostic test of choice for osteomyelitis

Answer 2

MRI

Question 3

Treatment for mild-mod hyponatremia 2/2 SIADH in order of escalation.

Answer 3

Water restriction –> salt tablets –> loop diuretics –> demeclocycline

Question 4

2 conditions (outside GIT) associated with angiodyaplasia

Answer 4

Aortic stenosis and ESRD

Question 5

What are the two most common causes of massive Lower GI bleeding in elderly pts?

Answer 5

Angiodysplasia and diverticulosis

Question 6

Normal average pulmonary capillary wedge pressure?

Answer 6

9 mmHg

Question 7

What is the normal cardiac index (pump function)?

Answer 7

2.8-4.2 L/min/m^2

Question 8

What are the additional benefits of metformin (beyond glycemic control)?

Answer 8

Weight loss, decreased TG & increased HDL

Question 9

What happens to TSH levels in the first trimester of pregnancy?

Answer 9

Decrease

Question 10

Why do TSH levels drop in pregnancy?

Answer 10

Thyroid-stimulating effect of β-hCG

Question 11

Medication given for post-exposure ppx of pertussis is associated with infantile hypertrophic pyloric stenosis?

Answer 11

Erythromycin